METHODS: 556 Moroccan participants aged over 18 years representing four chronic diseases: back pain n 158 , renal insufficiency n 56 , diabetes n 82 or hypertension n 80 and healthy subjects n 180 . ...The ARI values estimated for Moroccan patients showed that i hypertension increased anxiety depression by 66 and reduced mobility by 65 ii back pain increased pain discomfort by 69 iii renal insufficiency impacts mobility ARI 57 , odds ordinal 9.95 and usual activities ARI 44 , odds ordinal 6.41 and iv diabetes acts only on anxiety depression ARI 50 , odds ordinal 4.8 . ...