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February 24, 2026Indian Journal of PsychiatryOpen Access

Development and validation of the NIMHANS-NMHS-2 disability scale (NNDS)

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Authors

TJTS JaisooryaLJLakshmi JogiVBV.S. Binu

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Overview

This manuscript reports on the development and validation of a new disability scale for adults, indicating its reliability and applicability in clinical settings.

Key Points

  • The aim is to develop and validate a disability scale that aligns with current mental health understanding and is culturally adaptable.
  • Generated 19 items across six domains via desk review.
  • Conducted content validation with 16 experts at NIMHANS.
  • Utilized Cronbach’s alpha for internal consistency measurement.
  • Performed exploratory factor analysis and k-means clustering.
  • Established disability cut-off scores through receiver operating characteristic analysis.
  • NNDS achieved excellent internal consistency (α=0.94).
  • Confirmed a stable five-factor structure in the scale.
  • Showed strong correlations with WHODAS 2.0 (rho=0.93) and Brief Psychiatric Rating Scale (rho=0.80).
  • Set cut-off scores: No disability: 13–17; Mild: 18–31; Moderate: 32–40; Severe: >40.

Cite This Study

Jaisoorya et al. (2026) studied this question.

synapsesocial.com/papers/699d405ade8e28729cf65586https://doi.org/10.4103/indianjpsychiatry_76_26
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