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Mental health assessment in rehabilitation research. John R. McQuaid, PhD; Brian P. Marx, PhD; Marc I. Rosen, MD; Lynn F. Bufka, PhD; Wendy Tenhula, PhD; Helene Cook, MA; Terence M. Keane, PhD. Study Aim
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Mental health assessment in rehabilitation research John R. McQuaid, PhD; Brian P. Marx, PhD; Marc I. Rosen, MD; Lynn F. Bufka, PhD; Wendy Tenhula, PhD; Helene Cook, MA; Terence M. Keane, PhD
Study Aim • Highlight future directions in assessment of mental health disorders in context of rehabilitation research. • Relevance • Most common psychiatric diagnoses in VA are depression, substance abuse, posttraumatic stress disorder/anxiety disorders, and schizophrenia. • These conditions are readily measured with diagnostic interviews, psychological tests, and questionnaires. • Functional outcomes that can be assessed across disorders are an important area requiring development.
Methods • Reviewed assessment in mental health research, providing overview of symptom and diagnostic assessment. • Focused on measurement that can be applied across diagnostic groups and on functioning as key mental health outcome. • Reviewed International Classification of Functioning, Disability, and Health (ICF) and its implications for improving assessment.
Results • Recommendations: • Incorporate measures that build on ICF conceptualization of functioning. • Expand use of technology to improve both validity and efficiency of assessments. • Complete validation analyses on assessments administered using computer. • Create database infrastructures to increase data security and research opportunities.
Conclusions • Next directions: • Investigate relationship between subjective mental health measures and biological measures. • Use measures compatible with those needed at other organizations (Veterans Benefits Administration, Social Security Administration).