{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:06:18Z","timestamp":1789038378220,"version":"build-2803163510"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Psychiatry"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Insurers frequently commission medical experts to estimate the degree of the remaining work capacity (RWC) in claimants for disability benefits. The social functioning scale <jats:italic>Mini-ICF-APP<\/jats:italic> allows for a rating of activity and participation limitations in thirteen capacity domains, considered as particularly relevant for work ability. The current study sought to evaluate the role of the Mini-ICF-APP ratings in psychiatric work disability evaluations, by examining how the capacity limitation ratings varied with the claimants\u2019 primary psychiatric diagnoses and how the ratings were related to RWC estimates.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Medical experts estimated the RWC of 946 claimants with mental disorders and rated their activity and participation limitations using the Mini-ICF-APP, with higher ratings reflecting more severe limitations. The ratings were compared between claimants with different psychiatric diagnoses by analyses of variance. The mean Mini-ICF-APP rating across all capacity domains as well as all capacity-specific ratings were entered in simple or multiple regression models to predict the RWC in an alternative job.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The Mini-ICF-APP capacity limitation ratings in all domains but mobility were higher for claimants with personality and behavior disorders as compared to those with mood disorders or with neurotic, stress-related and somatoform disorders. The largest differences were observed in social capacities (e.g. group integration: F <jats:sub>2, 847<\/jats:sub>\u00a0=\u200978.300, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). In claimants with depression, all ratings increased with the severity of the diagnosis (all Fs <jats:sub>2, 203<\/jats:sub>\u00a0&gt;\u200916.393, all Ps\u2009&lt;\u20090.001). In the overall sample, the mean Mini-ICF-APP rating showed a strong negative correlation with the estimated RWC (r\u2009=\u2009\u2212.720, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). Adding the capacity-specific ratings to the prediction model improved this prediction only marginally.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>The Mini-ICF-APP allows for documenting claimants\u2019 activity and participation limitations, which is likely to increase the transparency of medical experts\u2019 RWC estimates and enables them to check the plausibility of such estimates. However, our study showed that despite the strong association between RWC and Mini-ICF-APP ratings, half of the RWC variance was unrelated to the capacity limitations documented in the Mini-ICF-APP.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12888-021-03467-w","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T15:12:09Z","timestamp":1633014729000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The assessment of capacity limitations in psychiatric work disability evaluations by the social functioning scale Mini-ICF-APP"],"prefix":"10.1186","volume":"21","author":[{"given":"Timm","family":"Rosburg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Kunz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Trezzini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urban","family":"Schwegler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Jeger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"3467_CR1","unstructured":"State Secretariat for Economics Affairs SECO. 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The Ethics Committee Northwest\/Central Switzerland approved the study in July 2014, with an amendment October 2016 (\u201cUtility of the Mini-ICF-APP for quality assurance in psychiatric disability evaluation\u201d, EKNZ: 2014\u2013122). The study was granted an exemption from requiring an informed consent of the claimants, as it was considered as impractical and disproportionate to obtain such consent from the claimants. Such an exemption is in accordance with \u00a732 of the Declaration of Helsinki ([] and national legal regulations (\u00a734 Swiss Human Research Act, \u2018Humanforschungsgesetz\u2019, []).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"RK declares a part-time employment with the Swiss National Accident Insurance Fund (Suva), a non-profit organisation. Suva did not have any role in the design, performance, data collection, and analysis of this work or interpretation of the data. All other authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"480"}}