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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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
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spelling Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0Guilera, GeorginaGómez-Benito, JuanaPino, OscarRojo, EmilioVieta, EduardCuesta, Manuel J.Purdon, Scot EBernardo, MiguelCrespo-Facorro, BenedictoFranco Martín, Manuel ÁngelMartínez-Arán, AnabelSafont, GemmaTabarés-Seisdedos, RafaelRejas, JavierDisabilityFunctioningBipolar I disorderWHODAS 2.0ICFHealth status3201.05 Psicología Clínica[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.Elsevier202520252015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10366/163068reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)InglésAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:gredos.usal.es:10366/1630682026-06-07T06:28:51Z
dc.title.none.fl_str_mv Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
title Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
spellingShingle Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
Guilera, Georgina
Disability
Functioning
Bipolar I disorder
WHODAS 2.0
ICF
Health status
3201.05 Psicología Clínica
title_short Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
title_full Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
title_fullStr Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
title_full_unstemmed Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
title_sort Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
dc.creator.none.fl_str_mv 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
author Guilera, Georgina
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Disability
Functioning
Bipolar I disorder
WHODAS 2.0
ICF
Health status
3201.05 Psicología Clínica
topic Disability
Functioning
Bipolar I disorder
WHODAS 2.0
ICF
Health status
3201.05 Psicología Clínica
description [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.
publishDate 2015
dc.date.none.fl_str_mv 2015
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/163068
url http://hdl.handle.net/10366/163068
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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