Empowerment in people with a mental illness:: reliability and validity of the Swedish version of an empowerment scale

Empowerment in people with a mental illness:: reliability and validity of the Swedish version of an empowerment scale
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DOI:
10.1111/j.1471-6712.2004.00310.x
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发表时间:
2005-03-01
影响因子:
1.9
通讯作者:
Björkman, T
Björkman, T
中科院分区:
医学3区
文献类型:
--
作者:
Hansson, L;Björkman, T

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增强权能已成为各种社会政策背景下的一个普遍概念,涉及不同的边缘化群体。增强权能也被集中在心理健康领域,尽管很少有实证研究存在。本研究的目的是调查内部的一致性和结构效度的瑞典版本的授权规模开发的人与精神疾病,决策。92人接受了采访,还包括生活质量的评估,需要照顾,精神症状,心理社会功能,社会网络的各个方面,拒绝的经验和贬值/歧视精神病患者的态度。结果表明,除无力感分量表外,总体量表和各分量表具有较好的内部一致性。因素分析显示,两个上级因素,自尊和积极性和社区和权力,具有令人满意的内部一致性。这两个因素显示出良好的结构效度与预期的关联验证措施。耻辱感与自尊和行动主义最明显相关,较高的教育水平与社区和权力最密切相关。最后,瑞典文版的《决策》很可能被用于进一步研究精神疾病患者的赋权问题。
Empowerment has become a widespread concept in various social policy contexts referring to different marginalized groups. Empowerment has also been focused within the mental health field although little empirical research exists. The aim of the present study was to investigate internal consistency and construct validity of the Swedish version of an empowerment scale developed for people with a mental illness, Making Decisions. Ninety-two persons were subject to an interview also comprising assessments of quality of life, needs for care, psychiatric symptoms, psychosocial functioning, aspects of the social network, rejection experiences and attitudes of devaluation/discrimination towards people with mental illness. The results showed that the overall scale and the subscales had a good internal consistency, except for the subscale power-powerlessness. A factor analysis revealed two superordinate factors, self-esteem and activism and community and power, with a satisfactory internal consistency. These two factors showed a good construct validity with expected associations to validation measures. Stigma was most markedly associated with self-esteem and activism, and a higher level of education was most strongly associated with community and power. In conclusion, the Swedish version Making Decisions may well be used in further studies of empowerment among people with a mental illness.