“The Italian Study on Recovery 2” Phase 1: Psychometric Properties of the Recovery Assessment Scale (RAS), Italian Validation of the Recovery Assessment Scale

Boggian, Ileana; Lamonaca, Dario; Ghisi, Marta; Bottesi, Gioia; Svettini, A.; Basso, Luigi; Bernardelli, Katia; Merlin, Silvia Stahl; Liberman, Robert Paul

doi:10.3389/fpsyt.2019.01000

Cited by 5 publications

(5 citation statements)

References 44 publications

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“…Unsurprisingly, considering the overlap, the associations between PR-scale total scores and the CHIME dimensions were medium to large. This overlap is confirmed by the fact that some studies investigated PR-scale total scores in relation to CHIME dimensions in order to assess the convergent validity of a PR measure ( 21 , 25 , 30 , 31 , 40 , 41 , 49 ).…”

Section: Discussionmentioning

confidence: 89%

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Personal Recovery in People With a Psychotic Disorder: A Systematic Review and Meta-Analysis of Associated Factors

et al. 2021

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Background: Personal recovery (PR) is a subjective, multidimensional concept, and quantitative research using PR as an outcome is rapidly increasing. This systematic review is intended to support the design of interventions that contribute to PR in psychotic disorders, by providing an overview of associated factors and their weighted importance to PR: clinical factors, social factors, and socio-demographic characteristics are included, and factors related to the concept of PR (organized into CHIME dimensions).Methods: A systematic literature search was conducted from inception to March 2020. Quantitative studies that had used a validated questionnaire assessing the concept of PR were included. Mean effect sizes for the relationship between PR-scale total scores and related factors were calculated using meta-analyses. Sources of heterogeneity were examined using meta-regression tests.Results: Forty-six studies, that used (a total of) eight PR measures, showed that in clinical factors, affective symptoms had a medium negative association with PR-scale total scores (r = −0.44, 95%CI −0.50 to −0.37), while positive, negative and general symptoms had small negative correlations. No association was found with neuro-cognition. Social factors (support, work and housing, and functioning) showed small positive correlations. Gender and age differences had barely been researched. Large associations were found for PR-scale total scores with the CHIME dimensions hope (r = 0.56, 95%CI 0.48–0.63), meaning in life (r = 0.48, 95%CI 0.38–0.58) and empowerment (r = 0.53, 95%CI 0.42–0.63); while medium associations were found with connectedness (r = 0.34, 95%CI 0.43–0.65) and identity (r = 0.43, 95%CI 0.35–0.50). Levels of heterogeneity were high, sources included: the variety of PR measures, variations in sample characteristics, publication bias, variations in outcome measures, and cultural differences.Discussion: Most interventions in mental healthcare aim to reduce symptoms and improve functioning. With regard to stimulating PR, these interventions may benefit from also focusing on enhancing hope, empowerment, and meaning in life. The strength of these findings is limited by the challenges of comparing separate CHIME dimensions with questionnaires assessing the concept of PR, and by the high levels of heterogeneity observed. Future research should focus on the interaction between elements of PR and clinical and social factors over time.

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Section: Discussionmentioning

confidence: 89%

“…Cultural values are also likely to play a role in a subjective construct such as PR ( 12 , 67 ). Between different countries, for example, large differences have been found in the associations between PR-scale total scores and meaning in life ( 21 , 31 , 39 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

Personal Recovery in People With a Psychotic Disorder: A Systematic Review and Meta-Analysis of Associated Factors

et al. 2021

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“…The higher the RAS overall score, the closer the patient is to achieving personal recovery. Specifically, a score ≥160 was indicative of personal recovery (Boggian et al, 2011).…”

Section: Methodsmentioning

confidence: 99%

“…Personal recovery was assessed at the time of the analysis (September 2022) with the Recovery Assessment Scale (RAS), which proved to be strongly related to several aspects that play a decisive role in the road towards personal recovery, such as self‐esteem, empowerment and quality of life (Boggian et al, 2019). The RAS is a self‐administered scale consisting of 41 items, rated on a Likert‐scale from 1 (strongly disagree) to 5 (strongly agree).…”

Section: Methodsmentioning

confidence: 99%

Dimensions and predictors of clinical and personal recovery in first‐episode psychoses: Results from a cross‐sectional study

Ferrara,

Zaffarami,

Simonelli

et al. 2024

Early Intervention Psych

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IntroductionFirst episode psychosis (FEP) services ensure higher recovery rates compared to usual care. The aim of this study was to investigate the different dimensions of recovery and its predictors.MethodsThis cross‐sectional study recruited within those admitted to the Ferrara FEP service since 2012 that at the time of analysis were still receiving psychiatric care. At admission, demographic, social and clinical information were collected. In September 2022, patients were assessed with the Health of the Nation Outcome Scale to evaluate clinical/functional recovery, the Recovery Assessment Scale to evaluate personal recovery, and the G12 item of the Positive and Negative Syndrome Scale to evaluate insight. Patients in recovery were compared to those not in recovery by bivariate analyses. Adjusted logistic regressions were performed to investigate predictors of recovery.ResultsWithin 141 admitted, and 105 still receiving care, 54 patients completed the assessment. Most (51.9%) were in clinical/functional, 61.1% in personal recovery, and 38.8% both. Psychiatric hospitalization positively predicted clinical/functional recovery, whereas being prescribed oral antipsychotics was a negative predictor. Personal recovery was predicted by male sex and showed a negative association with overall severity of symptomatology. Those in personal recovery were more likely to have been prescribed long‐acting antipsychotics, but this was not significant in the multivariable analysis. Poor insight negatively predicted clinical/functional recovery but had no impact on personal recovery.ConclusionOur findings confirm that clinical/functional and personal recovery are semi‐independent dimensions and not always overlap. Further research is needed to promote interventions targeted at all recovery dimensions.

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“…It is a 41-item self-administered tool structured as a Likert scale from 1 (completely disagree) to 5 (completely agree), designed to assess perceived recovery in psychiatric patients. Five factors of recovery can be depicted as Personal Trust and Hope, Willingness to Ask for Help, Goal and Success Orientation, Dependence on Others, and Not being Dominated by Symptoms [ 4 , 35 ]. The Multidimensional Mentalizing Questionnaire (MMQ) measures the mentalizing processes.…”

Section: Methodsmentioning

confidence: 99%

Exploring Personal Recovery in Schizophrenia: The Role of Mentalization

Concerto,

Rodolico,

Mineo

et al. 2023

JCM

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Recovery is a broadly debated concept in the field of psychiatry research and in schizophrenia. Our study aims to understand the correlation between personal recovery from schizophrenia and factors such as mentalization, disability, quality of life, and antipsychotic side effects; Methods: Participants with schizophrenia (according to DSM-5 criteria) were consecutively recruited from the Psychiatry Unit of the University of Catania, Italy. Participants were assessed with the Recovery Assessment Scale (RAS), the Multidimensional Mentalizing Questionnaire (MMQ), the brief version of the WHO Disability Assessment Schedule (WHO-DAS), the EuroQoL-5 dimensions-5 levels, the Insight Orientation Scale (IOS) and the Glasgow Antipsychotic Side Effect Scale (GASS); Results: 81 patients were included. Our findings showed a positive correlation between RAS total scores and MMQ scores, especially in “good mentalizing” subdomains. IOS scores also had a positive association with RAS and MMQ scores. In contrast, poor mentalizing abilities negatively correlated with WHO-DAS 2.0 scores. While antipsychotic side effects influenced functioning, they did not impact perceived recovery. Conclusions: The study’s results identified potential predictors of personal recovery from schizophrenia. These findings could contribute to creating tailored interventions to facilitate the recovery process.

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“The Italian Study on Recovery 2” Phase 1: Psychometric Properties of the Recovery Assessment Scale (RAS), Italian Validation of the Recovery Assessment Scale

Cited by 5 publications

References 44 publications

Personal Recovery in People With a Psychotic Disorder: A Systematic Review and Meta-Analysis of Associated Factors

Personal Recovery in People With a Psychotic Disorder: A Systematic Review and Meta-Analysis of Associated Factors

Dimensions and predictors of clinical and personal recovery in first‐episode psychoses: Results from a cross‐sectional study

Exploring Personal Recovery in Schizophrenia: The Role of Mentalization

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