Scalability, test–retest reliability and validity of the Brief INSPIRE-O measure of personal recovery in psychiatric services

IntroductionMental health services have transitioned from treating symptoms to emphasizing personal recovery. Despite its importance, integrating personal recovery into clinical practice remains work in progress. This study evaluates the psychometric qualities of the Brief INSPIRE-O, a five-item patient-reported outcome measure assessing personal recovery.MethodThe study collected data from 2018 to 2020 at the Mental Health Services, Capital Region of Denmark, using an internet-based system examining 8,192 non-psychotic patients – receiving outpatient treatment.MaterialsThis study evaluated the Brief INSPIRE-O and used measures of symptomatology (SCL-10), well-being (WHO-5), and social functioning (modified SDS).ResultsThe study population comprised 76.8% females with a mean age of 32.9 years, and diagnoses included anxiety (28%), depression (34%), and personality disorder (19%). The mean Brief INSPIRE-O score (39.9) was lower than the general population norm (71.1). The Brief INSPIRE-O showed acceptable test–retest reliability (0.75), scalability (0.39), and internal consistency (0.73). Correlations with other mental health criteria were in the expected direction for symptomatology (−0.46), well-being (0.60), and social functioning (−0.43) and remained consistent across diagnoses.DiscussionThe Brief INSPIRE-O demonstrated strong psychometric qualities and could be recommended as a measure of personal recovery for use in both research and clinical practice. Its strong theoretical basis and short completion time make it suitable for use for research. Incorporating Brief INSPIRE-O into clinical assessment will further support the process of mental health systems re-orientating towards personal recovery

Scalability, test–retest reliability and validity of the Brief INSPIRE-O measure of personal recovery in psychiatric services

Introduction: Mental health services have transitioned from treating symptoms to emphasizing personal recovery. Despite its importance, integrating personal recovery into clinical practice remains work in progress. This study evaluates the psychometric qualities of the Brief INSPIRE-O, a five-item patient-reported outcome measure assessing personal recovery.Method: The study collected data from 2018 to 2020 at the Mental Health Services, Capital Region of Denmark, using an internet-based system examining 8,192 non-psychotic patients – receiving outpatient treatment.Materials: This study evaluated the Brief INSPIRE-O and used measures of symptomatology (SCL-10), well-being (WHO-5), and social functioning (modified SDS).Results: The study population comprised 76.8% females with a mean age of 32.9 years, and diagnoses included anxiety (28%), depression (34%), and personality disorder (19%). The mean Brief INSPIRE-O score (39.9) was lower than the general population norm (71.1). The Brief INSPIRE-O showed acceptable test–retest reliability (0.75), scalability (0.39), and internal consistency (0.73). Correlations with other mental health criteria were in the expected direction for symptomatology (−0.46), well-being (0.60), and social functioning (−0.43) and remained consistent across diagnoses.Discussion: The Brief INSPIRE-O demonstrated strong psychometric qualities and could be recommended as a measure of personal recovery for use in both research and clinical practice. Its strong theoretical basis and short completion time make it suitable for use for research. Incorporating Brief INSPIRE-O into clinical assessment will further support the process of mental health systems re-orientating towards personal recovery

Snapping Out of It: How a Wearable for Self-Tracking Assisted Psychotherapy Bridges the Gap Between Thoughts and the World

This case study explores the use of the One Button Tracker (OBT), a wearable self-tracking instrument, by a refugee diagnosed with complex PTSD, in personalized self-tracking assisted psychotherapy. The OBT differs from traditional mHealth methods, which typically rely on predefined tracking parameters, by empowering the patient to focus on their own subjective experiences of phenomena selected during treatment. This approach fosters patient-therapist collaboration, tailoring the therapeutic process to individual needs. Here, the patient chose to track flashbacks, a grounding intervention, and anger experiences. Findings reveal a multifaceted relationship between the patient and the instrument, underscoring the instrument’s significance in supporting the therapeutic process. The patient’s consistent engagement with the OBT, demonstrates its ability to bridge the gap between daily life and psychotherapy. This study underscores the relevance of integrating personalized self-tracking in therapy demonstrating that such instruments can serve multiple roles, from data collection to therapeutic companions in patients’ lives

Validation of the Danish Version of Perseverative Thinking Questionnaire (PTQ) – Introducing the PTQ Short Version

Abstract: Introduction: The Perseverative Thinking Questionnaire (PTQ) measures repetitive negative thinking and has been translated and validated in several countries. However, the PTQ has not been translated and validated in a Danish clinical sample. The aim of this paper was to evaluate the psychometric properties of the PTQ in a Danish clinical population and to introduce a shorter, 9-item version of the PTQ, the PTQ-9. Methods: Participants were recruited from a multicenter randomized clinical trial (N = 251). They all completed the PTQ and World Health Organization 5-item Wellbeing Index (WHO-5). Participants were further assessed with the 6-item Hamilton Anxiety Rating Scale (HAM-A6) and the 6-item Hamilton Depression Rating Scale (HAM-D6). Results: The 2nd order factor model with one higher order general factor and three lower order factors showed the best model fit for the PTQ and the PTQ-9. Both versions showed good internal consistency and the expected correlations with the constructs used for validation. Furthermore, using WHO-5 as primary outcome, both the PTQ and PTQ-9 versions were able to discriminate between treatment responders and nonresponders. Conclusion: The PTQ and the PTQ-9 showed satisfying psychometric properties in a Danish clinical sample, including sensitivity to change, and could be used to evaluate psychotherapeutic treatment. To minimize the burden for the patients, the PTQ-9 may be recommended for clinical use over the PTQ

Clinical assessment of ICD-11 PTSD and complex PTSD using the internationaltrauma interview (ITI)

The 11th revision of the International Classification of Diseases (ICD-11) includes a new diagnosis of complex posttraumatic stress disorder (CPTSD) which encompasses symptoms of posttraumatic stress disorder (PTSD) and disturbances in self-organization (DSO). As CPTSD is a new diagnostic category, there is a significant lack of valid tools for the clinical assessment of CPTSD symptoms. A semi-structured International Trauma Interview (ITI) is a promising novel tool for the thorough clinical assessment of a new diagnostic category of complex PTSD that could be used in everyday clinical practice and research. Studies in different countries and samples are highly needed for the investigation of the validity of the ITI. In this symposium, an overview of the development of the ITI, as well as results from validation studies in different countries and samples will be presented. We will also discuss some challenges associated with administering the ITI interview in various settings