Evaluation of the Illness Management and Recovery Scale in schizophrenia and schizoaffective disorder

Department of Neuroscience/Psychiatry, Uppsala University Hospital, Ing. 15, SE-75185 Uppsala, Sweden.
Schizophrenia Research (Impact Factor: 3.92). 07/2011; 132(2-3):157-64. DOI: 10.1016/j.schres.2011.07.001
Source: PubMed


The aim of the present study was to evaluate the psychometric properties of the parallel client and clinician versions of the Illness Management and Recovery Scale (IMRS) developed to monitor the clients' progress in the Illness Management and Recovery (IMR) program in schizophrenia. A total of 107 study participants completed assessments of the IMRS, interview-based ratings of psychiatric symptoms, self-ratings of psychiatric symptoms, perception of recovery, and quality of life. Case managers completed the clinician version of the IMRS. Both versions of the scale demonstrated satisfactory internal reliability and strong test-retest reliability. The results also indicated convergent validity with interview-based ratings of psychiatric symptoms, self-rated symptoms, perception of recovery, and quality of life for both versions of the IMRS. These findings support the utility of the IMRS as a measure of illness self-management and recovery in clients with schizophrenia.

Download full-text


Available from: Rickard Färdig,
  • Source
    • "Second, the experimental group was composed of schizophrenia persons that were in a remission phase, at discharge for a psychiatric admission, but were not yet completely stabilized. Third, although validated and used in many studies in schizophrenia (Fardig et al. 2011; Roe et al. 2011), the validity of the construct of the RAS could be discussed, considered the inter and intra-subjective variability of the individual assessment . At the same time, this limitation could be a point of strength of the same scale, allowing to define a sense of subjective , personal, and private well-being totally independent from psychiatric and psychosocial criteria. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation.
    Community Mental Health Journal 07/2014; 51(1). DOI:10.1007/s10597-014-9767-y · 1.03 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The current state of the literature regarding psychosocial treatments for schizophrenia is reviewed within the frameworks of the recovery model of mental health and the expanded stress-vulnerability model. Interventions targeting specific domains of functioning, age groups, stages of illness, and human service system gaps are classified as evidence-based practices or promising practices according to the extent to which their efficacy is currently supported by meta-analyses and individual randomized controlled trials (RCTs). Evidence-based practices include assertive community treatment (ACT), cognitive behavior therapy (CBT) for psychosis, cognitive remediation, family psychoeducation, illness self-management training, social skills training, and supported employment. Promising practices include cognitive adaptive therapy, CBT for posttraumatic stress disorder, first-episode psychosis intervention, healthy lifestyle interventions, integrated treatment for co-occurring disorders, interventions targeting older individuals, peer support services, physical disease management, prodromal stage intervention, social cognition training, supported education, and supported housing. Implications and future directions are discussed. Expected final online publication date for the Annual Review of Clinical Psychology Volume 9 is March 26, 2013. Please see http://www.annualreviews.org/catalog/pubdates.aspx for revised estimates.
    Annual Review of Clinical Psychology 01/2013; 9(1). DOI:10.1146/annurev-clinpsy-050212-185620 · 12.67 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: Providing an overview about the discussion and current practice of Self-management support for people with mental disorders. Methods: Mainly database supported literature review, criteria-based analyses and summarized publication. Results: Internationally Self-management support for the chronically ill is disseminating widely, recently even for people with mental disorders or comorbidities. There is some evidence that this intervention can improve psychiatric symptoms, quality of life and opportunities for participation. Conclusions: As a promising, patient-centred intervention which is compatible with the idea of recovery, Self-management support deserves closer attention.
    Psychiatrische Praxis 03/2013; 40:372-379. DOI:10.1055/s-0032-1333025 · 1.64 Impact Factor
Show more