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[Caiada et al., 2026] - Measuring intimate relationship self-stigma in serious mental illness: scale development and validation

Fri, 02 Jan 2026 00:00:00 +0000

Auteurs

Meryl Caiada, Antoinette Prouteau, Simon Felix, Sarah Guionnet, Justin Lamontagne, Emma Tison, Kevin-Marc Valery, Luc Vigneault, Tania Lecomte

Résumé de l’article

Individuals living with serious mental illness (SMI) face pervasive stigma, with damaging effects on their intimate lives. Although evidence suggests individuals might endorse stereotypes about their romantic relationships, no tool has addressed self-stigma in this domain. This study aimed to develop and validate the Intimate Relationship Self-Stigma Scale (IRSS), specifically, to determine its structural and construct validity, as well as the internal consistency and test-retest reliability. This instrument was co-constructed with peer support workers living with SMI. Using a bipolar semantic differential format, the IRSS captures both self-stigmatizing beliefs and positive self-perceptions. Items were generated through focus groups and literature review. Participants with SMI (N = 150) completed the IRSS online, along with measures of internalized stigma, self-esteem, and romantic functioning. Exploratory factor analyses supported a four-factor structure-Disclosure Effects, Self-Attractiveness, Stability, and Intimacy Needs-explaining 48.6% of the variance. Subscales demonstrated satisfactory internal consistency (ω = .69-.87), test-retest reliability (ICC = .79-.93), and expected correlations with related constructs. The IRSS fills a critical gap in recovery-oriented mental health care by providing a comprehensive assessment of internalized stigma in romantic contexts while simultaneously capturing positive self-perceptions. Further validation, including confirmatory factor analyses and cross-cultural validity, is warranted.

Référence complète

Meryl Caiada, Antoinette Prouteau, Simon Felix, Sarah Guionnet, Justin Lamontagne, Emma Tison, Kevin-Marc Valery, Luc Vigneault, Tania Lecomte (2026). Measuring intimate relationship self-stigma in serious mental illness: scale development and validation. Journal of Mental Health. https://doi.org/10.1080/09638237.2025.2595604

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Journal


Journal	Journal of Mental Health
H-index	112
Impact Factor (2 ans)	2.09
Scimago	Voir la fiche

[Valery et al., 2025] - Quelles compétences professionnelles et pratiques utiles devrait-on retrouver chez les soignants en santé mentale : une étude en méthode mixte dirigée par des usagers

Mon, 01 Dec 2025 00:00:00 +0000

Auteurs

Résumé de l’article

The Clubhouse Bordeaux initiative, a community of individuals with direct experience of mental health services, decided to identify and examine positive experiences in order to enhance the provision of care that aligns with the preferences of service users. The aim of this study was twofold: firstly, to identify the professional practices and skills that mental health service users consider to be useful, and secondly, to assess the relative importance of these practices and skills in terms of frequency of occurrence. A survey was conducted online with the objective of gathering information from psychiatric service users in France. The content of the survey was developed through a participatory, user-led study approach. A total of 128 users participated in the survey. Ten practices, such as user involvement in decision-making, accurate diagnosis, person-centered support, and clear information about care, were identified as useful. Similarly, ten professional skills, including trust, empathy, honesty, transmission of hope, and belief in the potential for recovery, were also considered beneficial. However, it was observed that few service users reported frequently benefiting from these practices and skills. The results indicate that service users seek professionals who are both experts in providing support and trusted equals who facilitate their empowerment. Implementing these practices and skills in clinical practice could better align with the preferences expressed by service users.

Référence complète

Kevin-Marc Valery, Sarah Guionnet, Pauline Boivert, Julien Bonilla-Guerreo, Meryl Caiada, Jean-Marc Destaillats, Simon Felix, Thomas Fournier, Emma Tison, Louis Violeau, Pascal-André Berrier, Antoinette Prouteau (2025). Quelles compétences professionnelles et pratiques utiles devrait-on retrouver chez les soignants en santé mentale : une étude en méthode mixte dirigée par des usagers. L’Encéphale. https://doi.org/10.1016/j.encep.2024.12.006

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Journal	L Encéphale
H-index	57
Impact Factor (2 ans)	0.85
Scimago	Voir la fiche

[Valery et al., 2025] - The Power of Beliefs in Recovery-Oriented Practice: A Brief Report from the STIGMAPRO Survey

Tue, 07 Jan 2025 00:00:00 +0000

Auteurs

Kevin-Marc Valery, Simon Felix, Meryl Caiada, Thomas Fournier, Sarah Guionnet, Adrien Seguela, Emma Tison, Louis Violeau, Antoinette Prouteau

Résumé de l’article

Despite the international incentives and the worldwide development of recovery-oriented policies, it has proven challenging to establish recovery-oriented mental health services that take into account users’ subjectivity and perspectives (Slade et al., World Psychiatry 13(1):12-20, 2014. https://doi.org/10.1002/wps.20084 ). The objective of this study was to identify individual beliefs that are correlated with six recovery-oriented practices in schizophrenia among mental health professionals. Seven individual beliefs were examined for their association with each of the aforementioned practices: belief in recovery possibilities, biological beliefs, desire for social distance, perceived similarities, professional utility beliefs, continuum beliefs, and categorical beliefs. The results indicated that belief in the possibility of recovery from schizophrenia and professional efficacy beliefs were the most strongly associated with the six recovery-oriented practices examined. Conversely, there was a negative association between stigma score (desire for social distance) and the six recovery-oriented practices. The remaining four beliefs-biological, perceived similarity, categorical, and continuum-were found to be more weakly associated with recovery-oriented practices. In light of these findings, it is evident that mental health professionals’ individual beliefs warrant further consideration in research endeavors aimed at fostering and facilitating the implementation of recovery-oriented practices.

Référence complète

Kevin-Marc Valery, Simon Felix, Meryl Caiada, Thomas Fournier, Sarah Guionnet, Adrien Seguela, Emma Tison, Louis Violeau, Antoinette Prouteau (2025). The Power of Beliefs in Recovery-Oriented Practice: A Brief Report from the STIGMAPRO Survey. Community Mental Health Journal. https://doi.org/10.1007/s10597-024-01437-6

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Journal


Journal	Community Mental Health Journal
H-index	116
Impact Factor (2 ans)	1.47
Scimago	Voir la fiche

[Caiada et al., 2025] - Stigmatizing intimate relationships in schizophrenia: a study comparing mental health professionals, health students and the general population

Thu, 02 Jan 2025 00:00:00 +0000

Auteurs

Meryl Caiada, Kevin-Marc Valery, Simon Felix, Sarah Guionnet, Emma Tison, Maxime Gonin, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Nicolas Pillaud, Antoinette Prouteau

Résumé de l’article

Discrimination in intimate relationships (IR) is frequently reported among persons with schizophrenia. Despite ongoing effort of international organizations to combat mental illness stigma, there remain a limited understanding of specific IR-related stereotypes. The study aimed to i) identify the stereotypes related to IR of persons with schizophrenia held by Mental Health Professionals (MHP), health students and the general population, and ii) explore the effects of several factors associated with these stereotypes. This study used a mixed-methods approach. A survey developed collaboratively with persons with lived experience of mental health conditions (PWLE) was disseminated among MHP, health students and the general population. The majority of the nine IR-related stereotypes previously identified by PWLE were endorsed by the participants (N = 532). PWLE were perceived as particularly incompetent in the domain of IR (e.g. to achieve couple project). Stereotypes endorsement varied among the groups. Continuum beliefs, perceived similarities and recovery beliefs were negatively associated with stereotype endorsement. The general population, MHP and health students endorsed several stereotypes regarding IR of persons with schizophrenia. The results provide support for the role of theoretical beliefs in IR stigmatization, suggesting they may be relevant targets for evidence-based stigma reduction programs.

Référence complète

Meryl Caiada, Kevin-Marc Valery, Simon Felix, Sarah Guionnet, Emma Tison, Maxime Gonin, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Nicolas Pillaud, Antoinette Prouteau (2025). Stigmatizing intimate relationships in schizophrenia: a study comparing mental health professionals, health students and the general population. Journal of Mental Health. https://doi.org/10.1080/09638237.2024.2390378

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Journal


Journal	Journal of Mental Health
H-index	112
Impact Factor (2 ans)	2.09
Scimago	Voir la fiche

[Felix et al., 2024] - Personal recovery self-report outcome measures in serious mental illness: A systematic review of measurement properties

Thu, 01 Aug 2024 00:00:00 +0000

Auteurs

Simon Felix, Kevin-Marc Valery, Meryl Caiada, Sarah Guionnet, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Antoinette Prouteau

Résumé de l’article

Personal recovery represents a paradigm shift in mental healthcare. Validated self-report outcome measures (PROMs) are needed to facilitate the transformation towards recovery-oriented practices and services. Objectives were to identify published measures and analyze their measurement properties using a standardized methodology. Following the COSMIN guidelines, we conducted a systematic review of personal recovery PROMs in serious mental illness. The MEDLINE, PMC, PsycINFO, PsycARTICLES, PBSC and Scopus electronic databases were searched for articles published between May 2012 and February 2024. Full-text articles from a previous systematic review were also examined. 91 studies were included in the review, describing 25 PROMs. Ten of them had not been identified in previous reviews. Quality of evidence was globally poor for most PROM measurement properties. Very little evidence was found for cross-cultural validity, measurement invariance, measurement error and criterion validity. The Recovery Assessment Scale and Questionnaire about the Process of Recovery showed the strongest evidence for sufficient psychometric data on a wide range of measurement properties. Several personal recovery measures are now available. While research is still needed to enhance their validity on some psychometric properties, the current tools appear sufficient to cover most research and clinical needs.

Référence complète

Simon Felix, Kevin-Marc Valery, Meryl Caiada, Sarah Guionnet, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Antoinette Prouteau (2024). Personal recovery self-report outcome measures in serious mental illness: A systematic review of measurement properties. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2024.102459

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Journal	Clinical Psychology Review
H-index	334
Impact Factor (2 ans)	6.65
Scimago	Voir la fiche

[Munuera et al., 2024] - Characterizing personal recovery in severe mental illness: French psychometric validation of the Questionnaire about the Process of Recovery (QPR-Fr).

Sat, 01 Jun 2024 00:00:00 +0000

Auteurs

Caroline Munuera, Simon Felix, Antoinette Prouteau, Meryl Caiada, Sarah Guionnet, Kévin-Marc Valéry, Yoann Fombouchet, Sébastien Gard, François Chevrier, Isabelle Minois, Katia M’bailara

Résumé de l’article

The support of the personal recovery of people with lived experience of mental illness is a major issue in clinical practice. Thus, a valid instrument to assess personal recovery is needed. The present study aimed to validate the French translation of the 22-item Questionnaire about the Process of Recovery (QPR-Fr). A convenience sample of 222 participants reporting a severe mental illness diagnosis was recruited online. Psychometric properties of the QPR-Fr were evaluated. A confirmatory factor analysis was conducted for structural validity. Internal consistency and test-retest reliability were assessed. To test for convergent validity, we conducted multiple linear regression analysis to explore the QPR-Fr associations with psychological distress and the CHIME framework (with Connectedness, Hope and optimism about the future, Identity, Meaning in life, and Empowerment) proxy measures (perceived social support, hope, self-esteem, quality of life, and empowerment). An adequate fit was found for a 19-item unidimensional factor structure. Internal consistency was excellent. Test reliability was good. The QPR-Fr total score was significantly positively associated with quality of life, hope, self-esteem, and social support satisfaction and negatively associated with psychological distress. No significant association was found with social support availability nor with empowerment. This study provides additional data to support the cross-cultural validity of the Questionnaire about the Process of Recovery. The QPR-Fr is a valid and reliable tool to assess personal recovery. Practitioners could use the QPR-Fr to assess personal recovery in collaboration with people with lived experience. Convergent validity with CHIME proxy measures supports the validity of the CHIME framework in a French cultural context. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Référence complète

Caroline Munuera, Simon Felix, Antoinette Prouteau, Meryl Caiada, Sarah Guionnet, Kévin-Marc Valéry, Yoann Fombouchet, Sébastien Gard, François Chevrier, Isabelle Minois, Katia M’bailara (2024). Characterizing personal recovery in severe mental illness: French psychometric validation of the Questionnaire about the Process of Recovery (QPR-Fr).. Psychiatric Rehabilitation Journal. https://doi.org/10.1037/prj0000601

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Journal


Journal	Psychiatric Rehabilitation Journal
H-index	94
Impact Factor (2 ans)	0.78
Scimago	Voir la fiche

[Caiada et al., 2024] - Promoting Intimate Relationships in Mental Illness: A Systematic Review of Interventions

Mon, 01 Apr 2024 00:00:00 +0000

Auteurs

Meryl Caiada, Simon Felix, Sarah Guionnet, Kevin-Marc Valery, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Antoinette Prouteau

Résumé de l’article

Although persons with Serious Mental Illness (SMI) express a need for intimate relations with others, they still suffer from a severe lack of social participation in this domain. However, these unmet needs have received little attention until recently. This study reviews interventions that aim to facilitate the development and the maintenance of intimate relationships (IR) of persons with schizophrenia, bipolar disorder and major depression. A systematic review following PRISMA guidelines was conducted. Studies published in Scopus, PubMed, EBSCO (Psych INFO, Psych ARTICLES, Psychology and Behavioral Sciences Collection) from January 1, 2000, to December, 2021, were screened. The search using terms referring to “schizophrenia”, “bipolar disorder”, “major depression”, “IR” and “interventions” revealed 11 studies. Among them, 10 reported interventions for persons with depression, including 9 for couple therapy. Most interventions targeted satisfaction with couple relationships as the main therapeutic objective. Heterogeneity in study design precludes any firm conclusions about their efficacy. Interestingly, only one intervention focused on single persons interested in developing IR. The results highlight the lack of interventions: (i) aimed at promoting IR, (ii) designed for single persons, and (iii) targeting persons with psychotic disorders. This result may reflect the persisting stigmatization of persons with psychotic disorders, and the taboo associated with the IR and sexuality of persons with mental illness. Further studies are needed to develop inclusive interventions promoting the development of IR in persons with mental illness.

Référence complète

Meryl Caiada, Simon Felix, Sarah Guionnet, Kevin-Marc Valery, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Antoinette Prouteau (2024). Promoting Intimate Relationships in Mental Illness: A Systematic Review of Interventions. Community Mental Health Journal. https://doi.org/10.1007/s10597-023-01204-z

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Journal


Journal	Community Mental Health Journal
H-index	116
Impact Factor (2 ans)	1.47
Scimago	Voir la fiche