Disability in depression and back pain - Evaluation of the World Health Organization Disability Assessment Schedule (WHO DAS II) in a primary care setting
Disability in depression and back pain - Evaluation of the World Health Organization Disability Assessment Schedule (WHO DAS II) in a primary care setting
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DOI：
10.1016/s0895-4356(03)00051-9
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发表时间：
2003-06-01
影响因子：
7.2
通讯作者：
Von Korff, M
中科院分区：
文献类型：
--
作者：
Chwastiak, LA;Von Korff, M
世界卫生组织残疾评估表（WHO DAS II）是基于ICIDH-2功能和残疾模型的一种新的残疾衡量标准。本研究评估了WHO DAS II在初级保健环境中常见的两种疾病的测量特性。73名抑郁症患者和76名背痛患者在基线和常规初级保健3个月后接受了采访。评估了WHO DAS II的内部效度、收敛效度和对变化的响应性。WHO DAS II在初级保健环境中具有优异的内部效度和收敛效度。世卫组织DASⅱ对变化的反应性与SF-36相当。世卫组织《健康状况调查第二版》似乎是衡量初级保健环境中与身心障碍有关的残疾的有用健康状况工具。这一工具有助于利用国际传染病分类-2作为评价活动限制和参与的框架。(C) 2003 Elsevier Inc.版权所有。
The World Health Organization Disability Assessment Schedule (WHO DAS II) is a new measure of disability based on the ICIDH-2 model of functioning and disability. This study evaluates the measurement properties of the WHO DAS II in two disorders commonly encountered in the primary care setting. Seventy-three patients with depression and 76 patients with back pain were interviewed at baseline and after 3 months of usual primary care. Internal validity, convergent validity, and responsiveness to change of the WHO DAS II were evaluated. The WHO DAS II had excellent internal validity and convergent validity in the primary care setting. The responsiveness to change of the WHO DAS II was comparable to that of the SF-36. The WHO DAS II appears to be a useful health status instrument for measuring the disability associated with both physical and mental disorders in the primary care setting. This instrument facilitates the use of the ICIDH-2 as a framework for evaluating activity limitations and participation. (C) 2003 Elsevier Inc. All rights reserved.