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Abstract
Objective: To describe disability status among outpatients with mental disorders at Hanoi Mental Hospital and to identify some related factors.
Subjects and methods: A cross-sectional descriptive study was conducted among 367 outpatients with mental disorders aged 18–65 years at Hanoi Mental Hospital from December 2025 to March 2026. Disability status was assessed using the WHODAS 2.0 scale. Multiple linear regression analysis was used to identify related factors (p < 0.05).
Results: Regarding disability status, anxiety and stress-related disorders accounted for the highest proportion (40.9%), followed by schizophrenia and psychotic disorders (34.3%). Disability scores differed significantly among diagnostic groups (p < 0.01), with the schizophrenia and psychotic disorders group having the highest mean disability score (9.16 ± 12.45). Across WHODAS 2.0 domains, the highest disability score was observed in social participation, followed by life activities, while self-care and mobility had the lowest scores. Regarding related factors, multiple linear regression analysis showed that marital status, religious belief, occupation, and perceived social support were significantly associated with disability scores.
Conclusion: Outpatients with mental disorders experienced disability across several functional domains, particularly social participation and life activities. Disability assessment using WHODAS 2.0 should be strengthened in outpatient management, with attention to social, occupational, and social support factors when developing care, treatment, and rehabilitation plans.
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References
World Health Organization. Mental disorders [Internet]. Geneva: World Health Organization; 2025 [cited 2026 Jun 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
World Health Organization. Over a billion people living with mental health conditions – services require urgent scale-up [Internet]. Geneva: World Health Organization; 2025 [cited 2026 Apr 6]. Available from: https://www.who.int/news/item/02-09-2025-over-a-billion-people-living-with-mental-health-conditions-services-require-urgent-scale-up
Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359-364.doi:10.1097/YCO.0b013e32816ebc8.
World Health Organization. Mental health in Viet Nam [Internet]. Geneva: World Health Organization; 2022 [cited 2026 Apr 7]. Available from: https://www.who.int/vietnam/health-topics/mental-health
World Health Organization. Disability and health [Internet]. Geneva: World Health Organization; 2023 [cited 2026 Apr 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/disability-and-health
Ryu S, Lee H, Lee DK, Nam HJ, Chung YC, Kim SW. Network structures of social functioning domains in schizophrenia and bipolar disorder: a preliminary study. Clin Psychopharmacol Neurosci. 2020;18(4):571-579. doi:10.9758/cpn.2020.18.4.571.
Koopmans AB, van Hoeken D, Clarke DE, Vinkers DJ, van Harten PN, Hoek HW. Proxy WHO Disability Assessment Schedule 2.0 is clinically useful for assessing psychosocial functioning in severe mental illness. Front Psychiatry. 2020;11:303. doi:10.3389/fpsyt.2020.00303.
Sjonnesen K, Bulloch AGM, Williams J, Lavorato D, Patten SB. Characterization of disability in Canadians with mental disorders using an abbreviated version of a DSM-5 emerging measure: the 12-item WHO Disability Assessment Schedule (WHODAS) 2.0. Can J Psychiatry. 2016;61(4):227-235. doi:10.1177/0706743716632514.
Nguyen TPH, Pham TTH, Pham PT, Dinh VC. Characteristics of disability among patients with schizophrenia at the Institute of Mental Health, Bach Mai Hospital, in 2024. Vietnam J Community Med. 2025;66(Suppl 10):73-78. [in Vietnamese].
Anbasse GK, Tessema WG, Negash AT, Alenko AA. Determinants of disability among individuals living with schizophrenia attending psychiatric follow-up clinic in Jimma, Southwest Ethiopia: an institution-based case-control study. Neuropsychiatr Dis Treat. 2024;20:1119-1130. doi:10.2147/NDT.S452866.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149.
Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008;10(5):348-354. doi:10.1111/j.1751-7176.2008.07572.x.
Dahlem NW, Zimet GD, Walker RR. The Multidimensional Scale of Perceived Social Support: a confirmation study. J Clin Psychol. 1991;47(6):756-761. doi:10.1002/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L.
Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990;55(3-4):610-617. doi:10.1080/00223891.1990.9674095.
Üstün TB, Kostanjsek N, Chatterji S, Rehm J, editors. Measuring health and disability: manual for WHO Disability Assessment Schedule WHODAS 2.0. Geneva: World Health Organization; 2010.
Hu M, Li X, Zhu Y, Chen Z, Lai C, Liu R, Xiao S, Phillips MR. The role of family caregiving in the management of individuals with mental illnesses and the outcome of family-based interventions for mental illnesses in China: a scoping review. Lancet Reg Health West Pac. 2025;56:101184. doi:10.1016/j.lanwpc.2024.101184.
Worku BM, Yigzaw N, Tesfaw G, Tinsae S, Mulugeta A. Assessment of functional disability and associated factors among people with severe mental illness attending care at public hospitals in Harar town, Eastern Ethiopia: a cross-sectional study. BMJ Open. 2025;15(8):e088681. doi:10.1136/bmjopen-2024-088681.
Christensen MK, Lim CCW, Saha S, et al. The cost of mental disorders: a systematic review. Epidemiol Psychiatr Sci. 2020;29:e161. doi:10.1017/S204579602000075X.
Hang TNM, Thinh NV, Linh NNQ. Medication adherence and related psychosocial and clinical factors among schizophrenic patients: a cross-sectional analytical study in National Psychiatric Hospital 2, Vietnam. J Med Pharm Hue. 2024;14(2):43-49. doi:10.34071/jmp.2024.2.6.
Lyngdoh LAM, Singh SM, Singh LK. Marriage in persons with severe mental illness. Indian J Soc Psychiatry. 2023;39(4):317-326. doi:10.4103/ijsp.ijsp_67_23.
Bjørlykhaug KI, Karlsson B, Hesook SK, Kleppe LC. Social support and recovery from mental health problems: a scoping review. Nord Soc Work Res. 2022;12(5):666-697. doi:10.1080/2156857X.2020.1868553.
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