Sensitivity and specificity of the UCSD Performance-based Skills Assessment (UPSA-B) for identifying functional milestones in schizophrenia

SCHIZOPHRENIA RESEARCH

卷:132

Article

Mausbach, Brent T.¹  Depp, Colin A.¹  Bowie, Christopher R.²  Harvey, Philip D.³  McGrath, John A.⁴  Thronquist, Mary H.⁴  Luke, James R.⁴  Wolyniec, Paula S.⁴  Pulver, Ann E.⁴  Patterson, Thomas L.¹ 

[1] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA

[2] Queens Univ, Dept Psychol, Kingston, ON K7L 3N6, Canada

[3] Univ Miami, Miller Sch Med, Coral Gables, FL 33124 USA

[4] Johns Hopkins Univ, Dept Psychiat & Behav Sci, Sch Med, Baltimore, MD 21218 USA

关键词: Psychosis;    Functional capacity;    Functioning;    Employment;    Independence;    Well-being;   

DOI  :  10.1016/j.schres.2011.07.022

来源: Elsevier

【 摘 要 】

Schizophrenia is a highly debilitating illness that often results in disruption to independent living and employment. However, gold standard methods of assessing functional abilities to achieve these milestones are still lacking. In a sample of 367 individuals with schizophrenia, we examined the sensitivity and specificity of the Brief UCSD Performance-based Skills Assessment (UPSA-B) to predict both residential and employment status. Of all individuals residing independently, 75.9% scored 78 or above on the UPSA-B, and of all individuals not residing independently, 59% scored below 78 on the UPSA-B. Of individuals who were employed, 73.9% scored above 82 on the UPSA-B, and of those not employed, 57.8% scored below 82. These results expand upon both the population base and functional milestones with which the UPSA-B is validated, although future work should examine whether the UPSA-B can be used as a decision aid in the likelihood of success in a longitudinal study, such as at critical transitions (post-hospitalization, cessation of supported housing). (C) 2011 Elsevier B.V. All rights reserved.

【 授权许可】

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