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Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders

  • M. Balestrieri (a1), M. Isola (a2), R. Bonn (a3), T. Tam (a1), A. Vio (a3), M. Linden (a4) (a5) and E. Maso (a1) (a3)...

Abstract

Aims.

The assessment of limitations in social capacities can be done with the Mini-ICF-APP, a rating scale built in reference to the International Classification of Functioning, Disability and Health (ICF). The aim of this study was to assess the reliability and the convergent validity of the Italian version of this scale.

Methods.

We recruited 120 consecutive patients diagnosed with schizophrenia, major depression, bipolar I disorder and anxiety disorders. Included measures were the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression Scale (CGI-S), the Personal and Social Performance Scale (PSP) and the Social and Occupational Functioning Assessment Scale (SOFAS).

Results.

The median CGI-S and BPRS scores were 5 and 16.5. Mean Mini-ICF-APP total score was 18.1. Schizophrenics' Mini-ICF-APP score was higher, while that of anxious patients was lower than in the other diagnoses. Intra-class correlations (ICC) revealed a significant inter-rater agreement for total score (ICC 0.987) and for each item of the Mini-ICF-APP. The test–retest agreement was also highly significant (ICC 0.993). The total score of the Mini-ICF-APP obtained good negative correlations with PSP (rs = −0.767) and with SOFAS scores (rs = −0.790). The distribution items of the Mini-ICF-APP showed some skewness, indicating that self-care (item 12) and mobility (item 13) were amply preserved in most patients. The Mini-ICF-APP total score was significantly correlated with both CGI-S (rs = 0.777) and BPRS (rs = 0.729).

Conclusions.

As a short instrument, the Mini-ICF-APP scale seems to be well suited to everyday psychiatric practice as a means of monitoring changes in psychosocial functioning, in particular in schizophrenic patients.

Copyright

Corresponding author

*Address for correspondence: Professor Matteo Balestrieri, Clinica Psichiatrica, Azienda Ospedaliero Universitaria, P.le S.M.Misericordia, 33100 Udine, Italy. (Email: matteo.balestrieri@uniud.it)

References

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American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn.American Psychiatric Association Press: Washington, DC.
Baron, S, Linden, M (2008). The role of the “International Classification of Functioning, Disability and Health, ICF” in the classification of mental disorders. European Archives of Psychiatry and Clinical Neurosciences 255(Suppl. 5), 8185.
Baron, S, Linden, M (2009). Disorders of functioning and disorders of competence in relation to sick leave in mental disorders. International Journal of Social Psychiatry 55, 5763.
Becchi, A, Rucci, P, Placentino, A, Neri, G, de Girolamo, G (2004). Quality of life in patients with schizophrenia – comparison of self-report and proxy assessments. Social Psychiatry and Psychiatric Epidemiology 39, 397401.
Boldt, C, Brach, M, Grill, E, Berthou, A, Meister, K, Scheuringer, M, Stucki, G (2005). The ICF categories identified in nursing interventions administered to neurological patients with post-acute rehabilitation needs. Disability and Rehabilitation 27, 420431.
Box, GEP, Andersen, SL (1955). Permutation theory in the derivation of robust criteria and the study of departures from assumption. Journal of the Royal Statistical Society, Series B 17, 126.
Bulmer, MG (1979). Principles of Statistics. Dover: New York.
Burns, T, Patrick, D (2007). Social functioning as an outcome measure in 381 schizophrenia studies. Acta Psychiatrica Scandinavica 116, 403418.
Cieza, A, Stucki, G (2005). Content comparison of Health Related Quality of Life (HRQOL) instruments based on the International Classification of Functioning, Disability and Health (ICF). Quality of Life Research 14, 12251237.
Guy, W (1976). ECDEU Assessment Manual for Psychopharmacology. U.S. Department of Health, Education, and Welfare: Rockville, MD.
Harvey, PD (2011). Assessment of everyday functioning in schizophrenia. Innovations in Clinical Neurosciences 8, 2124.
Heinemann, A (2010). Rehabilitation Measures Database. Rehabilitation Institute of Chicago, Center for Rehabilitation Outcomes Research, Northwestern University Feinberg School of Medicine, Department of Medical Social Sciences Informatics Group. Retrieved 1 August 2012 from http://www.rehabmeasures.org/rehabweb/rhstats.aspx.
Hensing, G, Brage, S, Nygǻrd, JF, Sandanger, I (2000). Sickness absence with psychiatric disorders – an increased risk for marginalisation among men? Social Psychiatry and Psychiatric Epidemiology 35, 335340.
Ho, BC, Flaum, M, Hubbard, W, Arndt, S, Andreasen, NC (2004). Validity of symptom assessment in psychotic disorders: information variance across different sources of history. Schizophrenia Research 68, 299307.
Holmes, W, Bix, B, Shea, J (1996). SF-20 score and item distributions in a human immunodeficiency virus-seropositive sample. Medical Care 34, 562569.
Juckel, G, Schaub, D, Fuchs, N, Naumann, U, Uhl, I, Witthaus, H, Hargarter, L, Bierhoff, HW, Brüne, M (2008). Validation of the Personal and Social Performance (PSP) Scale in a German sample of acutely ill patients with schizophrenia. Schizophrenia Research 104, 287293.
Katz, S, Moskowitz, RW, Jackson, BA (1963). Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. Journal of American Medical Association 185, 914919.
Linden, M, Baron, S (2005). Das Mini-ICF-Rating für Psychische Störungen (Mini-ICF-P). Ein Kurzinstrument zur Beurteilung von Fähigkeitsstörungen bei psychischen Erkrankungen. Rehabilitation 44, 144151.
Linden, M, Weidner, C (2005). Arbeitsunfähigkeit bei psychischen Störungen. Nervenarzt 76, 14211431.
Linden, M, Baron, S, Muschalla, B (2009). Mini-ICF-Rating für Aktivitäts- und Partizipationsstörungen bei Psychischen Erkrankungen (Mini-ICF-APP). Verlag Hans Huber: Hogrefe AG, Bern (Italian translation: Linden M., Baron S, Muschalla B. (2012). Mini-ICF-APP. Uno strumento per la valutazione dei deficit di Attività e Partecipazione nei Disturbi Psichici. Eds. Balestrieri, Matteo, Maso, Elisa. Giunti OS editore, Firenze, Italy.)
Morosini, PL, Magliano, L, Brambilla, L, Ugolini, S, Pioli, R (2000). Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatrica Scandinavica 1001, 323329.
Overall, JE, Gorham, DR (1962). The brief psychiatric rating scale. Psychological Report 10, 799812.
Patrick, DL, Burns, T, Morosini, P, Rothman, M, Gagnon, DD, Wild, D, Adriaenssen, I (2009). Reliability, validity and ability to detect change of the clinician-rated Personal and Social Performance scale in patients with acute symptoms of schizophrenia. Current Medical Research Opinion 25, 325338.
Prytys, M, Garety, PA, Jolley, S, Onwumere, J, Craig, T (2011). Implementing the NICE guideline for schizophrenia recommendations for psychological therapies: a qualitative analysis of the attitudes of CMHT staff. Clinical Psychology and Psychotherapy 18, 4859.
Ruggeri, M, Lora, A, Semisa, D, SIEP-DIRECT'S Group (2008). The SIEP-DIRECT'S Project on the discrepancy between routine practice and evidence. An outline of main findings and practical implications for the future of community based mental health services. Epidemiologia Psichiatria Sociale 17, 358368.
Sabbag, S, Twamley, EM, Vella, L, Heaton, RK, Patterson, TL, Harvey, PD (2011). Assessing everyday functioning in schizophrenia: not all informants seem equally informative. Schizophrenia Research 131, 250255.
Savikko, A, Alexanderson, K, Hensing, G (2001). Do mental health problems increase sickness absence due to other diseases? Social Psychiatry Psychiatric Epidemiology 36, 310316.
Schaub, D, Brüne, M, Jaspen, E, Pajonk, FG, Bierhoff, HW, Juckel, G (2011). The illness and everyday living: close interplay of psychopathological syndromes and psychosocial functioning in chronic schizophrenia. European Archives of Psychiatry and Clinical Neurosciences 261, 8593.
Shrout, PE, Fleiss, JL (1979). Intraclass correlations: use in assessing rate reliability. Psychological Bulletin 86, 420428.
Stier-Jarmer, M, Grill, E, Ewert, T, Bartholomeyczik, S, Finger, M, Mokrusch, T, Kostanjsek, N, Stucki, G (2005). ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities. Disability and Rehabilitation 27, 389396.
Üstün, TB, Kostanjsek, N, Chatterji, S, Rehm, J (2010). Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). WHO Press: Geneva.
Walter, SD, Eliasziw, M, Donner, A (1998). Sample size and optimal designs for reliability studies. Statistics in Medicine 17, 101110.
Wiersma, D, DeJong, A, Ormel, J (1988). The Groningen social disability schedule: development, relationship with I.C.I.D.H., and psychometric properties. International Journal of Rehabilitation Research 11, 213224.
World Health Organization (2001). International Classification of Functioning, Disability and Health (ICF). WHO Press: Geneva.

Keywords

Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders

  • M. Balestrieri (a1), M. Isola (a2), R. Bonn (a3), T. Tam (a1), A. Vio (a3), M. Linden (a4) (a5) and E. Maso (a1) (a3)...

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