Sensitivity and specificity of the UCSD Performance-based Skills Assessment (UPSA-B) for identifying functional milestones in schizophrenia

Brent T. Mausbach, Colin A. Depp, Christopher R. Bowie, Philip D. Harvey, John A. McGrath, Mary H. Thronquist, James R. Luke, Paula S. Wolyniec, Ann E. Pulver, Thomas L. Patterson

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

Schizophrenia is a highly debilitating illness that often results in disruption to independent living and employment. However, "gold standard" methods of assessing functional abilities to achieve these milestones are still lacking. In a sample of 367 individuals with schizophrenia, we examined the sensitivity and specificity of the Brief UCSD Performance-based Skills Assessment (UPSA-B) to predict both residential and employment status. Of all individuals residing independently, 75.9% scored 78 or above on the UPSA-B, and of all individuals not residing independently, 59% scored below 78 on the UPSA-B. Of individuals who were employed, 73.9% scored above 82 on the UPSA-B, and of those not employed, 57.8% scored below 82. These results expand upon both the population base and functional milestones with which the UPSA-B is validated, although future work should examine whether the UPSA-B can be used as a decision aid in the likelihood of success in a longitudinal study, such as at critical transitions (post-hospitalization, cessation of supported housing).

Original languageEnglish (US)
Pages (from-to)165-170
Number of pages6
JournalSchizophrenia Research
Volume132
Issue number2-3
DOIs
StatePublished - Nov 2011

Keywords

  • Employment
  • Functional capacity
  • Functioning
  • Independence
  • Psychosis
  • Well-being

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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    Mausbach, B. T., Depp, C. A., Bowie, C. R., Harvey, P. D., McGrath, J. A., Thronquist, M. H., Luke, J. R., Wolyniec, P. S., Pulver, A. E., & Patterson, T. L. (2011). Sensitivity and specificity of the UCSD Performance-based Skills Assessment (UPSA-B) for identifying functional milestones in schizophrenia. Schizophrenia Research, 132(2-3), 165-170. https://doi.org/10.1016/j.schres.2011.07.022