Measuring personal recovery – psychometric properties of the Swedish Questionnaire about the Process of Recovery (QPR-Swe)
Abstract
BACKGROUND: Personal recovery, defined as an individual process towards meaning, is an important target within mental health services. Measuring recovery hence requires reliable and valid measures. The Process of Recovery Questionnaire (QPR) was developed for that purpose. AIMS: The aim was to develop a Swedish version of the QPR (QPR-Swe) and explore its psychometric properties in terms of factor structure, internal consistency, construct validity and sensitivity to change. METHODS: A total of 226 participants entered the study. The factor structure was investigated by Principal Component Analysis and Scree plot. Construct validity was addressed in terms of convergent validity against indicators of self-mastery, self-esteem, quality of life and self-rated health. RESULTS: A one-factor solution of QPR-Swe received better support than a two-factor solution. Good internal consistency was indicated, α = 0.92, and construct validity was satisfactory. The QPR-Swe showed preliminary sensitivity to change. CONCLUSIONS: The QPR-Swe showed promising initial psychometric properties in terms of internal consistency, convergent validity and sensitivity to change. The QPR-Swe is recommended for use in research and clinical contexts to assess personal recovery among people with mental illness.
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QPR-Swe 16-item one-factor Swedish version has good internal consistency and satisfactory construct validity.
“For this study the QPR-Swe was used, which is a 16-item one-factor version in the Swedish language with good internal consistency and satisfactory construct validity [36].”
From Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data (2020) · cites this paper as [36]
Although the Swedish version of QPR has shown sensitivity to change, only the English version has been tested for test-retest stability, which may be seen as a limitation of this study.
“Firstly, it should be mentioned that although the Swedish version of QPR has shown sensitivity to change [36], only the English version has been tested for test-retest stability [34], which may be seen as a limitation of this study.”
From Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data (2020) · cites this paper as [36]
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Health Measurement Scales: A Practical Guide to Their Development and Use
Streiner, D. L., Norman, G. R., & Cairney, J. (1989) · Cited by 9,595 · see citing works
Pearlin, L. I., & Schooler, C. (1978) · Journal of Health and Social Behavior · doi:10.2307/2136319 · Cited by 7,791 · cited 1× · see citing works
“The Swedish version Mastery-S (28) of the Pearlin Mastery Scale (29) was used in the present study.”
MethodRecovery from mental illness: the guiding vision of the mental health service system in the 1990s
Anthony, W. A. (1993) · Psychosocial Rehabilitation Journal · doi:10.1037/h0095655 · Cited by 3,700 · see citing works
Leamy, M., Bird, V., Boutillier, C. L., Williams, J., & Slade, M. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.083733 · Cited by 3,038 · see citing works
Streiner, D. L., & Norman, G. R. (2008) · doi:10.1093/acprof:oso/9780199231881.001.0001 · Cited by 2,631 · see citing works
Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)
Priebe, S., Huxley, P., Knight, S., & Evans, S. (1999) · International Journal of Social Psychiatry · doi:10.1177/002076409904500102 · Cited by 1,071 · see citing works
Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems
Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., Perkins, R., Shepherd, G., Tse, S., & Whitley, R. (2014) · World Psychiatry · doi:10.1002/wps.20084 · Cited by 949 · see citing works
Just one question: If one question works, why ask several?
Bowling, A. (2005) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2004.021204 · Cited by 867 · see citing works
Examining the Factor Structure of the Recovery Assessment Scale
Corrigan, P. W., Salzer, M. S., Ralph, R. O., Sangster, Y., & Keck, L. (2004) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007118 · Cited by 615 · see citing works
Sinclair, S. J., Blais, M. A., Gansler, D. A., Sandberg, E. H., Bistis, K., & LoCicero, A. (2010) · Evaluation & the Health Professions · doi:10.1177/0163278709356187 · Cited by 607 · see citing works
Boutillier, C. L., Leamy, M. C., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011) · Psychiatric Services · doi:10.1176/appi.ps.001312011 · Cited by 481 · see citing works
Living outside mental illness: qualitative studies of recovery in schizophrenia
Davidson, L. (2004) · Choice Reviews Online · doi:10.5860/choice.41-3110 · Cited by 462 · see citing works
Neil, S. T., Kilbride, M., Pitt, L., Nothard, S., Welford, M., Sellwood, W., & Morrison, A. P. (2009) · Psychosis · doi:10.1080/17522430902913450 · Cited by 362 · see citing works
Self-citationOliver, J., Huxley, P. J., Priebe, S., & Kaiser, W. (1997) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788924 · Cited by 331 · see citing works
Davidson, L. (2016) · Health Affairs · doi:10.1377/hlthaff.2016.0153 · Cited by 271 · see citing works
Bird, V. J., Leamy, M. C., Tew, J., Boutillier, C. L., Williams, J., & Slade, M. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867413520046 · Cited by 257 · see citing works
Measures of Personal Recovery: A Systematic Review
Shanks, V., Williams, J., Leamy, M., Bird, V. J., Le Boutillier, C., & Slade, M. (2013) · Psychiatric Services · doi:10.1176/appi.ps.005012012 · Cited by 252 · see citing works
An Exploratory Analysis of Correlates of Recovery
Resnick, S. G., Rosenheck, R. A., & Lehman, A. F. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.5.540 · Cited by 251 · cited 1× · see citing works
“ing increased quality of life (8) and taking control of one’s life (9,10).”
BackgroundResearching recovery from psychosis: a user-led project
Pitt, L., Kilbride, M., Nothard, S., Welford, M., & Morrison, A. P. (2007) · Psychiatric Bulletin · doi:10.1192/pb.bp.105.008532 · Cited by 228 · see citing works
Björkman, T., & Svensson, B. (2005) · Nordic Journal of Psychiatry · doi:10.1080/08039480500213733 · Cited by 216 · see citing works
Do clinical outcome measures assess consumer-defined recovery?
Andresen, R., Caputi, P., & Oades, L. G. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.02.013 · Cited by 213 · see citing works
Creating a recovery-oriented system of behavioral health care: Moving from concept to reality.
Davidson, L., Tondora, J., O’Connell, M. J., Kirk, T., Rockholz, P., & Evans, A. C. (2007) · Psychiatric Rehabilitation Journal · doi:10.2975/31.1.2007.23.31 · Cited by 206 · see citing works
The mathematical relationship among different forms of responsiveness coefficients
Gr, N., Wyrwich, K. W., & Patrick, D. L. (2007) · Quality of Life Research · doi:10.1007/s11136-007-9180-x · Cited by 175 · see citing works
Psychometric properties of the Questionnaire about the Process of Recovery (QPR)
Law, H., Neil, S. T., Dunn, G., & Morrison, A. P. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.04.011 · Cited by 172 · see citing works
Self-citationAssessing sensitivity to change: choosing the appropriate change coefficient
Stratford, P. W., & Riddle, D. L. (2005) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-3-23 · Cited by 158 · see citing works
The relationship between clinical and recovery dimensions of outcome in mental health
Macpherson, R., Pesola, F., Leamy, M. C., Bird, V. J., Boutillier, C. L., Williams, J., & Slade, M. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.10.031 · Cited by 107 · see citing works
Eklund, M., Erlandsson, L., & Hagell, P. (2012) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2012.656701 · Cited by 91 · see citing works
Self-citationSlade, M., Bird, V. J., Boutillier, C. L., Williams, J., McCrone, P., & Leamy, M. C. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-185 · Cited by 88 · see citing works
Psychometric evaluation of the Questionnaire about the Process of Recovery (QPR)
Williams, J., Leamy, M. C., Pesola, F., Bird, V. J., Boutillier, C. L., & Slade, M. (2015) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.161695 · Cited by 81 · see citing works
Kukla, M., Lysaker, P. H., & Roe, D. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.04.022 · Cited by 59 · see citing works
Psychometrics of the Recovery Process Inventory
Jerrell, J. M., Cousins, V. C., & Roberts, K. (2006) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-006-9031-5 · Cited by 55 · see citing works
Patients’ subjective perspective on recovery orientation on an acute psychiatric unit
Jaeger, M., Konrad, A., Rüegg, S., & Rabenschlag, F. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2014.959561 · Cited by 16 · see citing works
Meanings Turkish people perceive in everyday occupations: Factor structure of Turkish OVal ‐pd
Cicerali, L. K., Cicerali, E., & Eklund, M. (2014) · International Journal of Psychology · doi:10.1002/ijop.12078 · Cited by 7 · see citing works
Self-citation
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Hong, Z., & Wibowo, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.707803 · Cited by 59 · see citing works
Thorell, L. B., Holst, Y., & Sjöwall, D. (2019) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2019.1646804 · Cited by 58 · see citing works
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Eklund, M., Bäckström, M., & Hansson, L. I. (2018) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2018.1457177 · Cited by 55 · see citing works
Self-citationEklund, M., Argentzell, E., Bejerholm, U., Tjörnstrand, C., & Brunt, D. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1472-2 · Cited by 35 · see citing works
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İpçi, K., Yıldız, M., İncedere, A., Kiras, F., Esen, D., & Gürcan, M. B. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00616-5 · Cited by 33 · see citing works
Kraiss, J. T., ten Klooster, P. M., Chrispijn, M., Stevens, A. W. M. M., Kupka, R., & Bohlmeijer, E. T. (2019) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2371 · Cited by 29 · see citing works
Lim, M., Li, Z., Xie, H., Tan, B. L., & Lee, J. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2238-9 · Cited by 28 · see citing works
Kanehara, A., Kotake, R., Miyamoto, Y., Kumakura, Y., Morita, K., Ishiura, T., Shimizu, K., Fujieda, Y., Ando, S., Kondo, S., et al. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1520-y · Cited by 23 · see citing works
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Svensson, M., Nilsson, T., Johansson, H., Viborg, G., Perrin, S., & Sandell, R. (2019) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2018.1554699 · Cited by 16 · see citing works
Eklund, M., & Tjörnstrand, C. (2020) · Journal of Occupational Science · doi:10.1080/14427591.2019.1620121 · Cited by 14 · see citing works
Self-citationGoodman‐Casanova, J. M., Cuesta‐Lozano, D., Garcia‐Gallardo, M., Duran‐Jimenez, F. J., Mayoral, F., & Parra, J. G. (2022) · International Journal of Mental Health Nursing · doi:10.1111/inm.12985 · Cited by 14 · see citing works
Eklund, M., Lund, K., & Argentzell, E. (2023) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2023.2184717 · Cited by 8 · see citing works
Self-citationGoodman‐Casanova, J. M., Cuesta‐Lozano, D., Alupoaei, C., Grasa, E., Herrera-Imbroda, J., Mayoral, F., & Parra, J. G. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1178341 · Cited by 8 · see citing works
Gudmundsson, M., Pálsdóttir, A. M., Bejerholm, U., & Argentzell, E. (2025) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2025.2483736 · Cited by 9 · see citing works
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Elhilali, L., Burr, C. M., Rabenschlag, F., Zuaboni, G., Eissler, C., & Richter, D. (2022) · International Journal of Mental Health Nursing · doi:10.1111/inm.13083 · Cited by 5 · see citing works
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Self-citation
- Authors
- Argentzell, E., Hultqvist, J., Neil, S., & Eklund, M.
- Affiliations
- Lund University (SE)
- Department of Clinical Psychology, Cromwell House Community Mental Health Team, Greater Manchester West NHS Foundation Trust, Manchester, UK
- Corresponding author
- Eklund, Mona
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2017-07-11
- Volume
- 71
- Issue
- 7
- Pages
- 529-535
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2734495128
- Cited by
- 37
- References
- 36
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 8 · 2018: 1 · 2017: 2
- FWCI
- 5.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Vetenskapsrådet (K2014-99X-20067-09-4)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- personal recovery, Swedish adaptation, psychometric properties, factor structure, construct validity, convergent validity, sensitivity to change, mental illness, self-control, self-esteem, quality of life, self-rated health
- MeSH terms
- Mental Health Recovery, Adult, Mental Disorders, Female, Health Status, Humans, Life Style, Male, Middle Aged, Occupational Therapy, Psychometrics, Quality of Life, Surveys and Questionnaires, Self Concept, Sweden, Reproducibility of Results, Self Efficacy, Young Adult
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