Impairment

Stress occurs when the ability to cope does not match the demands. The consequence are restrictions in participation.

 

        An interview was developed to measure impairment in activities and participation in reference to the International Classification of Functioning, Disability and Health (ICF, WHO 2001). The Mini-ICF-APP covers 13 capacity dimensions which are typically impaired in the context of mental disorders. These are the ability to follow rules and routines, the ability to plan and structure tasks, flexibility and adaptability, competence and knowledge usage, decision-making and judgment, proactivity and spontaneous activities, endurance and resistance, assertiveness, the ability to engage in close dyadic relationships, the ability of self-care, mobility. Anchor definitions and interview sample questions are given. The instrument has found its way into national and international social security assessment guidelines. English, Italian, and French translations are available. Studies have been done with psychosomatic, but also schizophrenic, or mentally handicapped persons.

 

        There is also a self rating instrument available.

 

        Capacity impairments are of special importance in relation to the workplace. The Mini-ICF-APP-W allows to assess work demands parallel to the capacity dimensions of the Mini-ICF-APP. This is an important prerequisite for the search for a "tolerable" workplace for patients with impairments.

 

        An instruments that asks for participation restrictions across nine different areas in life is the IMET (Index for the Measurement of Restrictions on the Participation) which has been developed by Deck et al. Parallel to this instrument an observer rating version was developed (Index for Measuring Restrictions of Participation, IMEP). Self and observer assessments show similar profiles, but the degree of disability is rated higher in the self-assessment.

Research database

For more details please use the Charité undefinedresearch database.