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持久精神疾病患者个人康复自我效能感量表的编制与验证。

Development and validation of a scale for self-efficacy for personal recovery in persisting mental illness.

机构信息

Centre for Mental Health, Swinburne University of Technology, Hawthorn, Victoria, Australia.

Centre for Mental Health, Swinburne University of Technology, Hawthorn, Victoria, Australia.

出版信息

Psychiatry Res. 2018 Nov;269:354-360. doi: 10.1016/j.psychres.2018.08.093. Epub 2018 Aug 25.

Abstract

The personal recovery movement in mental health has emphasised consumers' individual responsibility and autonomy in defining and directing their own recovery journey. Self-efficacy, or an individual's belief that they can achieve their desired outcomes, is likely to be a key predictor of recovery success. However, there is no established measure of self-efficacy for personal recovery. The Self-Efficacy for Personal Recovery Scale was developed and its psychometric properties evaluated as part of a broader research program investigating a recovery-focused digital intervention in psychosis. Scale reliability and validity were investigated in a sample of 178 adults with persisting psychosis, and test-retest reliability was evaluated in a subset of 32 participants. The scale showed high internal consistency, test-retest reliability, and convergent validity, including correlating positively with hope, personal recovery, and generalised self-efficacy, whilst showing independence from social desirability, insight, and positive symptoms. This measure may be useful for research into the processes underlying recovery, and for understanding how self-efficacy for personal recovery may be enhanced in people with severe mental illness.

摘要

心理健康领域的个人康复运动强调了消费者在定义和指导自己的康复旅程方面的个人责任和自主权。自我效能感,即个人相信自己能够实现预期结果的能力,很可能是康复成功的关键预测因素。然而,目前还没有针对个人康复的自我效能感的既定衡量标准。自我效能感用于个人康复量表是作为一项更广泛的研究计划的一部分开发的,并对其心理测量特性进行了评估,该计划旨在研究一种以康复为重点的精神分裂症数字干预措施。该量表的可靠性和有效性在 178 名持续患有精神病的成年人样本中进行了研究,在 32 名参与者的子集中评估了重测信度。该量表显示出较高的内部一致性、重测信度和聚合效度,包括与希望、个人康复和一般自我效能感呈正相关,同时与社会期望、洞察力和阳性症状独立。该测量方法可能有助于研究康复背后的过程,以及了解如何增强严重精神疾病患者的个人康复自我效能感。

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