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
Altrecht Institute for Mental Health Care.
University Center for Psychiatry, Rob Giel Research Center, University Medical Center Groningen.
Psychiatr Rehabil J. 2018 Dec;41(4):341-350. doi: 10.1037/prj0000320.
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.
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).
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.
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).
本文介绍了功能恢复工具（FR工具）的开发与测试，这是一种用于在对严重精神疾病患者进行常规结果监测时评估功能恢复情况的简短工具。
为评估功能恢复情况，心理健康专业人员就社会功能的三个领域对严重精神疾病患者进行了半结构化访谈：日常生活与自我照料、工作与学习以及社交联系。过去6个月中每个领域的功能状况按照3分制进行评分：0（独立）、1（部分独立）和2（依赖）。该工具的二分总体结果被定义为在所有领域均独立发挥功能。我们分析了评分者间信度和重测信度、对变化的敏感性，以及与假定与FR工具相似（日常生活、工作和社交联系中的生活质量）或不同（症状功能）的构念之间的相关性。
在荷兰心理健康服务机构中，840名患有严重精神疾病的个体使用了FR工具，其中523人接受了为期1年的随访（应答率62%）。该工具易于完成，适用于政策评估和实践。然而，当它与更详尽的工具结合使用时，几乎没有增加额外的临床信息。评分者间信度和重测信度、聚合效度和区分效度以及对变化的敏感性被评定为足够至良好。
除了目前在常规结果监测中用于症状缓解和个人康复的测量方法外，FR工具可能是一种有用的功能恢复测量方法。（《心理学文摘数据库记录》（c）2018美国心理学会，保留所有权利）
