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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

Published online by Cambridge University Press:  19 September 2012

M. Balestrieri ,
M. Isola ,
R. Bonn ,
T. Tam ,
A. Vio ,
M. Linden  and
E. Maso
M. Balestrieri*
Affiliation:
Section of Psychiatry, Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy
M. Isola
Affiliation:
Department of Medical and Biological Sciences, University of Udine, Udine, Italy
R. Bonn
Affiliation:
North-Udine Community Mental Health Centre, Local Health Authority, Udine, Italy
T. Tam
Affiliation:
Section of Psychiatry, Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy
A. Vio
Affiliation:
North-Udine Community Mental Health Centre, Local Health Authority, Udine, Italy
M. Linden
Affiliation:
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin, Germany Department of Behavioral Medicine, Rehabilitation Center Seehof, Teltow/Berlin, Germany
E. Maso
Affiliation:
Section of Psychiatry, Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy North-Udine Community Mental Health Centre, Local Health Authority, Udine, Italy
*
*Address for correspondence: Professor Matteo Balestrieri, Clinica Psichiatrica, Azienda Ospedaliero Universitaria, P.le S.M.Misericordia, 33100 Udine, Italy. (Email: [email protected])
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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.

Keywords

ICFMini-ICF-APPparticipation restrictionsPSPpsychopathologysocial functioningSOFAS.
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 22 , Issue 1 , March 2013 , pp. 81 - 91
Copyright
Copyright © Cambridge University Press 2012

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