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一项针对主要为非裔美国成年人的严重精神疾病患者的 10 项心理健康康复测量的评估。

An Assessment of the 10-Item Mental Health Recovery Measure in a Predominantly African American Sample of Adults with Serious Mental Illness.

机构信息

Department of Psychology, University of Detroit Mercy, Reno Hall, 4001 W. McNichols, Detroit, MI, 48221, USA.

出版信息

Psychiatr Q. 2022 Sep;93(3):849-860. doi: 10.1007/s11126-022-09995-2. Epub 2022 Jun 30.

Abstract

Study objectives were to 1) assess the reliability and validity of the 10-item Mental Health Recovery Measure (MHRM-10) in sample of predominately African American participants with serious mental illness, and 2) evaluate differences in MHRM-10 scores between the present sample and two other samples of persons with serious mental illness with different racial compositions. Participants included 230 adults (85.7% African American) with chart diagnoses of schizophrenia-spectrum, bipolar-spectrum, and major depressive disorders receiving services from community mental health centers in Detroit, Michigan. In addition to the MHRM-10, participants completed measures of psychological symptoms (Brief Symptom Inventory (BSI)- General Severity Index (GSI) and depression subscale), well-being (12-Item World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0), and stress-related growth (Stress-Related Growth Scale - Short Form; SRGS-SF). Internal consistency and convergent validity of the MHRM-10 were examined. Differences in MHRM-10 scores between the present sample and other samples were characterized by effect sizes. The MHRM-10 demonstrated excellent internal consistency. Evidence for convergent validity of the MHRM-10 included moderate correlations with the BSI-GSI, BSI-depression subscale, SRGS-SF, and WHODAS 2.0. The present sample of predominately African American participants showed higher MHRM-10 scores than two other samples with smaller proportions of African American participants. The MHRM-10 demonstrates excellent internal consistency and good convergent validity among African Americans with serious mental illness. Although findings are promising, studies should further assess the psychometric properties of the MHRM-10 in African American samples. Additional research that examines racial differences in mental health recovery is needed.

摘要

研究目的是

1)评估心理健康恢复度量表(MHRM-10)在主要为非裔美国严重精神疾病患者样本中的信度和效度;2)评估 MHRM-10 评分在本样本与另外两个具有不同种族构成的严重精神疾病患者样本之间的差异。参与者包括 230 名成年人(85.7%为非裔美国人),他们的图表诊断为精神分裂症谱系、双相谱系和重性抑郁障碍,在密歇根州底特律的社区心理健康中心接受服务。除了 MHRM-10 之外,参与者还完成了心理症状(简明症状量表(BSI)-一般严重度指数(GSI)和抑郁子量表)、幸福感(12 项世界卫生组织残疾评估量表 2.0;WHODAS 2.0)和与压力相关的成长(压力相关成长量表-短表;SRGS-SF)的测量。研究检查了 MHRM-10 的内部一致性和收敛效度。本样本与其他样本之间 MHRM-10 评分的差异通过效应大小来描述。MHRM-10 表现出极好的内部一致性。MHRM-10 的收敛效度证据包括与 BSI-GSI、BSI 抑郁子量表、SRGS-SF 和 WHODAS 2.0 的中度相关性。本样本主要为非裔美国参与者的 MHRM-10 评分高于另外两个非裔美国参与者比例较小的样本。MHRM-10 在非裔美国严重精神疾病患者中表现出极好的内部一致性和良好的收敛效度。尽管研究结果很有希望,但仍需要进一步评估 MHRM-10 在非裔美国人群中的心理测量特性。需要开展更多研究来检验心理健康恢复中的种族差异。

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