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Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicólogos del Principado de Asturias).
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Towards an ICF Core Set for functioning assessment in severe mental disorders: Commonalities in bipolar disorder, depression and schizophrenia

Georgina Guilera1, Oscar Pino2, Maite Barrios1, Emilio Rojo3, Eduard Vieta4, and Juana Gómez-Benito1

1 University of Barcelona,
2 Granollers General Hospital - Benito Menni CASM (Barcelona),
3 Sisters Hospitallers, and
4 CIBERSAM

Background: The International Classification of Functioning, Disability and Health (ICF) offers an internationally accepted standard for describing and assessing functioning and disability in any health condition. A specific list of ICF categories, an ICF Core Set (CS), has been developed for bipolar disorder, depression and schizophrenia. The aim of this study was to determine commonalities in the ICF-CSs for these three disorders, and to identify relevant categories for the development of tentative ICF-CSs for severe mental disorders in general. Methods: The ICF categories of all three mental health conditions were examined and compared. Results: Comparison of the Comprehensive ICF-CSs for the three mental health conditions revealed a set of 34 common categories (i.e., 10 from the Body functions component, 14 from the Activities and participation component, and 10 Environmental factors). These categories formed the proposed Comprehensive ICF-CS for severe mental disorders. A total of 11 categories were common to the Brief ICF-CSs of the three mental health conditions, and these formed the Brief ICF-CS for severe mental disorders (i.e., 3 from the Body functions component, 6 from the Activities and participation component, and 2 Environmental factors). All the categories included refer to key aspects of functioning for severe mental disorders. Conclusions: The proposed ICF-CSs for severe mental disorders may be applicable across a number of psychotic and affective disorders and they should prove useful for mental health services whose care remit covers a range of conditions.

Hacia un Conjunto Básico de la CIF para la evaluación del funcionamiento en el trastorno mental grave: aspectos comunes del trastorno bipolar, la depresión y la esquizofrenia. Antecedentes: la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF) ofrece un estándar internacionalmente aceptado para describir y evaluar el funcionamiento en cualquier condición de salud. Se han desarrollado listas de categorías CIF, conjuntos básicos (CB), para el trastorno bipolar, la depresión y la esquizofrenia. Este estudio pretende determinar los puntos comunes de los CIF-CB para estos tres trastornos e identificar las categorías relevantes con el fin de desarrollar un nuevo CIF-CB para los trastornos mentales graves. Método: se examinaron las categorías de CIF de las tres condiciones de salud mental. Resultados: la comparación de la versión completa de los CIF-CB para las tres condiciones de salud mental reveló un conjunto de 34 categorías comunes (i.e., 10 para el componente de Funciones corporales, 14 para el componente de Actividades y participación y 10 Factores ambientales). Estas categorías formaron la propuesta del CIF-CB completo para trastornos mentales graves. Un total de 11 categorías fueron comunes a los CIF-CB breves formando el CIF-CB breve para trastornos mentales graves (i.e., 3 para el componente de Funciones corporales, 6 para el componente de Actividades y participación y 2 Factores ambientales). Todas las categorías incluidas se refieren a aspectos clave del funcionamiento de estos trastornos.

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