Disorders of functions and disorders of capacity in relation to sick leave in mental disorders.
BACKGROUND
With the publication of the International Classification of Functioning, Disability and Health (ICF), the description of functional health as opposed to symptoms of illness has gained in importance.


OBJECTIVE
To study the interrelation between disorders of functions, capacity and participation in mental disorders.


METHODS
Two hundred and thirteen psychosomatic inpatients were assessed with the Mini-ICF-Rating for Mental Disorders (Mini-ICF-P), the Symptom Checklist (SCL-90-R) and an interview on sick leave.


RESULTS
The highest scores in the Mini-ICF-P were found for 'flexibility' (M = 1.64, SD = 0.94), 'structuring of tasks' (M = 1.12, SD = 1.05) and 'endurance' (M = 1.12, SD = 1.02), the lowest for 'self maintenance' (M = 0.19, SD = 0.44), 'mobility' (M = 0.43, SD = 0.85) and 'adherence to regulations' (M = 0.74, SD = 0.98). The correlation between Mini-ICF-P and SCL-90-R GSI is r = 0.51 (p < 0.001), between sick leave and GSI is r = -0.05 and between sick leave and Mini-ICF-P r = 0.34 ( p < 0.001).


CONCLUSIONS
Disorders of capacity are more closely related to disorders of participation/sick leave than disorders of functions.
Baron
S
S
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin/Teltow.
Linden
M
M
D004185:Disability Evaluation; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness / Q000502:physiology*; D011602:Psychophysiologic Disorders / Q000453:epidemiology* / Q000523:psychology* / Q000534:rehabilitation; D012720:Severity of Illness Index; D018582:Sick Leave / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires