ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
vol. 27
Original article

Psychometric evaluation of the polish version of the MINI-ICF-APP – a concise measure of limitations on activity and restrictions on participation according to the international classification of functioning, disability and health (ICF) – in people with mental disorders

Jacek Wciórka, Marta Anczewska, Piotr Jahołkowski, Piotr Świtaj

Adv Psychiatry Neurol 2018; 27 (3): 218-231
Online publish date: 2018/09/30
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
The Mini-ICF-APP is a simple, practical tool measuring activity limitations and participation restrictions in mental disorders according to the principles and categories of the International Classification of Functioning, Disability and Health (ICF). The aim of the study was to determine the basic psychometric properties of the Polish language version of the Mini-ICF-APP.

A total of 58 patients in the early stages of recovery were included. Each of them was independently assessed by three clinicians with varied professional backgrounds (psychiatrists, psychologists and other therapists) using the Mini-ICF-APP and measures of psychopathology (Brief Psychiatric Rating Scale – BPRS) and level of psychosocial functioning (Global Assessment of Functioning Scale – GAF; Personal and Social Performance Scale – PSP). Feasibility, reliability (internal consistency and inter-rater agreement), and validity (content, criterion and construct) were analysed.

Feasibility was concluded on the basis of positive feedback from clinicians, diversity of distribution and good item performance. Internal consistency was high, both when analysed jointly and separately for particular groups of clinicians. Measures of inter-rater agreement reached high values for the scale and were significant for each item. Criterion validity was indicated by high correlations with the GAF and the PSP, and slightly weaker with the BPRS. The construct validity of the Mini-ICF-APP was inferred from the results of Principal Component Analysis – two components were extracted, and interpreted as relational (interpersonal) and proficiency resources (individual).

The Polish language version of the Mini-ICF-APP seems to be a practical instrument with promising psychometric features, similar to other language versions already published in German, English and Italian.


Mini-ICF-APP, feasibility, reliability, validity, Polish version

World Health Organisation. International Classification of Functioning, Disability and Health: ICF. Geneva; World He­alth Organisation: 2001.
World Health Organisation. International Classification of Diseases, 10th revision. Geneva; World He­alth Organisation: 1992.
Álvarez AS. The application of the International Classification of Functioning, Disability, and Health in psychiatry: possible reasons for the lack of implementation. Am J Phys Med Rehabil 2012; 91(suppl): S69-S73.
Üstün TB, Kostanjsek N, Chatterji S, Rehm J (eds.). Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva; World He­alth Organisation: 2010.
ICF Research Branch. Accessed April, 13th, 2018.
Linden M, Baron S. Das „Mini-ICF-Rating für psychische Störungen (Mini-ICF-P)”. Rehabilitation 2005; 44: 144-151.
Linden M, Baron S, Muschalla B. Mini-ICF-APP, Mini-ICF-Rating for activity and participation in mental health disorders: a brief instrument for assessing foreign activity and participation in mental health disorders based on the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization. Göttingen: Hans Huber; 2009.
Linden M, Baron S, Muschalla B. Mini-ICF-APP. Mini-ICF-Rating für Aktivitäts- und Partizipationsbeeinträchtigungen bei psychischen Erkrankungen. Ein Kurzinstrument zur Fremdbeurteilung von Aktivitäts- und Partizipationsbeeinträchtigungen bei psychischen Erkrankungen in Anlehnung an die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) der Weltgesundheitsorganisation. Ankerdefinitionen. 2., überarbeitete und erweiterte Auflage. Bern; Verlag Hans Huber, Hogrefe AG: 2015.
Baron S, Linden M. Disorders of functions and disorders of capacity in relation to sick leave in mental disorders. Int J Soc Psychiatry 2009; 55: 57-63.
Linden M, Baron S, Muschalla B. Relationship between work-related attitudes, performance and capacities according to the ICF in patients with mental disorders. Psychopathology 2010; 43: 262-267.
Muschalla B. Different work capacity impairments in patients with different work-anxieties. Int Arch Occup Environ Health 2016; 89: 609-619.
Juckel G, Schaub D, Fuchs N, Naumann U, Uhl I, Witthaus H, Hargarter L, Bierhoff H-W, Brüne M. Validation of the Personal and Social Performance (PSP) Scale in a German sample of acutely ill patients with schizophrenia. Schizophr Res 2008; 104: 287-293.
Schaub D, Brüne M, Jaspen E Pajonk F-G, Bierhoff H-W, Juckel G. The illness and everyday living: close interplay of psychopathological syndromes and psychosocial functioning in chronic schizophrenia. Eur Arch Psychiatry Clin Neurosci 2011; 261: 85-93.
Egger S, Prinz S, Weniger G, Mario M, Vetter S. Assessing the validity of the Mini-ICF-APP in a psychiatric inpatient setting. Eur Psychiatry 2015; 30(suppl 1): 744.
Molodynski A, Linden M, Juckel G, Yeeles K, Anderson C, Vazquez-Montes M, Burns T. The reliability, validity, and applicability of an English language version of the Mini-ICF-APP. Soc Psychiatry Psychiatr Epidemiol 2013; 48: 1347-1354.
Rowland JP, Yeeles K, Anderson C, Catalão R. Morley H, Molodynski A. Is it possible to measure social and occupational functioning in a CMHT? Prog Neurol Psychiatry 2014; 18: 21-25.
Balestrieri M, Isola M, Bonn R, Tam T, Vio A, Linden M, Maso E. Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders. Epidemiol Psychiatr Sci 2013; 22: 81-91.
Pinna F, Fiorillo A, Tusconi M, Guiso B, Carpiniello B. Assessment of functioning in patients with schizophrenia and schizoaffective disorder with the Mini-ICF-APP: a validation study in Italy. Int J Ment Health Syst 2015; 9: 37.
Rucci P, Balestrieri M. Exploratory factor analysis of the Mini instrument for the observer rating according to ICF of Activities and Participation in Psychological disorders (Mini-ICF-APP) in patients with severe mental illness. J Psychopathol 2015; 21: 254-261.
Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychol Rep 1962; 10: 799-812.
Overall JE, Gorham DR. The Brief Psychiatric Rating Scale: recent developments in ascertainment and scaling. Psychopharmacol Bull 1988; 24: 97-99.
Wciórka J, Pużyński S. Narzędzia oceny stanu psychicznego. In: Psychiatria. Tom 1. Podstawy psychiatrii. Rybakowski J, Pużyński S, Wciórka J (ed.). Wrocław; Elsevier Urban & Partner: 2010, p. 413-476.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.
Wciórka J, Muskat K, Matałowski P. Ocena przydatności skal funkcjonowania społecznego z systemu DSM-IV (GAF, SOFAS, GARF). Post Psychiatr Neurol 1997; 6: 253-268.
Morosini PL, Magliano L, Brambilla L, Ugolini S, Pioli R. Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand 2000; 101: 323-329.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe