Advancing Recovery Science: Reliability and Validity Properties of the Recovery Assessment Scale

Advancing Recovery Science: Reliability and Validity Properties of the Recovery Assessment Scale
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DOI:
10.1176/appi.ps.201300089
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发表时间:
2014-04-01
影响因子:
3.8
通讯作者:
Brusilovskiy, Eugene
Brusilovskiy, Eugene
中科院分区:
医学3区
文献类型:
--
作者:
Salzer, Mark S.;Brusilovskiy, Eugene

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目的:促进康复是国家、州和地方精神卫生系统的驱动哲学。尽管已制定了许多以恢复为导向的应对措施,但对恢复措施的科学评估仍然滞后。本文献综述的目的是回顾恢复评估量表(RAS)的心理测量学特性,该量表可以说是已发表文献中最常用的恢复指标。这些信息对于推进恢复科学至关重要。研究方法:2012年8月,使用检索词“恢复评估量表”进行了全面的文献检索,共检索到222篇来自世界各地的文章。本综述共使用了77篇包含RAS心理测量学数据的文章。结果:各研究的平均值和标准差相当一致。总体而言,研究表明内部一致性,重测信度和评分者间信度非常好的结果。一些研究还报告了该措施的一致因素结构。RAS与其他相关结构呈正相关,与症状等结构呈负相关。最后,RAS似乎对随时间的变化很敏感。结论:该综述发现了重要的证据,支持在恢复科学中使用RAS作为衡量恢复的手段,并将其纳入心理健康研究。
Objective: The promotion of recovery is the driving philosophy underlying national, state, and local mental health systems. Although numerous recovery-oriented measures have been developed in response, the scientific assessment of recovery measures has lagged behind. The purpose of this literature review was to review the psychometric properties of the Recovery Assessment Scale (RAS), which is arguably the most commonly used measure of recovery in the published literature. Such information is critical for advancing recovery science. Methods: A thorough literature search using the search term "Recovery Assessment Scale" was conducted in August 2012, yielding a total of 222 articles published from around the world. A total of 77 articles that included psychometric data on the RAS were used in this review. Results: Means and standard deviations across studies were fairly consistent. Overall, the studies indicate very good results for internal consistency, test-retest reliability, and interrater reliability. A number of studies also reported consistent factor structures for the measure. The RAS was found to have positive associations with other related constructs and negative associations with constructs such as symptoms. Finally, the RAS appears to be sensitive to change over time. Conclusions: The review found significant evidence to support the use of the RAS in recovery science as a means to measure recovery and to include it in mental health research.