Psychological Assessment in Treatment

Maruish, Mark E.

doi:10.1002/0471264385.wei1006

Cited by 5 publications

(10 citation statements)

References 28 publications

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“…The minimally clinically important difference for the PCS varies by condition, but it is generally between 5 and 10 points . We chose an 8-point difference as the primary definition of a clinically important difference . We also predefined 2 secondary outcomes: the 5-year change in PCS between ages 60 and 65 years and a 6-point difference in 10-year PCS.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated With 10-Year Declines in Physical Health and Function Among Women During Midlife

et al. 2022

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IMPORTANCEWomen in midlife often develop chronic conditions and experience declines in physical health and function. Identifying factors associated with declines in physical health and function among these women may allow for targeted interventions. OBJECTIVE To examine the factors associated with clinically important 10-year declines in the physical component summary score (PCS) of the Short Form 36 (SF-36), a widely used patientreported outcome measure, in women in midlife. DESIGN, SETTING, AND PARTICIPANTS This longitudinal cohort study collected data from geographically dispersed sites in the US. Participants were part of the Study of Women's Health Across the Nation (SWAN), a racially and ethnically diverse cohort of women enrolled at or immediately before the menopause transition. Women have been followed for up to 21 years, between 1996 and 2016, with annual visits. Data were analyzed from October 2020 to March 2021. EXPOSURES Demographic indicators, health status measures, and laboratory and imaging assessments. MAIN OUTCOMES AND MEASURESThe main outcome was a clinically important decline (Ն8 points) on the PCS, based on the 10-year difference in scores between ages 55 and 65 years. RESULTSFrom the SWAN cohort of 3302 women, 1091 women (median [IQR] age, years; 264 [24.2%] Black women; 126 [11.6%] Chinese women; 135 [12.4%] Japanese women; 566 [51.9%] White women) were eligible for analyses based on duration of follow-up and availability of SF-36 data. At age 55, women had a median (IQR) body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of 27.0 (23.2-32.6), a median (IQR) baseline PCS of 53.1 (46.8-56.7), 108 women (9.9%) were current smokers, and 938 women (86.3%) had at least 1 comorbidity. Between ages 55 and 65 years, the median (IQR) change in PCS was −1.02 (−6.11 to 2.53) points with 206 women (18.9%) experiencing declines of 8 points or more. In multivariable models, factors associated with clinically important decline included higher baseline PCS (odds ratio [OR],

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Section: Methodsmentioning

confidence: 99%

Factors Associated With 10-Year Declines in Physical Health and Function Among Women During Midlife

et al. 2022

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“…Psychological assessment serves a variety of functions in health care, forensic, educational, and organizational settings (Weiner & Greene, 2008). Particularly important to the clinician is the use of psychological assessment for diagnosis and treatment planning (Maurish, 2013; Sellbom, Marion, & Bagby, 2013). One common approach is to conduct a single interview or self-report battery and compare patient scores from that assessment against a normative sample.…”

mentioning

confidence: 99%

Enriching Psychological Assessment Using a Person-Specific Analysis of Interpersonal Processes in Daily Life

et al. 2014

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We present a series of methods and approaches for clinicians interested in tracking their individual patients over time and in the natural settings of their daily lives. The application of person-specific analyses to intensive repeated measurement data can assess some aspects of persons that are distinct from the valuable results obtained from single-occasion assessments. Guided by interpersonal theory, we assess a psychotherapy patient's interpersonal processes as they unfold in his daily life. We highlight specific contexts that change these processes, use an informant report to examine discrepancies in his reported interpersonal processes, and examine how his interpersonal processes differ as a function of varying levels of self-esteem and anger. We advocate for this approach to complement existing psychological assessments and provide a scoring program to facilitate initial implementation.

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“…The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) version 2.0 was administered to each participant. The SF-36 is widely used for assessing patient-perceived well-being in multiple domains . Two summary SF-36 scores are generated: the Physical Component Summary (PCS) and Mental Component Summary (MCS).…”

Section: Methodsmentioning

confidence: 99%

“…Scores for MCS range from 0 to 100, with higher scores indicating greater psychological well-being. The MCS has been used for depression screening in various patients …”

Section: Methodsmentioning

confidence: 99%

“…Our primary measurement of depression was predefined as SF-36 MCS score of 42 or lower. This cutoff was based on a study of the US general population comparing SF-36 with 2 other established depression evaluations: Center for Epidemiological Studies–Depression (CES-D) questionnaire and diagnostic interview following the National Institute of Mental Health Diagnostic Interview Schedule criteria . The recommended cutoff of 42 has sensitivity of 73.7% and specificity of 80.6% for identifying clinical depression …”

Section: Methodsmentioning

confidence: 99%

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Association Between Depression and Severity of Dry Eye Symptoms, Signs, and Inflammatory Markers in the DREAM Study

Zhou

Murrough

et al. 2022

JAMA Ophthalmol

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IMPORTANCE Depression is more prevalent in patients with dry eye disease (DED) than in the general population; however, the association between severity of DED and depression needs further evaluation.OBJECTIVE To investigate the association between depression and severity of DED symptoms and signs, including inflammatory markers. DESIGN, SETTING, AND PARTICIPANTS Secondary cross-sectional and longitudinal analysis performed in April to December 2020 of data from Dry Eye Assessment and Management (DREAM) study, a randomized clinical trial from October 2014 to July 2016 including patients with moderate to severe symptoms and signs of DED. Enrolled from 27 ophthalmology and optometry centers, both academic and private, in 17 US states, 535 patients were followed up for 1 year. EXPOSURE Participants screened positive for depression if they scored 42 or less on the Mental Component Summary (MCS) of the 36-Item Short Form Health Survey.MAIN OUTCOMES AND MEASURES Symptoms of DED were assessed by Ocular Surface Disease Index (OSDI) and Brief Ocular Discomfort Index (BODI) and signs assessed by tear film breakup time, Schirmer test, corneal and conjunctival staining, tear osmolarity, and meibomian gland dysfunction at baseline, 6 months, and 12 months. A composite severity sign score was calculated from all 6 signs. Inflammatory markers (cytokines in tears and HLA-DR expression by conjunctival surface cells) were measured for some trial participants. Features of DED were compared between participants with and without depression and adjusted for age, sex, race, visits, and baseline comorbidities.RESULTS Among the 535 participants, mean (SD) age was 58 (13.2) years, 434 participants (81%) were women, and 398 (74.4%) were White. Participants who screened positive for depression had worse DED symptoms by OSDI (effect size = 0.45, P < .001) and BODI (effect size = 0.46, P < .001) and composite DED sign score (effect size = 0.21, P = .006). Lower MCS score (ie, worse depression) was correlated with higher OSDI score (ie, worse DED symptoms) at baseline (Spearman ρ = −0.09, P = .03), 6 months (ρ = −0.20, P < .001), and 12 months (ρ = −0.21, P < .001). Inflammatory markers did not differ by depression status.CONCLUSIONS AND RELEVANCE Depression was associated with more severe dry eye symptoms and overall signs, suggesting that among patients with moderate to severe DED, those with depression may be likely to have more severe DED. These findings support consideration of depression as a comorbidity when managing patients with DED. Further study is needed to elucidate the relationship.

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Psychological Assessment in Treatment

Cited by 5 publications

References 28 publications

Factors Associated With 10-Year Declines in Physical Health and Function Among Women During Midlife

Factors Associated With 10-Year Declines in Physical Health and Function Among Women During Midlife

Enriching Psychological Assessment Using a Person-Specific Analysis of Interpersonal Processes in Daily Life

Association Between Depression and Severity of Dry Eye Symptoms, Signs, and Inflammatory Markers in the DREAM Study

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