Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0

[EN]Background: The WHODAS2.0isanICF-basedmultidimensionalinstrumentdevelopedformeasuring disability.Thepresentstudyanalyzestheutilityofthe36-iteminterviewer-administeredversionina sample ofpatientswithbipolardisorder.Thereisnostudytodatethatanalyseshowthescaleworksina sample thatonlycomprisessuchpa...

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Detalles Bibliográficos
Autores: Guilera, Georgina, Gómez-Benito, Juana, Pino, Oscar, Rojo, Emilio, Vieta, Eduard, Cuesta, Manuel J., Purdon, Scot E, Bernardo, Miguel, Crespo-Facorro, Benedicto, Franco Martín, Manuel Ángel, Martínez-Arán, Anabel, Safont, Gemma, Tabarés-Seisdedos, Rafael, Rejas, Javier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/163068
Acceso en línea:http://hdl.handle.net/10366/163068
Access Level:acceso abierto
Palabra clave:Disability
Functioning
Bipolar I disorder
WHODAS 2.0
ICF
Health status
3201.05 Psicología Clínica
Descripción
Sumario:[EN]Background: The WHODAS2.0isanICF-basedmultidimensionalinstrumentdevelopedformeasuring disability.Thepresentstudyanalyzestheutilityofthe36-iteminterviewer-administeredversionina sample ofpatientswithbipolardisorder.Thereisnostudytodatethatanalyseshowthescaleworksina sample thatonlycomprisessuchpatients. Methods: A totalof291patientswithbipolardisorder(42.6%males)accordingtoDSM-IV-TRcriteria from across-sectionalstudyconductedinoutpatientpsychiatricclinicswereenrolled.Inadditiontothe WHODAS2.0,patientscompletedacomprehensiveassessmentbatteryincludingmeasuresonpsycho- pathology,functionalityandqualityoflife.Analyseswerecenteredonprovidingevidenceonthevalidity and utilityoftheSpanishversionoftheWHODAS2.0inbipolarpatients. Results: Participation domainhadthehighestpercentageofmissingdata(2.7%).Confirmatoryfactorial analysiswasusedtotestthreemodelsformulatedintheliterature:sixprimarycorrelatedfactors,six primaryfactorswithasinglesecond-orderfactor,andsixprimaryfactorswithtwosecond-orderfactors. Thethreemodelswereplausible,althoughtheoneformedbysixcorrelatedfactorsproducedthebest fit. Cronbach’s alphavaluesrangedbetween.73forthe Self-care domainand.92for Lifeactivities, andthe internalconsistencyofthetotalscorewas.96.RelationshipsbetweentheWHODAS2.0andmeasuresof psychopathology,functionalityandqualityoflifewereintheexpecteddirection,andthescalewasfound tobeabletodifferentiateamongpatientswithdifferentintensityofclinicalsymptomsandworksituation. Limitations: Thepercentageofeuthymicpatientswasconsiderable.However,theassessmentofeuthymic patientsislessinfluencedbymood.Somepsychometricpropertieshavenotbeenstudied,suchasscore stabilityandsensitivitytochange. Conclusions: TheSpanishversionofthe36-itemWHODAS2.0hassuitablepsychometricpropertiesintermsof reliabilityandvaliditywhenappliedtopatientswithbipolardisorder.Disabilityinbipolarpatientsisespecially prominentin Cognition, Gettingalong, Lifeactivities, and Participation domains,sofunctionalremediation interventionsshouldemphasizethese areasinordertoimprovethedailyliving activitiesofthesepatients.

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