Abstract:The UCSD Performance-Based Skills Assessment (UPSA) is a performance-based measure of functional capacity. The brief, two-domain (finance and communication ability) version of the assessment (UPSA-B) is now widely used in both clinical research and treatment trials. To date, research has not examined possible demographic-UPSA-B relationships within a non-psychiatric population. We aimed to produce and describe preliminary normative scores for the UPSA-B over a full range of ages and educational attainment. The… Show more
“…However, in the present sample, only FC performance did not change over time, with MCCB scores showing a statistically significant practice effect in the context of very high correlations across the two assessments (Dunlop et al, 2017;Hodgins et al, 2018). The level of cognitive performance of our sample was approximately 0.5 SD on average less than a national normative sample used in the creation of the MCCB norms and performance on the functional capacity measure was 0.43 SD worse than the data published in a previous normative study of the UPSA (Vella et al, 2017).…”
Section: Discussioncontrasting
confidence: 60%
“…The UPSA-B's two domains (Communication and Finance) result in a summary score ranging from 0 to 100. Average performance of healthy controls on the UPSA-B (Vella et al, 2017) was 83.7 with a standard deviation of 10.2.…”
Section: Performance-based Measures Of Functional Capacitymentioning
Cognitive performance and functional capacity were temporally stable in women with PTSD. In contrast, clinical symptoms had much more cross-temporal fluctuation. Self-reported disability was correlated with current symptomatology but unrelated to objective measures of performance. Similar to other neuropsychiatric conditions, mood symptoms likely influence estimates of current level of functioning more than cognitive or functional skills.
“…However, in the present sample, only FC performance did not change over time, with MCCB scores showing a statistically significant practice effect in the context of very high correlations across the two assessments (Dunlop et al, 2017;Hodgins et al, 2018). The level of cognitive performance of our sample was approximately 0.5 SD on average less than a national normative sample used in the creation of the MCCB norms and performance on the functional capacity measure was 0.43 SD worse than the data published in a previous normative study of the UPSA (Vella et al, 2017).…”
Section: Discussioncontrasting
confidence: 60%
“…The UPSA-B's two domains (Communication and Finance) result in a summary score ranging from 0 to 100. Average performance of healthy controls on the UPSA-B (Vella et al, 2017) was 83.7 with a standard deviation of 10.2.…”
Section: Performance-based Measures Of Functional Capacitymentioning
Cognitive performance and functional capacity were temporally stable in women with PTSD. In contrast, clinical symptoms had much more cross-temporal fluctuation. Self-reported disability was correlated with current symptomatology but unrelated to objective measures of performance. Similar to other neuropsychiatric conditions, mood symptoms likely influence estimates of current level of functioning more than cognitive or functional skills.
“…Consistent with previous findings (Garcia-Portilla et al, 2013;Mausbach et al, 2007;Patterson et al, 2001;Vella et al, 2017), the UPSA-2-PT results showed patients have a significant in functional capacity comparing to controls or their first-degree relatives, who were generally older participants.…”
This study explores the psychometric properties of the Portuguese USCD Performance-based Skill Assessment 2 (UPSA-2-PT) in a mixed sample or Portuguese participants. Inter-rater Reliability and internal consistency, convergent validity with community integration are described. A Receiver Operating Curve analysis establishes the sensitivity and specificity of scores, and an optimal cutoff value of functional capacity was established for the Portuguese population. These findings show an excellent the UPSA-2-PT integrity when compared to with previous studies carried out in Western countries. Thus, this is a useful tool for research and clinical purposes to practitioners in several fields that rely on functional assessment.<br>
“…Neuropsychological tests that were significant at p<0.05 at the bivariate level were entered as predictors of UPSA-B and SSPA in forward selection stepwise regression models, along with associated psychiatric symptom severity variables and diagnostic category (major depression coded as 1; bipolar disorder coded as 2; schizophrenia-spectrum disorders coded as 3). Additionally, years of education was also included in the model given its demonstrated association with UPSA-B performance (Mausbach et al, 2010; Vella et al, 2017). There were significant demographic differences by diagnostic group in gender and racial/ethnic minority status ( p s<0.05); however, these were not included within the regression models given the use of standardized t-scores.…”
Neuropsychological abilities may underlie successful performance of everyday functioning and social skills. We aimed to determine the strongest neuropsychological predictors of performance-based functional capacity and social skills performance across the spectrum of severe mental illness (SMI). Unemployed outpatients with SMI (schizophrenia, bipolar disorder, or major depression; n = 151) were administered neuropsychological (expanded MATRICS Consensus Cognitive Battery), functional capacity (UCSD Performance-Based Skills Assessment-Brief; UPSA-B), and social skills (Social Skills Performance Assessment; SSPA) assessments. Bivariate correlations between neuropsychological performance and UPSA-B and SSPA total scores showed that most neuropsychological tests were significantly associated with each performance-based measure. Forward entry stepwise regression analyses were conducted entering education, diagnosis, symptom severity, and neuropsychological performance as predictors of functional capacity and social skills. Diagnosis, working memory, sustained attention, and category and letter fluency emerged as significant predictors of functional capacity, in a model that explained 43% of the variance. Negative symptoms, sustained attention, and letter fluency were significant predictors of social skill performance, in a model explaining 35% of the variance. Functional capacity is positively associated with neuropsychological functioning, but diagnosis remains strongly influential, with mood disorder participants outperforming those with psychosis. Social skill performance appears to be positively associated with sustained attention and verbal fluency regardless of diagnosis; however, negative symptom severity strongly predicts social skills performance. Improving neuropsychological functioning may improve psychosocial functioning in people with SMI.
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