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Salud mental

versão impressa ISSN 0185-3325

Resumo

HERNANDEZ-ORDUNA, Omar et al. WHODAS and the evaluation of disability among people with mental disorders with and without psychotic symptoms. Salud Ment [online]. 2017, vol.40, n.5, pp.209-218. ISSN 0185-3325.  https://doi.org/10.17711/sm.0185-3325.2017.027.

Introduction

Valid and feasible measures to properly assess the most impaired areas of functioning in various groups of patients with mental disorders would allow the development and evaluation of interventions designed to modify the specific environmental barriers that contribute to patients´ disability.

Objective

This article seeks to evaluate the internal consistency and construct and convergent validity of the Spanish version of the World Health Organization’s Disability Assessment Schedule WHODAS 2.0, as well as its relationship with sociodemographic variables and symptomatic severity in Mexican patients with and without psychotic symptoms.

Method

The WHODAS 2.0 and the Social and Occupational Functioning Assessment Scale SOFAS were administered to 153 patients with any of the following diagnoses: affective disorders, anxiety disorders, stress-related disorders, and psychotic disorders.

Results

The WHODAS 2.0 showed high internal consistency in patients with psychotic symptoms (Cronbach’s alpha = .92) and without psychotic symptoms (Cronbach’s alpha = .89). Nevertheless, only in patients without psychotic symptoms, was a significant negative correlation between WHODAS (disability) and SOFAS (functioning) total scores observed, together with significant differences in WHODAS scores between those with mild and severe symptomatology.

Discussion and conclusion

The WHODAS 2.0 is an adequate measure of disability in patients without psychotic symptoms. It could be used as a complementary measure of disability in those with psychotic symptoms. Further studies are required to determine other psychometric properties of the WHODAS 2.0, particularly those related to temporal stability and sensitivity to change.

Palavras-chave : Disability; functioning; mental disorders; evaluation; self-report; WHODAS.

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