Section of Psychiatry, Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy.
Epidemiol Psychiatr Sci. 2013 Mar;22(1):81-91. doi: 10.1017/S2045796012000480. Epub 2012 Sep 19.
Aims. The assessment of limitations in social capacities can be done with the Mini-ICF-APP, a rating scale built in reference to the International Classification of Functioning, Disability and Health (ICF). The aim of this study was to assess the reliability and the convergent validity of the Italian version of this scale. Methods. We recruited 120 consecutive patients diagnosed with schizophrenia, major depression, bipolar I disorder and anxiety disorders. Included measures were the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression Scale (CGI-S), the Personal and Social Performance Scale (PSP) and the Social and Occupational Functioning Assessment Scale (SOFAS). Results. The median CGI-S and BPRS scores were 5 and 16.5. Mean Mini-ICF-APP total score was 18.1. Schizophrenics' Mini-ICF-APP score was higher, while that of anxious patients was lower than in the other diagnoses. Intra-class correlations (ICC) revealed a significant inter-rater agreement for total score (ICC 0.987) and for each item of the Mini-ICF-APP. The test-retest agreement was also highly significant (ICC 0.993). The total score of the Mini-ICF-APP obtained good negative correlations with PSP (r s = -0.767) and with SOFAS scores (r s = -0.790). The distribution items of the Mini-ICF-APP showed some skewness, indicating that self-care (item 12) and mobility (item 13) were amply preserved in most patients. The Mini-ICF-APP total score was significantly correlated with both CGI-S (r s = 0.777) and BPRS (r s = 0.729). Conclusions. As a short instrument, the Mini-ICF-APP scale seems to be well suited to everyday psychiatric practice as a means of monitoring changes in psychosocial functioning, in particular in schizophrenic patients.
目的。Mini-ICF-APP 是一种基于《国际功能、残疾和健康分类》（ICF）构建的评定量表，可用于评估社会能力受限情况。本研究旨在评估该量表意大利语版本的信度和聚合效度。
方法。我们招募了 120 例连续诊断为精神分裂症、重性抑郁障碍、双相 I 障碍和焦虑障碍的患者。纳入的评估工具包括简明精神病评定量表（BPRS）、临床总体印象量表（CGI-S）、个人和社会表现量表（PSP）和社会和职业功能评估量表（SOFAS）。
结果。CGI-S 和 BPRS 的中位数分别为 5 和 16.5。Mini-ICF-APP 总分的平均值为 18.1。精神分裂症患者的 Mini-ICF-APP 评分较高，而焦虑患者的评分则低于其他诊断。总体得分的组内相关系数（ICC）显示评分者间有显著的一致性（ICC 0.987），且每个 Mini-ICF-APP 项目的 ICC 也均显著。测试-重测的一致性也高度显著（ICC 0.993）。Mini-ICF-APP 总分与 PSP（r s=-0.767）和 SOFAS 评分（r s=-0.790）呈显著负相关。Mini-ICF-APP 的分布项目存在一定的偏度，表明自我照顾（项目 12）和移动性（项目 13）在大多数患者中得到了充分的保留。Mini-ICF-APP 总分与 CGI-S（r s=0.777）和 BPRS（r s=0.729）均显著相关。
结论。作为一种简短的工具，Mini-ICF-APP 量表似乎非常适合在日常精神病学实践中使用，作为监测心理社会功能变化的手段，特别是在精神分裂症患者中。
