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Assessment of posttraumatic stress disorder-related functional impairment: A review

This article aims to complement the VA/DOD Clinical Practice Guideline by providing information to guide clinicians in assessing functional impairment related to PTSD. It reviews the empirical literature on the association between PTSD and functional impairment, introduces new measures, and emphasizes the importance of obtaining collateral data for a complete picture of functional status.

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Assessment of posttraumatic stress disorder-related functional impairment: A review

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  1. Assessment of posttraumatic stress disorder-related functional impairment: A review Paola Rodriguez, PhD; Darren W. Holowka, PhD; Brian P. Marx, PhD

  2. Aim • To complement Department of Veterans Affairs (VA)/Department of Defense (DOD) Clinical Practice Guideline by providing information to guide clinicians in assessment of functional impairment related to posttraumatic stress disorder (PTSD). • Relevance • PTSD is associated with functional impairments across many psychosocial domains and objective indicators of quality of life.

  3. Methods • Searched U.S. National Library of Medicine’s PubMed, PsycINFO, and PsycARTICLES databases for articles related to PTSD and functioning.

  4. Results • Searched empirical literature on association between PTSD and functional impairment. • Common methods and measures for assessing functional impairment are reviewed. • New measures are introduced. • Patient self-report and/or clinician rating should be supplemented with collateral data from friends, family members, coworkers, or supervisors for complete picture of current and premorbid functional status.

  5. Conclusions • VA/DOD’s renewed focus on functional impairment in assessment of stress-related disorders is encouraging. • Functional impairment may be outcome we are most interested in ameliorating. • Thus, paying specific attention to its assessment is crucial.

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