title: [Detecting and measuring functional and organic disease in general population: Development and validation of TOPYPS clinical scale].
abstract: OBJECTIVE
  To develop and validate the TOPYPS scale, an instrument designed to: (i)detect with a high degree of suspicion the most frequent functional pathologies according to standard diagnostic criteria, and (ii)to assess the physical health in the general population quickly, comprehensive and reliable.
  
  
  METHODS
  Validation of a scale.
  
  
  METHODS
  Primary Care Centre, Barcelona.
  
  
  METHODS
  The scale was administered to 67 randomly selected adults.
  
  
  METHODS
  TOPYPS scale was administered to 67 adults randomly selected from a primary care setting in Barcelona, Spain. TOPYPS has six sections based on body systems, each one scored according to the degree of interference in daily activity, type of treatment received, and prognostic of the reported illnesses in each section. Test-retest reliability completions were on two separate occasions one week apart. Validity was then tested by comparing the results with the clinical examination conducted by two different specialists in general practice (gold standard).
  
  
  RESULTS
  Repeatability (test-retest) and inter-rater agreement for each of the six sections and for the total score were satisfactory. Validity was acceptable both for content and construct, according to their correlation with the gold standard.
  
  
  CONCLUSIONS
  TOPYPS displayed good psychometrical properties. It is a suitable tool to detect and measure functional and organic diseases in general population.
authors.affiliation: Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España; Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España. Electronic address: 97590@hospitaldelmar.cat.
authors.forename: Guillem
authors.initials: G
authors.lastname: Pailhez
authors.affiliation: Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Castaño
authors.affiliation: Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Rosado
authors.affiliation: CAP Ramon Turró, Parc de Salut Mar, Barcelona, España.
authors.forename: M Del Mar
authors.initials: MDM
authors.lastname: Ballester
authors.affiliation: CAP Ramon Turró, Parc de Salut Mar, Barcelona, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Vendrell
authors.affiliation: Departamento de Psiquiatría, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México.
authors.forename: Francisco
authors.initials: F
authors.lastname: Canale
authors.affiliation: Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España; Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Bulbena
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000175:diagnosis*
keywords: Estudios de validación; Medicina psicosomática; Psychiatric disorders; Psychosomatic disorders; Psychosomatic medicine; Trastornos psicosomáticos; Trastornos psiquiátricos; Validation studies