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Do measures used in studies of anxiety disorders reflect activities and participation as defined in the WHO International Classification of Functioning, Disability and Health ?

BRUTT AL; SCHULZ H; KOCH U; ANDREAS S
CLIN REHABIL , 2011, vol. 25, n° 7, p. 659-671
Doc n°: 153347
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215510396739
Descripteurs : JI - PSYCHOLOGIE ET HANDICAP, JQ - CIF

Besides the measurement of symptoms, information on functioning and
disability in daily routines expands the description of impairments in patients
with anxiety disorders. Therefore, the measurement of activities and
participation, as theoretically included in the International Classification of
Functioning, Disability and Health (ICF) is of increasing importance. The
objective of this study is to give an overview over the implementation of the
concept 'activities and participation' in outcome measurements of patients with
anxiety disorders. METHODS: Based on a literature review in PubMed and PsycInfo
databases and including 200 papers, this study analyses 65 outcome instruments
used in randomized controlled trials in anxiety disorders according to their
content related to the ICF domain of 'Activities and participation'. RESULTS:
Instruments used in trials evaluating outcome in patients with anxiety disorder
only partially address activities and participation. Over all 65 instruments, the
chapters on 'Interpersonal interactions and relationships' and 'Mobility' were
most frequently included in measurements. CONCLUSIONS: The identification of
relevant ICF categories (core sets) according to activities and participation and
especially interpersonal interactions and relationships as well as mobility, can
be a basis for describing functioning and evaluating treatment in anxiety
disorders, helping to improve outcome assessment in clinical practice.

Langue : ANGLAIS

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