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International Journal of Social Psychiatry
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Disorders of Functions and Disorders of Capacity in Relation To Sick Leave in Mental Disorders

S. Baron

Research Group Psychosomatic Rehabilitation at the Charité University Medicine, Berlin/Teltow

M. Linden

Research Group Psychosomatic Rehabilitation at the Charité University Medicine, Berlin/Teltow, michael.linden{at}charite.de

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.

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

Method: 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).

Conclusion: Disorders of capacity are more closely related to disorders of participation/sick leave than disorders of functions.

Key Words: disorders of capacity • psychopathology • sick leave • ICF • disability • impairment • activity limitations • participation restrictions

International Journal of Social Psychiatry, Vol. 55, No. 1, 57-63 (2009)
DOI: 10.1177/0020764008091660
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