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学科主题: 精神卫生
题名:
Modified WHODAS-II provides valid measure of global disability but filter items increased skewness
作者: Von Korff, Michael1; Crane, Paul K.2; Alonso, Jordi; Vilagut, Gemma3; Angermeyer, Matthias C.4; Bruffaerts, Ronny5; de Girolamo, Giovanni6; Gureje, Oye7; de Graaf, Ron8; Huang, Yueqin9; Iwata, Noboru10; Karam, Elie G.11; Kovess, Viviane12; Lara, Carmen13; Levinson, Daphna; Posada-Villa, Jose; Scott, Kate M.14; Ormel, Johan15
关键词: Disability ; Measurement ; Reliability ; Validity ; Survey ; Epidemiology
刊名: JOURNAL OF CLINICAL EPIDEMIOLOGY
发表日期: 2008-11-01
DOI: 10.1016/j.jclinepi.2007.12.009
卷: 61, 期:11, 页:1132-1143
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Health Care Sciences & Services ; Public, Environmental & Occupational Health
研究领域[WOS]: Health Care Sciences & Services ; Public, Environmental & Occupational Health
关键词[WOS]: ASSESSMENT SCHEDULE-II ; PRIMARY-CARE ; DAS-II ; HEALTH ; DISORDERS ; DISABLEMENT ; DEPRESSION
英文摘要:

Objective: The WHODAS-II was substantially modified for use in the World Mental Health Surveys. This article considers psychometric properties and implications of filter items used to reduce respondent burden of the modified WHODAS-II.

Study Design and Setting: Seventeen surveys in 16 countries administered a modified WHODAS-II to population samples (N = 38,934 adults). Modifications included introducing filter questions for four subscales and substituting questions on the number of days activity was limited for the Life Activities domain. We evaluated distributional properties, reliability, and validity of the modified WHODAS-II.

Results: Most respondents (77%-99%) had zero scores on filtered subscales. Lower bound estimates of internal consistency (alpha) for the filtered subscales were typically in the 0.70s, but were higher for the Global scale. Loadings of subscale scores on a Global Disability factor were moderate to high. Correlations with the Sheehan Disability Scale were modest but consistently positive, while correlations with SF-12 Physical Component Summary were considerably higher. Cross-national variability in disability scores was observed, but was not readily explainable.

Conclusions: Internal consistency and validity of the modified WHODAS-II was generally supported, but use of filter questions impaired measurement properties. Group differences in modified WHODAS-II disability scores may be compared within, but not necessarily across, countries. (C) 2008 Elsevier Inc. All rights reserved.

语种: 英语
所属项目编号: ROIMHO70884 ; R13-MH066849 ; R01-MH069864 ; R01 DA016558 ; FIRCA R01-TW006481 ; INPRFMDIES 4280 ; CONACyT-G30544-H ; QLG5-1999-01042 ; SANCO 2004123 ; FIS 00/0028 ; SAF 2000-158-CE ; H13-SHOGAI-023 ; H14-TOKUBET-SU-026 ; H16-KOKORO-013 ; R01-MH059575 ; R01-MH61905 ; U01-MH60220 ; 044708
项目资助者: United States National Institute of Mental Health ; John D. and Catherine T. MacArthur Foundation ; Pfizer Foundation ; U.S. Public Health Service ; Fogarty International Center ; Pan American Health Organization ; Eli Lilly and Company ; Ortho-McNeil Pharmaceutical, Inc. ; GlaxoSmithKline ; Bristol-Myers Squibb ; The National Institute of Psychiatry Ramon de la Fuente ; National Council on Science and Technology ; PanAmerican Health Organization (PAHO) ; Lebanese Ministry of Public Health ; WHO (Lebanon) ; Janssen Cilag ; Eli Lilly ; Roche ; Novartis ; European Commission ; Piedmont Region (Italy) ; Fondo de Investigacion Sanitaria ; Instituto de Salud Carlos III, Spain ; Ministerio de Ciencia y Tecnologfa, Spain ; Departament de Salut, Generalitat de Catalunya, Spain ; Ministry of Social Protection ; Saldarriaga Concha Foundation ; Ministry of Health ; Israel National Institute for Health Policy and Health Services Research ; National Insurance Institute of Israel ; Japan Ministry of Health, Labour and Welfare ; New Zealand Ministry of Health, Alcohol Advisory Council ; Health Research Council ; WHO (Geneva) ; WHO (Nigeria) ; Federal Ministry of Health, Abuja, Nigeria ; U.S. National Institute of Mental Health ; National Institute of Drug Abuse ; South African Department of Health ; University of Michigan ; National Institute of Mental Health ; National Institute of Drug Abuse (NIDA) ; Substance Abuse and Mental Health Services Administration (SAMHSA) ; Robert Wood Johnson Foundation (RWJF) ; John W. Alden Trust
WOS记录号: WOS:000259955800008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55047
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.AUSL Bologna, Dept Mental Hlth, Bologna, Italy
2.Trimbos Inst, Utrecht, Netherlands
3.Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria
4.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
5.Hiroshima Int Univ Kurose, Fac Human & Social Environm, Hiroshima, Japan
6.IDRAAC, Beirut, Lebanon
7.Fdn MGEN Sante Publ, Paris, France
8.Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA
9.IMIM, Barcelona, Spain
10.Univ Leipzig, Dept Psychiat, Leipzig, Germany
11.Univ Washington, Harborview Med Ctr, Dept Gen Internal Med, Seattle, WA 98104 USA
12.Univ Hosp Gasthuisberg, Dept Neurosci & Psychiat, B-3000 Louvain, Belgium
13.B Autonomous Univ Puebla, Natl Inst Psychiat, Puebla, Mexico
14.Univ Otago, Wellington Sch Med, Dept Psychol Med, Wellington, New Zealand
15.Univ Groningen, Univ Med Ctr Groningen, NL-9700 AB Groningen, Netherlands

Recommended Citation:
Von Korff, Michael,Crane, Paul K.,Alonso, Jordi,et al. Modified WHODAS-II provides valid measure of global disability but filter items increased skewness[J]. JOURNAL OF CLINICAL EPIDEMIOLOGY,2008,61(11):1132-1143.
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