[Spanish adaptation and validation of the brief form of the Life Skills Profile-20: an instrument to assess daily living skills in real clinical settings]. / Adaptación y validación española del Life Skills Profile, forma abreviada (LSP-20): un instrumento para valorar las habilidades de la vida cotidiana en contextos coliuncos reales.

INTRODUCTION: The Life Skills Profile (LSP) is an assessment instrument of general function in activities of daily life, especially developed for people diagnosed of a severe mental illness. There are different versions of the LSP. The aim of this paper is to validate and adapt the brief form of the LSP (LSP-20) to the Spanish population. METHODS: Two different samples have been recruited for this study. The first sample was made up of 231 outpatients with a clinical diagnosis of schizophrenia who were randomly selected. The following analyses were performed: principal axis factoring analysis, internal consistency and convergent and discriminant validity between the LSP-20 and the Positive and Negative Symptoms Scale (PANSS). The second sample was recruited in order to assess interrater reliability and was composed of 30 long-stay inpatients with a diagnosis of chronic schizophrenia. RESULTS: Factor analysis produced four factors accounting for 41.22 % of the total variance. The following labels were suggested for the factors: compliance, social initiative, self-care and antisocial behavior. Internal consistency ranged from 0.69 (antisocial behavior) to 0.79 (social initiative). Correlations between the LSP-20 and the PANSS were moderate and clinically significant. Interrater reliability ranged from 0.58 (to have defined interests) to 0.89 (to wear clean clothes usually). CONCLUSIONS: The brief form of LSP can be useful in real clinical settings to help to personalize the aims of the rehabilitation interventions and to evaluate the health care model.

Adaptación y validación española del Life Skills Profile, forma abreviada (LSP-20): un instrumento para valorar las habilidades de la vida cotidiana en contextos clínicos reales / Spanish adaptation and validation of the brief form of the Life Skills Profile-20: an instrument to assess daily living skills in real clinical settings

Introducción. El Life Skills Profile (LSP) es un instrumento para medir la funcionalidad general en las actividades de la vida cotidiana, especialmente construido para personas que han sido diagnosticadas de un trastorno mental severo. Existen diferentes versiones del LSP. El objetivo del presente trabajo es adaptar y validar la versión breve de 20 ítems al español (LSP-20). Métodos. Se han utilizado dos muestras, la primera compuesta por 231 sujetos seleccionados aleatoriamente con diagnóstico de esquizofrenia que habían recibido tratamiento ambulatorio. En esta muestra se realizaron los siguientes análisis: análisis factorial de ejes principales, análisis de la consistencia interna y evaluación de la validez convergente/discriminante del LSP-20 con la PANSS. La segunda muestra se utilizó para evaluar la fiabilidad interobservadores y está formada por 30 pacientes diagnosticados de esquizofrenia residentes en una unidad de media y larga estancia. Resultados. Tras el análisis factorial se proponen cuatro factores que explican un 41,22 % de la varianza. Los nombres propuestos para estos factores son: cumplimiento terapéutico, iniciativa social, autocuidado y conducta antisocial. Éstos muestran una consistencia interna que oscila entre 0,69 (conducta antisocial) y 0,79 (iniciativa social). Las correlaciones del LSP-20 con la PANSS han resultado ser moderadas y clínicamente significativas. La fiabilidad interobservadores oscila entre los valores 0,58 (tener intereses definidos) y 0,89 (vestir ropas limpias normalmente). Conclusiones. La versión corta del LSP puede resultar útil en contextos clínicos reales para ayudar a individualizar los objetivos de las intervenciones rehabilitadoras y para evaluar el modelo asistencial

Introduction. The Life Skills Profile (LSP) is an assessment instrument of general function in activities of daily life, especially developed for people diagnosed of a severe mental illness. There are different versions of the LSP. The aim of this paper is to validate and adapt the brief form of the LSP (LSP-20) to the Spanish population. Methods. Two different samples have been recruited for this study. The first sample was made up of 231 outpatients with a clinical diagnosis of schizophrenia who were randomly selected. The following analyses were performed: principal axis factoring analysis, internal consistency and convergent and discriminant validity between the LSP-20 and the Positive and Negative Symptoms Scale (PANSS). The second sample was recruited in order to assess interrater reliability and was composed of 30 long-stay inpatients with a diagnosis of chronic schizophrenia. Results. Factor analysis produced four factors accounting for 41.22 % of the total variance. The following labels were suggested for the factors: compliance, social initiative, self-care and antisocial behavior. Internal consistency ranged from 0.69 (antisocial behavior) to 0.79 (social initiative). Correlations between the LSP-20 and the PANSS were moderate and clinically significant. Interrater reliability ranged from 0.58 (to have defined interests) to 0.89 (to wear clean clothes usually). Conclusions. The brief form of LSP can be useful in real clinical settings to help to personalize the aims of the rehabilitation interventions and to evaluate the health care model

High frequency surgery in the treatment of turbinate hypertrophy: 11 years' experience.

For over a century, surgical management of lower turbinate hypertrophy has given rise to much discussion. Aim of the present investigation was to establish, by means of the analysis of a large patient population, the efficacy and reproducibility of high frequency surgery in the treatment of this condition. A total of 1689 non-allergic patients with nasal obstruction, presenting hypertrophy of the lower turbinates, were submitted, under local anaesthesia, to turbinates decongestion using a high frequency instrumental unit with a bipolar terminal electrode. Efficacy of the procedure was evaluated on the basis of objective examination, results of questionnaires, active anterior rhinomanometry and mucociliar transport time. Results revealed a reduction of hypertrophy, an improvement in symptoms, a reduction in nasal resistances and an improvement of mucociliar transport time. The large patient population, low post-operative complication rate and the good patient compliance, due also to the fact that no haemostatic procedure is necessary, would suggest that this method is particularly valid, effective and safe for the treatment of hypertrophy of the lower turbinates.