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Functional recovery of individuals with serious mental illnesses: Development and testing of a new short instrument for routine outcome monitoring.
Swildens, Wilma Elisabeth; Visser, Ellen; Bähler, Michiel; Bruggeman, Richard; Delespaul, Philippe; van der Gaag, Mark; de Haan, Lieuwe; Keet, René; Nijssen, Yolanda; van Os, Jim; Pijnenborg, Gerdina Marieke; Slooff, Cees; de Vos, Annerieke; van Weeghel, Jaap; Wunderink, Lex; Mulder, Cornelis Lambert; Wiersma, Durk.
Afiliación
  • Swildens WE; Altrecht Institute for Mental Health Care.
  • Visser E; University Center for Psychiatry, Rob Giel Research Center, University Medical Center Groningen.
  • Bähler M; Community Mental Health Service GGZ Noord-Holland-Noord.
  • Bruggeman R; University Center for Psychiatry, Rob Giel Research Center, University Medical Center Groningen.
  • Delespaul P; Faculty of Psychiatry & Neuropsychology, Maastricht University.
  • van der Gaag M; Department of Clinical Psychology, VU University.
  • de Haan L; Amsterdam UMC, Psychiatry, Department Early Psychosis, University of Amsterdam.
  • Keet R; Community Mental Health Service GGZ Noord-Holland-Noord.
  • Nijssen Y; Tranzo Scientific Center for Care and Welfare, Department of Social and Behavioural Sciences, Tilburg University.
  • van Os J; Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht.
  • Pijnenborg GM; Department of Clinical Psychology and Experimental Psychopathology, University of Groningen.
  • Slooff C; Department of Psychotic Disorders, Mental Health Organization GGZ Drenthe.
  • de Vos A; Department of Psychotic Disorders, Mental Health Organization GGZ Drenthe.
  • van Weeghel J; Tranzo Scientific Center for Care and Welfare, Department of Social and Behavioural Sciences, Tilburg University.
  • Wunderink L; University Center for Psychiatry, Rob Giel Research Center, University Medical Center Groningen.
  • Mulder CL; Department of Psychiatry, Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Center.
  • Wiersma D; University Center for Psychiatry, Rob Giel Research Center, University Medical Center Groningen.
Psychiatr Rehabil J ; 41(4): 341-350, 2018 Dec.
Article en En | MEDLINE | ID: mdl-30507243
OBJECTIVE: This article describes the development and testing of the Functional Recovery tool (FR tool), a short instrument for assessing functional recovery during routine outcome monitoring of people living with serious mental illnesses. METHODS: To assess functional recovery, mental health professionals conducted semistructured interviews with people living with serious mental illnesses on three areas of social functioning: daily living and self-care, work and study, and social contacts. Functioning in each of these areas over the past 6 months was rated on a 3-point scale: 0 (independent), 1 (partially independent), and 2 (dependent). The dichotomous overall outcome of the tool is defined as independent functioning in all areas. We analyzed interrater and test-retest reliability, sensitivity to change, and correlations with constructs that are assumed to be similar to the FR tool (quality of life in daily living, work, and social contacts) or divergent from it (symptomatic functioning). RESULTS: The FR tool was administered to 840 individuals with serious mental illnesses in Dutch mental health care services, 523 of whom were followed up for 1 year (response rate 62%). The tool was easy to complete and was appropriate for policy evaluation and practice. However, when it was combined with more elaborate instruments, it added little extra clinical information. Interrater and test-retest reliability, convergent and discriminant validity, and sensitivity to change were rated sufficient to good. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The FR tool could be a useful measure of functional recovery in addition to current measures of symptomatic remission and personal recovery in routine outcome monitoring. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicometría / Autocuidado / Actividades Cotidianas / Evaluación de Resultado en la Atención de Salud / Empleo / Relaciones Interpersonales / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatr Rehabil J Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicometría / Autocuidado / Actividades Cotidianas / Evaluación de Resultado en la Atención de Salud / Empleo / Relaciones Interpersonales / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatr Rehabil J Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos