Funktionsbeschreibung in der Begutachtung der Arbeitsfähigkeit – Was ist „evidence-based“?

Canela, Carlos; Schleifer, Roman; Dube, Anish; Hengartner, Michael Pascal; Ebner, Gerhard; Seifritz, Erich; Liebrenz, Michael

doi:10.1055/s-0035-1552762

Cited by 7 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent studies focused on patients with a chronic mental disorder [19] as well as with posttraumatic stress disorder [20]. Since its introduction, the mini-ICF-APP has been progressively implemented by health care providers, insurance companies and pension funds to assess disability and work impairment [16–18, 21, 22].…”

Section: Introductionmentioning

confidence: 99%

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Egger

Weniger

Müller

et al. 2019

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

BackgroundThe assessment of functioning and impairment due to psychiatric illness has been acknowledged to be crucial for research and practice. This led to the development of the mini-ICF-APP, which provides a reliable and time-efficient measure of functioning and impairment. Although its use is increasing, it remains unclear how it reflects severity and how change might be interpreted from a clinical perspective.MethodsIn a clinical sample of 3067 individuals hospitalized for mental health treatment, we used an equipercentile approach to link the mini-ICF-APP with the Clinical Global Impression scale (CGI) at admission and discharge. We linked the mini-ICF-APP sum score to the CGI-S scale and the mini-ICF-APP proportional change between admission and discharge to the CGI-I scale.ResultsThe mini-ICF-APP and CGI scales showed a Spearman correlation of 0.50 (p < .000). CGI-S: “borderline-ill” corresponded to a mini-ICF-APP score 1–2; “mildly-ill” to 3–7; “moderately-ill” to 8–15; “markedly-ill” to 16–24; “severely-ill” to 25–37; and “extremely-ill” to a score ≥ 38. The Spearman correlation between the percentage change of mini-ICF-APP sum score and the CGI-I was 0.32 (p > .000); “no-change” in the CGI-I corresponded to an increase or decrease of 2%; “minimally-improved” to a mini-ICF-APP reduction of 3–30%; “much-improved” to a reduction of 31–63%; “very-much-improved” to a reduction of ≥64% “minimally-worse” to an increase of 3–34% “much-worse” to an increase of 35–67%; and finally “very-much-worse” with an increase of ≥68%.ConclusionsOur findings improve understanding of the clinical meaning of the mini-ICF-APP sum score and percentage change in patients hospitalized for treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Egger

Weniger

Müller

et al. 2019

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

show abstract

“…Our results, even though tentative, suggest a possible influence of psychopathology on work participation. Therefore, we recommend that insurance medical examinations of work ability include assessments of client’s psychopathological burden in order not to miss potentially important information ( 18 ). While the cost of this approach is the waste of resources needed to include a psychopathology assessment if psychopathology in reality has no effect on work ability, we believe these costs to be relatively small, mostly consisting in the inclusion of an additional questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Duration of Absence from Work Is Related to Psychopathology, Personality, and Sociodemographic Variables in a Longitudinal Cohort

et al. 2017

Self Cite

View full text Add to dashboard Cite

ObjectiveTo examine, in a non-clinical sample, the association of psychopathology, personality, sociodemographic information, and psychosocial indicators of non-occupational functioning with the duration of absence from work in the past 12 months.MethodA longitudinal community cohort of 591 adults from Switzerland was analyzed using multilevel ordered logistic regression, with several alternative models as robustness checks. Psychopathology was assessed using the total score (Global Severity Index) of the Symptom Check List-90 Revised.ResultsThe highest psychopathology levels were associated with absences of 3 or more week duration, largely independently of age. Extraversion and being divorced, widowed or separated also corresponded with longer absences from work in some analyses. No effect of sex was found. Most effects tested were not statistically significant and estimates showed large uncertainty.ConclusionAlthough tentative, our results suggest a possible influence of psychopathology on work participation. It may thus be desirable in insurance-medical appraisals of work ability to include instruments for measuring psychopathology.

show abstract

“…It is, however, not validated for the insurance medical setting. As far as we know, among the many existing instruments, none are validated and specific to mental disorders in such a setting ( 19 , 20 ). Thus there appears to be a lack of validated structured instruments for the expert assessment of work ability in individuals affected by mental disorders ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

Online Survey of Medical and Psychological Professionals on Structured Instruments for the Assessment of Work Ability in Psychiatric Patients

et al. 2018

Self Cite

View full text Add to dashboard Cite

Objective: To evaluate perceived needs and difficulties related to instruments for assessing work ability in individuals with mental disorders.Method: We conducted an online survey of 104 German-speaking medico-legal experts (forensic psychiatric and psychology experts, insurance physicians) and therapists.Results: The large majority of respondents reported they would welcome a standardized, structured instrument for the assessment of work ability. High predictiveness, inter-rater agreement, comprehensibility for laymen, and symptom validity were desired in roughly equal measure as the main characteristic of such an instrument. More women than men, and more medico-legal experts than therapists, considered symptom validation as always necessary. Pain, personality, and affective disorders were perceived to be the most difficult disorders in the context of work ability assessments.Conclusion: Our survey documents professionals' wish for a structured assessment of work ability in both medico-legal and therapeutic settings.

show abstract

Funktionsbeschreibung in der Begutachtung der Arbeitsfähigkeit – Was ist „evidence-based“?

Cited by 7 publications

References 9 publications

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Duration of Absence from Work Is Related to Psychopathology, Personality, and Sociodemographic Variables in a Longitudinal Cohort

Online Survey of Medical and Psychological Professionals on Structured Instruments for the Assessment of Work Ability in Psychiatric Patients

Contact Info

Product

Resources

About