Is Utena's Brief Objective Measures (UBOM) useful in real-world behavioral assessment of functioning? Validity and utility testing in patients with schizophrenia.
Adult
Autonomic Nervous System
/ physiopathology
Behavior Rating Scale
/ standards
Cognitive Dysfunction
/ diagnosis
Cross-Sectional Studies
Female
Humans
Japan
Male
Middle Aged
Neuropsychological Tests
/ standards
Reproducibility of Results
Schizophrenia
/ complications
Severity of Illness Index
Social Behavior
Utena's Brief Objective Measures (UBOM)
cognitive function
neuropsychological testing
real-world functional outcome
schizophrenia
Journal
Psychiatry and clinical neurosciences
ISSN: 1440-1819
Titre abrégé: Psychiatry Clin Neurosci
Pays: Australia
ID NLM: 9513551
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
28
11
2018
revised:
21
08
2019
accepted:
27
08
2019
pubmed:
5
9
2019
medline:
24
11
2020
entrez:
5
9
2019
Statut:
ppublish
Résumé
Utena's Brief Objective Measures (UBOM) was developed to assess psychophysiological functions proximal to real-world functioning in individuals with psychiatric disorders, including schizophrenia (SCZ), to facilitate shared decision-making. However, the validity of UBOM has not been fully examined. We conducted a cross-sectional observational study to evaluate the validity of each of the three tests in UBOM: UBOM-Pulse, UBOM-Ruler, and UBOM-Random. We investigated associations: (i) between UBOM and existing cognitive- and autonomic-function tests; and (ii) between UBOM and daily social functioning. The participants included SCZ individuals and healthy controls. We evaluated the cognitive and autonomic function using UBOM, the heart rate variability test, the simple reaction time test, and the Brief Assessment of Cognition in Schizophrenia, Japanese version. We also assessed the daily social functioning using the WHO Disability Assessment Schedule 2.0 and the modified Global Assessment of Functioning, Japanese version. Thirty-one SCZ individuals and 35 healthy control individuals participated in this study. In the SCZ group, UBOM-Ruler was significantly associated with the Cognition and Getting Along domains of WHO Disability Assessment Schedule 2.0. UBOM-Random was significantly associated with the Brief Assessment of Cognition in Schizophrenia's Working Memory, Verbal Fluency and Attention domains, and the modified Global Assessment of Functioning in the SCZ group. The validity of the current version of UBOM is imperfect and further improvements will be necessary to attain the originally intended goal of developing a brief assessment tool for real-world functioning in SCZ.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
40-48Subventions
Organisme : Japan Agency for Medical Research and Development (AMED)
ID : JP18ek0109369
Organisme : Japan Agency for Medical Research and Development (AMED)
ID : JP18dm0307004
Organisme : Japan Agency for Medical Research and Development (AMED)
ID : JP18dm0307001
Organisme : Japan Agency for Medical Research and Development (AMED)
ID : JP18dm0207004
Informations de copyright
© 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology.
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