PMID- 30616134 OWN - NLM STAT- MEDLINE DCOM- 20190508 LR - 20231128 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 272 DP - 2019 Feb TI - A factor analytic evaluation of the World Health Organization Disability Assessment Schedule 2.0 among veterans presenting to a generalist mental health clinic. PG - 638-642 LID - S0165-1781(18)31965-6 [pii] LID - 10.1016/j.psychres.2019.01.008 [doi] AB - The shift from a multiaxial system of diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) brought forth the discontinuation of the Global Assessment of Functioning (GAF). DSM-5 proposes the use of a more reliable method for assessing and describing disability, the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The WHODAS 2.0 is widely-used within the Department of Veterans Affairs (VA) and the Veterans Benefits Administration to guide clinical decision making and assist in decisions pertaining to financial compensation. While the WHODAS 2.0 purports to be well-validated for adults cross-culturally in clinical and non-clinical samples, research is limited pertaining to the factor structure of the WHODAS 2.0 in non-compensation seeking U.S. Veteran populations. This study evaluated the factor structure of the WHODAS 2.0 in a sample of 464 Veterans receiving VA mental healthcare. Exploratory and confirmatory factor analyses of the WHODAS 2.0 data were conducted. Analyses confirmed the hardiness of the WHODAS 2.0 for use with Veterans. However, exploratory analyses pointed to several items that may reduce the functioning of the questionnaire in clinical Veteran samples. Exploratory and confirmatory analyses indicated better model fit can be achieved. CI - Published by Elsevier B.V. FAU - Sexton, Minden B AU - Sexton MB AD - VA Ann Arbor Healthcare System, Mental Health Service (116C), 2215 Fuller Rd., Ann Arbor, MI 48105, USA; University of Michigan Medical School, Departments of Psychiatry and Neurology, 4250 Plymouth Rd., Ann Arbor, MI 48109, USA. Electronic address: minden.sexton@va.gov. FAU - Davis, Margaret T AU - Davis MT AD - VA Ann Arbor Healthcare System, Mental Health Service (116C), 2215 Fuller Rd., Ann Arbor, MI 48105, USA; University of Michigan Medical School, Departments of Psychiatry and Neurology, 4250 Plymouth Rd., Ann Arbor, MI 48109, USA; Yale University, Yale Translational Brain Imaging Program, 2 Church St. South, Suite 314, New Haven, CT 06519, USA. FAU - Lusk, Rebecca K AU - Lusk RK AD - VA Ann Arbor Healthcare System, Mental Health Service (116C), 2215 Fuller Rd., Ann Arbor, MI 48105, USA; University of Michigan Medical School, Departments of Psychiatry and Neurology, 4250 Plymouth Rd., Ann Arbor, MI 48109, USA. FAU - Lyubkin, Mark AU - Lyubkin M AD - VA Ann Arbor Healthcare System, Mental Health Service (116C), 2215 Fuller Rd., Ann Arbor, MI 48105, USA; University of Michigan Medical School, Departments of Psychiatry and Neurology, 4250 Plymouth Rd., Ann Arbor, MI 48109, USA. FAU - Chermack, Stephen T AU - Chermack ST AD - VA Ann Arbor Healthcare System, Mental Health Service (116C), 2215 Fuller Rd., Ann Arbor, MI 48105, USA; University of Michigan Medical School, Departments of Psychiatry and Neurology, 4250 Plymouth Rd., Ann Arbor, MI 48109, USA. LA - eng GR - K08 MH117351/MH/NIMH NIH HHS/United States GR - L30 MH120754/MH/NIMH NIH HHS/United States PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20190103 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - Ambulatory Care Facilities/standards MH - Diagnostic and Statistical Manual of Mental Disorders MH - *Disability Evaluation MH - Disabled Persons/*psychology MH - Factor Analysis, Statistical MH - Female MH - Humans MH - Male MH - Mental Health/*standards MH - Mental Health Services/*standards MH - Middle Aged MH - Surveys and Questionnaires MH - United States/epidemiology MH - Veterans/*psychology MH - *World Health Organization MH - Young Adult OTO - NOTNLM OT - Functioning OT - Psychometric OT - Validity EDAT- 2019/01/08 06:00 MHDA- 2019/05/09 06:00 CRDT- 2019/01/08 06:00 PHST- 2018/10/22 00:00 [received] PHST- 2018/12/28 00:00 [revised] PHST- 2019/01/01 00:00 [accepted] PHST- 2019/01/08 06:00 [pubmed] PHST- 2019/05/09 06:00 [medline] PHST- 2019/01/08 06:00 [entrez] AID - S0165-1781(18)31965-6 [pii] AID - 10.1016/j.psychres.2019.01.008 [doi] PST - ppublish SO - Psychiatry Res. 2019 Feb;272:638-642. doi: 10.1016/j.psychres.2019.01.008. Epub 2019 Jan 3.