Stewart-Brown S, Layte R
Department of Public Health, University of Oxford, Headington.
J Epidemiol Community Health. 1997 Dec;51(6):672-5. doi: 10.1136/jech.51.6.672.
To assess the contribution of emotional health problems to the burden of disability affecting people of working age.
Analysis of data collected in a postal questionnaire survey of a random sample of people aged 18-64 years.
The four counties of the old Oxford region in 1991.
9332 people who responded to a questionnaire survey mailed to 14,000 people randomly selected from the Family Health Service Authority registers of the four counties of Berkshire, Buckinghamshire, Oxfordshire, and Northamptonshire.
Interference with work or other regular daily activity as reported in questions 4 and 5 of the health status measure SF-36.
In this population the prevalence of disability attributable to emotional health problems was greater than that attributable to all physical health problems combined. People reporting that their work or other regular daily activity was affected by their emotional health were much less likely to report a long-standing illness, consultation with a GP or consultation with a hospital doctor than people reporting a physical health problem.
Emotional health problems are a more important cause of disability in adults of working age than all physical health problems put together. Their importance is underestimated in health needs assessment exercises, which are based on NHS consultation rates or reporting of chronic illness. Research into the causes, prevention, and management of emotional health problems should be a national priority for the health service.
评估情绪健康问题对影响工作年龄人群的残疾负担的作用。
对18 - 64岁随机抽样人群进行邮政问卷调查所收集数据的分析。
1991年旧牛津地区的四个县。
9332名对邮寄给从伯克郡、白金汉郡、牛津郡和北安普敦郡四个县的家庭健康服务管理局登记册中随机抽取的14000人的问卷调查做出回应的人。
健康状况测量量表SF - 36的问题4和问题5中所报告的对工作或其他日常常规活动的干扰。
在该人群中，由情绪健康问题导致的残疾患病率高于所有身体健康问题导致的残疾患病率之和。与报告身体健康问题的人相比，报告其工作或其他日常常规活动受到情绪健康影响的人报告患有长期疾病、咨询全科医生或咨询医院医生的可能性要小得多。
情绪健康问题是工作年龄成年人残疾的一个比所有身体健康问题加在一起更重要的原因。在基于国民保健服务咨询率或慢性病报告的健康需求评估活动中，它们的重要性被低估了。对情绪健康问题的原因、预防和管理的研究应该是卫生服务的一项国家优先事项。
