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重度精神疾病患者个人康复的特征描述:《康复过程问卷》(QPR-Fr)的法语心理测量学验证

Characterizing personal recovery in severe mental illness: French psychometric validation of the Questionnaire about the Process of Recovery (QPR-Fr).

作者信息

Munuera Caroline, Felix Simon, Prouteau Antoinette, Caiada Meryl, Guionnet Sarah, Valéry Kévin-Marc, Fombouchet Yoann, Gard Sébastien, Chevrier François, Minois Isabelle, M'bailara Katia

机构信息

Laboratoire de Psychologie, Universite de Bordeaux, UR4139 (Unite de Recherche).

Reseau des Centres Expert des Troubles Bipolaires, Fondation FondaMental.

出版信息

Psychiatr Rehabil J. 2024 Jun;47(2):177-187. doi: 10.1037/prj0000601. Epub 2024 Apr 4.

Abstract

OBJECTIVE

The support of the personal recovery of people with lived experience of mental illness is a major issue in clinical practice. Thus, a valid instrument to assess personal recovery is needed. The present study aimed to validate the French translation of the 22-item Questionnaire about the Process of Recovery (QPR-Fr).

METHOD

A convenience sample of 222 participants reporting a severe mental illness diagnosis was recruited online. Psychometric properties of the QPR-Fr were evaluated. A confirmatory factor analysis was conducted for structural validity. Internal consistency and test-retest reliability were assessed. To test for convergent validity, we conducted multiple linear regression analysis to explore the QPR-Fr associations with psychological distress and the CHIME framework (with Connectedness, Hope and optimism about the future, Identity, Meaning in life, and Empowerment) proxy measures (perceived social support, hope, self-esteem, quality of life, and empowerment).

RESULTS

An adequate fit was found for a 19-item unidimensional factor structure. Internal consistency was excellent. Test reliability was good. The QPR-Fr total score was significantly positively associated with quality of life, hope, self-esteem, and social support satisfaction and negatively associated with psychological distress. No significant association was found with social support availability nor with empowerment.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

This study provides additional data to support the cross-cultural validity of the Questionnaire about the Process of Recovery. The QPR-Fr is a valid and reliable tool to assess personal recovery. Practitioners could use the QPR-Fr to assess personal recovery in collaboration with people with lived experience. Convergent validity with CHIME proxy measures supports the validity of the CHIME framework in a French cultural context. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

支持有精神疾病亲身经历者的个人康复是临床实践中的一个主要问题。因此,需要一种有效的工具来评估个人康复情况。本研究旨在验证22项康复过程问卷(QPR-Fr)的法语翻译版本。

方法

通过网络招募了222名报告患有严重精神疾病诊断的参与者作为便利样本。对QPR-Fr的心理测量特性进行了评估。进行了验证性因素分析以检验结构效度。评估了内部一致性和重测信度。为检验收敛效度,我们进行了多元线性回归分析,以探讨QPR-Fr与心理困扰以及CHIME框架(包括联系感、对未来的希望和乐观、身份认同、生活意义和赋权)代理指标(感知到的社会支持、希望、自尊、生活质量和赋权)之间的关联。

结果

发现19项单维因素结构拟合良好。内部一致性极佳。测试信度良好。QPR-Fr总分与生活质量、希望、自尊和社会支持满意度显著正相关,与心理困扰显著负相关。未发现与社会支持可得性以及赋权有显著关联。

结论及实践意义

本研究提供了更多数据来支持康复过程问卷的跨文化效度。QPR-Fr是评估个人康复的有效且可靠的工具。从业者可以与有亲身经历者合作使用QPR-Fr来评估个人康复情况。与CHIME代理指标的收敛效度支持了CHIME框架在法国文化背景下的有效性。(PsycInfo数据库记录(c)2024美国心理学会,保留所有权利)

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