Psychometric Properties of the MOLDES Questionnaire in a Clinical Sample of Patients With Psychotic Spectrum Disorders.

Background: Psychotic spectrum disorders are associated with persistent impairments in psychosocial functioning that are not fully explained by symptom severity, particularly in individuals with chronic courses and prolonged hospitalization. Beyond psychopathological symptoms, relatively stable cogn...

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Publicado en:Actas Espanolas de Psiquiatria Vol. 54; no. 3; pp. 602 - 612
Autores principales: Muñoz García, Juan Jesús, Hodann-Caudevilla, Ricardo M., García Castaño, Alfonso, Aguilera Garrido, Sergio, Durán Tischhauser, Rafael, Pico Rada, Álvaro, Salom, Rafael
Formato: Artículo
Publicado: Maria Lopez-Ibor 2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Psychometric Properties of the MOLDES Questionnaire in a Clinical Sample of Patients With Psychotic Spectrum Disorders.
      aug:
        au:
          Muñoz García, Juan Jesús
          Hodann-Caudevilla, Ricardo M.
          García Castaño, Alfonso
          Aguilera Garrido, Sergio
          Durán Tischhauser, Rafael
          Pico Rada, Álvaro
          Salom, Rafael
        affil:
          Centro de San Juan de Dios, Orden Hospitalaria San Juan de Dios, 28350 Ciempozuelos, Madrid, Spain.
          Fundación Hospitalarias Zaragoza, Hermanas Hospitalarias, 50190 Zaragoza, Spain.
          Hospital Universitario Infanta Sofía, 28702 San Sebastián de los Reyes, Madrid, Spain.
          Hospital Universitario Infanta Cristina, 28981 Parla, Madrid, Spain.
          Centro de Salud Mental Santa Mónica, 28522 Rivas-Vaciamadrid, Madrid, Spain.
          Clínica Nuestra Señora de la Paz, Orden Hospitalaria San Juan de Dios, 28033 Madrid, Spain.
          Department of Psychology, Universidad Europea de Valencia, 46010 Valencia, Spain.
      su:
        Psychometrics
        Test validity
        Psychiatric treatment
        Cognitive styles
        Cronbach's alpha
        Quality of life
        Psychological tests
        Psychoses
      sug:
        subj:
          Psychometrics
          Test validity
          Psychiatric treatment
          Cognitive styles
          Cronbach's alpha
          Quality of life
          Psychological tests
          Psychoses
      keyword:
        adaptation
        inpatients
        psychological
        psychometrics
        psychotic disorders
        schizophrenia
      ab: Background: Psychotic spectrum disorders are associated with persistent impairments in psychosocial functioning that are not fully explained by symptom severity, particularly in individuals with chronic courses and prolonged hospitalization. Beyond psychopathological symptoms, relatively stable cognitive-emotional styles may influence long-term adaptation, subjective recovery, and quality of life in severe mental disorders. To examine the psychometric properties of the MOLDES questionnaire in a clinical sample of patients with psychotic spectrum disorders receiving long-term psychiatric care. Methods: A cross-sectional observational study was conducted in a sample of 83 clinically stable male patients with psychotic spectrum disorders hospitalized in a long-term psychiatric care unit. Internal consistency of the global MOLDES score and its three dimensions (Vital Spontaneity, Adjustment, and Optimization) was assessed using Cronbach’s alpha. Convergent and discriminant validity were explored through Spearman’s correlations with psychotic symptom severity, depressive symptoms, internalized stigma, and quality of life. Results: The global MOLDES score and its dimen sions showed acceptable internal consistency, with Cronbach’s alpha values ranging from 0.70 to 0.77. No significant associations were observed between MOLDES dimensions and psychotic or depressive symptom severity, supporting discriminant validity. In contrast, Vital Spontaneity and Adjustment were negatively correlated with internalized stigma, while the Optimization dimension showed a positive association with quality of life. Conclusions: These findings provide preliminary evidence supporting the reliability and validity of the MOLDES questionnaire in patients with chronic psychotic disorders. The instrument appears to capture adaptive cognitive-emotional styles that are largely independent of symptom severity and meaningfully related to relevant psychosocial outcomes, suggesting its potential usefulness as a complementary assessment tool in long-term psychiatric care and rehabilitation-oriented settings.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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