PMID- 27254415
OWN - NLM
STAT- MEDLINE
DCOM- 20171208
LR  - 20181113
IS  - 1497-0015 (Electronic)
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 61
IP  - 4
DP  - 2016 Apr
TI  - Characterization of Disability in Canadians with Mental Disorders Using an 
      Abbreviated Version of a DSM-5 Emerging Measure: The 12-Item WHO Disability 
      Assessment Schedule (WHODAS) 2.0.
PG  - 227-35
LID - 10.1177/0706743716632514 [doi]
AB  - OBJECTIVE: The World Health Organization Disability Assessment Schedule 2.0 
      (WHODAS 2.0) is a disability scale included in Section 3 of the fifth edition of 
      the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a possible 
      replacement for the Global Assessment of Functioning Scale (GAF). To assist 
      Canadian psychiatrists with interpretation of the scale, we have conducted a 
      descriptive analysis using data from the 2012 Canadian Community Health 
      Survey-Mental Health component (CCHS-MH). METHODS: The 2012 CCHS-MH was a 
      cross-sectional survey of the Canadian community (n = 23,757). The survey 
      included an abbreviated 12-item version of the WHODAS 2.0. Mental disorder 
      diagnoses were assessed for schizophrenia, other psychosis, major depressive 
      episode (MDE), generalized anxiety disorder (GAD), bipolar I disorder, substance 
      abuse/dependence, and alcohol abuse/dependence. RESULTS: Mean scores ranged from 
      14.2 (95% CI, 14.1 to 14.3) for the overall community population to 23.1 (95% CI, 
      19.5 to 26.7) for those with schizophrenia, with higher scores indicating greater 
      disability. Furthermore, the difference in scores between those with lifetime and 
      past-month episodes suggests that the scale is sensitive to changes occurring 
      during the course of these disorders; for example, scores varied from 23.6 (95% 
      CI, 22.2 to 25.1) for past-month MDE to 14.4 (95% CI, 14.2 to 14.7) in the 
      lifetime MDE group without a past-year episode. CONCLUSION: This analysis 
      suggests that the WHODAS 2.0 may be a suitable replacement for the GAF. As a 
      disability measure, even though it is not a mental health-specific instrument, 
      the 12-item WHODAS 2.0 appears to be sensitive to the impact of mental disorders 
      and to changes over the time course of a mental disorder. However, the clinical 
      utility of this measure requires additional assessment.
CI  - (c) The Author(s) 2016.
FAU - Sjonnesen, Kirsten
AU  - Sjonnesen K
AD  - University of Alberta, Edmonton, Alberta ksjonnes@ualberta.ca patten@ucalgary.ca.
FAU - Bulloch, Andrew G M
AU  - Bulloch AG
AD  - University of Calgary, Calgary, Alberta.
FAU - Williams, Jeanne
AU  - Williams J
AD  - University of Calgary, Calgary, Alberta.
FAU - Lavorato, Dina
AU  - Lavorato D
AD  - University of Calgary, Calgary, Alberta.
FAU - B Patten, Scott
AU  - B Patten S
AD  - University of Calgary, Calgary, Alberta.
LA  - eng
GR  - CIHR/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160216
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Canada/epidemiology
MH  - Cross-Sectional Studies
MH  - *Diagnostic and Statistical Manual of Mental Disorders
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/diagnosis/*epidemiology
MH  - Mentally Ill Persons/*statistics & numerical data
MH  - Middle Aged
MH  - *Psychiatric Status Rating Scales
MH  - Young Adult
PMC - PMC4794955
OTO - NOTNLM
OT  - WHODAS
OT  - World Health Organization Disability Assessment Schedule 2.0
OT  - descriptive statistics
OT  - disability
OT  - disability evaluation
OT  - mental disorders
OT  - population characteristics
OT  - psychiatric epidemiology
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2016/06/03 06:00
MHDA- 2017/12/09 06:00
PMCR- 2016/10/01
CRDT- 2016/06/03 06:00
PHST- 2016/06/03 06:00 [entrez]
PHST- 2016/06/03 06:00 [pubmed]
PHST- 2017/12/09 06:00 [medline]
PHST- 2016/10/01 00:00 [pmc-release]
AID - 0706743716632514 [pii]
AID - 10.1177_0706743716632514 [pii]
AID - 10.1177/0706743716632514 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2016 Apr;61(4):227-35. doi: 10.1177/0706743716632514. Epub 2016 
      Feb 16.