Assessment of social functioning in combat veterans with ptsd |
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| Institution: | 1. Section on Schizophrenia, Imaging and Therapeutics, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience King''s College London, UK;2. Laboratory of Neuropsychology, Division of Intramural Research Programs, National Institute of Mental Health, Bethesda, MD, USA;3. School of Psychology, University of Sussex, Brighton, UK;4. Cognition, Schizophrenia and Imaging Laboratory, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience King''s College London, UK;1. Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA;2. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA;3. Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA;4. Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA;5. Department of Veterans Affairs Center for Health Equity and Research Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA;6. Division of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA;7. VA Palo Alto Health Care System, Palo Alto, CA |
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| Abstract: | Maladaptive patterns of social functioning have been widely noted as core features associated with the clinical syndrome of combat-related posttraumatic stress disorder (PTSD), including interpersonal violence, social anxiety and avoidance, marital/family discord, and occupational impairment. Unfortunately, clinical instruments for evaluating the complex domains of social functioning are lacking, and no measures have been developed specifically for combat-related PTSD. Therefore, the development of reliable and valid procedures for assessing the social functioning of this group is sorely needed. A number of strategies currently exist, including symptom severity, symptom chronicity, and monetary gain incentive; however, assessment of this population represents several unique challenges. Until measures of social functioning are developed and validated specifically for combat-related PTSD, comprehensive assessment should consist of a multimethod approach, including (a) self-report measures; (b) structured interviews and clinician ratings; (c) patient ratings (e.g., daily diaries); (d) behavioral performance assessments of social skill strengths and deficits; and (e) other behavioral assessments, including functional analysis, psychophysiological measurements, and objective indicators of functioning. The development of an endstate functioning index, anchored to a normal population, would advance our ability to gage the social functioning of veterans following treatment. |
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