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 .
Symptomatic and functional outcome of bipolar disorder in Butajira, Ethiopia.
BACKGROUND Limited information is available on the outcome of bipolar disorder in developing countries . OBJECTIVE To describe the symptomatic and functional outcome of bipolar disorder . METHODS The psychoses and affective disorder modules of the CIDI were used to screen 68,378 individuals by a door-to-door survey of a defined district in Ethiopia . In addition , key informants were used to identify individuals with probable major mental illnesses . SCAN interviews were completed at the second stage to confirm the diagnosis . A total of 315 cases of bipolar disorder were identified , of which 264 ( 69 recent-onset and 195 prevalent cases ) were prospect ively followed for a mean of 2.5 ( range 1 - 4 ) years by baseline and annual clinical assessment s using symptom rating scales . Functional dimensions of the SF-36 scale were used to describe functional outcome . R and om coefficient analyses were used to evaluate potential correlates of outcome . RESULTS The magnitudes of mania and depression symptoms were elevated at baseline but improved with follow-up , although the improvement was less marked for depression . Sociodemographic or clinical variables were not associated with the improvements in symptomatic outcome . Between 35 % and 47 % of the recent-onset cases had functional role restrictions , while 42 - 52 % of long-st and ing cases had such restrictions during the follow-up years . Similarly , social and physical functioning deficits were also present in 52 - 86 % and 35 - 47 % of recent-onset and long-st and ing cases , respectively . The magnitude of depression and mania symptoms was associated with poor functional outcome , while male sex , rural residence and being married were associated with better functional outcome . CONCLUSION Although there were improvements in function with follow-up , between one-third and one-half of cases continued to have functional deficits
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 .