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Updated: May 23, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills

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Published on: April 23, 2014

The Functioning Assessment Scale for Mental Health: Development and validation.

Gomaa S M Abdelhamid¹, Georgina Guilera², Maite Barrios²

¹Department of Educational Psychology, Faculty of Education, Fayoum University, Egypt.

Journal of Affective Disorders

|May 21, 2026

Summary

This summary is machine-generated.

The Functioning Assessment Scale for Mental Health (FAS-MH) is a new tool to measure functioning in mental health disorders. The Spanish version shows strong psychometric properties for clinical and research use.

Keywords:

Functioning International classification of functioning, disability, and health Mental disorder Validation study

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Area of Science:

Psychometrics
Mental Health Research
Rehabilitation Science

Background:

The International Classification of Functioning, Disability, and Health (ICF) provides a framework for understanding health and disability.
Existing instruments may not comprehensively assess functioning in mental health disorders according to ICF criteria.

Purpose of the Study:

To develop and validate the Functioning Assessment Scale for Mental Health (FAS-MH).
To create a multidimensional instrument grounded in the ICF for assessing functioning in individuals with mental disorders.

Main Methods:

Item generation in Spanish and English, followed by a two-round Delphi survey for content validation.
Psychometric testing of the Spanish version in 334 adults with bipolar disorder, depression, or schizophrenia.

Main Results:

The 37-item FAS-MH covers 34 ICF categories across Body Functions, Activities and Participation, and Environmental Factors.
Confirmatory factor analysis supported a hierarchical model with a second-order Functioning factor.
The Spanish FAS-MH demonstrated excellent internal consistency (α=0.85-0.95; ω=0.90-0.96) and strong correlations with other measures.

Conclusions:

The FAS-MH is the first instrument to integrate all ICF components for assessing functioning in mental disorders.
The Spanish version exhibits robust psychometric properties, suitable for clinical and research applications.
Limitations include a small sample for content validation and the untested psychometric properties of the English version.