TY - JOUR
T1 - Functional capacity
T2 - A new framework for the assessment of everyday functioning in schizophrenia
AU - Mantovani, Lucas M.
AU - Teixeira, Antônio L.
AU - Salgado, João V.
N1 - Publisher Copyright:
© 2015, Associacao Brasileira de Psiquiatria. All rights reserved.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Historically, measures of everyday functioning have focused exclusively on real-world performance. Despite the unquestionable value of “real-world functioning”, it has become clear that instruments for its assessment might not be as accurate as desirable. Functional capacity is a domain of everyday functioning that can be assessed through performance-based measures. In the last decade, functional capacity has become a cornerstone for the assessment of everyday functioning, since, alongside measures of real-world functioning, it provides a much more comprehensive picture of functional outcomes than any measurement alone. Functional capacity is more stable and less vulnerable to influence from environmental factors than other domains, and its correlation with cognitive functions has encouraged the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) project to suggest that a performance-based measure of functional capacity be included as a co-primary assessment of cognition in clinical trials. Functional capacity assessment instruments may be also useful in the evaluation of remission in schizophrenia. Validation of these instruments in different countries is desirable, and should always include cross-cultural adaptation; within large countries, adjustment for regional variations should be considered.
AB - Historically, measures of everyday functioning have focused exclusively on real-world performance. Despite the unquestionable value of “real-world functioning”, it has become clear that instruments for its assessment might not be as accurate as desirable. Functional capacity is a domain of everyday functioning that can be assessed through performance-based measures. In the last decade, functional capacity has become a cornerstone for the assessment of everyday functioning, since, alongside measures of real-world functioning, it provides a much more comprehensive picture of functional outcomes than any measurement alone. Functional capacity is more stable and less vulnerable to influence from environmental factors than other domains, and its correlation with cognitive functions has encouraged the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) project to suggest that a performance-based measure of functional capacity be included as a co-primary assessment of cognition in clinical trials. Functional capacity assessment instruments may be also useful in the evaluation of remission in schizophrenia. Validation of these instruments in different countries is desirable, and should always include cross-cultural adaptation; within large countries, adjustment for regional variations should be considered.
KW - Disability
KW - Everyday functioning
KW - Functional capacity
KW - Real-world functioning
KW - Schizophrenia
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UR - http://www.scopus.com/inward/citedby.url?scp=84941649790&partnerID=8YFLogxK
U2 - 10.1590/1516-4446-2014-1551
DO - 10.1590/1516-4446-2014-1551
M3 - Article
C2 - 26376057
AN - SCOPUS:84941649790
SN - 1516-4446
VL - 37
SP - 249
EP - 255
JO - Revista Brasileira de Psiquiatria
JF - Revista Brasileira de Psiquiatria
IS - 3
ER -