Department of Psychiatry and Health Behavior, Georgia Health Sciences University, 997 Saint Sebastian Way, Augusta, GA 30912, USA.
Psychiatry Res. 2013 Oct 30;209(3):721-31. doi: 10.1016/j.psychres.2013.01.011. Epub 2013 Feb 10.
The recovery model is wielding a welcome influence in the mental healthcare system. Despite its potential impact, systematic studies of the recovery construct as viewed by consumers and former consumers of mental health services have only recently begun to permeate the literature. We have embarked on an ongoing collaboration with the Georgia Mental Health Consumer Network to study the recovery experiences of Certified Peer Specialists (CPSs). As a first step, we evaluated the psychometric characteristics of a new measure of the recovery construct in CPSs. CPSs (N=84) enrolled in the GMHCN completed the Maryland Assessment of Recovery in Serious Mental Illness (MARS) along with measures of resilience, coping styles, community living, social support, internalized stigma, psychopathology, and personality. Recovery as measured by the MARS was associated with resilience, coping behaviors, quality of social support, community living, internalized stigma, and severity of psychopathology. Recovery did not demonstrate a statistically significant association with personality. Recovery appeared to mediate the effect of psychopathology and episodic stressors on community functioning. Our psychometric study supports the psychometric soundness of the MARS and the construct validity of recovery.
康复模式正在对精神卫生保健系统产生可喜的影响。尽管具有潜在的影响,但直到最近,系统研究消费者和精神卫生服务的前使用者对康复结构的看法才开始在文献中渗透。我们一直在与格鲁吉亚精神健康消费者网络合作,研究认证同伴专家(CPS)的康复经验。作为第一步,我们评估了 CPS 中康复结构新测量方法的心理计量特征。参加 GMHCN 的 CPS(N=84)完成了马里兰州严重精神疾病康复评估(MARS),以及韧性、应对方式、社区生活、社会支持、内化耻辱感、精神病理学和人格的测量。MARS 测量的康复与韧性、应对行为、社会支持质量、社区生活、内化耻辱感和精神病理学严重程度有关。康复与人格没有显示出统计学上的显著关联。康复似乎在精神病理学和偶发压力源对社区功能的影响之间起到了中介作用。我们的心理计量研究支持 MARS 的心理计量学稳健性和康复的结构有效性。