Ravindran Swati, Jadhav Prabhu, Philip Sharad, Basavarajappa Chethan, Kumar Channaveerachari Naveen, Thirthalli Jagadisha, Sivakumar Thanapal
Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
*Swati Ravindran and Prabhu Jadhav are joint first authors.
Indian J Psychol Med. 2023 Jul;45(4):397-404. doi: 10.1177/02537176221124177. Epub 2022 Sep 26.
India uses the Indian Disability Evaluation and Assessment Scale (IDEAS) for quantifying disability due to mental illness. The cutoff score for benchmark disability is 7. India has adopted International Classification of Functioning and Health (ICF) and thereby is a signatory to use World Health Organization Disability Assessment Schedule (WHODAS). Cutoff for benchmark disability in WHODAS in a community-based sample is lacking.
The study was conducted in Jagaluru Taluk, Davanagere District, Karnataka. It is a part of an ongoing research funded by Indian Council of Medical Research. Frequency, percentages, mean, standard deviations, mode, median, Receiver Operating Characteristic Curve were used in analyzing the data.
The study included 184 persons with severe mental illness with mean age of 47 and average duration of illness (DOI) of 11 years. They had mild disability (5.99) in IDEAS. The corresponding cutoff score in WHODAS, as compared to IDEAS, when the influence of DOI is removed was 24.
A shift from IDEAS to WHODAS is feasible. With the undue influence of DOI removed, both hospital and community-based samples show the score of 24 as cutoff.
印度使用印度残疾评估量表（IDEAS）对精神疾病导致的残疾进行量化。基准残疾的临界分数为7分。印度已采用《国际功能、残疾和健康分类》（ICF），因此是使用世界卫生组织残疾评估量表（WHODAS）的签署国。目前尚缺乏基于社区样本的WHODAS基准残疾临界值。
该研究在卡纳塔克邦达瓦纳吉雷区贾加卢鲁乡进行。它是印度医学研究理事会资助的一项正在进行的研究的一部分。在分析数据时使用了频率、百分比、均值、标准差、众数、中位数、受试者工作特征曲线。
该研究纳入了184名重度精神疾病患者，平均年龄47岁，平均病程（DOI）为11年。他们在IDEAS量表中的残疾程度为轻度（5.99）。去除DOI的影响后，与IDEAS相比，WHODAS中的相应临界分数为24分。
从IDEAS量表转换为WHODAS量表是可行的。去除DOI的不当影响后，医院和社区样本的临界分数均为24分。
