Nhiều bác sĩ chăm sóc chính sẽ không tìm thấy nó dễ dàng để sử dụng một trong những quy mô và có hai câu hỏi có thể được yêu cầu của bệnh nhân tương quan với các điểm số trong hai biện pháp này. Đó là: Bắt đầu từ ngày hôm qua và sẽ trở lại bốn tuần | PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION IN PRIMARY CARE 235 developing a brief disability measure WHODASII that should be applicable for use in primary care icidh whodas . Many primary care physicians will not find it easy to use either of these scales and there are two questions that can be asked of patients that correlate with the scores on these two measures. They are Beginning yesterday and going back four weeks how many days out of the past four weeks were you totally unable to work or carry out your normal activities because of your health Record this number as total disability days. The next question is Apart from those days how many days in the past four weeks were you able to work and carry out your normal activities but had to cut down on what you did or did not get as much done as usual because of your health Record this as cut down days . The sum of cut down days and total disability days is the disability days attributed to illness. The disability day measure correlates highly with the formal SF-12 and DAS-II questionnaires. Normative data on disability days for the common mental disorders are displayed in Table . Why bother about assessing disability The usual reply is that such measures provide a basis for sickness certificates and the like. But doctors have been writing sickness certificates for years without feeling the need for external measures. The proper answer is that a reduction in disability especially in the number of cut down days is a very good indication that the patient is responding to treatment and is a much better indicator of Table Self-reported disability by one-month ICD-10 diagnosis. Data from the Australian National Survey of Mental Health and Wellbeing Andrews el al. 39 Disability by diagnosis Short Form 12 SF-12 Mental health summary score Mean SE Disability days Mean SE One-month ICD-10 diagnosis Affective disorder Anxiety disorder Substance use disorder
