Assessing disability in older patients with schizophrenia - Results from the WHODAS-II
Assessing disability in older patients with schizophrenia - Results from the WHODAS-II
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DOI：
10.1097/01.nmd.0000130133.32276.83
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发表时间：
2004-06-01
影响因子：
1.9
通讯作者：
Jeste, DV
中科院分区：
文献类型：
--
作者：
McKibbin, C;Patterson, TL;Jeste, DV
世界卫生组织最近出版了一份评估残疾情况的文书，题为《世界卫生组织残疾评估表-第二版》。我们试图评估其在老年精神分裂症患者中的可靠性和有效性。我们研究了54例门诊精神分裂症患者和22例正常对照组。除了WHODAS-II，我们还使用标准化评定量表来评估阳性和阴性症状、抑郁症状、认知功能、日常功能和幸福感质量。WHODAS-Ⅱ项目得分具有较高的内部一致性和显著的重测信度。患者报告的残疾程度高于正常对照受试者。在这些患者中，残疾评分与抑郁症状的严重程度和幸福感质量显著相关，但与认知表现和日常功能无关。研究结果提供了强有力的证据可靠性和一些证据的有效性WHODAS-II老年精神分裂症患者。
The World Health Organization has recently published an instrument to evaluate disability, entitled the World Health Organization Disability Assessment Schedule-Second Version (WHODAS-II). We sought to evaluate its reliability and validity in older patients with schizophrenia. We studied 54 outpatients with schizophrenia and 22 normal comparison subjects. Besides WHODAS-II, we used standardized rating scales to assess positive and negative symptoms, depressive symptoms, cognitive functioning, everyday functioning, and quality of well-being. There was high internal consistency in WHODAS-II item scores and significant test-retest reliability. Patients reported greater disability than normal comparison subjects. Among the patients, disability scores were significantly associated with severity of depressive symptoms and quality of well-being, but not with cognitive performance and everyday functioning. The findings offer strong evidence for reliability and some evidence for validity of the WHODAS-II in older patients with schizophrenia.