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Moore's findings result from a unique change in policy removing a specific disability category and may not reflect the general population of disability beneficiaries.
The eligible population of disability pensioners was recruited from the National Insurance Administration NIAA).
Therefore, in a population of disability claimants, validity of screening scales are likely to differ from those found in other populations.
It seems that in a population of disability claimants, the threshold for caseness is higher compared to the general population and primary care.
However, selection bias is less likely, since we found no significant difference as to the prevalence of most frequent mental disorders, i.e. mood, anxiety and stress-related disorders, diagnosed by the IPs in the study sample as compared to the national population of disability claimants.
In the present study, we aim to determine the sensitivity, specificity and predictive power of these scales to detect any current DSM-IV psychiatric disorder in a population of disability claimants and to determine the optimal cutoff score of all scales.
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It also highlighted the absence of high-quality studies on the topic from low- and middle-income countries, which generally have higher population rates of disability, higher levels of violence and fewer support services for those living with a disability.
The methodology also estimates the vulnerable population in terms of disability adjusted life years (DALY) which takes into consideration the demographic profile of the population and the degree of injury on mortality and morbidity sustained.
These are inclusion of a larger proportion of the population in consideration of disability; detailed consideration of environmental factors; recognition of both barriers and facilitators in enabling/disabling processes; and attention to ethical concerns to improve research quality.
Our definition of transition corresponds with the progression from no or mild to moderate or severe disability and is the categorisation used by longitudinal population based studies of disability conducted in similar aged cohorts.
It was however impossible to compare the sample of children and adolescents with disability to the national population of children with disabilities, as we had no information on the population from the 46 institutions that did not consent to participate in the study.
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