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dc.contributor.authorRosa Cáceres, Ana María 
dc.contributor.authorLozano Rojas, Óscar Martín 
dc.contributor.authorSánchez García, Manuel 
dc.contributor.authorFernández Calderón, Fermín 
dc.contributor.authorRossi, Gina
dc.contributor.authorDíaz Batanero, María Carmen
dc.identifier.citationRosa-Cáceres, A.M., Lozano, O.M., Sanchez-Garcia, M. et al. Assessing Internalizing Symptoms and Their Relation with Levels of Impairment: Evidence-Based Cutoffs for Interpreting Inventory of Depression and Anxiety Symptoms (IDAS-II) Scores. J Psychopathol Behav Assess (2023).
dc.identifier.issn1573-3505 (electrónico)
dc.description.abstractTests and scales measuring psychological disorders should provide information about how scores relate to other constructs such as quality of life or functional impairment. Such information is necessary to allow their scores contribute to clinical decision-making. The current study analyzes the clinical utility of the Spanish version of the Inventory for Depression and Anxiety Symptoms (IDAS-II) to discriminate between different levels of functional impairment and identify the IDAS-II scales that contribute most to explaining impairment. The total sample (N=1390) consists of two subsamples: a community sample of the general population (n=1072) selected by random sampling; and a sample of patients (n=318) from public and private mental health services. The Spanish IDAS-II for measuring internalizing symptoms and WHODAS 2.0 for measuring impairment were administered to all participants. All scales show statistically significant higher scores in the patient sample, with Cohen's d effect sizes values greater than 0.30, except for well-being (d=0.19). The cutoff values and their confidence intervals do not overlap with the means of either the community or patient sample. AUC values for most of the scales are above .70, except for appetite gain, ordering, euphoria, cleaning, and well-being. Multiple linear regression model using IDAS-II scales explains 57.1% of the variance of the WHODAS 2.0 (F 12.1377=155.305; p<.001). Cutoff values provided allow us to reliably differentiate between the patients and community samples. Spanish IDAS-II scores show greater sensitivity and specificity in detecting those with greater impairment. General Depression, Lassitude, Panic, and Claustrophobia contribute to impairment to a greater extent. Knowledge of which symptoms are most related to impairment, allows healthcare providers to improve treatment planning based on empirical evidencees_ES
dc.description.sponsorshipFunding for open access publishing: Universidad de Huelva/ CBUA. This work was supported by the grant “Reliable and clinical relevant change of Inventory of Depression and Anxiety Symptoms II – IDAS-II: a longitudinal clinical utility study (RELY-IDAS-II)”, project PID2020-116187RB-I00 on Proyectos I+D+i 2020 “Retos del Conocimiento” provided by Ministerio de Ciencia e Innovación (Spain); grant number FPU19/00144 provided by Ministerio de Universidades (Spain) and grant number PRX21/00319 provided by Ministerio de Ciencia e Innovación (Spain).es_ES
dc.relation.isversionofPublisher’s version
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.subject.otherEmotional Disorderses_ES
dc.subject.otherImpairment es_ES
dc.subject.otherPROMs es_ES
dc.titleAssessing Internalizing Symptoms and Their Relation with Levels of Impairment: Evidence‑Based Cutoffs for Interpreting Inventory of Depression and Anxiety Symptoms (IDAS‑II) Scoreses_ES
dc.subject.unesco61 Psicologíaes_ES

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