The University of California Performance Skills Assessment (UPSA) in schizophrenia

作者: R. Walter Heinrichs , Marta Statucka , Joel Goldberg , Stephanie McDermid Vaz

DOI: 10.1016/J.SCHRES.2006.07.026

关键词: First languageLife skillsSchizophreniaMental illnessSchizoaffective disorderCeiling effectPsychiatryPsychosisMental healthPsychology

摘要: This study evaluated the University of California Performance-based Skills Assessment (UPSA) in a Canadian outpatient schizophrenia setting. The UPSA was administered to 64 patients with and schizoaffective disorder 42 nonpsychiatric controls. Patient control samples did not differ age, gender composition, first language or country birth. Patients demonstrated significantly lower performance than healthy participants on 3 5 subscales as well summary index. Moreover, varied patients' support requirements community. In contrast, Household Management Transportation yielded non-significant group differences failed correlate community requirements. Examination score distributions raised possibility ceiling effect that limited discriminating power subscales, thus imposing qualifications clinical interpretations this instrument. assessment life skills provides an important new perspective functional outcome serious mental illness. However, psychometric properties, task difficulty nature different health settings, populations communities must be considered design application these instruments.

参考文章(20)
Michael Hendryx, Dennis G. Dyck, Dennis McBride, John Whitbeck, A test of the reliability and validity of the Multnomah Community Ability Scale. Community Mental Health Journal. ,vol. 37, pp. 157- 168 ,(2001) , 10.1023/A:1002713816110
Brigid Zani, Bentson Mcfarland, Marilyn Wachal, Sela Barker, Nancy Barron, Statewide replication of predictive validation for the Multnomah Community Ability Scale. Community Mental Health Journal. ,vol. 35, pp. 223- 229 ,(1999) , 10.1023/A:1018789218611
Myrna M. Weissman, The Assessment of Social Adjustment Archives of General Psychiatry. ,vol. 38, pp. 1250- 1258 ,(1981) , 10.1001/ARCHPSYC.1981.01780360066006
Christine L. McKibbin, John S. Brekke, Danielle Sires, Dilip V. Jeste, Thomas L. Patterson, Direct assessment of functional abilities: relevance to persons with schizophrenia Schizophrenia Research. ,vol. 72, pp. 53- 67 ,(2004) , 10.1016/J.SCHRES.2004.09.011
E. Fuller Torrey, Douglas A. Bigelow, Nicholas Sladen-Dew, Quality and cost of services for seriously mentally ill individuals in British Columbia and the United States Hospital and community psychiatry. ,vol. 44, pp. 943- 950 ,(1993) , 10.1176/PS.44.10.943
D. A. Loewenstein, E. Amigo, R. Duara, A. Guterman, D. Hurwitz, N. Berkowitz, F. Wilkie, G. Weinberg, B. Black, B. Gittelman, C. Eisdorfer, A new scale for the assessment of functional status in Alzheimer's disease and related disorders Journal of Gerontology. ,vol. 44, pp. 114- ,(1989) , 10.1093/GERONJ/44.4.P114