title: The relationship between skill deficits and disability-a transdiagnostic study.
abstract: OBJECTIVE
  Transdiagnostic skills (e.g., emotion regulation, stress management) and related self-concepts (e.g., self-esteem) are associated with the pathogenesis and course of different mental disorders. Evidence suggests that skill deficits coincide with not only specific psychopathology but also psychological strain and disability. So far, studies examining the relevance of several skills for a patient's disability are lacking. The aim of the present study was the combined assessment of 7 skills and self-concept variables to simultaneously analyze their relevance for disability.
  
  
  METHODS
  We interviewed inpatients (N = 183) both on admission and discharge to assess 7 specific skills, 7 areas of daily living disability, and psychopathological distress.
  
  
  RESULTS
  Results support a relationship between several skills and disability (especially stress management), even while controlling for psychopathology. The improvement of skills and related self-concepts during therapy contributed substantially to the improvement of disability ratings.
  
  
  CONCLUSIONS
  This study highlights the transdiagnostic importance of skills as well as the improvement of skills and related self-concepts as major determinants of disability. Parts of these effects are robust, even while controlling for psychopathology.
authors.affiliation: Philipps-University of Marburg.
authors.forename: Mareike
authors.initials: M
authors.lastname: Hofmann
authors.forename: Tobias
authors.initials: T
authors.lastname: Fehlinger
authors.forename: Nikola
authors.initials: N
authors.lastname: Stenzel
authors.forename: Winfried
authors.initials: W
authors.lastname: Rief
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D005858:Germany; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D011599:Psychopathology; D012044:Regression Analysis; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology*
keywords: disability; psychopathology; self-esteem; skills; transdiagnostic