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Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

OBJECTIVE: This is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission. METHODS:...

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Autores principales: Weiss, Margaret D., McBride, Nicole Michelle, Craig, Stephanie, Jensen, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241626/
https://www.ncbi.nlm.nih.gov/pubmed/30314990
http://dx.doi.org/10.1136/ebmental-2018-300025
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author Weiss, Margaret D.
McBride, Nicole Michelle
Craig, Stephanie
Jensen, Peter
author_facet Weiss, Margaret D.
McBride, Nicole Michelle
Craig, Stephanie
Jensen, Peter
author_sort Weiss, Margaret D.
collection PubMed
description OBJECTIVE: This is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission. METHODS: We conducted a literature search via MEDLINE, EBSCO and Google Scholar with no date restrictions and reviewed bibliographies of selected publications. Publications found in languages other than English were translated and clarification obtained from the author(s) if needed. Inclusion criteria were any manuscript that was either a WFIRS psychometric validation study or a clinical trial using the WFIRS as an outcome. There were no exclusion criteria. RESULTS: The WFIRS has been validated in multiple cultures, and in clinical, research and control populations. The WFIRS has robust psychometric properties across ages, psychiatric status and informants. Outcome studies show variable improvement, with different response patterns between domains and among different interventions. CONCLUSION: Symptom improvement and remission needs to be complemented with evaluation of functional improvement and remission to obtain a full picture of clinical status over the course of treatment.
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spelling pubmed-62416262018-11-27 Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale Weiss, Margaret D. McBride, Nicole Michelle Craig, Stephanie Jensen, Peter Evid Based Ment Health Systematic Review OBJECTIVE: This is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission. METHODS: We conducted a literature search via MEDLINE, EBSCO and Google Scholar with no date restrictions and reviewed bibliographies of selected publications. Publications found in languages other than English were translated and clarification obtained from the author(s) if needed. Inclusion criteria were any manuscript that was either a WFIRS psychometric validation study or a clinical trial using the WFIRS as an outcome. There were no exclusion criteria. RESULTS: The WFIRS has been validated in multiple cultures, and in clinical, research and control populations. The WFIRS has robust psychometric properties across ages, psychiatric status and informants. Outcome studies show variable improvement, with different response patterns between domains and among different interventions. CONCLUSION: Symptom improvement and remission needs to be complemented with evaluation of functional improvement and remission to obtain a full picture of clinical status over the course of treatment. BMJ Publishing Group 2018-11 2018-10-27 /pmc/articles/PMC6241626/ /pubmed/30314990 http://dx.doi.org/10.1136/ebmental-2018-300025 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Systematic Review
Weiss, Margaret D.
McBride, Nicole Michelle
Craig, Stephanie
Jensen, Peter
Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title_full Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title_fullStr Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title_full_unstemmed Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title_short Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale
title_sort conceptual review of measuring functional impairment: findings from the weiss functional impairment rating scale
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241626/
https://www.ncbi.nlm.nih.gov/pubmed/30314990
http://dx.doi.org/10.1136/ebmental-2018-300025
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