The development of the Mental Health Confidence Scale: A measure of self-efficacy in individuals diagnosed with mental disorders.

Psychiatric Rehabilitation Journal (Impact Factor: 1.16). 10/2012; 23(3):236-243. DOI: 10.1037/h0095162


This article discusses a new scale for the measurement of self-efficacy among persons dealing with mental disorders and examines the relationship between involvement in self-help and self-efficacy. The Mental Health Confidence Scale scale is based on theories of self-efficacy and recent qualitative research on self-help groups. It is designed to assess the self-efficacy beliefs of persons dealing with mental disorders, particularly how confident they are about their ability to deal with those things that commonly influence their lives. The presumed 3-factor structure of the scale (optimism, coping, advocacy) was tested using data from a study on understanding factors associated with participation and nonparticipation in mental health self-help groups; Ss were 554 self-help group participants, mean age 42 yrs. Results of confirmatory factor analyses support the 3-factor structure and suggest that the scale is a reliable means of assessing mental health related efficacy beliefs. In correlational analyses, generally positive associations were found between participation in self-help and self-efficacy. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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Available from: Fred E. Markowitz, Apr 04, 2014
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    • "Self-efficacy is a task-specific construct that varies across distinct groups of behaviours [22]. In contrast with the plethora of self-efficacy scales for physical health and lifestyle improvement, we were able to locate only one scale measuring people’s confidence in managing mental health issues [23]. Developed and validated for use in people with severe mental illness, Carpinello et al.’s [23] Mental Health Confidence Scale relies heavily on recovery-related items, including items referring to mental illness diagnosis and treatment, and may be inappropriate for people with symptoms in the mild-to-moderate range who are unlikely to consider themselves unwell, meet diagnostic criteria or seek treatment [24]. "
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    BMC Psychiatry 09/2014; 14(1):272. DOI:10.1186/s12888-014-0272-1 · 2.21 Impact Factor
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    • "Three count variables of all currently listed medications for physical and mental health were created (total, mental health, and physical health). Health Care Self-Efficacy For this study the Health Care Efficacy Scale was adapted from the Mental Health Confidence Scale (Carpinello et al. 2000) for challenges specific to the healthcare setting. Participants rated on a 6-point scale how confident they are about coping with various issues (0 = 'not confident at all' to 6 = 'very confident'). "
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    Community Mental Health Journal 06/2013; 50(4). DOI:10.1007/s10597-013-9616-4 · 1.03 Impact Factor
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    • "For instance, empowerment is a broader construct that encompasses consumers' sense of control over all areas of life (Rappaport, 1987). Mental health confidence (Carpinello et al., 2000) is narrower, focusing on perceived confidence or self-efficacy related to mental health. In contrast, patient activation has greater specificity than empowerment, but greater breadth than mental health confidence, and is more akin to empowerment directed at managing the illness which includes confidence, perceived knowledge, and skills. "
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