Validation of a European Spanish-version of the University of California performance Skills Assessment (Sp-UPSA) in patients with schizophrenia and bipolar disorder

García-Portilla, María Paz; Gomar, Jesús J.; Bobes-Bascaran, María Teresa; Menéndez-Miranda, Isabel; Sáiz, Pilar A.; Muñiz, José; Arango, Celso; Patterson, Thomas L.; Harvey, Philip D.; Bobes, Julio; Goldberg, Terry E.

doi:10.1016/j.schres.2013.07.049

Cited by 32 publications

(31 citation statements)

References 16 publications

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“…A particular caution cited by Velligan and colleagues (2012) is that empirical evidence of the reliability and validity of these modified UPSA tests is not available in many countries where it has been adapted. These psychometric data are forthcoming; recent studies have supported the reliability and validity of the Swedish version of the UPSA-B (Olsson et al, 2012), as well as a European-Spanish adaptation of the UPSA (Garcia-Portilla et al, in press). …”

Section: Introductionmentioning

confidence: 91%

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

Bengoetxea

Burton

Patterson

et al. 2014

Psychiatry Research

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The U.S. Latino population is steadily increasing, prompting a need for cross-cultural outcome measures in schizophrenia research. This study examined the contribution of language to functional assessment in middle-aged Latino patients with schizophrenia by comparing 29 monolingual Spanish-speakers, 29 Latino English-speakers, and 29 non-Latino English-speakers who were matched on relevant demographic variables and who completed cognitive and functional assessments in their native language. There were no statistically significant differences between groups on the four everyday functioning variables (UCSD Performance-Based Skills Assessment [UPSA], Social Skills Performance Assessment [SSPA], Medication Management Ability Assessment [MMAA], and the Global Assessment of Functioning [GAF]). The results support the cross-linguistic and cross-cultural acceptability of these functional assessment instruments. It appears that demographic variables other than language (e.g., age, education) better explain differences in functional assessment among ethnically diverse subpopulations. Considering the influence of these other factors in addition to language on functional assessments will help ensure that measures can be appropriately interpreted among the diverse residents of the United States.

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Section: Introductionmentioning

confidence: 91%

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

Bengoetxea

Burton

Patterson

et al. 2014

Psychiatry Research

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“…This measure was originally developed for assessment of everyday functioning in adults with severe mental illness [20,21], and has been validated as an adequate screener and predictor of functional independence and employment in schizophrenia and bipolar disorder [22–25]. Since its development, the UPSA-B has become a widely used measure in populations of patients with severe mental illness, with several versions that have been regionally/culturally adapted and validated, such as the European Spanish version [26], Swedish version [27], and Japanese version [28]. Computerized and mobile versions of the UPSA-B (i.e., the C-UPSA and UPSA-M, respectively) have also been developed and validated for use in schizophrenia [29,30].…”

Section: Introductionmentioning

confidence: 99%

Clinical utility of the UCSD Performance-Based Skills Assessment—Brief (UPSA-B) in adults living with HIV: Associations with neuropsychological impairment and patient-reported everyday functioning difficulties

et al. 2017

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ObjectiveRequiring only 10–15 minutes to complete, the UCSD Performance-Based Skills Assessment (UPSA-B) has high clinical utility as a brief measure of functional capacity. This study aimed to validate the UPSA-B in adults living with HIV/AIDS (HIV+), and identify whether the UPSA-B can be used as an indicator of functional dependence in this population.MethodOne hundred and three HIV+ adults and 91 HIV- adults completed a comprehensive neuropsychological and neuromedical battery, including a self-report measure of functional status (IADL Dependence vs. IADL Independence), an objective measure of functional capacity (UPSA-B), and a self-report measure of mood states including a subscale related to cognitive difficulties (Profile of Mood States [POMS]-Confusion/Bewilderment subscale).ResultsHIV+ participants had significantly lower UPSA-B scores than their HIV- counterparts (p = 0.02), although this fell to a trend (p = 0.08) when including covariates. Among the HIV+ group, higher UPSA-B scores were related to better neuropsychological ability, but unrelated to self-reported functional independence. Conversely, UPSA-B scores were unrelated to participant-reported cognitive difficulties on the POMS Confusion/Bewilderment subscale. An ROC curve was generated to determine the optimal UPSA-B value for discriminating between normal neuropsychological functioning versus neuropsychological impairment, with results indicating an optimal cutoff of 79. The UPSA-B identified HIV+ persons with cognitive impairment with 70.9% accuracy.ConclusionsThe UPSA-B was able to differentiate neuropsychological impairment from no impairment among HIV+ participants and holds promise as a clinical screening tool in this population. However, indicators of functional disability among adults living with HIV is still not well understood and is likely multifactorial in nature. These data highlight the complex interplay between objective functional capacity, neurocognitive ability, subjective cognitive symptoms, and functional dependence.

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“…In a prior study, the UPSA was translated into European Spanish (Sp-UPSA) and was found to significantly discriminate between a group of Spaniard patients (i.e., individuals with schizophrenia and bipolar disease) and healthy controls (Garcia-Portilla et al, 2013),. The Sp-UPSA was also found to demonstrate adequate construct validity and reliability.…”

Section: Introductionmentioning

confidence: 99%

Validation of the UCSD Performance-based Skills Assessment (UPSA) in Hispanics with and without schizophrenia

Tiznado

Cárdenas

Jeste

et al. 2016

Psychiatry Research

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The UCSD Performance-based Skills Assessment (UPSA) is a widely used measure of functional capacity with strong reliability and validity. However there is a lack of psychometric data on Hispanics. The purpose of this study was to determine the impact of acculturation and education on UPSA performance among 62 Hispanic participants with schizophrenia or schizoaffective disorder and 46 healthy comparison subjects. Functional capacity was measured using the UPSA. Acculturation was measured using the Acculturation Rating Scale for Mexican Americans (ARSMA). Independent t-tests indicated that participants with schizophrenia had significantly lower UPSA total scores and scored lower on all UPSA sub-scales relative to the comparison group. Multiple regression also indicated that education and acculturation were significant predictors of UPSA total scores. These data provide a better understanding of UPSA scores in Hispanics with and without schizophrenia, and suggest that education and acculturation adjustments may be required to improve interpretation of test results.

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Validation of a European Spanish-version of the University of California performance Skills Assessment (Sp-UPSA) in patients with schizophrenia and bipolar disorder

Cited by 32 publications

References 16 publications

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

Clinical utility of the UCSD Performance-Based Skills Assessment—Brief (UPSA-B) in adults living with HIV: Associations with neuropsychological impairment and patient-reported everyday functioning difficulties

Validation of the UCSD Performance-based Skills Assessment (UPSA) in Hispanics with and without schizophrenia

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