Psychological wellbeing

Why psychological wellbeing?

Psychological wellbeing is classed as a ‘generic condition’ outcome measure; it has consistently been associated with help-seeking and entry into treatment for alcohol and drug problems and comorbidity is an important factor in recovery. Psychological wellbeing is, therefore, suggested as one of the four key measures of addiction outcomes. The recommended scale, built into Take-a-Test, is the CORE10.

Clinical Outcomes in Routine Evaluation -CORE10

The CORE10 was developed as a screening tool for mental health problems and is backed by comprehensive research. It has clinically important and readily interpretable questions. Extensive supporting materials are available. It has published values for calculating clinically significant change.

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  • Timeframe :: The last 7 days

  • Completion time :: <3minutes Scoring :: Each item is scored 0 'not at all' to 4 'most or all of the time' giving a range 0-40. One missing item can be pro-rated as the mean of the other scores. Questions 2 and 3 are reverse scored

  • Cut-off score :: A score of 10 or below is within the non-clinical range Within the clinical range scores 11-15=mild; 16-20=moderate; 21-25=moderate/severe; 25 or over is severe psychological distress

  • Clinically significant change :: The reliable change score is >=6 and functional population scores are male <10

  • Licence: Creative Commons BY-NC-ND

References

Raistrick DS, Tober GW, Sweetman J, Unsworth S, Crosby H, & Evans T (2014) Measuring clinically significant outcomes – LDQ, CORE-10, and SSQ as dimension measures of addiction. The Psychiatrist 38: 112-115

Fairhurst CM, Böhnke JR, Gabe R, Croudace TJ, Tober GW, Raistrick D (2014) Factor analysis of treatment outcomes from a UK specialist addiction service: relationship between the Leeds Dependence Questionnaire, Social Satisfaction Questionnaire and CORE-10. Drug and Alcohol Review 33: 643-650

General journal articles...

Andrews W, Twigg E, Minami T, Johnson G. (2011) Piloting a practice research network: a 12-month evaluation of the Human Givens approach in primary care at a general medical practice. Psychology and Psychotherapy 84: 389-405

Barkham M, Bewick B, Mullin T, Gilbody S, Connell J, Cahill J, Mellor-Clark J, Richards D, Unsworth G and Evans C. (2013) The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research  13: 3-13 Journal article not found

Schibbye P, Ghaderi A, Ljótsson B, Hedman E, Lindefors N, Rück C, et al. (2014) Using Early Change to Predict Outcome in Cognitive Behaviour Therapy: Exploring Timeframe, Calculation Method, and Differences of Disorder-Specific versus General Measures. PLoS One 9

Other psychological wellbeing scales

Short Form Health Survey - SF20 (user guide)

Psycho-social Wellbeing Scale - PSWS (user guide)

Depression, anxiety, stress scales - DASS (user guide)

Schwartz Outcome Scale - SOS (user guide)

More pages about outcomes measurement…

Check out these measures of: substance use, dependence, recovery, mental health and governance