Skip Navigation

Schizophrenia Bulletin 2003 29(1):153-167;
© 2003 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Jaeger, J.
Right arrow Articles by Czobor, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jaeger, J.
Right arrow Articles by Czobor, P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© Oxford University Press

The Multidimensional Scale of Independent Functioning: A New Instrument for Measuring Functional Disability in Psychiatric Populations

Judith Jaeger, Ph.D., M.P.A., Stefanie M. Berns, Ph.D. and Pál Czobor, Ph.D.
Director, Center for Neuropsychiatric Outcome and Rehabilitation Research, Hillside Hospital, North Shore-Long Island Jewish Health System Glen Oaks, NY, and Associate Professor of Psychiatry, Albert Einstein College of Medicine Bronx, NY
Assistant Director, Center for Neuropsychiatric Outcome and Rehabilitation Research
Research Scientist, Nathan Kline Institute for Psychiatric Research Orangeburg, NY, and Associate Professor, New York University School of Medicine, Department of Psychiatry New York, NY

Send reprint requests to Dr. J. Jaeger, Director, Center for Neuropsychiatric Outcome and Rehabilitation Research, Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004; e-mail: jaeger{at}lij.edu

The Multidimensional Scale of Independent Functioning (MSIF) is a new instrument for rating functional disability in psychiatric outpatients. The MSIF differs from other disability rating scales by providing discrete ratings of (1) role responsibility, (2) presence and level of support, and (3) performance quality. The MSIF, which consists of a semistructured interview and detailed rating anchors, was validated in 114 psychiatric outpatients. The instrument had good criterion, discriminative, interrater, and construct validity. Correlations between comparable ratings on the Social Adjustment Scale II (SAS II) ranged from 0.78 to 0.86. Nevertheless, redundancy analysis using canonical correlation demonstrated that, although the two instruments overlap, the MSIF contains information that is not contained in the SAS II. Furthermore, there was only modest shared variance with conceptually non-overlapping subscales in the SAS II. Interrater reliability (intraclass correlation coefficients) ranged from 0.74 to 1.00 for global and subscale scores. MSLF subscales performed as expected with respect to external validators such as hours of employment, earned income, supported versus nonsupported employment and housing, and mainstream versus nonmainstream educational status. MSIF global ratings were modestly correlated with IQ and psychopathology ratings, consistent with reports in the literature. Construct validity, estimated using Cronbach's alpha coefficient, was 0.72. The MSIF is a promising new instrument designed to circumvent several limitations with existing functional outcome instruments for longitudinal studies, intervention research, and services research.

Keywords: Disability / rating scales / functional outcome / independent functioning / intervention research


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Schizophr BullHome page
F. R. Leifker, T. L. Patterson, R. K. Heaton, and P. D. Harvey
Validating Measures of Real-World Outcome: The Results of the VALERO Expert Survey and RAND Panel
Schizophr Bull, June 12, 2009; (2009) sbp044v1.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
R. W. Heinrichs, N. Ammari, A. A. Miles, and S. McDermid Vaz
Cognitive Performance and Functional Competence as Predictors of Community Independence in Schizophrenia
Schizophr Bull, July 30, 2008; (2008) sbn095v1.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
P. D. Harvey, D. I. Velligan, and A. S. Bellack
Performance-Based Measures of Functional Skills: Usefulness in Clinical Treatment Studies
Schizophr Bull, September 1, 2007; 33(5): 1138 - 1148.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
A. S. Bellack, M. F. Green, J. A. Cook, W. Fenton, P. D. Harvey, R. K. Heaton, T. Laughren, A. C. Leon, D. J. Mayo, D. L. Patrick, et al.
Assessment of Community Functioning in People With Schizophrenia and Other Severe Mental Illnesses: A White Paper Based on an NIMH-Sponsored Workshop
Schizophr Bull, May 1, 2007; 33(3): 805 - 822.
[Abstract] [Full Text] [PDF]

Home page
 Psychiatr. Serv.Home page
L. Srinivasan and S. Tirupati
Relationship Between Cognition and Work Functioning Among Patients With Schizophrenia in an Urban Area of India
Psychiatr Serv, November 1, 2005; 56(11): 1423 - 1428.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.