Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 5, 2012
   Pages 649 — 666

Abstract — Assessment of posttraumatic stress disorder-related functional impairment: A review

Abstract–In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.

Clinical Trial Registration:; PT074941, "Development and validation of a PTSD-related functional impairment scale;"

Key words: clinical practice guideline, Department of Defense, Department of Veterans Affairs, education, family, functional impairment, intimate relationships, occupational functioning, posttraumatic stress disorder, social functioning.

View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 5
This article and any supplementary material should be cited as follows:
Rodriguez P, Holowka DW, Marx BP. Assessment of posttraumatic stress disorder-related functional impairment: A review. J Rehabil Res Dev. 2012;49(5):649–66.

Marx BP, Schnurr P, Rodriguez P, Holowka DW, Lunney C, Weathers F, Sloan D, Keane TM. Development and validation of a scale to assess functional impairment among active duty service members and veterans. 25th Annual Meeting of the International Society for Traumatic Stress Studies; 2009 Nov 5–7; Atlanta, GA.

Last Reviewed or Updated  Wednesday, July 18, 2012 9:27 AM

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