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.

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Available from: Rickard Färdig
    • "Given the strong link between coping and illness management and recovery skills, one would expect that efficacious coping with symptoms and less passive avoidant coping would be associated with better scores on the IMRS. The Illness Management and Recovery program is currently being implemented in the Netherlands, and although English, Swedish and Hebrew versions of the IMRS have been developed and evaluated (Färdig et al., 2011a; Hasson- Ohayon et al., 2008; Salyers et al., 2007; Sklar et al., 2012), a Dutch psychometric study is currently lacking. Before using the IMRS in a Dutch population, its psychometric qualities should first be established, including how the total IMRS and underlying dimensions relate to measures of self-management and coping. "
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    ABSTRACT: Background: The Illness Management and Recovery scales (IMRS) can measure the progress of clients' illness self-management and recovery. Previous studies have examined the psychometric properties of the IMRS. Aims: This study examined the reliability and validity of the Dutch version of the IMRS. Method: Clients (n = 111) and clinicians (n = 40) completed the client and clinician versions of the IMRS, respectively. The scales were administered again 2 weeks later to assess stability over time. Validity was assessed with the Utrecht Coping List (UCL), Dutch Empowerment Scale (DES), and Brief Symptom Inventory (BSI). Results: The client and clinician versions of the IMRS had moderate internal reliability, with α = 0.69 and 0.71, respectively. The scales showed strong test-retest reliability, r = 0.79, for the client version and r = 0.86 for the clinician version. Correlations between client and clinician versions ranged from r = 0.37 to 0.69 for the total and subscales. We also found relationships in expected directions between the client IMRS and UCL, DES and BSI, which supports validity of the Dutch version of the IMRS. Conclusions: The Dutch version of the IMRS demonstrated good reliability and validity. The IMRS could be useful for Dutch-speaking programs interested in evaluating client progress on illness self-management and recovery.
    No preview · Article · Jan 2016 · Journal of Mental Health
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    • "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. "
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    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.
    Full-text · Article · Jul 2014 · Community Mental Health Journal
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    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 for revised estimates.
    Full-text · Article · Jan 2013 · Annual Review of Clinical Psychology
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