McQuaid John R, Marx Brian P, Rosen Marc I, Bufka Lynn F, Tenhula Wendy, Cook Helene, Keane Terence M
San Francisco VA Medical Center-Mental Health (116-B) 4150 Clement St., San Francisco, CA 94121, USA.
J Rehabil Res Dev. 2012;49(1):121-38. doi: 10.1682/jrrd.2010.08.0143.
Assessment in mental health research has evolved from focusing on symptoms and diagnosis to addressing a broad range of change, including psychosocial functioning. This is consistent with developments in the areas of psychosocial rehabilitation and the increase in recovery-oriented intervention models for mental disorders. We reviewed the status of assessment in mental health research, providing an overview of symptom and diagnostic assessment that is the cornerstone of most mental health research assessment. We then focused on measurement that can be applied across diagnostic groups and on functioning as a key mental health outcome. We reviewed the International Classification of Functioning, Disability, and Health and its implications for improvements in assessment. We provided an example of a new assessment, the Inventory of Psychosocial Functioning, which highlights key issues in the measurement of functioning. We then addressed improving research assessment, including issues of assessment in diverse populations and the need to capitalize on new data sources and new assessment technologies to advance assessment in mental health research. Finally, we reviewed and discussed areas for research and quality improvement, drawing on examples from the Department of Veterans Affairs to illustrate potential opportunities.
心理健康研究中的评估已从专注于症状和诊断发展到关注广泛的变化，包括心理社会功能。这与心理社会康复领域的发展以及针对精神障碍的以康复为导向的干预模式的增加相一致。我们回顾了心理健康研究中的评估现状，概述了症状和诊断评估，这是大多数心理健康研究评估的基石。然后，我们重点关注可应用于不同诊断组的测量方法以及作为关键心理健康结果的功能。我们回顾了《国际功能、残疾和健康分类》及其对改进评估的影响。我们提供了一项新评估——心理社会功能量表的示例，该量表突出了功能测量中的关键问题。然后，我们讨论了改进研究评估的问题，包括不同人群中的评估问题以及利用新数据源和新评估技术来推进心理健康研究评估的必要性。最后，我们借鉴退伍军人事务部的示例回顾并讨论了研究和质量改进领域，以说明潜在的机会。
