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 .
Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study.
A total of 480 patients were treated in a large , multicenter r and omized trial of a brief form of cognitive therapy , manual-assisted cognitive behavior therapy ( MACT ) versus treatment as usual ( TAU ) for recurrent deliberate self-harm . Each patient was r and omized after a self-harm episode assessed at an accident and emergency center and followed up over 1 year . The main hypothesis tested was that those allocated to MACT would have a lower proportion of self-harm episodes in the succeeding year . A total of 60 % of those allocated to MACT had face-to-face treatment and 430 ( 90 % ) of all patients had self-harm data recorded after 1 year . Although the results showed no significant difference between those repeating self-harm in the MACT group ( 39 % ) compared with the TAU group ( 46 % ) ( P = 0.20 ) , the treatment was cost effective ( 10 % cheaper than TAU ) and the frequency of self-harm episodes was fewer ( 50 % ) in the MACT group . A total of nine of 10 patients had some personality disturbance ( 42 % of these with disorder ) , and for those where information on parasuicide events was collected , the proportion having a repeat episode ranged from 33 % to 63 % for different personality disorders . Those with BPD were most likely to repeat episodes quickly ( mean 89 days for 25 % to repeat ) with dissocial personality disorder ( equivalent mean 384 days ) the slowest to repeat . Total costs were significantly greater in those with personality disorder and were reduced in those allocated to MACT ; this saving was reversed in those with borderline disorder . On average , MACT appeared to increase the cost of those patients with BPD ( BPD ) and reduce the cost of those with other personality disorders . It is concluded that MACT has value in preventing self-harm cost effectively but this appears to be confined mainly to those who do not have BPD
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 .