The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .
Patients with Cluster A Personality Disorders in Psychotherapy: An Effectiveness Study
Background : While psychopharmacological studies are common in patients with cluster A personality disorders , the effects of psychotherapy have received little attention . The aim of this study is to explore whether psychotherapeutic treatment yields health gains for these patients . Methods : The study was conducted between March 2003 and June 2008 in 6 mental health care centres in the Netherl and s , with a sample of 57 patients with a DSM-IV-TR axis II cluster A diagnosis . Patients were assigned to 3 setting s of psychotherapeutic treatment ( outpatient , day hospital , inpatient ) , and effectiveness was assessed at 18 months after baseline . An intention-to-treat analysis was conducted for psychiatric symptoms ( Brief Symptom Inventory ) , psychosocial functioning ( Outcome Question naire-45 ) and quality of life ( EQ-5D ) , using multilevel statistical modelling . As the study was non-r and omised , the propensity score method was used to control for initial differences . Results : Patients in the day hospital and inpatient group improved substantially in terms of psychiatric symptoms , social and interpersonal functioning , and quality of life . Patients in the outpatient group showed less improvement . Direct comparison of the improvement of psychiatric symptoms showed significant results in favour of day hospital ( p = 0.046 ) and inpatient ( p = 0.01 ) treatment , as compared to outpatient treatment . However , due to substantial baseline differences , this direct comparison should be judged carefully . Conclusions : Cluster A psychopathology is not a contraindication to benefit from psychotherapy . This is especially true for more intensive forms like inpatient and day hospital treatment . Future research should focus more on psychotherapeutic treatment to gain further insight into effective treatment options for this patient group
The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .