Mental health self-management questionnaire: Development and psychometric properties.
BACKGROUND
Through self-management, people living with depression, anxiety or bipolar disorders can play an active role in their recovery. However, absence of a validated questionnaire limits empirical research on self-management. The study aimed to develop a French instrument, the Mental Health Self-Management Questionnaire (MHSQ), and to investigate its psychometric properties


METHODS
A pool of 86 items was created based on a qualitative study with 50 people in recovery from depression, anxiety or bipolar disorders. The 64 most pertinent items were identified following ratings from 14 experts. A sample of 149 people in recovery completed these items and criterion-related measures (specific aspects of self-management, clinical and personal recovery, social desirability), and 93 participants also completed MHSQ two weeks later


RESULTS
Exploratory and confirmatory factor analyses show that MHSQ is composed of three subscales: Clinical (getting help and using resources), Empowerment (building upon strengths and positive self-concept to gain control) and Vitality (active and healthy lifestyle). These subscales had satisfying consistency and test-retest reliability, and were mostly unrelated to social desirability. Correlations with criterion variables support convergent and concurrent validity, especially for Empowerment and Vitality. Comparison of structural models provides evidence of the distinct nature of MHSQ in comparison to the constructs of clinical and personal recovery


CONCLUSIONS
Longitudinal studies with larger samples are needed to explore the validity of MHSQ for predicting recovery over time


CONCLUSIONS
MHSQ is a psychometrically-sound instrument, useful for establishing the role of self-management in recovery and monitoring the efficacy of self-management support programs.
Département de psychologie, Université du Québec à Montréal, Canada.
Simon
S
Coulombe
Département de psychologie, Université du Québec à Montréal, Canada.
Stephanie
S
Radziszewski
Département de psychologie, Université du Québec à Montréal, Canada.
Sarah-Geneviève
SG
Trépanier
Faculté des sciences infirmières, Université Laval, Canada.
Hélène
H
Provencher
Département de médecine de famille et de médecine d׳urgence, Université de Sherbrooke, Canada.
Pasquale
P
Roberge
Département de médecine de famille et de médecine d׳urgence, Université de Sherbrooke, Canada.
Catherine
C
Hudon
Département de psychologie, Université du Québec à Montréal, Canada.
Sophie
S
Meunier
École de psychologie, Université Laval, Canada.
Martin D
MD
Provencher
Département de psychologie, Université du Québec à Montréal, Canada. Electronic address: houle.janie@uqam.ca.
Janie
J
Houle
D000328:Adult; D001007:Anxiety / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D011209:Power, Psychological; D011594:Psychometrics; D015203:Reproducibility of Results; D012648:Self Care / Q000379:methods* / Q000523:psychology*; D012928:Social Desirability; D011795:Surveys and Questionnaires
Common mental disorder; Personal recovery; Questionnaire; Self-management; Symptom severity; Well-being