Validación de la versión española de la escala de Funcionamiento Personal y Social en pacientes ambulatorios con esquizofrenia estable o inestable

Garcia-Portilla, María Paz; Saiz, Pilar Alejandra; Bousoño, Manuel; Bascaran, María Teresa; Guzmán-Quilo, Carlos; Bobes, Julio

doi:10.1016/j.rpsm.2010.11.003

Cited by 75Schizophrenia research and treatmentPsychometric Methodologies and TestingMental Health and Psychiatry

Validación de la versión española de la escala de Funcionamiento Personal y Social en pacientes ambulatorios con esquizofrenia estable o inestable

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Garcia-Portilla, María Paz, Saiz, Pilar Alejandra, Bousoño, Manuel, Bascaran, María Teresa, Guzmán-Quilo, Carlos, Bobes, Julio·2011·Revista de Psiquiatría y Salud Mental

DOI 10.1016/j.rpsm.2010.11.003

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Abstract

Introduction The main long-term therapeutic goals of schizophrenia should go beyond the symptoms and include the improvement of patients' psychosocial functioning and quality of life. The aim of this study was to validate the Personal and Social Performance (PSP) scale in Spanish outpatients with schizophrenia.Materials and methods Naturalistic, 6-month follow-up, multicentre study. 244 patients and 76 controls were evaluated using the PSP, the Social and Occupational Functioning Assessment Scale (SOFAS), and the Clinical Global Impression - Severity (CGI-S) and Change (CGI-C) scales.Results Internal reliability=0.87. Test-retest reliability=0.98. Construct validity=1 component that explained 73.2% of the variance. Convergent validity: Pearson correlation coefficient between PSP and SOFAS=0.95 (p<0.0001), between PSP and CGI-S=-0.88 (p<0.0001). Discriminant validity: the PSP discriminates between patients and controls [50.3 versus 91.9, p<0.0001] and among patients with mild, moderate, and severe schizophrenia according to CGI-S scores [73 versus 56.6 versus 37.5, p<0.0001]. Area under the curve=0.986. A cut-off point of 79 on the PSP scale provided good sensitivity (94.3%) and specificity (96.1%) for identifying patients and controls according to their level of functioning. At month 6 significant improvements (p<0.0001) were seen in PSP, SOFAS, and CGI-C scores. The PSP was sensitive to improvement; a score of very much improved in the CGI-C corresponds to a improvement of 34 points in the PSP.Conclusion The Spanish PSP is a reliable, valid and sensitive instrument for measuring functioning in outpatients with schizophrenia. As a brief, clinician-rated instrument, the PSP scale seems to be appropriate for use in everyday clinical practice as a mean of identifying and monitoring changes in patient's functioning.

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The Spanish version of the PSP has excellent test-retest reliability (r = 0.98).
“excellent test-retest reliability (r = 0.98)”
From Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: A study protocol for a randomised controlled trial (2019) · cites this paper as [34]
The Spanish version of the PSP has high internal consistency (Cronbach's alpha = 0.87).
“The Spanish version of the PSP [34] is reliable and presents high internal consistency (Cronbach’s alpha = 0.87)”
From Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: A study protocol for a randomised controlled trial (2019) · cites this paper as [34]
The Spanish version of the PSP has good construct validity (one single component explains 73% of the variance in social functioning).
“good construct validity (one single component explains 73% of the variance in social functioning).”
From Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: A study protocol for a randomised controlled trial (2019) · cites this paper as [34]

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Evaluación de la calidad de vida en una población de pacientes ambulatorios esquizofrénicos crónicos
González Marín, E., Pérez, P. G., Arias Martín, T., & Boyero, J. L. V. (2003) · Hispana

Authors: Garcia-Portilla, M. P., Saiz, P. A., Bousoño, M., Bascaran, M. T., Guzmán-Quilo, C., & Bobes, J.
Affiliations: Universidad de Oviedo (ES)
ORCID: Bobes, Julio
Venue: Revista de Psiquiatría y Salud Mental
Publisher: Elsevier BV
Published: 2011-01
Volume: 4
Issue: 1
Pages: 9-18
ISSN: 1888-9891 (ISSN-L)
DOI: 10.1016/j.rpsm.2010.11.003
OpenAlex: W2150819537
Cited by: 75
References: 29
Citations by year: 2026: 4 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 11 · 2021: 7 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 11 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 2
FWCI: 1.97
Type: journal article
Language: es
Open access: green
hdl.handle.net
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Revista de Psiquiatría y Salud Mental (publishedVersion)
Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: schizophrenia, Personal and Social Performance Scale, psychosocial functioning, social functioning, occupational functioning, Spanish adaptation, psychometric validation, Global Assessment of Functioning, outpatients, quality of life, test-retest reliability, construct validity, convergent validity, discriminant validity, sensitivity and specificity

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Validación de la versión española de la escala de Funcionamiento Personal y Social en pacientes ambulatorios con esquizofrenia estable o inestable

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