The bipolar recovery questionnaire: psychometric properties of a quantitative measure of recovery experiences in bipolar disorder

Jones, Steven H.; Mulligan, Lee D.; Higginson, Sally; Dunn, Graham; Morrison, Anthony P.

doi:10.1016/j.jad.2012.10.003

Cited by 70 publications

(107 citation statements)

References 30 publications

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“…Asimismo, se utilizaron otros 3 criterios comúnmente empleados para la selección de ítems: la carga factorial del ítem con el factor o factores extraídos, el coeficiente de correlación de Pearson entre el ítem y la subescala o factor (sin el propio ítem) al que pertenece, y el valor de la ␣ de Cronbach que alcanzaría dicha subescala en el caso de eliminar el ítem. Específicamente, se consideraron eliminables aquellos ítems con cargas factoriales inferiores a 0,32 27 en todos los factores extraídos, con valores de correlación ítem-total corregida inferiores a 0,30 28 , o aquellos cuya eliminación incrementara la fiabilidad de la subescala en más de 0,02 puntos 29 . El ítem 15 era el único que satisfacía alguna (de hecho, 3 de las 4) de las condiciones que recomendaban su eliminación.…”

Section: Validez De Constructounclassified

Propiedades psicométricas de la versión española de la Philadelphia Mindfulness Scale

Tejedor¹,

Feliu‐Soler²,

Pascual³

et al. 2014

Revista de Psiquiatría y Salud Mental

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PALABRAS CLAVEEscala; Validación; Philadelphia Mindfulness Scale; Atención plena; Aceptación; Evaluación Resumen Introducción: La Philadelphia Mindfulness Scale (PHLMS) es un cuestionario breve que evalúa 2 componentes clave de la atención plena: la conciencia en el momento presente y la aceptación. El presente estudio evalúa las propiedades psicométricas de la versión española de la PHLMS tanto en una muestra control de estudiantes universitarios como en población con patología psiquiátrica. Material y métodos: Se administró la versión española de la PHLMS a 395 voluntarios (256 con patología psiquiátrica y 139 estudiantes). Resultados: El análisis factorial exploratorio de la versión española de la PHLMS apoya la solución bifactorial de la versión original con una varianza explicada del 44,02%. La escala presentó una adecuada fiabilidad (␣ de Cronbach de 0,81 a 0,86). La PHLMS mostró una adecuada validez convergente con los otros cuestionarios de atención plena y aceptación y una validez divergente de la clínica depresiva y ansiosa comparable a la de la versión original. Conclusiones: La versión española de la PHLMS presenta adecuadas propiedades psicométricas y puede ser utilizada para medir 2 componentes constituyentes de la atención plena ---i.e. conciencia y aceptación---tanto en el ámbito clínico como en investigación.

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Section: Validez De Constructounclassified

Propiedades psicométricas de la versión española de la Philadelphia Mindfulness Scale

Tejedor¹,

Feliu‐Soler²,

Pascual³

et al. 2014

Revista de Psiquiatría y Salud Mental

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“…In line with Anthony's 287 proposal that recovery experiences are highly personal and multifaceted, the BRQ items were informed by prior qualitative research on the nature and experience of recovery in BD. 291 Item relevance and comprehensibility was also reviewed by clinical, research and consumer experts to refine the final version of BRQ. Current findings indicate that the questionnaire is internally consistent and reliable over time.…”

Section: Discussionmentioning

confidence: 99%

“…Instead, service users argue for the importance of personal recovery outcomes. 19,95,291 Although clinical recovery contributes to this process, the emphasis for many people is on social and functional recovery outcomes. Understanding and endorsement of this recovery perspective by clinical professionals can lead to significant benefits in terms of greater service user empowerment, enhanced use of collaborative care models (including advanced directives) and tailoring of clinical interventions which together enhance social and DOI: 10.3310/pgfar04050 PROGRAMME GRANTS FOR APPLIED RESEARCH 2016 VOL.…”

Section: Cognitive-behavioural Approach To Understanding and Preventimentioning

confidence: 99%

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Psychological approaches to understanding and promoting recovery in psychosis and bipolar disorder: a mixed-methods approach

Morrison

Law

Barrowclough

et al. 2016

Programme Grants Appl Res

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BackgroundRecovery in mental health is a relatively new concept, but it is becoming more accepted that people can recover from psychosis. Recovery-orientated services are recommended for adult mental health, but with little evidence base to support this.ObjectivesTo facilitate understanding and promotion of recovery in psychosis and bipolar disorder (BD), in a manner that is empowering and acceptable to service users.MethodThere were six linked projects using qualitative and quantitative methodologies: (1) developing and piloting a service user-defined measure of recovery; (2) a Delphi study to determine levels of consensus around the concept of recovery; (3) examination of the psychological factors associated with recovery and how these fluctuate over time; (4) development and evaluation of cognitive–behavioural approaches to guided self-help including a patient preference trial (PPT); (5) development and evaluation of cognitive–behavioural therapy (CBT) for understanding and preventing suicide in psychosis including a randomised controlled trial (RCT); and (6) development and evaluation of a cognitive–behavioural approach to recovery in recent onset BD, including a RCT of recovery-focused cognitive–behavioural therapy (RfCBT). Service user involvement was central to the programme.ResultsMeasurement of service user-defined recovery from psychosis (using the Subjective Experience of Psychosis Scale) and BD (using the Bipolar Recovery Questionnaire) was shown to be feasible and valid. The consensus study revealed a high level of agreement among service users for defining recovery, factors that help or hinder recovery and items which demonstrate recovery. Negative emotions, self-esteem and hope predicted recovery judgements, both cross-sectionally and longitudinally, whereas positive symptoms had an indirect effect. In the PPT, 89 participants entered the study, three were randomised, 57 were retained in the trial until 15-month follow-up (64%). At follow-up there was no overall treatment effect on the primary outcome (Questionnaire about the Process of Recovery total;p = 0.82). In the suicide prevention RCT, 49 were randomised and 35 were retained at 6-month follow-up (71%). There were significant improvements in suicidal ideation [Adult Suicidal Ideation Questionnaire; treatment effect = –12.3, 95% confidence interval (CI) –24.3 to –0.14], Suicide Probability Scale (SPS; treatment effect = –7.0, 95% CI –15.5 to 0) and hopelessness (subscale of the SPS; treatment effect = –3.8, 95% CI –7.3 to –0.5) at follow-up. In the RCT for BD, 67 participants were randomised and 45 were retained at the 12-month follow-up (67%). Recovery score significantly improved in comparison with treatment as usual (TAU) at follow-up (310.87, 95% CI 75.00 to 546.74). At 15-month follow-up, 32 participants had experienced a relapse of either depression or mania (20 TAU vs. 12 RfCBT). The difference in time to recurrence was significant (estimated hazard ratio 0.38, 95% CI 0.18 to 0.78;p < 0.006).ConclusionsThis research programme has improved our understanding of recovery in psychosis and BD. Key findings indicate that measurement of recovery is feasible and valid. It would be feasible to scale up the RCTs to assess effectiveness of our therapeutic approaches in larger full trials, and two of the studies (CBT for suicide prevention in psychosis and recovery in BD) found significant benefits on their primary outcomes despite limited statistical power, suggesting definitive trials are warranted.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

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“…People with lived experience, however, may weight recovery and quality of life (Jones, Mulligan, Higginson, Dunn & Morrison, 2012;Maxwell & Michalak, 2011;Tse et al, 2013) as more important than symptom relief. In bipolar disorder, symptoms account for just a proportion of the variance in quality of life outcomes.…”

Section: Quality Of Lifementioning

confidence: 99%

Towards a Better Future for Canadians with Bipolar Disorder: Principles and Implementation of a Community-Based Participatory Research Model

Michalak¹,

Lane²,

Hole³

et al. 2015

ESJ

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The Collaborative RESearch Team to study psychosocial factors in bipolar disorder (CREST.BD) is a multidisciplinary network dedicated to advancing science and practice around psychosocial issues associated with bipolar disorder (BD), improving the care and wellness of people living with bipolar disorder, and strengthening services and supports for these individuals. CREST.BD specializes in community-based participatory research, in which research is conducted as a partnership between researchers and community members. This article describes the evolution of the CREST.BD network and CREST.BD's commitment to community-based participatory research in bipolar disorder research. Examples of CREST.BD projects using community-based participatory research to study stigma, quality of life, psychosocial interventions, and creativity in bipolar disorder are highlighted, and opportunities and challenges of engaging in communitybased participatory research in bipolar disorder specifically and the mental health field more broadly are discussed. This article demonstrates how CBPR can be used to enhance the relevance of research practices and products through community engagement, and how community-based participatory research can enrich knowledge exchange and mobilization.

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The bipolar recovery questionnaire: psychometric properties of a quantitative measure of recovery experiences in bipolar disorder

Cited by 70 publications

References 30 publications

Propiedades psicométricas de la versión española de la Philadelphia Mindfulness Scale

Propiedades psicométricas de la versión española de la Philadelphia Mindfulness Scale

Psychological approaches to understanding and promoting recovery in psychosis and bipolar disorder: a mixed-methods approach

Towards a Better Future for Canadians with Bipolar Disorder: Principles and Implementation of a Community-Based Participatory Research Model

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