{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:44:47Z","timestamp":1764769487329,"version":"3.46.0"},"reference-count":0,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"unspecified","delay-in-days":321,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S092493382510134X_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Virtual Reality Functional Capacity Assessment Tool (VRFCAT) is a performance-based measure developed to assess functional capacity through simulations of daily activities. This study examined its psychometric properties in a Spanish sample, including individuals with first-episode psychosis (FEP), schizophrenia, and healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493382510134X_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 370 participants (99 FEP, 116 schizophrenia, and 155 controls) completed the VRFCAT in a multicenter study. Internal consistency (McDonald\u2019s omega), discriminative validity (group comparisons and ROC curves), and convergent validity via correlations with cognitive performance and clinical symptoms were examined. Reference percentiles were calculated from the healthy control sample using quantile regression, stratified by age and education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493382510134X_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Item-level VRFCAT completion times showed acceptable to good internal consistency overall and in controls and schizophrenia samples, but poor in FEP. Differences in VRFCAT performance emerged (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a0108.88,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), with controls performing best, schizophrenia worst, and FEP in between. ROC analyses indicated good discriminative accuracy in distinguishing patients from controls (area under the curve [AUC]\u00a0=\u00a00.779, sensitivity\u00a0=\u00a080.0%, specificity\u00a0=\u00a064.2%); but limited discrimination between schizophrenia and FEP. Age and education, but not sex, significantly affected performance. VRFCAT showed small-to-moderate correlations with cognitive performance, and no significant associations with symptom severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493382510134X_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The VRFCAT is a reliable and valid tool for assessing functional capacity in Spanish-speaking individuals with psychotic disorders. Its ecological validity, objectivity, psychometric properties, brief administration time, and ease of use support its potential use in clinical and research settings for evaluating functional recovery and treatment outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2025.10134","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T04:06:48Z","timestamp":1763438808000},"source":"Crossref","is-referenced-by-count":0,"title":["Validation of the virtual reality functional capacity assessment tool (VRFCAT) in a Spanish sample of individuals with psychosis and healthy controls"],"prefix":"10.1192","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-4731","authenticated-orcid":false,"given":"C\u00e9sar","family":"Gonz\u00e1lez-Blanch","sequence":"first","affiliation":[{"name":"University Hospital Marqu\u00e9s de Valdecilla"},{"name":"Valdecilla Biomedical Research Institute"},{"name":"International University of La Rioja (UNIR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4110-794X","authenticated-orcid":false,"given":"Raquel","family":"L\u00f3pez-Carrilero","sequence":"additional","affiliation":[{"name":"Research Unit, Parc Sanitari Sant Joan de D\u00e9u"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5279-504X","authenticated-orcid":false,"given":"Teresa","family":"Bobes-Bascar\u00e1n","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII)"},{"name":"University of Oviedo"},{"name":"del Principado de Asturias (SESPA)"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias 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Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S092493382510134X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:09:03Z","timestamp":1764767343000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S092493382510134X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S092493382510134X"],"URL":"https:\/\/doi.org\/10.1192\/j.eurpsy.2025.10134","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"type":"print","value":"0924-9338"},{"type":"electronic","value":"1778-3585"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e171"}}