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An Assessment of the 10-Item Mental Health Recovery Measure in a Predominantly African American Sample of Adults with Serious Mental Illness

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Abstract

Study objectives were to 1) assess the reliability and validity of the 10-item Mental Health Recovery Measure (MHRM-10) in sample of predominately African American participants with serious mental illness, and 2) evaluate differences in MHRM-10 scores between the present sample and two other samples of persons with serious mental illness with different racial compositions. Participants included 230 adults (85.7% African American) with chart diagnoses of schizophrenia-spectrum, bipolar-spectrum, and major depressive disorders receiving services from community mental health centers in Detroit, Michigan. In addition to the MHRM-10, participants completed measures of psychological symptoms (Brief Symptom Inventory (BSI)- General Severity Index (GSI) and depression subscale), well-being (12-Item World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0), and stress-related growth (Stress-Related Growth Scale – Short Form; SRGS-SF). Internal consistency and convergent validity of the MHRM-10 were examined. Differences in MHRM-10 scores between the present sample and other samples were characterized by effect sizes. The MHRM-10 demonstrated excellent internal consistency. Evidence for convergent validity of the MHRM-10 included moderate correlations with the BSI-GSI, BSI-depression subscale, SRGS-SF, and WHODAS 2.0. The present sample of predominately African American participants showed higher MHRM-10 scores than two other samples with smaller proportions of African American participants. The MHRM-10 demonstrates excellent internal consistency and good convergent validity among African Americans with serious mental illness. Although findings are promising, studies should further assess the psychometric properties of the MHRM-10 in African American samples. Additional research that examines racial differences in mental health recovery is needed.

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Acknowledgements

The authors are grateful for the support of staff and leadership at Central City Integrated Health, Development Centers, Inc., and New Center. The authors appreciate the contributions of Kate Dykhuis and Monika Sata to study management and the assistance of various graduate and undergraduate student research assistants.

Funding

This research was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under Award Number R15MD010214. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Psychology, University of Detroit Mercy, Reno Hall, 4001 W. McNichols, Detroit, MI, 48221, USA

    Rebecca L. Weber & Kristen M. Abraham

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  1. Rebecca L. Weber
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  2. Kristen M. Abraham
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Correspondence to Kristen M. Abraham.

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The authors have no relevant financial or non-financial interests to disclose. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

Ethics Approval

The study was approved by the Institutional Review Board at the University of Detroit Mercy. All human participants were screened for the capacity to give consent and subsequently provided written informed consent prior to participating in the study.

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The authors have no known conflict of interest to disclose.

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Weber, R.L., Abraham, K.M. An Assessment of the 10-Item Mental Health Recovery Measure in a Predominantly African American Sample of Adults with Serious Mental Illness. Psychiatr Q 93, 849–860 (2022). https://doi.org/10.1007/s11126-022-09995-2

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