scholarly journals Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Neha Shah ◽  
Mizaya Cader ◽  
Bill Andrews ◽  
Rose McCabe ◽  
Sarah L. Stewart-Brown
Keyword(s):  
Primary Care ◽  
Construct Validity ◽  
Outcome Measure ◽  
Well Being ◽  
Multiple Time ◽  
Sensitivity To Change ◽  
Primary Care Settings ◽  
Mental Well Being ◽  
Over Time ◽  
Time Point

Abstract Purpose This study assesses the construct validity and sensitivity to change of the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) as an outcome measure in the treatment of common mental disorders (CMD) in primary care settings. Methods 127 participants attending up to 5 sessions of therapy for CMD in primary care self-rated the SWEMWBS, the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) scales. SWEMWBS’s construct validity and sensitivity to change was evaluated against the PHQ-9 and GAD-7 across multiple time points in two ways: correlation coefficients were calculated between the measures at each time point; and sensitivity to change over time was assessed using repeated measures ANOVA. Results Score distributions on SWEMWBS, but not PHQ-9 and GAD-7, met criteria for normality. At baseline, 92.9% (118/127) of participants scored above clinical threshold on either PHQ-9 or GAD-7. Correlations between SWEMWBS and PHQ-9 scores were calculated at each respective time point and ranged from 0.601 to 0.793. Correlations between SWEMWBS and GAD-7 scores were calculated similarly and ranged from 0.630 to 0.743. Significant improvements were seen on all three scales over time. Changes in PHQ-9 and GAD-7 were curvilinear with greatest improvement between sessions 1 and 2. Change in SWEMWBS was linear over the five sessions. Conclusions This exploratory study suggests that SWEMWBS is acceptable as a CMD outcome measure in primary care settings, both in terms of construct validity and sensitivity to change. Given patient preference for positively over negatively framed measures and statistical advantages of measures which are normally distributed, SWEMWBS could be used as an alternative to PHQ-9 and GAD-7 in monitoring and evaluating CMD treatment.

scholarly journals Compassion toward others and self-compassion predict mental and physical well-being: a 5-year longitudinal study of 1090 community-dwelling adults across the lifespan

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ellen E. Lee ◽  
Tushara Govind ◽  
Marina Ramsey ◽  
Tsung Chin Wu ◽  
Rebecca Daly ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Health Outcomes ◽  
Rating Scales ◽  
Well Being ◽  
Community Dwelling ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Adult Lifespan ◽  
Mental Well Being ◽  
Over Time

AbstractThere is growing interest in the role of compassion in promoting health and well-being, with cross-sectional data showing an inverse correlation with loneliness. This is the first longitudinal study examining both compassion toward others (CTO) and compassion toward self (CTS) as predictors of mental and physical health outcomes including loneliness, across adult lifespan. We followed 552 women and 538 men in San Diego County for up to 7.5 (mean 4.8 and SD 2.2) years, using validated rating scales for CTO, CTS, and loneliness. Linear mixed-effects models were employed to examine age- and sex-related trajectories of CTO and CTS over time. Linear regression models were used to evaluate baseline and longitudinal relationships of CTO and CTS with mental well-being, physical well-being, and loneliness. CTS and CTO were weakly intercorrelated. Women had higher baseline CTO than men. While CTO was stable over time and across the lifespan, CTS scores had an inverse U-shaped relationship with age, peaking around age 77. There were significant baseline × slope interactions of both CTO and CTS predicting improvements in physical well-being in adults <60 years old. Increases in CTO and CTS predicted improvements in mental well-being. Higher baseline CTO and CTS as well as increases in CTO and CTS scores predicted lower loneliness scores at follow-up. Thus, CTO and CTS were associated with better mental well-being and loneliness across the adult lifespan, and physical well-being in younger adults, and are promising targets for interventions to improve health outcomes.

scholarly journals Primary care chaplaincy: an intervention for complex presentation

2018 ◽  
Vol 20 ◽  
Author(s):  
Gordon W. Macdonald
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Observational Study ◽  
Social Isolation ◽  
Well Being ◽  
Retrospective Observational Study ◽  
Holistic Care ◽  
Presenting Symptoms ◽  
Routinely Collected Data ◽  
Mental Well Being

Abstract Aim To determine the responsiveness of primary care chaplaincy (PCC) to the current variety of presenting symptoms seen in primary care. This was done with a focus on complex and undifferentiated illness. Background Current presentations to primary care are often complex, undifferentiated and display risk factors for social isolation and loneliness. These are frequently associated with loss of well-being and spiritual issues. PCC provides holistic care for such patients but its efficacy is unknown in presentations representative of such issues. There is therefore a need to assess the characteristics of those attending PCC. The effectiveness of PCC relative to the type and number of presenting symptoms should also be analysed whilst evaluating impact on GP workload. Methods This was a retrospective observational study based on routinely collected data. In total, 164 patients attended PCC; 75 were co-prescribed antidepressants (AD) and 89 were not (No-AD). Pre- and post-PCC well-being was assessed by the Warwick–Edinburgh mental well-being score. Presenting issue(s) data were collected on a separate questionnaire. GP appointment utilisation was measured for three months pre- and post-PCC. Findings Those displaying undifferentiated illness and risk factors for social isolation and loneliness accessed PCC. PCC (No-AD) was associated with a clinically meaningful and statistically significant improvement in well-being in all presenting issues. This effect was maintained in those with multiple presenting issues. PCC was associated with a reduction in GP appointment utilisation in those not co-prescribed AD.

Prevalence and recognition of anxiety syndromes in five European primary care settings

1998 ◽  
Vol 173 (S34) ◽  
pp. 18-23 ◽  
Author(s):  
E. Weiller ◽  
J.-C. Bisserbe ◽  
W. Maier ◽  
Y. Lecrubier
Keyword(s):  
Primary Care ◽  
Help Seeking ◽  
Composite International Diagnostic Interview ◽  
Well Being ◽  
Significant Degree ◽  
Diagnostic Interview ◽  
Primary Care Settings ◽  
Psychosocial Disability ◽  
Icd 10 ◽  
Degree Of Disability

Background This study explored the prevalence, socio-demographic characteristics and severity of different anxiety syndromes in five European primary care settings, as well as medical help-seeking, recognition by general practitioners (GPs) and treatment prescribed.Method The data were collected as part of the WHO study on Psychological Problems in General Health Care. Among 9714 consecutive primary care patients, 1973 were interviewed using the Composite International Diagnostic Interview. Reason for contact, ICD–10 diagnoses, severity and disability were assessed. Recognition rates and treatment prescribed were obtained from the GPs.Results Anxiety syndromes, whether corresponding to well-defined disorders or to subthreshold conditions, are frequent in primary care and are associated with a clinically significant degree of severity and substantial psychosocial disability. Their recognition by GPs as well as the proportion treated are low.Conclusions Since people with subthreshold anxiety show a substantial degree of disability and suffering, GPs may consider diagnostic criteria to be insufficient. However, their awareness of specific definitions and treatment patterns for anxiety disorders still needs a lot of improvement both for patients' well-being and for the cost resulting from non-treatment.

scholarly journals Is there an association between serum 25(OH)D3 and mental well-being in patients with type 2 diabetes? Results from a cohort study in primary care

HORMONES ◽  
2020 ◽  
Vol 19 (3) ◽  
pp. 361-367
Author(s):  
Maria Samefors ◽  
Robert Scragg ◽  
Fredrik H. Nystrom ◽  
Carl Johan Östgren
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Cohort Study ◽  
Well Being ◽  
Mental Well Being

Patient experiences in behavioral health integrated primary care settings: the role of stigma in shaping patient outcomes over time

2019 ◽  
Vol 24 (10) ◽  
pp. 1182-1197 ◽  
Author(s):  
Natalie Royal Kenton ◽  
Lauren Broffman ◽  
Kyle Jones ◽  
Kayla Albrecht Mcmenamin ◽  
Maggie Weller ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Patient Outcomes ◽  
Patient Experiences ◽  
Integrated Primary Care ◽  
Primary Care Settings ◽  
Over Time

scholarly journals Well-being, Smartphone Sensors, and Data from Open-access Databases: A Mobile Experience Sampling Study

Field Methods ◽  
2019 ◽  
Vol 31 (3) ◽  
pp. 277-291 ◽  
Author(s):  
Stefan Stieger ◽  
Ulf-Dietrich Reips
Keyword(s):  
Open Access ◽  
Sampling Method ◽  
Experience Sampling ◽  
Past Research ◽  
Well Being ◽  
Multiple Time ◽  
Multiple Time Point ◽  
Smartphone Sensors ◽  
Internet Databases ◽  
Time Point

We investigated fluctuations of well-being by using a smartphone-based mobile experience sampling method (real-time and multiple time point measurements in the field using smartphones). Moreover, temperature, longitude, latitude, altitude, wind speed, rainfall, and further environment-based indicators were included as predictors either from smartphone sensors or from open-access Internet databases. Overall, a total of 213 participants reported on their well-being (over 14 days; three measurements per day; 8,000+ well-being judgments). We were able to replicate and refine past research about the dynamics of well-being fluctuations during the day (low in the morning, high in the evening) and over the course of a week (low just before the beginning of the week, highest near the end of the week). We also show what kind of benefits empirical researchers can gain for their research using smartphones and their built-in sensors by combining these measures with data from open-access databases.

Smartphone interactions and mental well-being in young adults: A longitudinal study based on objective high-resolution smartphone data

2020 ◽  
pp. 140349482092041
Author(s):  
Agnete Skovlund Dissing ◽  
Naja Hulvej Rod ◽  
Thomas A. Gerds ◽  
Rikke Lund
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Well Being ◽  
Large Network ◽  
Men And Women ◽  
Beneficial Effects ◽  
Disturbed Sleep ◽  
Mental Well Being ◽  
Over Time

Aims: To investigate the effects of objectively measured smartphone interactions on indicators of mental well-being among men and women in a population of young adults. Methods: A total of 816 young adults (mean±SD age 21.6±2.6 years; 77% men) from the Copenhagen Network Study were followed with objective recordings of smartphone interactions from calls, texts and social media. Participants self-reported on loneliness, depressive symptoms and disturbed sleep at baseline and in a four-month (interquartile range 75–163 days) follow-up survey. Multiple linear regression was used to analyse the association between smartphone interactions and mental well-being separately for men and women. Results: A higher number of smartphone interactions was associated with lower levels of loneliness at baseline and the same pattern appeared for depressive symptoms, although this was less pronounced. A high level of smartphone interaction was associated with lower levels of disturbed sleep for men, but not for women. In follow-up analyses, a high versus low level of smartphone interaction was associated with an increase in loneliness and depressive symptoms over time for women, but not for men. Conclusions: Smartphone interactions are related to better mental well-being, which may be attributed to the beneficial effects of an underlying social network. Over time, accommodating a large network via smartphone communication might, however, have negative effects on mental well-being for women.

Behavioral Health Screening in Urban Primary Care Settings: Construct Validity of the PSC-17

2008 ◽  
Vol 29 (2) ◽  
pp. 124-128 ◽  
Author(s):  
Anna Kostanecka ◽  
Thomas Power ◽  
Angela Clarke ◽  
Marley Watkins ◽  
Cheryl L. Hausman ◽  
...  
Keyword(s):  
Primary Care ◽  
Construct Validity ◽  
Behavioral Health ◽  
Health Screening ◽  
Primary Care Settings

scholarly journals Time trends in adolescent mental well-being in Czechia between 2002 and 2018: Gender, age and socio-economic differences

2020 ◽  
Author(s):  
Alina Cosma ◽  
András Költő ◽  
Petr Badura ◽  
Petr Winkler ◽  
Michal Kalman
Keyword(s):  
Life Satisfaction ◽  
Gender Gap ◽  
Time Trends ◽  
Economic Status ◽  
Well Being ◽  
Hierarchical Regression ◽  
Socio Economic Status ◽  
Nationally Representative ◽  
Mental Well Being ◽  
Over Time

Abstract Background: Recent literature points to a decline over time in adolescent mental well-being but results are inconsistent and rely mainly on data from Western societies. This study investigates time trends in adolescent mental well-being (psychological and somatic complaints, life satisfaction) among Czech adolescents and explores whether these time trends are moderated by gender, age and socio-economic status. Methods: Nationally representative data from 29,378 Czech adolescents (50.8% girls, M age = 13.43; SD age = 1.65) across five Health Behaviour in School-aged Children (HBSC) surveys (2002, 2006, 2010, 2014, and 2018) were included in the analyses. Hierarchical regression models estimated national trends in adolescent mental well-being. We also tested whether these trends vary between girls and boys, adolescents of different age and from different socio-economic backgrounds. Results: Across the quadrennial surveys from 2002 to 2018, an increase in the psychological complaints was observed. Life satisfaction decreased over time up to 2014 only, whereas somatic symptoms increased until 2010, followed by a decline in 2014 and 2018. Girls, older adolescents and those from low family affluence reported poorer mental well-being outcomes. Gender gap increased over time for psychological complaints and life satisfaction. Socio-economic inequalities gap in adolescent mental well-being remained stable over the investigated timeframe. Conclusions: Our findings do not provide evidence for substantial temporal changes in mental well-being among adolescents in Czechia. Yet, only the increase in psychological complaints has been consistent which is an indicator of a decline over time in adolescent mental well-being. Furthermore, the gender gap in reporting psychological complaints and life satisfaction increased over time, whereas the age and socio-economic differences remained relatively stable. This calls for the attention of public health professionals and policy makers from Czechia. Keywords: Adolescence; mental health; mental well-being; well-being; gender; trends; age; socio-economic status; HBSC

Patient and caregiver well-being: Observation of changing dyad over time.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 89-89
Author(s):  
Timothy S Sannes ◽  
Susan K Mikulich-Gilbertson ◽  
Teresa L Simoneau ◽  
Mark L Laudenslager
Keyword(s):  
Clinical Trial ◽  
Short Form ◽  
Well Being ◽  
Cell Transplant ◽  
Dyadic Relationship ◽  
Hematopoietic Stem ◽  
Clinical Endpoints ◽  
Mental Well Being ◽  
The Relationship ◽  
Over Time

89 Background: Allogeneic hematopoietic stem cell transplant (Allo-HSCT) is a particularly stressful time for patient and caregivers alike. As such, well-being within patient-caregivers dyads is highly correlated in previous studies. It is less clear how this dyadic relationship changes over the course of treatment and recovery. Methods: In these secondary analyses of a randomized clinical trial of psychoeducational support (5 time points across 12 months), partial correlations, adjusting for group assignment and age, tested the relationship between individual mental and physical summary scores of patients and caregivers. 117 Allo-HSCT patient and caregivers provided baseline data, with available data used at each subsequent timepoint. Quality of life was measured with the Short-Form Health Survey; divided into mental (MCS) and physical summary (PCS) scores. Results: Patients were primarily men (69.6% male; Mage=49.36; SD=13.04); caregivers were primarily female (78%;Mage=53.26;SD=12.34). Patient and caregivers’ MCS were significantly correlated at baseline (r=.23;p<.05) and 4 weeks after consenting to study participation, (r=.26;p<.01), whereas patients’ PCS scores were significantly correlated with caregivers’ MCS at 3 months (r=.26;p<.05). At 6 months, the relationship between patient PCS and caregiver MCS was no longer significant (p=.51), whereas the relationship between patient and caregiver MCS re-emerged at 6 months (r=.32; p<.05). In evaluating 6 month completers (N=84), the trend between patient-caregivers well-being displayed the same significant pattern at each timepoint. Conclusions: These data replicate significant relationships of mental well-being within patient-caregiver dyads in Allo-HSCT. This relationship shifts over time, in which caregiver mental well-being becomes related to patients’ physical functioning. These data underscore the importance of this dyadic relationship and deserve follow-up statistical approaches (e.g., covariation). Extending these relationships to clinical endpoints remains an area for future investigation. Funding: NIHCA126971(MLL); T32AG044296(TS): DA034604(SMG) and PCORI CE-1304-6208(MLL). Clinical trial information: NCT00833898.

Sign in / Sign up

Export Citation Format

Share Document