Validity and reliability of the Functioning Assessment Short Test (FAST) in bipolar disorder

Rosa, Adriane Ribeiro; Sanchez-Moreno, José; Martínez‐Arán, Anabel; Salamero, Manel; Torrent, Carla; Reinares, María; Comes, Mercè; Colom, Francesc; Riel, Willemijn Van; Ayuso-Mateos, José Luís; Kapczinski, Flávio; Vieta, Eduard

doi:10.1186/1745-0179-3-5

Cited by 652 publications

(505 citation statements)

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“…Another important point is the fact that a validated instrument was used to evaluate functioning impairment. 18 The BD staging model used in this study is growing in acceptance among researchers and clinicians. Assessing patients in euthymia allows correct evaluation of maintenance treatment, functioning, and, above all, accurate classification of staging.…”

Section: Discussionmentioning

confidence: 99%

“…Even though functioning is an important aspect of BD staging, this variable was assessed separately, using the Functioning Assessment Short Test (FAST). 18 Patients were classified in clinical stages as follows: a) stage I, individuals who exhibit the same status in the interepisodic period as they did before the onset of BD (i.e., premorbid status); b) stage II, individuals whose interepisodic period is characterized by psychiatric comorbidities or residual symptoms that require changes in pharmacological treatment, but who are able to maintain daily activities; c) stage III, individuals who require occupational and social rehabilitation and face difficulties in their daily activities; and d) stage IV, individuals who are unable to maintain personal self-care and to live autonomously ( Figure 1). Medical records were carefully checked, family and caregivers were interviewed, and the assistant clinician consulted in cases of inter-rater disagreement.…”

Section: Staging Classificationmentioning

confidence: 99%

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Pharmacological treatment and staging in bipolar disorder: evidence from clinical practice

Goi

Bücker

Vianna-Sulzbach

et al. 2015

Rev. Bras. Psiquiatr.

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Section: Discussionmentioning

confidence: 99%

Section: Staging Classificationmentioning

confidence: 99%

Pharmacological treatment and staging in bipolar disorder: evidence from clinical practice

Goi

Bücker

Vianna-Sulzbach

et al. 2015

Rev. Bras. Psiquiatr.

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“…Raters experienced in the assessment of depressive and manic symptoms administered the 17-HAM-D and YMRS questionnaires, as well as the Functioning Assessment Short Test (FAST) to assess functioning. 25 …”

Section: Assessmentsmentioning

confidence: 99%

Shortened telomere length in bipolar disorder: a comparison of the early and late stages of disease

Barbé-Tuana

Parisi

Panizzutti

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: Bipolar disorder (BD) has been associated with increased rates of age-related diseases, such as type II diabetes, metabolic syndrome, osteoporosis, and cardiovascular disorders. Several biological findings have been associated with age-related disorders, including increased oxidative stress, inflammation, and telomere shortening. The objective of this study was to compare telomere length among participants with BD at early and late stages and age-and gender-matched healthy controls. Methods: Twenty-six euthymic subjects with BD and 34 healthy controls were recruited. Genomic DNA was extracted from peripheral blood and mean telomere length was measured using real-time quantitative polymerase chain reaction. Results: Telomere length was significantly shorter in both the early and late subgroups of BD subjects when compared to the respective controls (p = 0.002 and p = 0.005, respectively). The sample size prevented additional subgroup analyses, including potential effects of medication, smoking status, and lifestyle. Conclusion: This study is concordant with previous evidence of telomere shortening in BD, in both early and late stages of the disorder, and supports the notion of accelerated aging in BD.

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“…At the endpoint, another scale was also administered in order to evaluate psychosocial functioning more accurately. The Functioning Assessment Short Test (FAST ; Rosa et al 2007) is more appropriate since it takes into consideration different domains and it is more specific for assessing different levels of functioning in bipolar disorder. Its 24 items of the scale are divided into six specific areas of functioning : autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships and leisure time.…”

Section: Psychosocial Functioningmentioning

confidence: 99%

Persistence of cognitive impairment and its negative impact on psychosocial functioning in lithium-treated, euthymic bipolar patients: a 6-year follow-up study

et al. 2012

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BackgroundPrevious cross-sectional studies report that cognitive impairment is associated with poor psychosocial functioning in euthymic bipolar patients. There is a lack of long-term studies to determine the course of cognitive impairment and its impact on functional outcome.MethodA total of 54 subjects were assessed at baseline and 6 years later; 28 had DSM-IV TR bipolar I or II disorder (recruited, at baseline, from a Lithium Clinic Program) and 26 were healthy matched controls. They were all assessed with a cognitive battery tapping into the main cognitive domains (executive function, attention, processing speed, verbal memory and visual memory) twice over a 6-year follow-up period. All patients were euthymic (Hamilton Rating Scale for Depression score lower than 8 and Young mania rating scale score lower than 6) for at least 3 months before both evaluations. At the end of follow-up, psychosocial functioning was also evaluated by means of the Functioning Assessment Short Test.ResultsRepeated-measures multivariate analysis of covariance showed that there were main effects of group in the executive domain, in the inhibition domain, in the processing speed domain, and in the verbal memory domain (p<0.04). Among the clinical factors, only longer illness duration was significantly related to slow processing (p=0.01), whereas strong relationships were observed between impoverished cognition along time and poorer psychosocial functioning (p<0.05).ConclusionsExecutive functioning, inhibition, processing speed and verbal memory were impaired in euthymic bipolar out-patients. Although cognitive deficits remained stable on average throughout the follow-up, they had enduring negative effects on psychosocial adaptation of patients.

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Validity and reliability of the Functioning Assessment Short Test (FAST) in bipolar disorder

Cited by 652 publications

References 31 publications

Pharmacological treatment and staging in bipolar disorder: evidence from clinical practice

Pharmacological treatment and staging in bipolar disorder: evidence from clinical practice

Shortened telomere length in bipolar disorder: a comparison of the early and late stages of disease

Persistence of cognitive impairment and its negative impact on psychosocial functioning in lithium-treated, euthymic bipolar patients: a 6-year follow-up study

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