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Kimie Stefanie Ormstrup Sletved1,2, Rasmus Moeskjær Schwarz1,3, Lars Vedel Kessing2,3

  • 1EMPIRI - The Early Multi modular Prevention and Intervention Research Institution, Psykiatrisk Center Nordsjælland.

Ugeskrift for Laeger
|November 21, 2023
PubMed
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Up to 50% of patients with affective disorders experience impaired functioning, even during remission. This review highlights the need to incorporate functioning assessment in clinical practice and research using standardized tools like the International Classification of Functioning.

Area of Science:

  • Psychiatry and Mental Health
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Affective disorders frequently lead to significant functional impairment, affecting up to 50% of patients.
  • This impairment persists even during periods of clinical remission, underscoring a chronic impact on daily life.
  • Current clinical practice and research often overlook functioning as a critical outcome measure.

Approach:

  • This review synthesizes evidence on the prevalence and impact of functional impairment in affective disorders.
  • It advocates for the systematic integration of functioning assessment into clinical evaluations and research protocols.
  • The International Classification of Functioning (ICF) framework and its associated tools, such as the Functioning Assessment Short Test (FAST), are recommended for standardized assessment.

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Key Points:

  • Functional impairment is a pervasive issue in affective disorders, impacting a substantial patient cohort.
  • Standardized assessment of functioning is crucial for comprehensive patient care and robust research outcomes.
  • The ICF provides a common language and framework for evaluating functioning across diverse health conditions and disciplines.

Conclusions:

  • Implementing the ICF framework, including tools like FAST, is essential for improving the assessment and management of functioning in patients with affective disorders.
  • This approach will enhance clinical decision-making, facilitate interdisciplinary collaboration, and ensure functioning is recognized as a key outcome in research.
  • Standardized functioning assessment promotes better coordination of care across mental, physical, and social domains.