Relationship of the Brief UCSD Performance-based Skills Assessment (UPSA-B) to multiple indicators of functioning in people with schizophrenia and bipolar disorder
Relationship of the Brief UCSD Performance-based Skills Assessment (UPSA-B) to multiple indicators of functioning in people with schizophrenia and bipolar disorder
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DOI：
10.1111/j.1399-5618.2009.00787.x
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发表时间：
2010-02-01
影响因子：
5.4
通讯作者：
Patterson, Thomas L.
中科院分区：
文献类型：
--
作者：
Mausbach, Brent T.;Harvey, Philip D.;Patterson, Thomas L.
目的：本研究评估了205例严重双相情感障碍（n = 89）或精神分裂症（n = 116）患者的“现实世界”功能的多个指标与简短的基于表现的功能能力测量（称为加州圣地亚哥大学（UCSD）基于表现的技能评估（UPSA-B））分数之间的关系。参与者被给予UPSA-B并对以下功能领域进行评估：（i）独立生活状态（例如，作为户主独立居住，住在寄宿护理设施中）;（ii）举报人报告的功能（例如，工作技能，日常生活技能）;（iii）受教育程度和估计发病前的智商，分别测量多年的教育和广泛的成就测试阅读分数;和（iv）employees.Results：更好的分数UPSA-B与更大的住宅独立后，控制年龄，诊断和精神病理学症状。在双相情感障碍和精神分裂症患者中，较高的UPSA-B评分与日常生活技能和工作技能领域的功能更好的报告显着相关。对于精神分裂症和双相情感障碍参与者，更高的病前智商估计值与UPSA-B的更高得分相关。谁被雇用的参与者得分较高的UPSA-B时，控制年龄和诊断，但不控制症状的psychopathology.Conclusions：这些数据表明，UPSA-B可能是有用的评估能力，在一些领域的人诊断为精神分裂症和双相情感障碍。
Objective: This study assessed the relationship between multiple indicators of 'real-world' functioning and scores on a brief performance-based measure of functional capacity known as the Brief University of California San Diego (UCSD) Performance-based Skills Assessment (UPSA-B) in a sample of 205 patients with either serious bipolar disorder (n = 89) or schizophrenia (n = 116).Methods: Participants were administered the UPSA-B and assessed on the following functional domains: (i) independent living status (e.g., residing independently as head of household, living in residential care facility); (ii) informant reports of functioning (e.g., work skills, daily living skills); (iii) educational attainment and estimated premorbid IQ as measured by years of education and Wide Range Achievement Test reading scores, respectively; and (iv) employment.Results: Better scores on the UPSA-B were associated with greater residential independence after controlling for age, diagnosis, and symptoms of psychopathology. Among both bipolar disorder and schizophrenia patients, higher UPSA-B scores were significantly related to better informant reports of functioning in daily living skills and work skills domains. Greater estimated premorbid IQ was associated with higher scores on the UPSA-B for both schizophrenia and bipolar disorder participants. Participants who were employed scored higher on the UPSA-B when controlling for age and diagnosis, but not when controlling for symptoms of psychopathology.Conclusions: These data suggest the UPSA-B may be useful for assessing capacity for functioning in a number of domains in both people diagnosed with schizophrenia and bipolar disorder.