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测量精神病康复的阶段。

Measuring stages of recovery from psychosis.

作者信息

Lemos-Giráldez Serafín, García-Alvarez Leticia, Paino Mercedes, Fonseca-Pedrero Eduardo, Vallina-Fernández Oscar, Vallejo-Seco Guillermo, Fernández-Iglesias Purificación, Ordóñez-Camblor Nuria, Solares-Vázquez Jessica, Mas-Expósito Laia, Barajas Ana, Andresen Retta

机构信息

University of Oviedo, Oviedo, Spain; Centro de Investigación en Red de Salud Mental (Center for Biomedical Research in the Mental Health Network, CIBERSAM), Madrid, Spain.

University of Oviedo, Oviedo, Spain; Centro de Investigación en Red de Salud Mental (Center for Biomedical Research in the Mental Health Network, CIBERSAM), Madrid, Spain.

出版信息

Compr Psychiatry. 2015 Jan;56:51-8. doi: 10.1016/j.comppsych.2014.09.021. Epub 2014 Oct 18.

DOI:10.1016/j.comppsych.2014.09.021
PMID:25444077
Abstract

BACKGROUND

Mental health consumers invite us to abandon the pathology model, which is tied to pessimism, and instead to embrace a model of personal recovery that goes beyond being free from symptoms, and involves self-management of the illness. The Stages of Recovery Instrument (STORI) is a measure developed from the perspective of consumers according to a conceptual five-stage model of recovery.

AIMS

The main aim of this work was to study the psychometric properties of the STORI, but we also set out to compare the stages of recovery in our sample with the five-stage model in the sample with which the scale was developed.

METHODS

Our sample consisted of 95 people diagnosed with schizophrenia-spectrum psychoses, with a mean age of 34.74 (SD=9.25).

RESULTS

The STORI scores showed adequate psychometric properties in this sample. Cluster analysis indicated that the three-cluster model fitted the data better than the five-cluster model. Internal consistency of the STORI scores ranged between .83 and .87. STORI stages were associated with Recovery Styles Questionnaire scores.

DISCUSSION

The results provide empirical validation of the STORI in other countries. Empirical evidence revealed that the stages of recovery found in our own and other clinical samples differ from those found in the samples with which the scale was developed.

摘要

背景

心理健康服务使用者促使我们摒弃与悲观主义相关的病理模型,转而接受一种个人康复模式,这种模式不仅意味着摆脱症状,还涉及疾病的自我管理。康复阶段量表(STORI)是根据一个概念性的五阶段康复模型从使用者的角度开发的一种测量工具。

目的

这项研究的主要目的是探究STORI的心理测量特性,但我们也着手将我们样本中的康复阶段与开发该量表的样本中的五阶段模型进行比较。

方法

我们的样本包括95名被诊断患有精神分裂症谱系精神病的患者,平均年龄为34.74岁(标准差=9.25)。

结果

STORI分数在该样本中显示出足够的心理测量特性。聚类分析表明,三聚类模型比五聚类模型更适合数据。STORI分数的内部一致性在0.83至0.87之间。STORI阶段与康复方式问卷分数相关。

讨论

研究结果为STORI在其他国家的应用提供了实证验证。实证证据表明,我们自己的临床样本和其他临床样本中的康复阶段与开发该量表的样本中的康复阶段不同。

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