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Practical issues in psychosocial measures

F Wolfe1

  • 1Arthritis Research and Clinical Center, Wichita, KS 67214, USA. Fwolfe@southwind.net

The Journal of Rheumatology
|May 1, 1997
PubMed
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Assessing psychological status in rheumatic disease is crucial but often overlooked. The Clinical Health Assessment Questionnaire (CLINHAQ) offers a brief, practical solution for routine clinical use.

Area of Science:

  • Rheumatology
  • Psychosomatic Medicine
  • Clinical Psychology

Background:

  • Psychosocial factors significantly impact rheumatic disease management and patient outcomes.
  • Current routine clinical practice often neglects psychological status assessment due to complex instruments.
  • Anxiolytic and antidepressant medications are commonly used, yet formal psychological assessment is infrequent.

Purpose of the Study:

  • To address the gap in routine psychological assessment for rheumatic disease patients.
  • To introduce a practical and time-efficient method for evaluating psychological status in a clinical setting.
  • To highlight the utility of the Clinical Health Assessment Questionnaire (CLINHAQ) for this purpose.

Main Methods:

  • The study proposes using short, validated depression instruments like the Center for Epidemiological Studies Depression scale (CES-D) or Arthritis Impact Measurement Scales (AIMS) subscales.

Related Experiment Videos

  • An alternative approach involves measuring surrogate variables using instruments like the CLINHAQ.
  • CLINHAQ incorporates visual analog scales for pain, fatigue, sleep, helplessness, health satisfaction, and AIMS anxiety/depression scales, alongside other measures.

    • Main Results:

    • The CLINHAQ is designed for rapid completion, taking approximately 5 minutes for most patients.
    • It assesses key surrogate variables relevant to rheumatic disease care.
    • The instrument integrates multiple measures including disability, pain, and global severity assessments.

    Conclusions:

    • The CLINHAQ provides a feasible and efficient method for assessing psychological status in rheumatic disease patients during routine care.
    • Its comprehensive yet brief nature makes it suitable for busy clinical environments.
    • Integrating such assessments can lead to improved patient management and outcomes in rheumatology.