San Diego State University/University of California San Diego, Joint Doctoral Program in Clinical Psychology, 9500 Gilman Drive #0994, San Diego, CA 92093-0994, USA.
Psychiatry Res. 2012 Oct 30;199(3):220-7. doi: 10.1016/j.psychres.2012.03.013. Epub 2012 Apr 12.
The Illness Management and Recovery (IMR) scale was created to measure recovery outcomes produced by the IMR program. However, many other mental health care programs are now designed to impact recovery-oriented outcomes, and the IMR has been identified as a potentially valuable measure of recovery-oriented mental health outcomes. The purpose of this study was to examine the psychometric properties and structural validity of the IMR clinician scale within a variety of therapeutic modalities other than IMR in a large multiethnic sample (N=10,659) of clients with mental illness from a large U.S. county mental health system. Clients completed the IMR on a single occasion. Our estimates of internal consistency were stronger than those found in previous studies (α=0.82). The scale also related to other measures of theoretically similar constructs, supporting construct and criterion validity claims. Additionally, confirmatory factor analyses supported the multidimensional representation of the IMR clinician scale. The three-factor model of illness self-management and recovery was represented by dimensions of recovery, management, and substance use. These reliable psychometric properties support the use of both the original one-factor and revised three-factor models to assess illness self-management and recovery among a broad spectrum of clients with mental illness.
疾病管理和康复 (IMR) 量表是为了衡量 IMR 项目产生的康复结果而创建的。然而，现在许多其他心理健康护理项目都旨在产生以康复为导向的结果，并且 IMR 已被确定为一种具有潜在价值的衡量以康复为导向的心理健康结果的方法。本研究的目的是在一个大型的多民族样本（N=10,659）中，检验 IMR 临床医生量表在 IMR 以外的各种治疗方式中的心理测量学特性和结构效度，这些客户来自美国一个大型县心理健康系统中的精神疾病患者。客户在单次就诊时完成了 IMR。我们对内部一致性的估计比以前的研究（α=0.82）更强。该量表还与其他具有理论相似结构的测量方法相关，支持了结构和标准效度的主张。此外，验证性因素分析支持 IMR 临床医生量表的多维表示。疾病自我管理和康复的三因素模型由康复、管理和物质使用维度表示。这些可靠的心理测量特性支持使用原始的单因素和修订的三因素模型来评估广泛的精神疾病患者的疾病自我管理和康复情况。
