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Using World Health Organization Disability Assessment Schedule 2.0 in people with schizophrenia: a 4-year follow-up

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Abstract

Little is known about the changes of people with schizophrenia disability in Taiwan who receive routine treatments under the current mental healthcare system. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was used to assess and track changes in the degree of disability in people with schizophrenia before and after 4 years of follow-up. Data on 4497 people with schizophrenia were acquired from the Taiwan Data Bank of Persons with Disability. The WHODAS 2.0 was used for disability assessment, and the chi-square test, logistic regression and generalised estimating equations were adopted for statistical analysis. People with schizophrenia exhibited improvement in cognition, mobility and participation among the six domains as well as in the overall score. The degree of disability in all domains remained mild to moderate among people aged 18–64 years; the degree of disability in cognition declined from moderate to severe among patients aged ≥65 years. The degree of disability in all domains remained mild to moderate among people with mild to moderate impairment; among those with severe impairment, the degree of disability in the domains of cognition and life activities declined from moderate to severe and the degree of disability in the domain of mobility declined from mild to moderate. Community-dwelling patients exhibited less degree of disability in all domains than their institutionalised peers. Early detection and treatment and an emphasis on communication and social problem-solving skills in rehabilitation programmes are recommended for people with schizophrenia.

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Acknowledgements

We thank Hui-Han Lin for the assistance in data analysis in this study.

Funding

This study was supported by the Ministry of Health and Welfare, Taiwan (Grant Nos. M03F4037, M04F4027, M05F5044, M06F4035 and M07F5193).

Author information

Authors and Affiliations

  1. Department of Nursing, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan, ROC

    Ruey Chen & Kuei-Ru Chou

  2. School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu-Hsing Street, 110, Taipei, Taiwan, ROC

    Ruey Chen & Kuei-Ru Chou

  3. Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan, ROC

    Tsan-Hon Liou

  4. Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, ROC

    Tsan-Hon Liou & Kwang-Hwa Chang

  5. Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, ROC

    Nae-Fang Miao

  6. Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei, Taiwan, ROC

    Kwang-Hwa Chang

  7. Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan, ROC

    Kwang-Hwa Chang

  8. Department of Public Health, Tzu Chi University, Hualien, Taiwan, ROC

    Chia-Feng Yen

  9. Taiwan Society of International Classification of Functioning, Disability and Health, Taipei, Taiwan, ROC

    Hua-Fang Liao

  10. School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC

    Hua-Fang Liao

  11. Department of Occupational Therapy, Chung Shan Medical University, Taichung, Taiwan, ROC

    Wen-Chou Chi

  12. Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC

    Wen-Chou Chi

  13. Psychiatric Research Center, Taipei Medical University Hospital, Taipei, Taiwan, ROC

    Kuei-Ru Chou

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  1. Ruey Chen
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  2. Tsan-Hon Liou
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  3. Nae-Fang Miao
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  4. Kwang-Hwa Chang
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  5. Chia-Feng Yen
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  6. Hua-Fang Liao
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  7. Wen-Chou Chi
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  8. Kuei-Ru Chou
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Correspondence to Wen-Chou Chi or Kuei-Ru Chou.

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Joint Institutional Review Board of Taipei Medical University (N201805048).

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Chen, R., Liou, TH., Miao, NF. et al. Using World Health Organization Disability Assessment Schedule 2.0 in people with schizophrenia: a 4-year follow-up. Eur Arch Psychiatry Clin Neurosci 270, 301–310 (2020). https://doi.org/10.1007/s00406-019-01000-5

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  • DOI: https://doi.org/10.1007/s00406-019-01000-5

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