WHODAS 2.0 as a measure of severity of illness: results of a FLDA Analysis Articles uri icon

authors

  • Sedano Capdevila, Alba
  • Aroca, Fuentasana
  • BARRIGON ESTEVEZ, MARIA LUISA
  • BACA GARCIA, ENRIQUE
  • DELGADO GOMEZ, DAVID
  • PEÑUELAS CALVO, INMACULADA
  • Fernandez, Carolina
  • Rodriguez Jover, Alba
  • Amodeo Escribano, Susana
  • Gonzalez Granado, Marta
  • BARAHONA, IGOR

publication date

  • March 2018

start page

  • 1

end page

  • 7

International Standard Serial Number (ISSN)

  • 1748-670X

Electronic International Standard Serial Number (EISSN)

  • 1748-6718

abstract

  • WHODAS 2.0 is the standard measure of disability promoted by World Health Organization whereas Clinical Global Impression (CGI) is a widely used scale for determining severity of mental illness. Although a close relationship between these two scales would be expected, there are no relevant studies on the topic. In this study, we explore if WHODAS 2.0 can be used for identifying severity of illness measured by CGI using the Fisher Linear Discriminant Analysis (FLDA) and for identifying which individual items of WHODAS 2.0 best predict CGI scores given by clinicians. One hundred and twenty-two patients were assessed with WHODAS 2.0 and CGI during three months in outpatient mental health facilities of four hospitals of Madrid, Spain. Compared with the traditional correction of WHODAS 2.0, FLDA improves accuracy in near 15%, and so, with FLDA WHODAS 2.0 classifying correctly 59.0% of the patients. Furthermore, FLDA identifies item 6.6 (illness effect on personal finances) and item 4.5 (damaged sexual life) as the most important items for clinicians to score the severity of illness.

subjects

  • Statistics

keywords

  • global assessment; mental-health; rating-scale; disability; schizophrenia; judgments