PMID- 11191580 OWN - NLM STAT- MEDLINE DCOM- 20010301 LR - 20220408 IS - 0022-3018 (Print) IS - 0022-3018 (Linking) VI - 188 IP - 12 DP - 2000 Dec TI - A brief assessment of psychosocial functioning of subjects with bipolar I disorder: the LIFE-RIFT. Longitudinal Interval Follow-up Evaluation-Range Impaired Functioning Tool. PG - 805-12 AB - Those afflicted with bipolar disorder often suffer from substantial functional impairment both when in episode and when in remission. This study examined the psychometric properties of a brief assessment of psychosocial functioning, the Range of Impaired Functioning Tool (LIFE-RIFT), among subjects with bipolar I disorder. The study sample consisted of 163 subjects who presented with bipolar I disorder at intake into the NIMH Collaborative Depression Study (CDS). All LIFE-RIFT items come from the Longitudinal Interval Follow-up Evaluation (LIFE). Follow-up data that were used to examine the reliability and validity of the scale come from assessments of psychosocial functioning that were conducted 6, 12, 18, and 24 months after intake into the CDS. The results of factor analyses indicate that the scale items are measures of one construct, psychosocial functioning. The interrater agreement on the scale score was very good with an intraclass correlation coefficient was 0.94. The internal consistency reliability among the scale items was uniformly satisfactory over the four assessment periods, with coefficient alpha ranging from 0.78 to 0.84. Mixed-effect regression analyses showed that during mood episodes subjects were significantly more impaired than those in recovery. In conclusion, the psychometric properties of the LIFE-RIFT were examined in subjects with bipolar I disorder. The analyses from this longitudinal, observational study provide empirical support for the reliability and validity of the scale. The LIFE-RIFT provides a brief, inexpensive alternative to scales currently used to assess psychosocial functioning and can be easily added to semistructured assessments that are used in clinical and treatment outcome studies. FAU - Leon, A C AU - Leon AC AD - Weill Medical College of Cornell University, Department of Psychiatry, New York, New York 10021, USA. FAU - Solomon, D A AU - Solomon DA FAU - Mueller, T I AU - Mueller TI FAU - Endicott, J AU - Endicott J FAU - Posternak, M AU - Posternak M FAU - Judd, L L AU - Judd LL FAU - Schettler, P J AU - Schettler PJ FAU - Akiskal, H S AU - Akiskal HS FAU - Keller, M B AU - Keller MB LA - eng GR - R01 MH025478/MH/NIMH NIH HHS/United States PT - Journal Article PT - Multicenter Study PL - United States TA - J Nerv Ment Dis JT - The Journal of nervous and mental disease JID - 0375402 SB - IM MH - *Adaptation, Psychological MH - Adult MH - Bipolar Disorder/*diagnosis/psychology MH - Factor Analysis, Statistical MH - Female MH - Follow-Up Studies MH - Humans MH - Longitudinal Studies MH - Male MH - Outcome Assessment, Health Care MH - Psychiatric Status Rating Scales/*statistics & numerical data MH - Psychometrics MH - Reproducibility of Results MH - *Social Adjustment EDAT- 2001/02/24 12:00 MHDA- 2001/03/07 10:01 CRDT- 2001/02/24 12:00 PHST- 2001/02/24 12:00 [pubmed] PHST- 2001/03/07 10:01 [medline] PHST- 2001/02/24 12:00 [entrez] AID - 10.1097/00005053-200012000-00003 [doi] PST - ppublish SO - J Nerv Ment Dis. 2000 Dec;188(12):805-12. doi: 10.1097/00005053-200012000-00003.