Author:
Nuño Laura,Guilera Georgina,Barrios Maite,Gómez-Benito Juana,Abdelhamid Gomaa Said Mohamed
Abstract
BackgroundThe International Classification of Functioning, Disability, and Health Core Sets (ICF-CSs) for schizophrenia are a set of categories for assessing functioning in persons with this health condition. This study aimed to: a) estimate the network structure of the Brief ICF-CS for schizophrenia, b) examine the community structure (categories strongly clustered together) underlying this network, and c) identify the most central categories within this network.MethodsA total of 638 health professionals from different backgrounds and with a significant role in the treatment of individuals with schizophrenia participated in a series of Delphi studies. Based on their responses we used the Ising model to estimate the network structure of the 25-category Brief ICF-CS, and then estimated the degree of centrality for all categories. Finally, the community structure was detected using the walktrap algorithm.ResultsThe resulting network revealed strong associations between individual categories within components of the ICF (i.e., Body functions, Activities and participation, and Environmental factors). The results also showed three distinct clusters of categories corresponding to the same three components. The categories e410 Individual attitudes of immediate family members, e450 Individual attitudes of health professionals, d910 Community life, and d175 Solving problems were among the most central categories in the Brief ICF-CS network.ConclusionThese results demonstrate the utility of a network approach for estimating the structure of the ICF-CSs. Implications of these results for clinical interventions and development of new instruments are discussed.
Funder
Ministerio de Economía, Industria y Competitividad, Gobierno de España
Ministerio de Ciencia, Innovación y Universidades
Agència de Gestió d'Ajuts Universitaris i de Recerca
Subject
Psychiatry and Mental health
Reference48 articles.
1. International Classification of Diseases for Mortality and Morbidity Statistics (11th revision)2022
2. The influence of illness-related variables, personal resources and context-related factors on real-life functioning of people with schizophrenia;Galderisi;World Psychiatry Off J World Psychiatr Assoc WPA.,2014
3. Social cognition, social competence, negative symptoms and social outcomes: inter-relationships in people with schizophrenia;Kalin;J Psychiatr Res.,2015
4. Two-stage integrated care versus antipsychotic medication alone on outcomes of schizophrenia: one-year randomized controlled trial and follow-up;She;Psychiatry Res.,2017