Explanatory Model of Disability in a Population with Severe Mental Disorders: A Multicenter Study in Three Countries of South America
Type
ArticuloAuthor
Castro-Alzate, Elvis SiprianCardona-Marín, Laura Milena
Pacheco, Robinson
Gamboa-Proaño, Marco
Bustos, Claudio
Saldivia, Sandra
Abstract
Introduction: Currently, evidence is being generated on the use of the International Classification of Functioning, Disability, and Health-derived tools in psychiatry and mental health. This study corresponds to the first investigation of explanatory character about a wide range of persons with severe mental disorders in three countries of South America. Aim: This study aims to determine an explanatory model of disability in a population with sev...
Ver más
Introduction: Currently, evidence is being generated on the use of the International Classification of Functioning, Disability, and Health-derived tools in psychiatry and mental health. This study corresponds to the first investigation of explanatory character about a wide range of persons with severe mental disorders in three countries of South America. Aim: This study aims to determine an explanatory model of disability in a population with severe mental disorders in contact with outpatient psychiatry services in Chile, Colombia, and Ecuador. Materials and methods: A multicenter, observational, correlational, cross-sectional study was carried out based on a probabilistic sampling in Colombia and a convenience sampling in Chile and Ecuador. A total of 803 adults with severe mental disorders participated, who were in contact with outpatient psychiatry services in Concepción (Chile), Cali (Colombia), and Quito (Ecuador). Results: Some degree of disability was presented by 91.3% of participants. The final multivar-iate model included the explanatory variables country (Colombia; β = 6.724); age (β = −0.163); schooling (β = −0.5029); current depression symptoms (β = 23.26), psychotic episode (β = 4.795); hypomanic/manic episode (β = 7,498; t = 3,711); to have religious practice (β = −2.834); and to have a caregiver (β = 10.363); a coefficient of determination of 0.3275 (F [23, 760] = 16.09; p < 0.001M R2∆ = 30.71) was obtained, explain-ing a 32.75% disability in participants from the three participating countries. Conclusions: Current symp-toms and the presence of a caregiver are the main explanatory variables of the disability burden in a multivariate model of disability for severe mental disorders.
Ver menos
Date de publicación
2021Journal title
Revista Ciencias de la Salud
Metadata
Show full item recordThe following license files are associated with this item: