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使用 CHIME 个人康复框架评估 MHRM-10 在精神病患者中的有效性。

Using the CHIME Personal Recovery Framework to Evaluate the Validity of the MHRM-10 in Individuals with Psychosis.

机构信息

Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, Singapore.

Department of Nursing, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, Singapore.

出版信息

Psychiatr Q. 2020 Sep;91(3):793-805. doi: 10.1007/s11126-020-09737-2.

Abstract

The recovery movement has revealed that outcomes which focuses on just symptoms and functioning may not be holistic and that consumer-rated outcomes may contribute to a more holistic and person-centric care model. However, a brief and effective measure is required in clinical settings; hence, the aim of the current study is to evaluate the psychometric properties of the briefest personal recovery measure- Mental Health Recovery Measure-10 items, using the CHIME (Connectedness, Hope and optimism about the future, Identity, Meaning in life, Empowerment) personal recovery framework. 64 outpatients with schizophrenia or schizoaffective disorder were assessed at two time points, 2 weeks apart. Data collected included sociodemographic information, MHRM-10, Psychological factors related to the CHIME framework, in respective order: RYFF subscale positive relations with others; Herth Hope Index (HHI); Internalized Stigma of Mental Illness (ISMI) and RYFF subscale self-acceptance; World Health Organization Quality of Life- BRIEF (WHOQOL-BREF); Empowerment, and Clinical factors- symptoms as measured by Positive and Negative Syndrome Scale, functioning (PSP) and depressive symptoms (CDSS). MHRM-10 demonstrated convergent validity with CHIME personal recovery psychological factors (all ρ > 0.5). MHRM-10 had excellent internal consistency (Cronbach's alpha = 0.904) and adequate test-retest reliability (ρ = 0.742, p < 0.001). Initial factor structure analysis revealed a one factor structure. The MHRM-10 is a valid instrument for use and can serve as a tool to facilitate a more collaborative and person-centric model of care for individuals with psychosis.

摘要

康复运动表明,仅关注症状和功能的结果可能不够全面,而消费者评定的结果可能有助于建立更全面、以患者为中心的护理模式。然而,在临床环境中需要一种简洁有效的衡量标准;因此,本研究的目的是使用 CHIME(联系、对未来的希望和乐观、身份、生活意义、赋权)个人康复框架评估最短的个人康复衡量标准——心理健康康复衡量标准-10 项的心理测量特性。64 名精神分裂症或分裂情感障碍的门诊患者在相隔 2 周的两个时间点进行评估。收集的数据包括社会人口学信息、MHRM-10、与 CHIME 框架相关的心理因素,按以下顺序排列:RYFF 与他人积极关系的子量表;赫尔思希望指数(HHI);精神疾病内化耻辱感量表(ISMI)和 RYFF 子量表自我接纳;世界卫生组织生活质量-简明量表(WHOQOL-BREF);赋权,以及临床因素-阳性和阴性综合征量表(PANSS)测量的症状、功能(PSP)和抑郁症状(CDSS)。MHRM-10 与 CHIME 个人康复心理因素具有良好的相关性(所有 ρ值均>0.5)。MHRM-10 具有良好的内部一致性(克朗巴赫 α值=0.904)和适度的重测信度(ρ值=0.742,p<0.001)。初步的因子结构分析显示出一种单因子结构。MHRM-10 是一种有效的工具,可以用于为精神疾病患者提供更具协作性和以患者为中心的护理模式。

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