Core Dimensions of Recovery: A Psychometric Analysis

• Published in: Administration and policy in mental health and mental health services research 2014-07, Vol.41 (4), p.535-542
• Main Authors: Gordon, Sarah E., Ellis, Pete M., Siegert, Richard J., Walkey, Frank H.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Classification; Clinical Psychology; Consumers; Empowerment; Female; Health Administration; Health Informatics; Health Status; Humans; Interpersonal Relations; Male; Medicine; Medicine & Public Health; Mental disorders; Mental Disorders - psychology; Mental Disorders - rehabilitation; Mental Health; Middle Aged; Original Article; Patient Outcome Assessment; Patient Satisfaction; Power (Psychology); Psychiatry; Psychometrics; Public Health; Quality of Life; Quantitative psychology; Recovery; Recovery of Function; Social Participation; Spirituality; Surveys and Questionnaires; Taxonomy; Young Adult
• ISSN: 0894-587X; 1573-3289
• DOI: 10.1007/s10488-013-0489-1

Core recovery dimensions lie between the large general factor of recovery and its underlying components. Identifying these could enhance recovery frameworks, practice and research. In contrast to existing conceptually based taxonomies, we sought to empirically identify the core dimensions of recovery through further psychometric analysis of a robust eleven factor (sub-scale) consumer recovery outcome measure, My Voice, My Life. We subjected the sub-scale scores of 504 consumers to further principal components analyses, beginning with a single unrotated factor and progressing through two to nine factors with varimax rotation. We found the five-factor solution to provide an orderly intermediate configuration with the eleven recovery factors having either aligned and/or disengaged through the process to result in the following core dimensions: (1) Belonging and relating (encompassing the individual factors of spirituality, culture, and relationships); (2) Being and doing (encompassing the individual factors of physical health, day-to-day life, and quality of life); (3) Thinking and feeling (encompassing the individual factors of recovery, mental health, and hope and empowerment); (4) Resources (which maintained its independence); and (5) Satisfaction with Services (which also maintained its independence). We compare this empirical configuration with conceptually based taxonomies.