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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    • "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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    ABSTRACT: Background Online psychotherapy is clinically effective yet why, how, and for whom the effects are greatest remain largely unknown. In the present study, we examined whether mental health self-efficacy (MHSE), a construct derived from Bandura¿s Social Learning Theory (SLT), influenced symptom and functional outcomes of a new mobile phone and web-based psychotherapy intervention for people with mild-to-moderate depression, anxiety and stress.MethodsSTUDY I: Data from 49 people with symptoms of depression, anxiety and/or stress in the mild-to-moderate range were used to examine the reliability and construct validity of a new measure of MHSE, the Mental Health Self-efficacy Scale (MHSES).
    Full-text · Article · Sep 2014 · BMC Psychiatry
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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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    ABSTRACT: Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.
    Full-text · Article · Jun 2013 · Community Mental Health Journal
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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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    ABSTRACT: Patient activation, defined as one's attitudes and confidence toward managing illness, has been not been thoroughly studied in consumers with schizophrenia. The current study sought to understand the relationship between patient activation and symptoms, medication adherence, recovery attitudes, and hope in a sample of 119 adults with schizophrenia. The participants were enrolled in an 18-month randomized controlled study of the Illness Management and Recovery program. Data were collected at baseline; correlations and stepwise multiple regressions were used to examine the relationships and determine the unique contribution of variables. Higher patient activation was most strongly associated with positive recovery attitudes, higher levels of hope, and fewer emotional discomfort symptoms. Patient activation was significantly related to a broad measure of illness self-management, providing evidence for the construct validity of the patient activation measure. Our findings emphasize the importance of recovery-based mental health services that recognize level of patient activation as a potential factor in consumer outcomes.
    Full-text · Article · Apr 2013 · The Journal of nervous and mental disease
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