Erschienen in:
19.07.2017
Factor Structure and Sensitivity to Change of the Recovery Assessment Scale
verfasst von:
Salene M. W. Jones, Ph.D, Evette J. Ludman, Ph.D
Erschienen in:
The Journal of Behavioral Health Services & Research
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Ausgabe 4/2018
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Abstract
The focus on recovery, not just symptom reduction, in mental health care brings a need for psychometrically sound measures of recovery. This study examined the factor structure and sensitivity to change of a common measure of mental health recovery, the Recovery Assessment Scale (RAS). We conducted a secondary data analysis from a randomized clinical trial of self-management for depression (n = 302). We tested both bifactor and the previously found five-factor model. Sensitivity to change was examined three ways: (1) between the intervention and control group; (2) across time in the intervention group; and (3) in those whose depression remitted. The previous five-factor model was supported. One subscale, no domination by symptoms, was particularly sensitive to change and showed sensitivity to change whereas the subscale reliance on others did not show change in any of the comparisons. Results suggest that the subscales of the RAS should be examined separately in future studies of recovery.