# 정신장애인의 회복측정도구 개발

• Received : 2013.11.22
• Accepted : 2013.12.20
• Published : 2013.12.28
• 93 20

#### Abstract

This paper is a methodological research aimed at developing a mental disorder recovery scale (MDRS) and testing its validity and reliability. After three sessions of factor analysis, a total of three factors using an Eigen value of 1.0 or more were drawn. The explanatory power was found to be 58.1%. All the items met the criteria for communality and factor loading with no item removed, and, ultimately, 25 items were selected. Criterion-related validity test showed that Pearson's correlation coefficient was significant at .71 (p<.01) with significant correlation with each factor (p<.01). The reliability test showed that Cronbach's ${\alpha}$ coefficient was .95 and that Cronbach's ${\alpha}$ coefficient for each factor ranged from .87 to .93. MDRS, which was developed in this study and possessing 3 factors and 25 items, had both its validity and reliability confirmed; therefore, the developed scale would be useful to evaluate the recovery of individuals with mental disorder.

#### Keywords

Mental disorder;Recovery;Recovery of Mental disorder;Recovery Scale;Scale Development

#### References

1. P. E. Deegan, Recovery: The lived experience of rehabilitation. Psychiatric Rehabilitation Journal, Vol. 11, No. 4, pp. 11-19, 1988. https://doi.org/10.1037/h0099565
2. H. Henderson, From depths of despair to heights of recovery. Psychiatric Rehabilitation Journal, Vol. 28, No. 1, pp. 83-87, 2004. https://doi.org/10.2975/28.2004.85.87
3. E. Leete, How I perceive and manage my illness. Schizophrenia Bulletin, Vol. 15, No. 2, pp. 197-200, 1989. https://doi.org/10.1093/schbul/15.2.197
4. S. Mead, M. E. Copeland, What recovery means to us: Consumers' perspectives. Community Mental Health Journal, Vol. 36, No. 3, pp. 315-328, 2000. https://doi.org/10.1023/A:1001917516869
5. S. Y. Hwang, The perception of recovery: Perspectives from people with mental illness. Mental Health & Social Work, Vol. 27, pp. 28-63, 2007.
6. G. O. Song, Validation of the Korean version of the mental health recovery measure. Mental Health & Social Work, Vol. 34, pp. 154-188, 2010.
7. E. O. John, R. G. Donald, The brief psychiatric rating scale. Psychological Reports, Vol 10, pp. 799-812. 1962. https://doi.org/10.2466/pr0.1962.10.3.799
8. E. Jean, L. S. Robert, L. F. Joseph, C. Jacob, The global assessment scale: A procedure for measuring overall severity of psychiatric disturbance, Arch Gen Psychiatry, Vol 33, No. 6, pp. 766-771. 1976. https://doi.org/10.1001/archpsyc.1976.01770060086012
9. R. O. Ralph, K. Kindder, D. Phillips, Can we measure recovery? Cambridge: Human Services Research Institute, 2000.
10. G. Dickens, Mental health outcome measures in the age of recovery-based services. British Journal of Nursing, Vol. 18, No. 15, pp. 940-943, 2009. https://doi.org/10.12968/bjon.2009.18.15.43564
11. S. Essock, L. Sederer, Editorial: Understanding and measuring recovery. Schizophrenia Bulletin, Vol. 35, No. 2, pp. 279-281, 2009. https://doi.org/10.1093/schbul/sbn185
12. J. G. Yoon, A study on the attitudes toward recovery of the mentally challenged:focusing on the validation and utilization of a Korean version of the recovery attitudes questionnaire-16. Master's thesis, Catholic University, Seoul. 2012.
13. J. K. Bae, Attitude of recovery and quality of life of persons with psychiatric disabilities-Focused on scale development and model testing- Ph.D. dissertation, Keimyung University, Daegu. 2005.
14. E. O. Lee, N. Y. Lim, H. E. Park, I. S. Lee, J. I. Kim, J. I. Bae, et al, Nursing Research and Statistical Analysis. Paju: Soomoonsa, 2009.
15. S. H. Kook, C. N. Son, The development of Happy-QoL scale for assessing the quality of life in patient with schizophrenic disorder. The Korean Journal of Clinical Psychology, Vol. 21, No. 3, pp. 665-691, 2001.
16. P. Allot, L. Loganathan, B. Fulford, Discovering hope for recovery. Journal of Community Mental Health, Vol. 21, No. 3, pp. 1-22, 2002.
17. N. Jacobson, D. Greenley, What is recovery? A conceptual model and explication. Psychiatric Services, Vol. 52, No. 4, pp. 482-485, 2001. https://doi.org/10.1176/appi.ps.52.4.482
18. L. W. Jensen, T. A. Wadkins, Mental health success stories: Finding path to recovery. Issues in Mental Health Nursing, Vol. 28, pp. 325-340, 2007. https://doi.org/10.1080/01612840701244086
19. M. K. Smith, Recovery from a severe psychiatric disability: Findings of a qualitative study. Psychiatric Rehabilitation Journal, Vol. 24, No. 2, pp. 149-158, 2000. https://doi.org/10.1037/h0095105
20. M. Y. Kim, A structural model of recovery among people with mental illness. Ph.D. dissertation, Ewha Womans University, Seoul. 2011.
21. W. P. Sullivan, Along and winding road: The process of recovery from severe mental illness. Innovation & Research, Vol. 3, No. 3, pp. 19-27, 1994.
22. S. L. Young, D. S. Ensing, Exploring recovery from the perspective of people with psychiatric disabilities. Psychiatric Rehabilitation Journal, Vol. 22, No. 3, pp. 1-28, 1999.
23. K. S. Shim, S. I. Song, A study on the recognition of mental health professionals for the recovery of persons with mental disabilities. Mental Health & Social Work, Vol. 32, pp. 78-105, 2009.
24. S. H. Lee, A study on factors affecting the rehabilitation for the people with mental disorder-Focusing on the recovery factors-. Master's thesis, Catholic University, Seoul. 2010.
25. S. I. Kang, Influential Factors for the Recovery Process of People with Mental Disorder: the mediation effects of ego-identity on integration with local community. Unpublished Ph.D. dissertation, Catholic University, Seoul. 2013.
26. G. Browne, M. Hemsely, W. S. John, Consumer perspectives on recovery: A focus on housing following discharge from hospital. International Journal of Mental Health Nursing, Vol. 17, pp. 402 -409, 2008. https://doi.org/10.1111/j.1447-0349.2008.00575.x
27. P. H. Lysaker, D. Roe, P. T. Yanos, Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin, Vol. 33, No. 1, pp. 192-199, 2007.