정신장애인 재기태도척도 개발 = Development of the Recovery Attitudes Scale for Persons with Psychiatric Disabilities

다국어 초록 (Multilingual Abstract)

The purpose of this study was to develop and validate the Recovery Attitudes Scale for persons with psychiatric disabilities. Exploratory factor analysis(N=340) using 121 initial items resulted in seven factors: (1) satisfaction with friends and neighbors, (2) knowledge of the mental health support system, (3) hope and optimistic outlook on life, (4) acceptance of illness, (5) satisfaction with family and relatives, (6) knowledge of coping strategies, (7) hope and optimistic outlook on prognosis. Considering the convenience of administration, the redundancy among items within each factor, and size of factor loadings, the final scale was reduced to 42 items. Confirmatory factor analysis using these 42 items resulted in favorable goodness of fit indexes(GFI = .959, AGFI = .954, NFI = .944, RMR = .059). Another confirmatory factor analysis for cross-validation (N=199; 42 items in 7 factors) also showed favorable goodness of fit indexes(GFI = .942, AGFI = .934, NFI = .924, RMR = .076). In addition, we calculated concurrent validities between the Recovery Attitudes Scale and the Hope scale(Snyder et al., 1991) and the ISMI(Internalized Stigma of Mental Illness; Ritsher et al., 2003). The results showed that all factors(7 factors) in the Recovery Attitudes Scale had significantly positive correlations with the Hope scale, and five out of the 7 factors in the Recovery Attitudes Scale had significantly negative correlations with the ISMI. We discussed comparisons between factor structure of the Recovery Attitudes Scale and those of previous research. Also, implications of the study and applicability of the scale were discussed.

참고문헌 (Reference)

1 노춘희, "직업재활 프로그램에 참여하는만성 정신질환자의 회복경험" 11 (11): 5-18, 2002

2 배정규, "정신장애인의 재기태도와 삶의질:척도개발과 모형검증을 중심으로" 계명대학교 2005

3 장혜경, "정신분열병을가진 개인들의 회복,가능한가? 회복 패러다임을 중심으로" 6 : 207-237, 2004

4 김지영, "정신분열병 환자의 회복경험:‘삶의 재구성’ 과정" 이화여자대학교 2003

5 한글학회, "우리말 큰 사전" 어문각 1992

6 김나라, "만성 정신분열병의 회복에 관한 연구" 고려대학교 2004

7 Jacobson, N., "What is recovery? A conceptual model and explication" 52 (52): 482-485, 2001

8 Preyer,H, "What is recovery? A commentary" 52 : 486-487, 2001

9 Anthony,W.A, "Toward a vision of recovery"

10 Mancini,M, "Theories of recovery elicited from individuals diagnosed with psychiatric disabilities"

11 Snyder, C. R., "The will and the ways: Development and validation of an individual-differences measure of hope" 60 (60): 570-585, 1991

12 Bedregal, L. E., "The Recovery Knowledge Inventory: Assessment of mental health staff knowledge and attitudes about recovery" 30 (30): 96-103, 2006

13 Ridgway,P, "Restorying psychiatric disability: Learning from first person recovery narratives" 24 (24): 335-343, 2001

14 Deegan,P.E, "Recovery: The lived experience of rehabilitation" Boston, MA: Boston University, Center for Psychiatric Rehabilitation 149-161, 1988

15 Noordsy, D., "Recovery from severe mental illness: An intrapersonal and functional outcome definition" 14 : 318-326, 2002

16 Anthony,W.A, "Recovery from mental illness: The guiding vision of the mentalhealth services system in the 1990s" 16 (16): 11-23, 1993

17 Smith,M.K, "Recovery from a severe psychiatric disability: Findings of a qualitative study" 24 (24): 149-158, 2000

18 Corrigan, P. W., "Recovery as a psychological construct" 35 (35): 231-239, 1999

19 Bentler,P.M, "Multivariate analysis with latent variables: Causal modeling" 31 : 419-456, 1980

20 Salyers, M. P., "Measuring recovery orientation in a hospital setting" 31 (31): 131-137, 2007

21 Ritsher, J. B., "Internalized stigma of mental illness: Psychometric properties of a new measure" 121 : 31-49, 2003

22 O'Connell, M., "From rhetoric to routine: Assessing perceptions of recoveryoriented practices in a state mental health and addiction system" 28 (28): 378-386, 2005

23 Young, S. L., "Exploring recovery from the perspective of people with psychiatric disabilities" 22 (22): 219-231, 1999

24 Young,S.L, "Development and evaluation of a recovery enhancement group for mental health consumers"

25 Ralph, R. O., "Can we measure recovery? A compendium of recovery and recovery-related instruments" Cambridge, MA: The Evaluation Center@ HSRI 2000

26 Resnick, S. G., "An exploratory analysis of correlates of recovery" 55 (55): 540-547, 2004

27 Resnick, S. G., "An empirical conceptualization of the recovery orientation" 75 (75): 119-128, 2005