测量精神分裂谱系障碍患者的康复情况：个体康复结果计数器（I.ROC）的验证。

Measuring recovery in participants with a schizophrenia spectrum disorder: validation of the Individual Recovery Outcomes Counter (I.ROC).

机构信息

Department of Psychotic Disorders Assen, GGZ Drenthe Mental Health Institute, Dennenweg 9, 9404 LA, Assen, The Netherlands.

Research Group Care and Innovation in Psychiatry, NHL Stenden University for Applied Sciences, Leeuwarden, The Netherlands.

出版信息

BMC Psychiatry. 2023 Apr 28;23(1):296. doi: 10.1186/s12888-023-04763-3.

DOI:10.1186/s12888-023-04763-3

PMID:37118681

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10148501/

Abstract

BACKGROUND

To improve recovery in mental health, validated instruments are needed.

AIMS

This study evaluates psychometric properties of the Individual Recovery Outcomes Counter (I.ROC) in a Dutch population of participants with a schizophrenia spectrum disorder (SSD).

METHODS

326 participants completed the I.ROC at baseline (n = 326), six months (n = 155) and twelve months (n = 84) as part of a routine outcome assessment. Reliability, validity, sensitivity to change, and internal factor structure were examined.

RESULTS

Participants evaluated the I.ROC as comprehensive. Internal consistency of the I.ROC (α = 0.88) and test-retest reliability (r = .85, p < .001) are good. Negative moderate correlations with the total score of the PANSS (r=-.50, p < .001) and the HoNOS (r=-.52, p < .001) were found, and a small negative correlation with the FR tool (r=-.36, p < .001). Moderate positive correlation with the MANSA (r = .55, p < .001) and the RAS (r = .60, p < .001) were found. The mean total I.ROC scores increased significantly between time points (F(2,166) = 6.351, p < .005), although differences were small. Confirmatory factor analysis showed that fit indices for the one-, two-, and four-factor model are comparable.

CONCLUSIONS

The I.ROC is a valid and reliable instrument, with sensitivity to change, to map recovery in participants with SSD.

摘要

背景

为了改善心理健康的恢复，需要经过验证的工具。

目的

本研究旨在评估个体康复结果计数器（I.ROC）在荷兰精神分裂症谱系障碍（SSD）患者人群中的心理测量学特性。

方法

326 名参与者在基线（n=326）、6 个月（n=155）和 12 个月（n=84）时完成了 I.ROC 的评估，作为常规结果评估的一部分。检验了可靠性、有效性、对变化的敏感性以及内部因素结构。

结果

参与者认为 I.ROC 全面。I.ROC 的内部一致性（α=0.88）和重测信度（r=0.85，p<.001）良好。与 PANSS 总分（r=-.50，p<.001）和 HoNOS（r=-.52，p<.001）呈负中等相关，与 FR 工具（r=-.36，p<.001）呈小负相关。与 MANSA（r=0.55，p<.001）和 RAS（r=0.60，p<.001）呈中度正相关。I.ROC 总分在各时间点之间显著增加（F(2,166)=6.351，p<.005），尽管差异较小。验证性因子分析表明，单、双和四因素模型的拟合指数相当。