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Empowerment With Psychotic Symptoms Scale (EWPSS): Exploratory Study of the Scale's Psychometric Properties

Published online by Cambridge University Press:  23 March 2020

M.J. Martins
Affiliation:
Faculty of Psychology and Educational Sciences of the University of Coimbra, Cognitive and Behavioural Center for Research and Intervention, Coimbra, Portugal Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal
C. Carvalho
Affiliation:
Faculty of Psychology and Educational Sciences of the University of Coimbra, Cognitive and Behavioural Center for Research and Intervention, Coimbra, Portugal University of Azores, Department of Educational Sciences, Ilha São Miguel, Portugal
P. Castilho
Affiliation:
Faculty of Psychology and Educational Sciences of the University of Coimbra, Cognitive and Behavioural Center for Research and Intervention, Coimbra, Portugal
A.T. Pereira
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal
J. Gonçalves
Affiliation:
University of Coimbra, Faculty of Psychology and Educational Sciences, Coimbra, Portugal
R. Guiomar
Affiliation:
University of Coimbra, Faculty of Psychology and Educational Sciences, Coimbra, Portugal
A.M. Pinto
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal
C. Marques
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal
D. Carreiras
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal University of Coimbra, Faculty of Psychology and Educational Sciences, Coimbra, Portugal
M. Bajouco
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal
A. Macedo
Affiliation:
Faculty of Medicine of the University of Coimbra, Psychological Medicine Department, Coimbra, Portugal

Abstract

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Background

Empowerment has been defined as the ability to act autonomously, the willingness to take risks and being aware of responsibility. The importance of this construct in psychosis has been emphasized by recovery models. An integrant part of the Clinical Interview for Psychotic Disorders (CIPD), the EWPSS is a visual analog scale in which the participants assess their sense of empowerment regarding symptoms (delusions, hallucinations, negative symptoms and disorganization). EWPSS focuses on personal empowerment (self-worth and self-efficacy) as it could apply to symptoms.

Aims

To preliminarily assess the psychometric properties of the EWPSS in a sample of participants with psychosis.

Methods

The sample comprised 22 participants (68.2% male), 72.7% single, 50% employed, between 19 and 47 years old (M = 31.05; SD = 7.088), with 4–17 years of education (M = 11.77; SD = 3.176). The most prevalent diagnosis was schizophrenia (68.2%) and the participants had a mean of 1.90 hospitalizations (SD = 2.548). The participants were assessed with the CIPD (EWPSS) and Depression, Anxiety and Stress Scales-21.

Results

EWPSS has shown acceptable reliability for all dimensions (with alphas ranging between .54 and .78). Empowerment with delusions was associated with the other dimensions, excepting for empowerment with negative symptoms (which in turn was not associated significantly with any dimension). Empowerment regarding hallucinations and with disorganization were only associated with empowerment with delusions, which was also associated with anxiety symptoms (r = –.52, P = .016).

Conclusions

The EWPSS presented adequate reliability and validity. Further studies intended to explore the factorial structure of the EWPSS are under development.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Schizophrenia and Other Psychotic Disorders–Part 4
Copyright
Copyright © European Psychiatric Association 2017
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