Moore Karla, Merritt Brenda, Doble Susan E
Bedford/Sackville Mental Health Services, Cobequid Community Health Centre, Lower Sackville, Nova Scotia, Canada.
Scand J Occup Ther. 2010;17(1):77-85. doi: 10.3109/11038120903165115.
Occupational therapists' ability to develop diagnostic-specific ADL intervention strategies is facilitated by an understanding of the ADL abilities of diagnostic groups.
To determine whether there are significant differences in ADL ability and ADL skill profiles between samples of persons with bipolar disorder depression (n=158), bipolar disorder mania (n=200), and schizophrenia (n=200). Methods. All participants were assessed using the Assessment of Motor and Process Skills (AMPS). Mean ADL ability and skill item calibrations were compared between the three diagnostic samples.
No clinically significant differences were found in mean ADL ability. The ADL process skill item "Attends" was more difficult for those with bipolar disorder mania than for those with bipolar disorder depression. This difference did not disrupt the measurement model.
The findings fail to support the idea that valid predictions of skill performance can be made on the basis of psychiatric diagnosis. Thus, occupational performance must be assessed individually. The findings also provide solid evidence that valid measures of ADL ability are generated when persons with bipolar disorder and schizophrenia complete the AMPS. Intervention strategies are recommended to address limitations in the skill Attends among persons with bipolar disorder manic episode.
了解不同诊断组的日常生活活动（ADL）能力有助于职业治疗师制定针对特定诊断的ADL干预策略。
确定双相情感障碍抑郁患者（n = 158）、双相情感障碍躁狂患者（n = 200）和精神分裂症患者（n = 200）样本之间在ADL能力和ADL技能概况上是否存在显著差异。方法。所有参与者均使用运动与过程技能评估（AMPS）进行评估。比较了三个诊断样本之间的平均ADL能力和技能项目校准。
平均ADL能力未发现临床显著差异。ADL过程技能项目“专注”对双相情感障碍躁狂患者比对双相情感障碍抑郁患者更困难。这种差异未破坏测量模型。
研究结果不支持基于精神科诊断对技能表现进行有效预测的观点。因此，必须对职业表现进行个体评估。研究结果还提供了确凿证据，表明双相情感障碍和精神分裂症患者完成AMPS时可生成有效的ADL能力测量方法。建议采取干预策略来解决双相情感障碍躁狂发作患者在“专注”技能方面的局限性。
