Abstract
Assessing impairment in daily functioning is an important part of a mental health evaluation and of monitoring progress in treatment. The Seasonality Assessment Form includes five yes/no impairment items written to reflect the ways that patients intuitively describe their levels of impairment. However, the items are not mutually exclusive and are not summative so that impairment severity is represented by the configural pattern of responses. This article used configural and graphical methods to examine the nature of response patterns and how to use them to generate an impairment severity score.
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