Kondapura Manjunatha B, Manjunatha Narayana, Nagaraj Anil Kumar M, Praharaj Samir K, Kumar Channaveerachari Naveen, Math Suresh Bada
Dept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Dept. of Psychiatry, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Psychol Med. 2024 Oct 1:02537176241281320. doi: 10.1177/02537176241281320.
Worldwide, common mental disorders (CMDs) (depression, anxiety, somatoform disorders) have a high prevalence in the community. About one-third of them experience disability. As the Indian Disability Evaluation and Assessment Scale (IDEAS) was originally designed by the Indian Psychiatric Society to assess disability in severe mental illnesses, it has not been widely used among CMDs. Our objective was to compare and establish a correlation between the level of disability obtained using IDEAS and the Sheehan Disability Scale (SDS) in CMDs.
A cross-sectional assessment of disability was performed among 220 consenting patients with CMDs. Disability scores of IDEAS and SDS were compared and correlated across the three varieties of CMDs.
Age, gender, education, socioeconomic class, duration of illness, and duration of treatment exhibited significant differences among the three CMD groups. Both IDEAS and SDS show a milder level of disability; they did not differ significantly in their scores across CMDs. A strong correlation was seen between SDS and IDEAS across most domains.
The study revealed strong concurrent validity between the two scales, thus advocating that indigenously designed IDEAS can convincingly assess disability across the CMDs among the Indian population.
在全球范围内，常见精神障碍（CMD，包括抑郁症、焦虑症、躯体形式障碍）在社区中具有较高的患病率。其中约三分之一的患者存在残疾情况。由于印度残疾评估量表（IDEAS）最初是由印度精神病学会设计用于评估严重精神疾病的残疾情况，因此在CMD中尚未得到广泛应用。我们的目的是比较并建立在CMD中使用IDEAS获得的残疾水平与希恩残疾量表（SDS）之间的相关性。
对220名同意参与的CMD患者进行了残疾情况的横断面评估。比较了IDEAS和SDS的残疾评分，并在三种类型的CMD中进行相关性分析。
在三个CMD组中，年龄、性别、教育程度、社会经济阶层、病程和治疗时间存在显著差异。IDEAS和SDS均显示出较轻的残疾水平；它们在不同CMD中的评分没有显著差异。在大多数领域，SDS和IDEAS之间存在很强的相关性。
该研究揭示了这两种量表之间具有很强的同时效度，因此表明本土设计的IDEAS能够令人信服地评估印度人群中CMD患者的残疾情况。
