UNDERSTANDING PEARSON’S r, EFFECT SIZE, AND PERCENTAGE OF VARIANCE EXPLAINED

UNDERSTANDING PEARSON’S r, EFFECT SIZE, AND PERCENTAGE OF VARIANCE EXPLAINED
UNDERSTANDING PEARSON’S r, EFFECT SIZE, AND PERCENTAGE OF VARIANCE EXPLAINED

STATISTICAL TECHNIQUE IN REVIEW

Review the statistical information regarding Pearson’s Product-Moment Correlation Coefficient presented in Exercise 23. In this exercise, you will need to apply that information to gain an understanding of interpreting Pearson r results presented in a mirror-image table. A mirror-image table, as the name implies, has the same labels in the same order for both the x- and y-axes. Frequently, letters or numbers are assigned to each label, and only the letter or number designator is used to label one of the axes. To find the r value for a pair of variables, look both along the labeled or y-axis in the table below and then along the x-axis, using the letter designator assigned to the variable you want to know the relationship for, and find the cell in the table with the r value. Below is an example of a mirror-image table that compares hours of class attended, hours studying, and final grade as a percentage. The results in the table are intended as an example of a mirror-image table and are not based on research. If you were asked to identify the r value for the relationship between hours of class attended and the final grade as a percentage, the answer would be r = 0.72, and between hours studying and final grade as a percentage, the answer would be r = 0.78. The dash (–) marks located on the diagonal line of the table represent the variable’s correlation with itself, which is always a perfect positive correlation or r = +1.00.

VARIABLES

A

B

C

A. Hours of class attended

0.44

0.72

B. Hours studying

0.44

0.78

C. Final grade as a percentage

0.72

0.78

Effect Size of an r Value

In determining the strength of a relationship, remember that a weak relationship is r< 0.3 or r< −0.3, a moderate relationship is r = 0.3 to 0.5 or −0.3 to −0.5, and a strong relationship is r> 0.5 or > −0.5. The r value is equal to the effect size or the strength of a relationship. In the table above, the relationship between hours of class attended and hours of studying is r = 0.44 and the effect size = 0.44. The effect size is used in power analysis to determine sample size for future studies. The strength of the effect size is the same as that for the r values, with a weak effect size < 0.3 or < −0.3, a moderate effect size 0.3 to 0.5 or −0.3 to −0.5, and a strong effect size > 0.5 or > −0.5. The smaller the effect size, the greater the sample size needed to detect significant relationships in future studies. Thus the larger the effect size, the smaller the sample size that is needed to determine significant relationships. The determination of study sample sizes with power analysis is presented in Exercise 12.

Percentage of Variance Explained in a Relationship

Percentage of variance explained is a calculation based on a Pearson’s r value. The purpose for calculating the percentage of variance explained is to understand further the relationship or correlation between two variables in terms of clinical importance. To calculate the percentage of variance explained, square the r value then multiply by 100 to determine a percentage.

Formula:

r2 × 100 = % variance explained

Example:

r = 0.78 (correlation between hours studying and final grade as a percentage)

(0.78)2 × 100 = 0.6084 × 100 = 60.84% variance explained

The example above indicates that the hours studying can be used to predict 60.84% of the variance in the final course grade. Calculating the percentage of variance explained helps the researchers and consumers of research better understand the practical implications of reported results. The stronger the r value, the greater the percentage of variance explained. For example if r = 0.5, then 25% of the variance in one variable is explained by an another variable and if r = 0.6, then 36% of the variance is explained. Any Pearson’s r ≥ 0.3, which yields a 9% variance explained, is considered clinically important. Keep in mind that a result may be statistically significant (p< 0.05), but it may not represent a clinically important finding (Burns & Grove, 2005). RESEARCH ARTICLE Source: Hatchett, G. T., & Park, H. L. (2004). Relationships among optimism, coping styles, psychopathology, and counseling outcome. Personality and Individual Differences, 36 (8), 1755–69. Introduction Hatchett and Park (2004) conducted a study consisting of 96 college students to determine the relationships between optimism, coping styles, psychopathology, and counseling outcomes. Each participant filled out three questionnaires before beginning counseling: the Outcome Questionnnaire-45 (OQ-45) (measures psychopathology), the Life Orientation Test-Revised (LOT-R) (measures optimism and pessimism), and the Coping Inventory for Stressful Situations (CISS) (measures coping styles). At the termination of treatment, the OQ-45 was re-administered. The researchers reported that optimism “was negatively correlated with psychopathology, emotion-oriented coping, and the avoidance-distraction subscale from the CISS” (Hatchett & Park, 2004, p. 1762). Conversely, they report optimism to be positively correlated with task-oriented coping and the avoidance–social diversion subscales. Pessimism reportedly had the opposite or negative relationships with these same variables. The researchers reported no statistically significant correlation between optimism and counseling outcomes. “Future research might be directed at determining whether the early assessment and subsequent remediation of pessimistic thoughts leads to better outcomes. Furthermore research might ascertain whether optimists and pessimists respond differently to certain types of clinical interventions. [One] might advocate matching clinical interventions to clients’ unique personality characteristics. For example, optimists, who rely more on problem-focused coping strategies, might respond better to more active intervention strategies (e.g., problem-solving skills). On the other hand, pessimists, who report greater use of emotion-oriented coping, might respond better to more expressive and supportive therapeutic techniques” (Hatchett & Park, 2004, pp. 1766–7).
Relevant Study Results
In Table 2 in p. 175, Hatchett and Park (2004) presented the correlations among optimism (LOT-R Total and Positive Items); pessimism (Negative Items); psychopathology (OQ-45); and coping styles (Task, Emotion, Avoidance, Avoidance–Distraction, and Avoidance–Social Diversion). Table 2 is a mirror-image table with the variables numbered and labeled on the y-axis and the numbers of the variables on the x-axis. The blank spaces in the table are where the variable is correlated with itself and would be a +1.00 correlation.
TABLE 2 Intercorrelations among Optimism, Psychopathology, and Coping Styles
Variable
1
2
3
4
5
6
7
8
9
1. OQ-45 (psychopathology)

-0.72**
-0.59**
0.74**
-0.43**
0.76**
-0.22*
0.09
-0.45**
2. LOT-R Total (optimism)

0.92**
-0.94**
0.54**
-0.58**
0.11
-0.20*
0.38**
3. Positive Items (from LOT-R)

-0.72**
0.53**
-0.48**
0.15
-0.16
0.38**
4. Negative Items (from LOT-R)

-0.47**
0.58**
-0.06
0.21*
-0.32**
5. Task (coping style)

-0.42**
0.08
-0.09
0.22*
6. Emotion (coping style)

-0.02
0.21*
-0.24*
7. Avoidance (coping style)

0.83**
0.78**
8. Avoidance-Distraction (coping style)

0.36**
9. Avoidance-Social Diversion (coping style)

* p< 0.05. ** p<0.01. Hatchett, G. T., & Park, H. L. (2003). Relationships among optimism, coping styles, psychopathology, and counseling outcome. Personality and Individual Differences, 36(8), p. 1762. Copyright © 2003, with permission from Elsevier. STUDY QUESTIONS 1. In Table 2, what is the numeric value given for the correlation between LOT-R Total and Negative Items? 2. Describe the correlation in Question 1 using words. Is this relationship statistically significant? Provide a rationale for your answer. 3. Calculate the percentage of variance explained by the relationship of OQ-45 or psychopathology and Task coping style. Is this correlation clinically important? Is the correlation statistically significant? Provide a rationale for your answers. 4. Which two variables in Table 2 have the strongest correlation? Provide a rationale for your answer. 5. Is the correlation between Emotion coping style and OQ-45 or psychopathology scores statistically significant? Is it clinically important? Provide a rationale for your answers. 6. As a clinician, does knowledge of the correlation in Question 5 enhance your practice? Provide a rationale for your answer. 7. What is the effect size of the relationship between variables 3 and 8? Describe the strength of this effect size. What is the value of knowing the effect size? Discuss the percentage of variance explained by this relationship. 8. Consider two values, r = −0.24 and r = 0.78. How would you describe them in relationship to each other? 9. Compare the percentages of variance explained for the r values in Question 8. 10. What r value would you expect to have been recorded in place of each dash (–) had the researchers chosen to record a number? Provide a rationale for your answer. ANSWERS TO STUDY QUESTIONS 1. r = −0.94**, p< 0.01 is the correlation between LOT-R Total and Negative Items. 2. r = −0.94** represents a strong, negative relationship between LOT-R (optimism) and Negative Items; therefore, as LOT-R values or optimism increase, the values of the Negative Items decrease. This r value has ** next to it, so it is statistically significant at p< 0.01, as indicated by the key below the table. 3. The correlation between OQ-45 or psychopathology and Task coping style is r = −0.43**. Percentage   of  variance =r2 × 100  Percentage   of   variance = (-0.43)2 × 100 = 18.49 % The relationship represented by r = −0.43 is clinically important. Scores on the OQ-45 questionnaire measuring psychopathology can be used to explain 18.49% of the variance in the Task coping style scores. The r = −0.43** is also statistically significant at p< 0.01 (see the key at the bottom of Table 2). 4. LOT-R Total (optimism) and Negative Items have the strongest relationship with r = −0.94**. This r value is the closest to −1 and the farthest value from 0.00, which indicates it is the strongest relationship in the table. The relationship is significant at p< 0.01 as indicated by **. 5. r = 0.76** indicates the r value is statistically significant at p< 0.01 as indicated by the key below Table 2. Percentage of variance = r2 × 100 = (0.76)2 × 100 = 57.76%. This correlation is clinically important with a percentage of variance greater than 9% and is actually 57.76%, indicating that the OQ-45 scores can be used to predict 57.76% of the variance in the Emotion coping style scores. 6. Knowing that scores on the psychopathology scale, OQ-45, allows the prediction of 57.76% of the variance in the emotion-based coping style scores. Thus, knowing the scores on one scale can allow prediction of scores on another scale, and that would be helpful to practicing professionals who might have time to administer one scale but not both. So the scores on the psychopathology scale provide understanding and prediction of the scores on the emotion-based coping style scale. 7. r = −0.16 is also the effect size. The effect size is negative and small for the relationship between positive items and avoidance-distraction coping style. The effect size is used in the calculation of a power analysis to determine sample size for future studies. Percentage of variance = (–0.16)2 × 100 = 2.56%. The positive items scores can only predict 2.56% of the variance in avoidance-distraction coping style scores, so this is clinically not a very important relationship due to its weak effect size and small percentage of variance explained. 8. r = 0.78 is a strong positive relationship and is the stronger relationship of the two, as r = −0.24 indicates a weak negative relationship. The r value closest to 0.00 is considered the weakest relationship. Also, r = 0.78** is more significant at p< 0.01, where r = −0.24* is significant at p< 0.05. The smaller the p value, the more significant the result. 9. The percentage of variance explained for r = 0.78 is (0.78)2 × 100 = 60.84%. The percentage of variance explained for r = −0.24 is (–0.24)2 × 100 = 5.76%. Thus, the first relationship is much more useful in clinical practice in understanding the relationship between two variables, since 60.84% of the variance is explained with this relationship versus 5.76% by the second relationship. Recall that percentage of variance >9% indicates clinical importance.

10. r = 1.00. The dash recorded on each line forms a diagonal line across Table 2 where each item would be correlated with itself [e.g., 2. LOT-R Total with 2.(LOT-R Total)]. The relationship of an item with itself is always a perfect positive correlation, or r = +1.00.

Name:____________________________________________ Class: ____________________

Date: _________________________________________________________________________________

□ EXERCISE 24 Questions to be Graded

1. What is the r value listed for the relationship between variables 4 and 9?

2. Describe the correlation r = −0.32** using words. Is this a statistically significant correlation? Provide a rationale for your answer.

3. Calculate the percentage of variance explained for r = 0.53. Is this correlation clinically important? Provide a rationale for your answer.

4. According to Table 2, r = 0.15 is listed as the correlation between which two items? Describe this relationship. What is the effect size for this relationship, and what size sample would be needed to detect this relationship in future studies?

5. Calculate the percentage of variance explained for r = 0.15. Describe the clinical importance of this relationship.

6. Which two variables in Table 2, have the weakest correlation, or r value? Which relationship is the closest to this r value? Provide a rationale for your answer.

7. Is the correlation between LOT-R Total scores and Avoidance-Distraction coping style statistically significant? Is this relationship relevant to practice? Provide rationales for your answers.

8. Is the correlation between variables 9 and 4 significant? Is this correlation relevant to practice? Provide a rationale for your answer.

9. Consider two values, r = 0.08 and r = −0.58. Describe them in relationship to each other. Describe the clinical importance of both r values.

10. Examine the Pearson r values for LOT-R Total, which measured Optimism with the Task and Emotion Coping Styles. What do these results indicate? How might you use this information in your practice?

BONUS QUESTION

One of the study goals was to examine the relationship between optimism and psychopathology. Using the data in Table 2, formulate an opinion regarding the overall correlation between optimism and psychopathology. Provide a rationale for your answer.

(Grove 173)

Grove, Susan K. Statistics for Health Care Research: A Practical Workbook. W.B. Saunders Company, 022007. VitalBook file.

The citation provided is a guideline. Please check each citation for accuracy before use.


Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
The Sheehan Disability Scale
Assessment tools such as the Sheehan Disability Scale (SDS) are important in helping the PMHNP in assessing the functional status and functional impairment of their clients (Wheeler, 2014). The impact of mental disorders on the clients’ life does not only depend on the diagnosis of the condition but on the disability that the disorder causes (Luciano et al., 2010, p. 896). The SDS is an assessment tool that can be done in the waiting room that focuses on three groups of activities including home management, work abilities, the ability to form and maintain relationships and social life (Luciano et al., 2010, p. 897). Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.
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In the case of major depressive disorder (MDD) there are associations between the mental illness and functional impairments in the affected client (Sheehan et al., 2015). The impairment associated with MDD have strong social and economic impacts causing clients to miss work, have a reduction in quality relationships, and an increase in family disruption (Sheehan et al., 2015). The SDS is a validated and accepted measure of functional outcome in clients with MDD with higher scores indicating a greater functional impairment (Sheehan et al., 2015).
Sheehan Disability Tool and Psychopharmacology
Psychopharmacology can be an important part in the client’s recovery process. The prescribing of medications for clients with mental illness is a difficult task because medications could exacerbate symptoms or even mask symptoms. It is important to be able to use a reliable assessment tool such as the SDS to determine if the medications prescribed are effective.  It is important to monitor the client’s progress early in the course of antidepressant treatment using a functional assessment such as the SDS can help clinicians determine whether or not medication adjustments are needed (Soares, Zhang, & Boucher, 2017).  Mental health recovery does not only mean symptom remission but the restoration of functional ability and that is where SDS plays a major rule in medication management. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples. The SDS is among the most commonly used function scales in clinical trials of antidepressant treatment of MDD (Soares, Zhang, & Boucher, 2017). The SDS shows great potential to enhance the quality of care for mental health clients and may help clinicians determine sooner than later whether treatment adjustments are needed.
It is important for the PMHNP to understand the assessment tools that are used and their limitations. SDS may help clinicians determine sooner than later whether treatment adjustments are needed (Soares, Zhang, & Boucher, 2017). The SDS can not only be used as a primary assessment tool but can also be used to determine the efficacy of the medications being prescribed. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.
Reference
Luciano, J. V., Bertsch, J., Salvador-Carulla, L., Tomás, J. M., Fernández, A., Pinto-Meza, A., … Serrano-Blanco, A. (2010). Factor structure, internal consistency and construct validity of the Sheehan Disability Scale in a Spanish primary care sample. Journal of Evaluation in Clinical Practice, 16(5), 895-901. doi:10.1111/j.1365-2753.2009.01211.x
Sheehan, D. V., Mancini, M., Wang, J., Berggren, L., Cao, H., Dueñas, H. J., & Yue, L. (2015). Assessment of functional outcomes by Sheehan Disability Scale in patients with major depressive disorder treated with duloxetine versus selective serotonin reuptake inhibitors. Human Psychopharmacology: Clinical and Experimental, 31(1), 53-63. doi:10.1002/hup.2500
Soares, C. N., Zhang, M., & Boucher, M. (2017). Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectrums, 1-11. doi:10.1017/s1092852917000633
Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition. Springer Publishing Company. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.
 
NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment
“A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.”
—Pamela Bjorklund, clinical psychologist
Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.
This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment

NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers Learning Resources
NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 3, “Assessment and Diagnosis” (pp. 95–168)
Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
 
Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.
American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf
American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA: Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760
Walden Library. (2017). NURS 6640 week 2 discussion guide. Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion
Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures
Note: This database may be helpful in obtaining assessment tool information for this week’s Discussion. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Required Media
Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.
 
Note: The approximate length of this media piece is 23 minutes.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Discussion: Assessment Tools
Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.
Learning Objectives
Students will:

Analyze psychometric properties of assessment tools
Evaluate appropriate use of assessment tools in psychotherapy
Compare assessment tools used in psychotherapy

Note: By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.
To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.
Consider the asessment tool assigned to you by the Course Instructor.
Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
By Day 3
Post an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues by comparing your assessment tool to theirs.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 2 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 2 Discussion
 
The assessment tool that I will use for assessing my client will be the Sheehan Disability Scale (SDS). This tool important for the PMHNP to assess the functional status and functional impairment for the clients during assessment (Wheeler, 2014). In client’s life, the impact that the mental illness cause does not just depend on the diagnosing of the condition but also on the disorder that causes disability. This tool can also be useful in the waiting room for assessment which depends on three different groups of programing such as management at home, abilities to work, and ability for a client to have a relationship and maintain it and social life. With clients with major depressive disorder (MDD), the client is effected by the mental illness and functional impairments (Sheehan et al., 2015). These impairments are associated client with MDD have impact on their social and economic affecting their work, having low quality of friendship, and has an increase in disrupting their family.
Sheehan Disability Scale and Psychopharmacology
Psychopharmacology is necessary during client’s process of recovery as a part of treatment for mental illness. For providers to prescribe medications for a mental illness client is very difficult because some medications can cause the illness to be worst or even mask the symptoms. SDS tool plays a very important part in making sure the medications prescribed by the provider will be effective. The provider needs to monitor the progress of the client’s antidepressant regimen by using the functional assessment such as the SDS to find out if the medication is working or need to be adjusted (Soares, Zhang, & Boucher, 2017). SDS plays an important role in medication management for mental illness recovery not only to symptom remission but also to restore the functional ability of the client. This tool is the only tool used in clinical trials for function scales of the antidepressant regimen and it showed a great potential in enhancing the quality of care the providers care for mental illness clients and helps the clinician in determining treatment sooner if it needs to be adjusted or not than waiting for later.
The PMHNP needs to know the and understand the assessment tools used, also know their limit but can be used the primary tool use to determine the efficacy of the medications that the provider is prescribing.
 
References;
Hodgins, D. C. (2013). Reliability and validity of the Sheehan Disability Scale modified for pathological gambling. BMC Psychiatry, 13177. doi:10.1186/1471-244X-13-177
 
Luciano, J. V., Bertsch, J., Salvador-Carulla, L., Tomás, J. M., Fernández, A., Pinto-Meza, A., … Serrano-Blanco, A. (2010). Factor structure, internal consistency and construct validity of the Sheehan Disability Scale in a Spanish primary care sample. Journal of Evaluation in Clinical Practice, 16(5), 895-901. doi:10.1111/j.1365-2753.2009.01211.x
Sheehan, D. V., Mancini, M., Wang, J., Berggren, L., Cao, H., Dueñas, H. J., & Yue, L. (2015). Assessment of functional outcomes by Sheehan Disability Scale in patients with major depressive disorder treated with duloxetine versus selective serotonin reuptake inhibitors. Human Psychopharmacology: Clinical and Experimental, 31(1), 53-63. doi:10.1002/hup.2500
Soares, C. N., Zhang, M., & Boucher, M. (2017). Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectrums, 1-11. doi:10.1017/s1092852917000633
Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition. Springer Publishing Company. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples
SHEEHAN, D. V., GASIOR, M., MCELROY, S. L., RADEWONUK, J., HERMAN, B. K., & HUDSON, J. (2018). Effects of Lisdexamfetamine Dimesylate on Functional Impairment Measured on the Sheehan Disability Scale in Adults With Moderate-tosevere Binge Eating Disorder: Results from Two Randomized, Placebo-controlled Trials. Innovations In Clinical Neuroscience, 15(5/6), 22-29. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples


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