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  • 标题:Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI
  • 本地全文:下载
  • 作者:Stephan T. Egger ; Godehard Weniger ; Mario Müller
  • 期刊名称:Health and Quality of Life Outcomes
  • 印刷版ISSN:1477-7525
  • 电子版ISSN:1477-7525
  • 出版年度:2019
  • 卷号:17
  • 期号:1
  • 页码:1-7
  • DOI:10.1186/s12955-019-1235-5
  • 出版社:BioMed Central
  • 摘要:The assessment of functioning and impairment due to psychiatric illness has been acknowledged to be crucial for research and practice. This led to the development of the mini-ICF-APP, which provides a reliable and time-efficient measure of functioning and impairment. Although its use is increasing, it remains unclear how it reflects severity and how change might be interpreted from a clinical perspective. In a clinical sample of 3067 individuals hospitalized for mental health treatment, we used an equipercentile approach to link the mini-ICF-APP with the Clinical Global Impression scale (CGI) at admission and discharge. We linked the mini-ICF-APP sum score to the CGI-S scale and the mini-ICF-APP proportional change between admission and discharge to the CGI-I scale. The mini-ICF-APP and CGI scales showed a Spearman correlation of 0.50 (p .000); “no-change” in the CGI-I corresponded to an increase or decrease of 2%; “minimally-improved” to a mini-ICF-APP reduction of 3–30%; “much-improved” to a reduction of 31–63%; “very-much-improved” to a reduction of ≥64% “minimally-worse” to an increase of 3–34% “much-worse” to an increase of 35–67%; and finally “very-much-worse” with an increase of ≥68%. Our findings improve understanding of the clinical meaning of the mini-ICF-APP sum score and percentage change in patients hospitalized for treatment.
  • 关键词:Psychiatric disorders;Functionality;Severity;Mini;ICF;APP;CGI;Equipercentile
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