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Am J Psychiatry 1997; 154:1022-1024
Copyright © 1997 by American Psychiatric Association
Direct assessment of functional status in older patients with schizophrenia
JC Klapow, J Evans, TL Patterson, RK Heaton, WL Koch and DV Jeste
Department of Psychiatry, University of California, San Diego 92161, USA.
OBJECTIVE: There has been a growing trend in medicine to evaluate the
impact of illness on functional abilities. Such studies typically rely on
the patient's or caregiver's report. The goal of this study was to assess
directly the functional capacity of psychiatric patients, especially older
ones. METHOD: The subjects were 55 outpatients with schizophrenia and 72
normal persons ranging in age from 45 to 86 years. The subjects were
administered the Direct Assessment of Functional Status Scale, which assess
behaviour during simulated daily activity tasks in the areas of time
orientation, communication, transportation, finance, shopping, grooming,
and eating. RESULTS: The patients with schizophrenia had significantly
greater disability than the normal subjects according to total scale scores
as well as the communication, transportation, finance, and shopping
subscale scores. Global cognitive status was the best predictor of total
scale score. CONCLUSIONS: The Direct Assessment of Functional Status Scale
is a promising instrument for functional assessment in outpatients with
schizophrenia.
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