scholarly journals The assessment of capacity limitations in psychiatric work disability evaluations by the social functioning scale Mini-ICF-APP

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Timm Rosburg ◽  
Regina Kunz ◽  
Bruno Trezzini ◽  
Urban Schwegler ◽  
Jörg Jeger
Keyword(s):  
Social Functioning ◽  
Work Disability ◽  
Somatoform Disorders ◽  
Strong Association ◽  
Psychiatric Diagnoses ◽  
Capacity Limitation ◽  
Capacity Limitations ◽  
The Social ◽  
Social Functioning Scale ◽  
The Mean

Abstract Objective Insurers frequently commission medical experts to estimate the degree of the remaining work capacity (RWC) in claimants for disability benefits. The social functioning scale Mini-ICF-APP allows for a rating of activity and participation limitations in thirteen capacity domains, considered as particularly relevant for work ability. The current study sought to evaluate the role of the Mini-ICF-APP ratings in psychiatric work disability evaluations, by examining how the capacity limitation ratings varied with the claimants’ primary psychiatric diagnoses and how the ratings were related to RWC estimates. Methods Medical experts estimated the RWC of 946 claimants with mental disorders and rated their activity and participation limitations using the Mini-ICF-APP, with higher ratings reflecting more severe limitations. The ratings were compared between claimants with different psychiatric diagnoses by analyses of variance. The mean Mini-ICF-APP rating across all capacity domains as well as all capacity-specific ratings were entered in simple or multiple regression models to predict the RWC in an alternative job. Results The Mini-ICF-APP capacity limitation ratings in all domains but mobility were higher for claimants with personality and behavior disorders as compared to those with mood disorders or with neurotic, stress-related and somatoform disorders. The largest differences were observed in social capacities (e.g. group integration: F 2, 847 = 78.300, P < 0.001). In claimants with depression, all ratings increased with the severity of the diagnosis (all Fs 2, 203 > 16.393, all Ps < 0.001). In the overall sample, the mean Mini-ICF-APP rating showed a strong negative correlation with the estimated RWC (r = −.720, P < 0.001). Adding the capacity-specific ratings to the prediction model improved this prediction only marginally. Discussion The Mini-ICF-APP allows for documenting claimants’ activity and participation limitations, which is likely to increase the transparency of medical experts’ RWC estimates and enables them to check the plausibility of such estimates. However, our study showed that despite the strong association between RWC and Mini-ICF-APP ratings, half of the RWC variance was unrelated to the capacity limitations documented in the Mini-ICF-APP.

scholarly journals Validation of the German Version of the Social Functioning Scale (SFS) for Schizophrenia

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0121807 ◽  
Author(s):  
Jona R. Iffland ◽  
Denise Lockhofen ◽  
Harald Gruppe ◽  
Bernd Gallhofer ◽  
Gebhard Sammer ◽  
...  
Keyword(s):  
Social Functioning ◽  
German Version ◽  
The Social ◽  
Social Functioning Scale

The Social Functioning Scale the Development and Validation of a New Scale of Social Adjustment for use in Family Intervention Programmes with Schizophrenic Patients

1990 ◽  
Vol 157 (6) ◽  
pp. 853-859 ◽  
Author(s):  
Max Birchwood ◽  
Jo Smith ◽  
Ray Cochrane ◽  
Sheila Wetton ◽  
Sonja Copestake
Keyword(s):  
Social Functioning ◽  
Social Adjustment ◽  
Family Intervention ◽  
Outcome Variable ◽  
Family Interventions ◽  
Three Samples ◽  
The Social ◽  
Social Functioning Scale ◽  
Schizophrenic Patients ◽  
Development And Validation

Social functioning as an outcome variable in family interventions with schizophrenic patients has been a relatively neglected area. The requirements of a scale of social functioning to measure the efficacy of family interventions include: the measurement of skill/behaviour relevant to the impairments and the demography of this group; the ability to yield considerable information with an economy of clinical time; and the establishment of ‘comparative’ need through comparison between subscales and with appropriate reference groups. Results from three samples show that the Social Functioning Scale is reliable, valid, sensitive and responsive to change.

Validation study of a social functioning scale: The social-SMAF (social-Functional Autonomy Measurement System)

2009 ◽  
Vol 48 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Eugénie Pinsonnault ◽  
Nicole Dubuc ◽  
Johanne Desrosiers ◽  
Nathalie Delli-Colli ◽  
Réjean Hébert
Keyword(s):  
Social Functioning ◽  
Measurement System ◽  
Validation Study ◽  
The Social ◽  
Social Functioning Scale ◽  
Functional Autonomy

scholarly journals Validation of the Norwegian version of the Social Functioning Scale (SFS) for schizophrenia and bipolar disorder

2010 ◽  
Vol 51 (6) ◽  
pp. 525-533 ◽  
Author(s):  
TONE HELLVIN ◽  
KJETIL SUNDET ◽  
ANJA VASKINN ◽  
CARMEN SIMONSEN ◽  
TORILL UELAND ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Social Functioning ◽  
Norwegian Version ◽  
The Social ◽  
Social Functioning Scale

Does the Social Functioning Scale reflect real-life social functioning? An experience sampling study in patients with a non-affective psychotic disorder and healthy control individuals

2017 ◽  
Vol 47 (16) ◽  
pp. 2777-2786 ◽  
Author(s):  
M. Schneider ◽  
U. Reininghaus ◽  
M. van Nierop ◽  
M. Janssens ◽  
I. Myin-Germeys ◽  
...  
Keyword(s):  
Social Functioning ◽  
Psychotic Disorder ◽  
Social Engagement ◽  
Daily Life ◽  
Ecological Validity ◽  
Interpersonal Behaviour ◽  
The Social ◽  
Social Functioning Scale ◽  
Assessment Techniques ◽  
Activity Domain

BackgroundThe ecological validity of retrospective measures of social functioning is currently unknown in patients with schizophrenia. In the present study, patients with a diagnosis of non-affective psychosis were compared with controls on two measures of social functioning: the Social Functioning Scale (SFS) and daily-life measures collected with the Experience Sampling Methodology (ESM). The associations between both measures were examined in each group of participants to test for the ecological validity of the SFS.MethodsA total of 126 participants with a non-affective psychotic disorder and 109 controls completed the SFS and a 6-day momentary ESM protocol assessing various aspects of social functioning. Multiple linear and multilevel regression analyses were performed to test for group differences in social functioning level and examine associations between the two assessment techniques.ResultsLower social functioning was observed in patients compared with controls on retrospective and momentary measures. The SFS interpersonal domain (social engagement/withdrawal and interpersonal behaviour dimensions) was associated with the percentage of time spent alone and negative appraisal of social interactions. The SFS activity domain (pro-social and recreational activities dimensions) was negatively associated with time spent in leisure activities.ConclusionsThe SFS showed some degree of ecological validity at assessing broad aspects of social functioning. Low scores on the SFS social engagement/withdrawal and interpersonal behaviour dimensions captured social isolation and social avoidance in daily life, but not lack of interest in socializing. Ecological validity of the SFS activity domain was low. ESM offers a rich alternative to classical assessment techniques of social functioning.

scholarly journals Psychological Inflexibility in People with Chronic Psychosis: The Mediating Role of Self-Stigma and Social Functioning

2021 ◽  
Vol 18 (23) ◽  
pp. 12376
Author(s):  
Ana González-Menéndez ◽  
Tatiana Arboleya Faedo ◽  
David González-Pando ◽  
Nuria Ordoñez-Camblor ◽  
Elena García-Vega ◽  
...  
Keyword(s):  
Social Functioning ◽  
Negative Impact ◽  
Chronic Schizophrenia ◽  
Psychotic Symptoms ◽  
Psychological Inflexibility ◽  
Mediating Role ◽  
Acceptance And Commitment ◽  
The Social ◽  
Stigma Of Mental Illness ◽  
Social Functioning Scale

Psychosis is associated with self-stigmatization and loss of social functioning that increase the severity of the disorder. Psychological inflexibility (PI)—an individual’s tendency to suppress undesirable private events—plays a fundamental role in the emergence and worst prognosis of psychosis. The main objective of this study was to analyze whether self-stigma and social functioning mediate the association of PI with the severity of psychosis in adults with chronic schizophrenia. The study was carried out with a sample of 103 outpatients. The Acceptance and Action Questionnaire, the Internalized Stigma of Mental Illness Scale, and the Social Functioning Scale were used for clinical assessments. Data analyses were performed by using the PROCESS macro for SPSS. Results showed that the link between PI and the severity of psychosis is not direct, but is better explained by mediation of the self-stigma and social functioning of those assessed. PI also predicts worse social functioning without the need to take self-stigma into account. Moreover, self-stigma alone does not predict the severity of psychotic symptoms; this relationship has to be mediated by social functioning. These findings suggest that interventions designed to increase psychological flexibility, such as Acceptance and Commitment Therapy (ACT), may offer an alternative to attenuate the negative impact of self-stigma and to improve the social functioning.

scholarly journals Social cognition and social functioning in people with borderline personality disorder and their first-degree relatives

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10212
Author(s):  
Esther Ortega-Díaz ◽  
Jonatan García-Campos ◽  
José María Rico-Gomis ◽  
Carlos Cuesta-Moreno ◽  
Antonio Palazón-Bru ◽  
...  
Keyword(s):  
Social Cognition ◽  
Personality Disorder ◽  
Social Functioning ◽  
Family Relationships ◽  
Social Engagement ◽  
Borderline Personality ◽  
Interpersonal Behavior ◽  
First Degree Relatives ◽  
The Social ◽  
Social Functioning Scale

Background A few papers studying healthy, first-degree relatives of people with borderline personality disorder (BPD) have found that this group presents attention and memory problems. However, current research has not analyzed their social cognition. Materials and Methods We designed an age-, gender- and education-level matched case-control study involving 57 people with BPD, 32 of their first-degree relatives, and 57 healthy controls in Spain in 2018–2019. All were assessed for social cognition and functioning using the Movie for Assessment of Social Cognition and the Social Functioning Scale; other potential confounders were also collected (marital status, occupation and household variables). Results There were differences in the social cognition domain of overmentalizing errors, with the BPD group scoring significantly higher than controls; however, there was no significant difference with relatives; in the social functioning domain of family relationships, with the controls showing the highest scores. Social engagement/withdrawal, interpersonal behavior, independence-competence, prosocial activities, full scale and categorization domains showed the same pattern: the BPD group had lower scores than their relatives and the controls. Relatives were significantly different from BPD patients in family relationships, social engagement/withdrawal and interpersonal behavior, as well as on the full Social Functioning Scale (both as a linear and categorical variable). However, only controls showed differences with relatives in family relationships. Conclusions All in all, relatives show similar levels of social cognition and functioning compared with controls, and people with BPD show some alterations in different domains of both social cognition and functioning.

Sign in / Sign up

Export Citation Format

Share Document