Título
Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0
Autor(es)
Palabras clave
Disability
Functioning
Bipolar I disorder
WHODAS 2.0
ICF
Health status
Clasificación UNESCO
3201.05 Psicología Clínica
Fecha de publicación
2015
Editor
Elsevier
Citación
Guilera, G., Gómez-Benito, J., Pino, Ó., Rojo, E., Vieta, E., Cuesta, M. J., Purdon, S. E., Bernardo, M., Crespo-Facorro, B., Franco, M., Martínez-Arán, A., Safont, G., Tabarés-Seisdedos, R., Rejas, J., Guilera, G., Gómez-Benito, J., Pino, Ó., Rojo, E., Vieta, E., … Rejas, J. (2015). Disability in bipolar i disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0. Journal of Affective Disorders, 174, 353-360. https://doi.org/10.1016/J.JAD.2014.12.028
Resumen
[EN]Background: The WHODAS2.0isanICF-basedmultidimensionalinstrumentdevelopedformeasuring
disability.Thepresentstudyanalyzestheutilityofthe36-iteminterviewer-administeredversionina
sample ofpatientswithbipolardisorder.Thereisnostudytodatethatanalyseshowthescaleworksina
sample thatonlycomprisessuchpatients.
Methods: A totalof291patientswithbipolardisorder(42.6%males)accordingtoDSM-IV-TRcriteria
from across-sectionalstudyconductedinoutpatientpsychiatricclinicswereenrolled.Inadditiontothe
WHODAS2.0,patientscompletedacomprehensiveassessmentbatteryincludingmeasuresonpsycho-
pathology,functionalityandqualityoflife.Analyseswerecenteredonprovidingevidenceonthevalidity
and utilityoftheSpanishversionoftheWHODAS2.0inbipolarpatients.
Results: Participation domainhadthehighestpercentageofmissingdata(2.7%).Confirmatoryfactorial
analysiswasusedtotestthreemodelsformulatedintheliterature:sixprimarycorrelatedfactors,six
primaryfactorswithasinglesecond-orderfactor,andsixprimaryfactorswithtwosecond-orderfactors.
Thethreemodelswereplausible,althoughtheoneformedbysixcorrelatedfactorsproducedthebest fit.
Cronbach’s alphavaluesrangedbetween.73forthe Self-care domainand.92for Lifeactivities, andthe
internalconsistencyofthetotalscorewas.96.RelationshipsbetweentheWHODAS2.0andmeasuresof
psychopathology,functionalityandqualityoflifewereintheexpecteddirection,andthescalewasfound
tobeabletodifferentiateamongpatientswithdifferentintensityofclinicalsymptomsandworksituation.
Limitations: Thepercentageofeuthymicpatientswasconsiderable.However,theassessmentofeuthymic
patientsislessinfluencedbymood.Somepsychometricpropertieshavenotbeenstudied,suchasscore
stabilityandsensitivitytochange.
Conclusions: TheSpanishversionofthe36-itemWHODAS2.0hassuitablepsychometricpropertiesintermsof
reliabilityandvaliditywhenappliedtopatientswithbipolardisorder.Disabilityinbipolarpatientsisespecially
prominentin Cognition, Gettingalong, Lifeactivities, and Participation domains,sofunctionalremediation
interventionsshouldemphasizethese areasinordertoimprovethedailyliving activitiesofthesepatients.
URI
ISSN
0165-0327
DOI
10.1016/J.JAD.2014.12.028
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