Assessing impairment in patients with panic disorder: the Sheehan Disability Scale

Leon, A. C.; Shear, M. Katherine; Portera, Laura; Klerman, G. L.

doi:10.1007/bf00788510

Cited by 319Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingMental Health Research Topics

Assessing impairment in patients with panic disorder: the Sheehan Disability Scale

Leon, A. C., Shear, M. Katherine, Portera, Laura, Klerman, G. L.·1992·Social Psychiatry and Psychiatric Epidemiology

DOI 10.1007/bf00788510

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Abstract

The DSM-III-R incorporates both distress (symptoms) and disability (impairment) in the definition of a psychiatric disorder. In psychiatric research there is a wide array of instruments used to measure symptom severity, but a limited selection for the assessment of impairment. The psychometric properties of one such instrument, The Sheehan Disability Scale (Sheehan 1983), are evaluated in this paper. The data analyzed come from two studies of patients with panic disorder, the Cross National Collaborative Panic Study--Phase I and the Panic Depression Study. In this report both the alpha coefficients and factor analyses indicate that the reliability of the scale is acceptable. The factor structure of the items and the sensitivity to change of their composite demonstrate satisfactory construct validity. The criterion-related validity is substantiated by the significant relationship between symptomatology and impairment. These analyses were limited to patients with panic disorder. Further work is needed to evaluate the instrument in assessing patients with other disorders.

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A Sheehan Disability Scale cut score of 5 on any subscale has been used to identify individuals with clinically relevant symptoms in previous studies.
“A cut score of 5 on any subscale has been used to identify individuals with clinically relevant symptoms in previous studies [33].”
From Internet videoconferencing delivered cognitive behavior therapy for generalized anxiety disorder: protocol for a randomized controlled trial (2022) · cites this paper as [33]

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Authors: Leon, A. C., Shear, M. K., Portera, L., & Klerman, G. L.
Affiliations: Cornell University (US)
ORCID: Leon, A. C.
Shear, M. Katherine
Venue: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer Science and Business Media LLC
Published: 1992
Volume: 27
Issue: 2
Pages: 78-82
ISSN: 0933-7954 (ISSN-L)
1433-9285
DOI: 10.1007/bf00788510
OpenAlex: W2093840588
Cited by: 319
References: 6
Citations by year: 2026: 2 · 2025: 6 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 4 · 2020: 10 · 2019: 8 · 2018: 11 · 2017: 15 · 2016: 15 · 2015: 18 · 2014: 15 · 2013: 12 · 2012: 5
FWCI: 1.09
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: Sheehan Disability Scale, panic disorder, functional disability, disability assessment, psychometric properties, reliability statistics, construct validity, criterion validity, DSM-III-R, symptom severity
MeSH terms: Activities of Daily Living, Adolescent, Adult, Aged, Alprazolam, Disability Evaluation, Double-Blind Method, Female, Humans, Imipramine, Male, Middle Aged, Personality Assessment, Psychometrics, Panic Disorder

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Assessing impairment in patients with panic disorder: the Sheehan Disability Scale

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