A One-Year Follow Up Study on Disability in Mental Health Nursing Practice.

Disability is common in patients with mental disorders, and therapeutic approaches should promote functional recovery to achieve the highest quality of life. This study reports changes in WHODAS 2.0 scores at 1 year of follow-up among patients receiving care from a single mental-health nurse in a community setting in Spain and compare these changes by diagnosis (SMI vs. CMI). Baseline and 1-year follow-up scores were compared. For all participants, we collected sociodemographic information, clinical diagnosis, and disability scores according to WHODAS 2.0. Participating patients received the usual, non-manualized nursing intervention. Our sample comprised 133 patients, 75 of whom were assessed after 1 year. All patients had improved WHODAS 2.0 scores (difference of 9.20 ± 2.42; p < .001) in all domains except those domains related to work ("Life activities") and relationships ("Getting along"). Furthermore, almost half of the patients studied were no longer undergoing treatment with the nurse at 1-year follow-up.

Comparison of disability between common mental disorders and severe mental disorders using WHODAS 2.0.

INTRODUCTION: Mental disorders are among the leading causes of disability worldwide. Despite the fact that severe mental disorders (SMD) are associated with high disability, the impact of common mental disorders (CMD) is not negligible. In this work, we compare the disability measured with the WHODAS 2.0 scale of both diagnostic groups at the Mental Health Nurse facility. MATERIAL AND METHODS: Sociodemographic data, clinical diagnosis and disability scores were collected, using the WHODAS 2.0 scale, of the patients attended by the Mental Health specialist nurse at the Infanta Elena de Valdemoro Hospital (Madrid) and disability was compared in patients with SMD and CMD, using the Student t test. RESULTS: Our study sample consisted of 133 patients. Patients with CMD showed greater disability compared to patients with SMD. It was observed that the disability associated with CMD is higher, compared to SMD, this difference being significant for the domain of work (p < 0.001) and participation in society (p = 0.041). CONCLUSIONS: In this study we showed that the level of disability associated with CMD was higher in certain areas compared to SMD, this difference was of special relevance for the «Work¼ and «Participation¼ domains. This may serve to adapt the interventions aimed at these people and improve their quality of life.

Comparación de la discapacidad entre trastornos mentales graves y comunes usando la escala WHODAS 2.0 / Comparison of disability between common mental disorders and severe mental disorders using WHODAS 2.0

Introducción: Los trastornos mentales se encuentran entre las principales causas de discapacidad a nivel mundial. Es conocido que los trastornos mentales graves (TMG) se asocian a una alta discapacidad, pero el impacto de los trastornos mentales comunes (TMC) no es desdeñable. En este trabajo comparamos la discapacidad medida con la escala WHODAS 2.0 en ambos grupos diagnósticos desde la consulta de enfermería de un Centro de Salud Mental.Material y métodos: Se recogieron los datos sociodemográficos, el diagnóstico clínico y las puntuaciones de discapacidad de los pacientes atendidos por la enfermera especialista de Salud Mental en el Hospital Infanta Elena de Valdemoro (Madrid) y se comparó la discapacidad en pacientes con TMG y TMC, mediante el test t de Student.Resultados: Se reclutaron un total de 133 pacientes. Los pacientes con TMC mostraron una mayor discapacidad respecto a los pacientes con TMG, siendo esta diferencia significativa para el dominio del trabajo (p<0,001) y de participación en la sociedad (p=0,041).Conclusiones: En este estudio mostramos que el nivel de discapacidad asociado con el TMC fue más alto en ciertas áreas en comparación con el TMG, siendo esta diferencia especialmente relevante para los dominios «trabajo» y «participación». Esto puede servir para adecuar las intervenciones dirigidas a estas personas y podría mejorar su calidad de vida. (AU)

Introduction: Mental disorders are among the leading causes of disability worldwide. Despite the fact that severe mental disorders (SMD) are associated with high disability, the impact of common mental disorders (CMD) is not negligible. In this work, we compare the disability measured with the WHODAS 2.0 scale of both diagnostic groups at the Mental Health Nurse facility.Material and methods: Sociodemographic data, clinical diagnosis and disability scores were collected, using the WHODAS 2.0 scale, of the patients attended by the Mental Health specialist nurse at the Infanta Elena de Valdemoro Hospital (Madrid) and disability was compared in patients with SMD and CMD, using the Student t test.Results: Our study sample consisted of 133 patients. Patients with CMD showed greater disability compared to patients with SMD. It was observed that the disability associated with CMD is higher, compared to SMD, this difference being significant for the domain of work (p<0.001) and participation in society (p=0.041).Conclusions: In this study we showed that the level of disability associated with CMD was higher in certain areas compared to SMD, this difference was of special relevance for the «Work» and «Participation» domains. This may serve to adapt the interventions aimed at these people and improve their quality of life. (AU)

Comparison of disability between common mental disorders and severe mental disorders using WHODAS 2.0. / Comparación de la discapacidad entre trastornos mentales graves y comunes usando la escala WHODAS 2.0.

INTRODUCTION: Mental disorders are among the leading causes of disability worldwide. Despite the fact that severe mental disorders (SMD) are associated with high disability, the impact of common mental disorders (CMD) is not negligible. In this work, we compare the disability measured with the WHODAS 2.0 scale of both diagnostic groups at the Mental Health Nurse facility. MATERIAL AND METHODS: Sociodemographic data, clinical diagnosis and disability scores were collected, using the WHODAS 2.0 scale, of the patients attended by the Mental Health specialist nurse at the Infanta Elena de Valdemoro Hospital (Madrid) and disability was compared in patients with SMD and CMD, using the Student t test. RESULTS: Our study sample consisted of 133 patients. Patients with CMD showed greater disability compared to patients with SMD. It was observed that the disability associated with CMD is higher, compared to SMD, this difference being significant for the domain of work (p<0.001) and participation in society (p=0.041). CONCLUSIONS: In this study we showed that the level of disability associated with CMD was higher in certain areas compared to SMD, this difference was of special relevance for the «Work¼ and «Participation¼ domains. This may serve to adapt the interventions aimed at these people and improve their quality of life.