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      The comparative importance of mental and physical disorders for health-related days out of role in the general population of Saudi Arabia.

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          Abstract

          A major component of illness burden is role impairment. As part of the recently-completed Saudi National Mental Health Survey (SNMHS), we compare the number of days out of role in the Saudi population associated with ten core mental disorders assessed in the survey to those associated with ten commonly occurring chronic physical disorders.

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          Most cited references65

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          Regularization Paths for Generalized Linear Models via Coordinate Descent

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            ranger: A Fast Implementation of Random Forests for High Dimensional Data in C++ and R

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              Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health Surveys

              The DSM‐IV diagnoses generated by the fully structured lay‐administered Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) in the WHO World Mental Health (WMH) surveys were compared to diagnoses based on follow‐up interviews with the clinician‐administered non‐patient edition of the Structured Clinical Interview for DSM‐IV (SCID) in probability subsamples of the WMH surveys in France, Italy, Spain, and the US. CIDI cases were oversampled. The clinical reappraisal samples were weighted to adjust for this oversampling. Separate samples were assessed for lifetime and 12‐month prevalence. Moderate to good individual‐level CIDI‐SCID concordance was found for lifetime prevalence estimates of most disorders. The area under the ROC curve (AUC, a measure of classification accuracy that is not influenced by disorder prevalence) was 0.76 for the dichotomous classification of having any of the lifetime DSM‐IV anxiety, mood and substance disorders assessed in the surveys and in the range 0.62–0.93 for individual disorders, with an inter‐quartile range (IQR) of 0.71–0.86. Concordance increased when CIDI symptom‐level data were added to predict SCID diagnoses in logistic regression equations. AUC for individual disorders in these equations was in the range 0.74–0.99, with an IQR of 0.87–0.96. CIDI lifetime prevalence estimates were generally conservative relative to SCID estimates. CIDI‐SCID concordance for 12‐month prevalence estimates could be studied powerfully only for two disorder classes, any anxiety disorder (AUC = 0.88) and any mood disorder (AUC = 0.83). As with lifetime prevalence, 12‐month concordance improved when CIDI symptom‐level data were added to predict SCID diagnoses. CIDI 12‐month prevalence estimates were unbiased relative to SCID estimates. The validity of the CIDI is likely to be under‐estimated in these comparisons due to the fact that the reliability of the SCID diagnoses, which is presumably less than perfect, sets a ceiling on maximum CIDI‐SCID concordance. Copyright © 2006 John Wiley & Sons, Ltd.
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                Author and article information

                Journal
                BMC Public Health
                BMC public health
                Springer Science and Business Media LLC
                1471-2458
                1471-2458
                February 12 2022
                : 22
                : 1
                Affiliations
                [1 ] Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
                [2 ] King Salman Center for Disability Research, Riyadh, Saudi Arabia.
                [3 ] SABIC Psychological Health Research & Applications Chair (SPHRAC), College of Medicine, King Saud University, Riyadh, Saudi Arabia.
                [4 ] Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
                [5 ] Edrak Medical Center, Riyadh, Saudi Arabia.
                [6 ] Mental Health Department, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.
                [7 ] Vision Realization Office, Ministry of Health, Riyadh, Saudi Arabia.
                [8 ] National Center for Mental Health Promotion, Ministry of Health, Riyadh, Saudi Arabia.
                [9 ] Department of Information, Evidence, and Research, World Health Organization, Geneva, Switzerland.
                [10 ] Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA. kessler@hcp.med.harvard.edu.
                Article
                10.1186/s12889-022-12721-z
                10.1186/s12889-022-12721-z
                8840674
                35151288
                2a22a763-b3be-4d23-821d-17d43823de02
                © 2022. The Author(s).
                History

                Days out of role,Impairment,Mental disorder,Physical disorders,Saudi Arabia,Saudi National Mental Health Survey (SNMHS)

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