Introduction
Methods
Participants and data collection
Statistical analyses
a) F30-F39 Mood disorders | b) F40-F48 Neurotic disorders | c) F60-F69 Personality disorders | Effects of diagnosis | |
---|---|---|---|---|
Total N | 359 | 347 | 142 | |
Female/male | 192/167 | 218/129 | 80/62 | Χ2 = 6.459, P = 0.040 |
Mean age | 50.1 (7.7) | 48.9 (8.5) | 47.4 (8.8) | F = 6.037, P = 0.002 a > c |
(1) adherence to regulations | 1.39 (0.92) | 1.15 (0.91) | 1.84 (0.96) | F = 28.588, P < 0.001 c > a > b |
(2) planning and structuring of tasks | 1.56 (0.88) | 1.21 (0.90) | 1.52 (0.94) | F = 14.191, P < 0.001 c, a > b |
(3) flexibility | 2.04 (0.72) | 1.72 (0.88) | 2.29 (0.79) | F = 29.725, P < 0.001 c > a > b |
(4) applying expertise | 1.33 (0.85) | 1.14 (0.92) | 1.44 (1.01) | F = 6.995, P = 0.001 c, a > b |
(5) competence to judge and decide | 1.59 (0.96) | 1.19 (0.93) | 1.35 (1.08) | F = 14.708, P < 0.001 a > b |
(6) endurance | 2.19 (0.67) | 2.11 (0.73) | 2.34 (0.84) | F = 5.255, P = 0.005 c > b |
(7) assertiveness | 1.85 (0.82) | 1.37 (0.93) | 1.85 (0.90) | F = 30.595, P < 0.001 c, a > b |
(8) contact with others | 1.39 (0.86) | 1.03 (0.84) | 1.98 (0.88) | F = 63.462, P < 0.001 c > a > b |
(9) group integration | 1.39 (0.89) | 1.18 (0.89) | 2.26 (0.80) | F = 78.300, P < 0.001 c > a > b |
(10) intimate relationships | 1.29 (0.84) | 1.07 (0.91) | 1.78 (0.91) | F = 32.380, P < 0.001 c > a > b |
(11) non-work activities | 1.57 (0.84) | 1.45 (0.82) | 1.83 (0.90) | F = 10.420, P < 0.001 c > a, b |
(12) self-care | 0.29 (0.59) | 0.23 (0.53) | 0.42 (0.68) | F = 5.294, P = 0.005 c > b |
(13) mobility | 0.81 (0.96) | 0.75 (0.87) | 0.71 (0.94) | F = 0.730, n.s. |
MICFmean | 1.44 (0.59) | 1.20 (0.57) | 1.66 (0.55) | F = 36.087, P < 0.001 c > a > b |
MICFtotal | 18.7 (7.6) | 15.6 (7.5) | 21.6 (7.2) | |
RWC ≤ 30% | 20.2% | 16.2% | 45.7% | Χ2 = 56.218, P < 0.001 |
RWC > 30, < 70% | 45.7% | 44.8% | 37.1% | |
RWC ≥70% | 34.2% | 39.0% | 17.1% |
a) F32.0 Mild depressive episodes | b) F32.1 Moderate depressive episodes | c) F32.2 Severe depressive episodes | Effects of severity | |
---|---|---|---|---|
Total N | 58 | 112 | 34 | |
Female/male | 25/33 | 60/52 | 21/13 | Χ2 = 3.249, n.s. |
Mean age | 51.3 (7.4) | 49.8 (7.3) | 47.7 (7.3) | F = 2.637, n.s. |
(1) adherence to regulations | 0.66 (0.69) | 1.46 (0.76) | 1.94 (1.07) | F = 31.707, P < 0.001 c > b > a |
(2) planning and structuring of tasks | 0.91 (0.82) | 1.60 (0.63) | 2.21 (0.85) | F = 35.627, P < 0.001 c > b > a |
(3) flexibility | 1.62 (0.67) | 2.12 (0.47) | 2.65 (0.70) | F = 34.937, P < 0.001 c > b > a |
(4) applying expertise | 0.85 (0.64) | 1.42 (0.71) | 2.02 (0.94) | F = 28.066, P < 0.001 c > b > a |
(5) competence to judge and decide | 1.04 (0.91) | 1.67 (0.77) | 2.38 (0.94) | F = 25.847, P < 0.001 c > b > a |
(6) endurance | 1.82 (0.55) | 2.18 (0.54) | 2.74 (0.61) | F = 29.244, P < 0.001 c > b > a |
(7) assertiveness | 1.50 (0.78) | 1.89 (0.58) | 2.29 (0.69) | F = 15.973, P < 0.001 c > b > a |
(8) contact with others | 0.85 (0.74) | 1.46 (0.66) | 2.12 (0.77) | F = 36.068, P < 0.001 c > b > a |
(9) group integration | 0.85 (0.74) | 1.50 (0.73) | 2.04 (0.86) | F = 28.729, P < 0.001 c > b > a |
(10) intimate relationships | 0.97 (0.75) | 1.48 (0.73) | 1.84 (0.80) | F = 16.393, P < 0.001 c, b > a |
(11) non-work activities | 0.91 (0.73) | 1.65 (0.65) | 2.27 (0.77) | F = 43.464, P < 0.001 c > b > a |
(12) self-care | 0.05 (0.22) | 0.25 (0.51) | 0.75 (0.82) | F = 19.798, P < 0.001 c > b, a |
(13) mobility | 0.16 (0.41) | 0.84 (0.99) | 1.41 (1.05) | F = 23.613, P < 0.001 c > b > a |
MICFmean | 0.94 (0.41) | 1.50 (0.35) | 2.04 (0.55) | F = 81.953, P < 0.001 c > b > a |
MICFtotal | 12.2 (5.3) | 19.5 (4.6) | 26.5 (7.2) | |
RWC ≤ 30% | 0.0% | 11.8% | 67.6% | Χ2 = 148.109, P < 0.001 |
RWC > 30, < 70% | 19.0% | 73.6% | 26.5% | |
RWC ≥70% | 81.0% | 14.5% | 5.9% |
Subsamples defined by RWC | a) High RWC RWC ≥ 70% | b) Moderate RWC 30% < RWC < 70% | c) Low RWC RWC ≤ 30% | Effects of RWC categorization |
---|---|---|---|---|
N | 307 | 402 | 231 | |
Female/male | 161/146 | 230/172 | 135/96 | Χ2 = 2.375, n.s. |
Mean age | 49.7 (8.1) | 49.2 (8.4) | 47.6 (8.9) | F = 4.399, P = 0.013 |
(1) adherence to regulations | 0.81 (0.78) | 1.43 (0.79) | 2.10 (0.88) | F = 169.333, P < 0.001 a > b > c |
(2) planning and structuring of tasks | 0.90 (0.81) | 1.48 (0.73) | 2.14 (0.82) | F = 167.835, P < 0.001 a > b > c |
(3) flexibility | 1.45 (0.82) | 1.99 (0.63) | 2.57 (0.68) | F = 165.443, P < 0.001 a > b > c |
(4) applying expertise | 0.80 (0.77) | 1.32 (0.79) | 1.96 (0.82) | F = 136.008, P < 0.001 a > b > c |
(5) competence to judge and decide | 1.03 (0.88) | 1.46 (0.90) | 1.90 (1.05) | F = 56.346, P < 0.001 a > b > c |
(6) endurance | 1.71 (0.71) | 2.24 (0.59) | 2.67 (0.65) | F = 148.684, P < 0.001 a > b > c |
(7) assertiveness | 1.20 (0.83) | 1.72 (0.81) | 2.24 (0.78) | F = 109.625, P < 0.001 a > b > c |
(8) contact with others | 0.82 (0.77) | 1.33 (0.79) | 2.07 (0.85) | F = 163.016, P < 0.001 a > b > c |
(9) group integration | 0.87 (0.76) | 1.49 (0.84) | 2.21 (0.83) | F = 182.238, P < 0.001 a > b > c |
(10) intimate relationships | 0.78 (0.77) | 1.27 (0.80) | 1.96 (0.81) | F = 145.214, P < 0.001 a > b > c |
(11) non-work activities | 1.05 (0.76) | 1.63 (0.71) | 2.12 (0.79) | F = 136.452, P < 0.001 a > b > c |
(12) self-care | 0.11 (0.35) | 0.22 (0.48) | 0.70 (0.85) | F = 78.266, P < 0.001 a, b > c |
(13) mobility | 0.44 (0.70) | 0.83 (0.89) | 1.12 (1.07) | F = 40.168, P < 0.001 a > b > c |
MICFmean | 0.92 (0.48) | 1.42 (0.40) | 1.98 (0.48) | F = 370.865, P < 0.001 a > b > c |
MICFtotal | 12.0 (6.3) | 18.4 (5.1) | 25.8 (6.3) |
Results
Mini-ICF-APP ratings: effects of the psychiatric diagnosis
Mini-ICF-APP ratings of claimants with depressive episodes
Relationship between Mini-ICF-APP ratings and RWC estimates
Regression analyses
Regression coefficient B | SE (B) | Standardized B | T Value | P value | |
---|---|---|---|---|---|
Simple linear regression: R2 = 0.518 | |||||
Constant | 99.779 | ||||
(I) MICFmean | −35.276 | 1.112 | −0.720 | 59.913 | < 0.001 |
Stepwise multiple regression: R2 = 0.550 | |||||
Constant | 106.918 | 2.204 | 49.736 | < 0.001 | |
(I) MICFflexibility | −5.351 | 1.077 | −.150 | −4.967 | < 0.001 |
(II) MICFendurance | −9.645 | 1.002 | −.245 | −9.630 | < 0.001 |
(III) MICFintimate relationships | −6.579 | .871 | −.204 | −7.555 | < 0.001 |
(IV) MICFplanning and structuring of tasks | −7.570 | .927 | −.235 | −8.164 | < 0.001 |
(V) MICFgroup integration | −5.619 | .877 | −.183 | −6.406 | < 0.001 |
Hierarchical multiple regression: R2 = 0.548 | |||||
Constant | 108.212 | 2.066 | 52.379 | < 0.001 | |
(I) MICFmean | −26.365 | 1.579 | −.537 | −16.693 | < 0.001 |
(II) MICFendurance | −7.060 | 1.070 | −.178 | −6.600 | < 0.001 |
(III) MICFintimate relationships | −4.324 | .896 | −.133 | −4.825 | < 0.001 |
High RWC | Moderate RWC | Low RWC | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
RWCrounded | 100 | 90 | 80 | 70 | 60 | 50 | 40 | 30 | 20 | 10 | 0 |
MICFmean (SD) | 0.60 (0.50) | 0.73 (0.30) | 0.98 (0.42) | 1.19 (0.44) | 1.28 (0.35) | 1.40 (0.40) | 1.69 (0.33) | 1.67 (0.47) | 1.85 (0.48) | 1.96 (0.82) | 2.10 (0.44) |
MICFtotal (SD) | 7.9 (6.6) | 9.5 (4.0) | 12.7 (5.4) | 15.4 (5.7) | 16.6 (4.6) | 18.2 (5.2) | 22.0 (4.3) | 21.7 (6.1) | 24.0 (6.2) | 25.5 (10.6) | 27.2 (5.8) |
N | 70 | 28 | 123 | 98 | 97 | 229 | 64 | 42 | 33 | 2 | 154 |