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This means that the scores found on the Sp-SOFI are consistent with the other measures and adjusted to the clinical characteristics of the sample.. The external validity of this study can be considered good since the patients included are similar to stable outpatients who are on treatment for schizophrenia in daily clinical practice throughout Spain. The study inclusion and exclusion criteria were non-restrictive and patients from five different cities in Spain were included in the study. However, as Kleinman et al.

This sample may not be generalizable to unstable patients enrolled in clinical trials. Additional research on more heterogeneous samples of schizophrenia patients is required to draw conclusions about psychometric performance across a broader spectrum of disease severity Kleinman et al. In addition to all that has been already said, three limitations should be taken into account when interpreting this study.

Second, is the lack of a control group. Further studies are needed to demonstrate the sensitivity of the Sp-SOFI to changes related to an intervention. Third, the sample size of this study was quite modest. From psychometric and statistical perspective, larger samples would be necessary to obtain stronger and more stable conclusions about the SOFI. In this sense, it would be advisable to perform replication studies, as well as extensions to a broader range of samples of patients with schizophrenia.. In summary, in light of the global data, we are able to demonstrate that the Spanish version of the SOFI Sp-SOFI is reliable and valid for measuring functioning in patients with schizophrenic disorders.

Also, new evidence about the validity of the instrument was provided. As a performance-based, clinician-rated instrument, the Sp-SOFI seems to be appropriate for use in clinical practice as a means of monitoring functioning in this population.. ISSN: See more Follow us:. Previous article Next article.

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Table 7. Show more Show less. Palabras clave:. Also, the European Medicines Agency, EMEA highlight the importance of providing clinicians with adequate, valid, and reliable instruments to measure other outcomes beyond symptoms, in addition to functioning and quality of life. The aims of this study were to translate and culturally adapt the SOFI and examine its psychometric properties in a sample of Spanish outpatients with schizophrenia under standard treatment. Written informed consent was obtained from all subjects prior to enrollment.

Participants The study sample comprised a total of outpatients with schizophrenia. The same criterion was applied during the follow up. Patients with intellectual developmental disorder, acquired brain injury, or who refused to participate in the study were excluded. Instruments and study procedures For each patient, demographic data and clinical information regarding diagnosis, medication, and drug use was obtained. All testing was performed by the same clinician at baseline and 6-month follow-up.

Andrew S. Erickson

The Spanish version was then pilot tested, by administering it to ten patients to assess its understandability see Appendix 1. Higher scores indicate worse symptoms. Each item is rated using a 7-point Likert scale of intensity from normal to among the most severely ill patients. Conversely, higher scores indicate better level of functioning. The ratings range from severely impaired to superior functioning. Results Demographic and clinical patient characteristics Table 1 shows the demographic and clinical patient characteristics total sample and by sex. Demographic and clinical characteristics of the total sample and by sex.

Not working included: permanent and temporary disability for health conditions other than mental disorder, retired, and unemployed. Table 3. Table 4. Living situation. Productive activities.

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Social functioning. Table 5. Personal and social relationships. Socially useful activities. Disturbing and aggressive behaviors. Duncan's post-hoc test. Moderately ill differed from mildly and doubtfully ill. Mildly ill differed from doubtfully ill. Severely and moderately ill patients differed from mildly and doubtfully ill patients.

Moderately and mildly ill differed from doubtfully ill. Severely ill patients differed from doubtfully ill patients. Appendix 1.

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Recognizing the sings of schizophrenia. Carretero-Dios, C. Standards for the development and review of instrumental studies: Considerations about test selection in psychological research. International Journal of Clinical and Health Psychology, 7 , pp.

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Chisolm, H. Abrams, R. McArdle, R. Wilson, P. Trends in Amplification, 9 , pp. We need to let psychologist intervene sooner to reduce the risk of developing schizophrenia. Reflection paper on the regulatory guidance for the use of health-related quality of life HRQL measures in the evaluation of medicinal products. Evers, J. Hagemeister, A. Lindley, A. Psicothema, 25 , pp. The new challenge in identifying the negative syndrome of schizophrenia.

Saiz, S. Psychometric evaluation of the negative syndrome of schizophrenia. European Archives of Psychiatry Clinical Neuroscience. Gomar, M. Menendez-Miranda, P.

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Arango, T. Patterson, P. Harvey, J. Bobes, T. Schizophrenia Research, , pp. Bobes-Bascaran, I. Saiz, J. Saiz, M. Guilera, O. Pino, R. Comparing neurocognitive impairment in schizophrenia and bipolar I disorder using the Screen for Cognitive Impairment in Psychiatry Scale. International Journal of Clinical and Health Psychology, 14 , pp. Hidalgo, B. Effectiveness of combining statistical tests and effect sizes when using logistic discriminant function regression to detect differential item functioning for polytomous items.

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