Comparison of functional assessment by adolescents with schizophrenia and parents

2.50
Hdl Handle:
http://hdl.handle.net/10755/158282
Type:
Presentation
Title:
Comparison of functional assessment by adolescents with schizophrenia and parents
Abstract:
Comparison of functional assessment by adolescents with schizophrenia and parents
Conference Sponsor:Western Institute of Nursing
Conference Year:2003
Author:Schepp, Karen, PhD
P.I. Institution Name:University of Washington
Title:Associate Professor
Contact Address:School of Nursing, Department of Psychosocial & Community Health, Box 357263, Seattle, WA, 98195-7263, USA
Contact Telephone:206.685.3213
Co-Authors:Kennedy, Michael G.; Tsai, Jenny; Kim, Hyun Jung
Schizophrenia alters a person's sense of reality and limits one's ability to gain insight. An altered sense of reality along with limited insight can lead to an unrealistic assessment of one's ability to function in different aspects of life. The theoretical framework for the study is based on self-regulation through symptom management with level of functioning as the outcome. An accurate assessment of one's level of functioning is necessary in order for the most effective treatment to be instituted. The purpose of this paper is to compare parents' assessment of their schizophrenic adolescents' level of functioning with the adolescents' assessment of their functioning level. The study is a randomized clinical trial involving 36 adolescents ages 15-19 with schizophrenia and their parents. Each family designated one parent as the spokesperson for the family. Data were collected on level of functioning at three time points, at baseline, 6 weeks and 8 months. At each data collection point, designated parents and their adolescents were interviewed separately using the young adult version of the Child & Adolescent Functional Assessment Scale (CAFAS: Young Adult Version; Hodges, 1998). The CAFAS is a structured interview consisting of 8 subscales measuring functioning in role performance at (1) home, at (2) school or work, and (3) in the community; (4) behavior toward others, (5) moods related to self harm, (6) emotions, (7) substance use, and (8) thinking. The adolescents' functional level was also rated using the K-GAS with interrater reliability of 95-97 percent agreement. The results of the study showed a significant difference between parents' and adolescents' assessment at baseline (t=2.345, df=59, p=.022) with the parents rating the adolescents functioning at a lower level in all 8 areas. Although the level of functioning was not significantly different at 6 weeks and 8 months, the parents consistently rated their adolescents as more impaired than did the adolescents except in the area of moods related to self-harm which the adolescents rated themselves as more impaired than did their parents. The K-GAS ratings (scored inversely with the CAFAS) correlated with the parents scores at all three data collection points (r= -.591; -.631, -.417) and with the adolescents' ratings at baseline and 6 weeks respectively ( r= -..449, -.495) validating the CAFAS scores indicating severe impairment. The findings from this study show that adolescents with schizophrenia tend to underestimate the degree of impairment they are experiencing and it is noticeable in the assessment of their level of functioning when compared with parents' ratings. sychiatric nurses and other mental health professionals can use this knowledge to obtain the most thorough and accurate data when assessing the adolescents' ability to function so that the most appropriate treatment can be initiated.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of functional assessment by adolescents with schizophrenia and parentsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158282-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of functional assessment by adolescents with schizophrenia and parents </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schepp, Karen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Washington</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, Department of Psychosocial &amp; Community Health, Box 357263, Seattle, WA, 98195-7263, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">206.685.3213</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kschepp@u.washington.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kennedy, Michael G.; Tsai, Jenny; Kim, Hyun Jung </td></tr><tr><td colspan="2" class="item-abstract">Schizophrenia alters a person's sense of reality and limits one's ability to gain insight. An altered sense of reality along with limited insight can lead to an unrealistic assessment of one's ability to function in different aspects of life. The theoretical framework for the study is based on self-regulation through symptom management with level of functioning as the outcome. An accurate assessment of one's level of functioning is necessary in order for the most effective treatment to be instituted. The purpose of this paper is to compare parents' assessment of their schizophrenic adolescents' level of functioning with the adolescents' assessment of their functioning level. The study is a randomized clinical trial involving 36 adolescents ages 15-19 with schizophrenia and their parents. Each family designated one parent as the spokesperson for the family. Data were collected on level of functioning at three time points, at baseline, 6 weeks and 8 months. At each data collection point, designated parents and their adolescents were interviewed separately using the young adult version of the Child &amp; Adolescent Functional Assessment Scale (CAFAS: Young Adult Version; Hodges, 1998). The CAFAS is a structured interview consisting of 8 subscales measuring functioning in role performance at (1) home, at (2) school or work, and (3) in the community; (4) behavior toward others, (5) moods related to self harm, (6) emotions, (7) substance use, and (8) thinking. The adolescents' functional level was also rated using the K-GAS with interrater reliability of 95-97 percent agreement. The results of the study showed a significant difference between parents' and adolescents' assessment at baseline (t=2.345, df=59, p=.022) with the parents rating the adolescents functioning at a lower level in all 8 areas. Although the level of functioning was not significantly different at 6 weeks and 8 months, the parents consistently rated their adolescents as more impaired than did the adolescents except in the area of moods related to self-harm which the adolescents rated themselves as more impaired than did their parents. The K-GAS ratings (scored inversely with the CAFAS) correlated with the parents scores at all three data collection points (r= -.591; -.631, -.417) and with the adolescents' ratings at baseline and 6 weeks respectively ( r= -..449, -.495) validating the CAFAS scores indicating severe impairment. The findings from this study show that adolescents with schizophrenia tend to underestimate the degree of impairment they are experiencing and it is noticeable in the assessment of their level of functioning when compared with parents' ratings. sychiatric nurses and other mental health professionals can use this knowledge to obtain the most thorough and accurate data when assessing the adolescents' ability to function so that the most appropriate treatment can be initiated.</td></tr></table>en_GB
dc.date.available2011-10-26T20:41:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:41:28Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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