A factor analytic evaluation of the World Health Organization Disability Assessment Schedule 2.0 among veterans presenting to a generalist mental health clinic.
A factor analytic evaluation of the World Health Organization Disability Assessment Schedule 2.0 among veterans presenting to a generalist mental health clinic.
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对到综合性心理健康诊所就诊的退伍军人进行的世界卫生组织残疾评估表 2.0 的因素分析评估。
DOI：
10.1016/j.psychres.2019.01.008
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发表时间：
2019
影响因子：
11.3
通讯作者：
Chermack,StephenT
中科院分区：
文献类型：
--
作者：
Sexton,MindenB;Davis,MargaretT;Lusk,RebeccaK;Lyubkin,Mark;Chermack,StephenT
《精神疾病诊断与统计手册》第五版（DSM-5）中多轴诊断系统的转变导致了功能总体评估（GAF）的中止。DSM-5建议使用更可靠的方法来评估和描述残疾，即世界卫生组织残疾评估表2.0（WHODAS 2.0）。WHODAS 2.0在退伍军人事务部（VA）和退伍军人福利管理局广泛使用，以指导临床决策并协助有关经济补偿的决策。虽然WHODAS 2.0声称在临床和非临床样本中对成人跨文化进行了良好的验证，但有关WHODAS 2.0在非补偿寻求美国退伍军人人群中的因素结构的研究有限。本研究评估了WHODAS 2.0的因素结构，在464名退伍军人接受VA精神卫生保健的样本。对WHODAS 2.0数据进行了探索性和验证性因素分析。分析证实了WHODAS 2.0用于退伍军人的耐用性。然而，探索性分析指出了几个可能降低临床退伍军人样本中问卷功能的项目。探索性和验证性分析表明，可以实现更好的模型拟合。
The shift from a multiaxial system of diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) brought forth the discontinuation of the Global Assessment of Functioning (GAF). DSM-5 proposes the use of a more reliable method for assessing and describing disability, the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The WHODAS 2.0 is widely-used within the Department of Veterans Affairs (VA) and the Veterans Benefits Administration to guide clinical decision making and assist in decisions pertaining to financial compensation. While the WHODAS 2.0 purports to be well-validated for adults cross-culturally in clinical and non-clinical samples, research is limited pertaining to the factor structure of the WHODAS 2.0 in non-compensation seeking U.S. Veteran populations. This study evaluated the factor structure of the WHODAS 2.0 in a sample of 464 Veterans receiving VA mental healthcare. Exploratory and confirmatory factor analyses of the WHODAS 2.0 data were conducted. Analyses confirmed the hardiness of the WHODAS 2.0 for use with Veterans. However, exploratory analyses pointed to several items that may reduce the functioning of the questionnaire in clinical Veteran samples. Exploratory and confirmatory analyses indicated better model fit can be achieved.