Work rehabilitation questionnaire (WORQ). Development of the russian version

Cross-cultural adaptation of the Work Rehabilitation Questionnaire (WORQ) was performed. WORQ is a generic instrument for assessment of social and vocational status and can be applied in different populations. This paper includes Russian version of the Questionnaire and guidelines for filling in the questionnaire.

Development of the Russian version of the Work Rehabilitation Questionnaire. Preliminary evaluation of the social and vocational status of patients with traumatic spinal cord injury

Introduction: spinal cord injury is a damaging event that affects person's wellbeing and represents a significant societal problem. Traumatic spinal cord injury (TSCI) occurs mostly among young adults and causes severe impairments in daily living activities and functioning. The Work Rehabilitation Questionnaire (WORQ) based on the International Classification of Functioning, Disability and Health was developed recently as an instrument to evaluate functioning in vocational rehabilitation. The evidence of work activities and vocational status of disabled persons in Russia remains almost unstudied, Therefore, the need for Russian version of WORQ has emerged to investigate the social and vocational status of TSCI-patients. Objectives: cross-cultural adaptation of WORQ into Russian; preliminary evaluation of the social and vocational status of patients with TSCI. Material and methods: Russian WORQ (self-reported version) was used to investigate the social and vocational status of the patients with TSCI. Results: more than 80% of participants are not vocationally active; Conclusions: the most severe degree of impairment is not associated with lower rates of employment; female patients with TSCI are more likely to have an active working status.

P03-368 Use of antipsychotics in patients with schizophrenia and cognitive impairment: A naturalistic survey across four European countries

AimCognitive deficits impair social and vocational rehabilitation in schizophrenic patients but little is known to which extend these symptoms are perceived by psychiatrists and how they influence antipsychotic treatment. Therefore, an online survey was performed in four European countries (Germany, Greece, Italy and Spain).MethodsThe survey involving 744 psychiatrists and assessed demographic characteristics including vocational status, presenting symptomatology, cognitive dysfunction severity, and current antipsychotic treatement. Methodology is described in full detail by Gorwood (2010).ResultsOut of 3,996 patients, 29% were clinically assessed as having mild, 54% moderate and 17% severe cognitive dysfunction. In the mild dysfunction group, mean time since diagnosis was 9.7 years, 12.0 years in the moderate dysfunction group, and 17.0 years in the severe dysfunction group, and majority were outpatients (74.7%, 57.9% and 56.7%, respectively). The respective mean number of previous episodes was 5.1, 6.2 and 7.2 (6.0 for the total sample). Full or part time employment was reported in 32,2%, 19.1% and 11.8% of the patients, respectively. Olanzapine was the most frequently used antipsychotic in the mild group (21.0%) and severe group (24.9%), and risperidone in the moderate group (23.0%). Ziprasidone was used in 10.2%, 0.8% and 7.1% of subjects.ConclusionCognitive dysfunction is frequently perceived by psychiatrist in every day clinical practice and severely interferes with the vocational status. Major associations between specific antipsychotics and the levels of cognitive impairment were not observed. Irrespective of the level of cognitive dysfunction, > 50% of subjects were outpatients.