WHODAS and the evaluation of disability among people with mental disorders with and without psychotic symptoms

Omar Hernández-Orduña, Rebeca Robles-García, Nicolás Martínez-López, Carolina Muñoz-Toledo, Alejandra González-Salas, María Cabello, Tecelli Domínguez-Martínez, María Elena Medina-Mora

DOI: https://doi.org/10.17711/SM.0185-3325.2017.027

Abstract


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.


Keywords


Disability; functioning; mental disorders; evaluation; self-report; WHODAS

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