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Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives

Published online by Cambridge University Press:  23 March 2020

M. Barrios ,
G. Guilera ,
O. Pino ,
E. Rojo ,
S. Wright  and
J. Gómez-Benito
M. Barrios
Affiliation:
University of Barcelona, Social Psychology and Quantitative Psychology, Barcelona, Spain
G. Guilera
Affiliation:
University of Barcelona, Social Psychology and Quantitative Psychology, Barcelona, Spain
O. Pino
Affiliation:
Hospital Benito Menni CASM. Sisters Hospitallers, University of Barcelona, Social Psychology and Quantitative Psychology, Barcelona, Spain
E. Rojo
Affiliation:
Hospital Benito Menni CASM–Sisters Hospitallers, Department of Psychiatry–International University of Catalonia, Barcelona, Spain
S. Wright
Affiliation:
University of Barcelona, Social Psychology and Quantitative Psychology, Barcelona, Spain
J. Gómez-Benito
Affiliation:
University of Barcelona, Social Psychology and Quantitative Psychology, Barcelona, Spain

Abstract

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Introduction

In 2001, the World Health Organization (WHO) created the International Classification of Functioning, Disability and Health (ICF) to offer a comprehensive and universally accepted framework to describe functioning, disability and health. The ICF Core Sets (ICF-CS) are a selection of categories that serve as a minimal standard for the assessment of functioning and disability in a specific health condition. The ICF-CS for schizophrenia was created in 2015 based on four preliminary studies that intend to capture different perspectives.

Objectives

The aim of this study is to describe the similarities (i.e. overlap) and discrepancies (i.e. unique contribution) between the clinical, patient and expert perspectives on the most relevant problems in functioning of individuals with schizophrenia, being focused on the European WHO region.

Methods

Forty-four experts from 14 European countries participated in an expert survey, patients with schizophrenia were involved in four focus groups, and health professionals assessed 127 patients in relation to daily life functioning. Information gathered from these three preliminary studies was linked to the ICF.

Results

Data showed that although a considerable number of second-level ICF categories agreed on the three preparatory studies (n = 54, 27.7%), each perspective provided a unique set of ICF categories. Specifically, experts reported 65 unique ICF categories, patients 23 and health professionals 11.

Conclusions

Even though there were similarities between perspectives, each one underlined different areas of functioning, showing the importance of including different perspectives in order to get a complete view of functioning and disability in individuals with schizophrenia.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
Oral communications: Rehabilitation and psychoeducation and schizophrenia and other psychotic disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S105
Copyright
Copyright © European Psychiatric Association 2017
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