PMID- 31390376 OWN - NLM STAT- MEDLINE DCOM- 20200317 LR - 20200317 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 14 IP - 8 DP - 2019 TI - Using the World Health Organization Disability Assessment Schedule 2.0 to assess disability in veterans with posttraumatic stress disorder. PG - e0220806 LID - 10.1371/journal.pone.0220806 [doi] LID - e0220806 AB - The introduction of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was accompanied by the elimination of the Global Assessment of Functioning (GAF) scale, which was previously used to assess functioning. Although the World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) was offered as a measure for further study, widespread adoption of the WHODAS 2.0 has yet to occur. The lack of a standardized instrument for assessing posttraumatic stress disorder (PTSD)-related disability has important implications for disability compensation. Accordingly, this study was designed to determine and codify the utility of the WHODAS 2.0 for assessing PTSD-related disability. Veterans from several VA medical centers (N = 1109) were included. We examined PTSD using several definitions and modalities and considered results by gender and age. Across definitions and modalities, veterans with PTSD reported significantly greater WHODAS 2.0 total (large effects; all ts > 6.00; all ps < .01; all Cohen's ds > 1.03) and subscale (medium-to-large effects; all ts > 2.29; all ps < .05; all Cohen's ds > .39) scores than those without PTSD. WHODAS 2.0 scores did not vary by gender; however, younger veterans reported less disability than older veterans (small effects; all Fs > 4.30; all ps < .05; all eta2s < .05). We identified 32 as the optimally efficient cutoff score for discriminating veterans with and without PTSD-related disability, although this varied somewhat by age and gender. Findings support the utility of the WHODAS 2.0 in assessing PTSD-related disability. FAU - Bovin, Michelle J AU - Bovin MJ AUID- ORCID: 0000-0002-3296-4360 AD - National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, United States of America. AD - Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Meyer, Eric C AU - Meyer EC AD - Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas, United States of America. AD - Central Texas Veterans Healthcare System, Waco, Texas, United States of America. AD - Texas A&M University Health Science Center, College of Medicine, College Station, Texas, United States of America. FAU - Kimbrel, Nathan A AU - Kimbrel NA AD - Durham Veterans Affairs Medical Center, Durham, North Carolina, United States of America. AD - VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, United States of America. AD - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America. FAU - Kleiman, Sarah E AU - Kleiman SE AD - National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, United States of America. AD - Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Green, Jonathan D AU - Green JD AD - National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, United States of America. AD - Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Morissette, Sandra B AU - Morissette SB AD - Department of Psychology, The University of Texas at San Antonio, San Antonio, Texas, United States of America. FAU - Marx, Brian P AU - Marx BP AD - National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, United States of America. AD - Boston University School of Medicine, Boston, Massachusetts, United States of America. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20190807 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Age Factors MH - *Disability Evaluation MH - Female MH - Humans MH - Male MH - Middle Aged MH - Sex Factors MH - Stress Disorders, Post-Traumatic/*diagnosis MH - *Veterans MH - *World Health Organization PMC - PMC6685621 COIS- The authors have declared that no competing interests exist. EDAT- 2019/08/08 06:00 MHDA- 2020/03/18 06:00 PMCR- 2019/08/07 CRDT- 2019/08/08 06:00 PHST- 2019/05/10 00:00 [received] PHST- 2019/07/23 00:00 [accepted] PHST- 2019/08/08 06:00 [entrez] PHST- 2019/08/08 06:00 [pubmed] PHST- 2020/03/18 06:00 [medline] PHST- 2019/08/07 00:00 [pmc-release] AID - PONE-D-19-13313 [pii] AID - 10.1371/journal.pone.0220806 [doi] PST - epublish SO - PLoS One. 2019 Aug 7;14(8):e0220806. doi: 10.1371/journal.pone.0220806. eCollection 2019.