scholarly journals A jóllét és a mentális egészség mérése: a Mentális Egészség Teszt

2020 ◽  
Vol 21 (3) ◽  
pp. 281-322
Author(s):  
Vargha András ◽  
Zábó Virág ◽  
Török Regina ◽  
Oláh Attila

Elméleti háttér: A mentális egészség egyfajta jóllét biológiai, pszichológiai, társadalmi és spirituális szinten, ezen kívül pedig képesség a pozitív állapotok fenntartására és megélésére, amelyhez a hatékony megküzdés és savoring, valamint a reziliencia és a dinamikus önszabályozás jelenléte is társul. A pozitív pszichológia egyik feladata, hogy érvényes teszteket dolgozzon ki a mentális egészség mérésére. Cél: A Mentális Egészség Teszt (MET) legújabb változatának átfogó pszichometriai ellenőrzése. Módszer: Két, online módon lefolytatott kérdőíves keresztmetszeti vizsgálat. I. 1540 fő (391 férfi, 1149 nő; átlagéletkor 52,0 év, SD = 11,3 év) demográfiai, valamint testi és lelki egészségre vonatkozó kérdések mellett kitöltötte az alábbi kérdőíveket: MET, PERMA Kérdőív, Globális Jóllét Kérdőív, Diener-féle Virágzás skála, Rövidített Savoring Hit Kérdőív, Rövidített Pszichológiai Immunrendszer Kérdőív. II. 1083 fő (233 férfi, 847 nő; átlagéletkor 33,9 év, SD = 12,2 év) demográfiai, a vallásosságra, valamint a testi és lelki egészségre vonatkozó kérdések mellett kitöltötte a MET, Aspirációs Index, Rövidített Beck Depresszió, WHO Jól-Lét, Élettel való Elégedettség, valamint Életcél Kérdőíveket. Eredmények: Az I. mintán elvégzett feltáró faktoranalízis megerősítette a MET ötfaktoros szerkezetét 17 tétellel, s az ezt tesztelő konfirmatív faktoranalízis jó illeszkedésű modellt jelzett. A II. mintában ugyanezen a faktorstruktúrán elvégzett konfirmatív faktoranalízis kiváló illeszkedésű (RMSEA = 0,051; pClose = 0,408; CFI = 0,950; TLI = 0,936). Az öt skála Cronbach-a értékei mindkét vizsgálatban 0,70 felettiek, magas belső konzisztenciát mutatva. A diszkriminációs validitást igazolja, hogy minden skálának van egy minimum 44%-os olyan egyedi része, amelyet a többi négy skála nem fed le. A skálák tartalmi validitását a mentális egészség 10 tesztjével, speciális tesztkérdésekkel és szociodemográfiai mutatókkal sikerült igazolni. Fontos eredmény továbbá, hogy a jóllét pozitív irányú kapcsolatot mutat az anyagi helyzettel; az alkotó-végrehajtó hatékonyság a flow-val és az iskolázottsággal; az önreguláció és a reziliencia az életkorral; a savoring pedig a nőknél minden életkorban magasabb, mint a férfiaknál. Következtetés: a MET a jóllét, a savoring, az alkotó-végrehajtó hatékonyság, az önreguláció és a reziliencia konstruktumok megbízható és érvényes mérőeszközének tekinthető.Theoretical background: Beyond that mental health is related to biological, psychological, social, and spiritual well-being, it is a capacity to maintain and experience the positive conditions with effective coping, savoring, resilience and dynamic self-regulation skills. One of the most important responsibility of positive psychology is to construct scales measuring mental health. Aim: the purpose of this study is to present the psychometric characteristics of the new version of the Mental Health Test (MHT) based on five pillars. Method: Two online cross-sectional studies with self-report questionnaires. Study I: 1540 persons (391 men, 1149 women; mean age 52.0 years, SD = 11.3 years) filled in MHT, PERMA Profiler, Global Health, Diener's Flourishing Scale, Shortened Savoring and Shortened Psychological Immune Competence questionnaires along with questions about physical and psychological well-being and demographic data. Study II: 1083 persons (233 men, 847 women; mean age 33.9 years, SD = 12.2 years) filled in MHT, Aspiration Index, Shortened Beck Depression Inventory, WHO Well-Being Scale, Satisfaction with Life Scale, Purpose in Life Test, and Shortened Young Maladaptive Schema Questionnaire, along with questions about demographic data, religiosity, physical and mental health. Results: In Study I exploratory factor analysis identified the five-factor structure of MHT with 17 items, having also good fit measures in confirmative factor analysis. In Study II the five-factor model of the five subscales yielded excellent fit measures in confirmatory factor analysis (RMSEA = .051, pClose = .408, CFI = .950, TLI = .936). In both studies, Cronbach's a values of the five subscales (all above 0.70) indicated a high level of internal consistency. The discriminant validity is proven by the fact that each subscale had a minimum 44% part not covered by the set of other subscales. The content validity of the subscales was confirmed by ten tests about mental health, some special questions and socio-demographic indicators. Subscale of well-being showed a definite positive correlation with financial background. Creative and executing efficiency correlated with flow and education. We found also a positive correlation of self-regulation and resilience subscales with age, and women showed a higher level of savoring than men at all age levels. Conclusion: MHT can be considered a reliable and valid measurement tool for well-being, savoring, creative and executing efficiency, self-regulation and resilience dimensions of mental health.

2021 ◽  
Vol 19 (53) ◽  
pp. 51-74
Author(s):  
Alba Guijarro Gallego ◽  
Antonia Martínez Pérez ◽  
Visitación Fernández Fernández ◽  
Mavi Alcántara-López ◽  
Maravillas Castro Sáez

Introduction. Theory and research support the idea that subjective well-being (positive / negative affect and life satisfaction) is a substantial construct in understanding psychological well-being and mental health. The relevance of life satisfaction in variables affecting psychological well-being has been studied. Life satisfaction in adolescents and its association with sex, age, parental educational styles, peer attachment and emotional intelligence was researched. Groups were compared according to degree of life satisfaction and its relationship with these variables. Method. The sample was composed of 285 secondary school students (49.8% male), average age 15.09 years (12 to 19), and self-report measures of variables were applied to be analyzed: Satisfaction with Life Scale-Child (SWLS-C), Parental Educational Style of Adolescents, Inventory of Parent and Peer Attachment (IPPA) y Trait Meta-Mood-Scale-48 (TMMS-48). Results. Results showed a significant high level of satisfaction among adolescents. A significant higher score among boys compared to girls was confirmed, as in the younger compared to older. Correlations were statistically significant between life satisfaction and all dimensions from Parental Educational Style analyzed, except Behavioral Control; with Alienation and Confidence of Peer Attachment; and with Emotional Intelligence Clarity and Repair, as well as statistically significant differences among satisfaction groups in 12 of the 19 variables analyzed. Discussion and Conclusion. Promoting life satisfaction in adolescents is increasingly relevant, due to the role it may play in achieving good psychological adjustment, thus contributing to the promotion and prevention of mental health.


Author(s):  
Lígia Passos ◽  
Filipe Prazeres ◽  
Andreia Teixeira ◽  
Carlos Martins

Mental health effects secondary to the COVID-19 pandemic were till recently considered less important or were neglected. Portugal and Brazil are facing the pandemic in quite different ways. This study aimed to describe the mental health status of the general adult population in Portugal and Brazil during the COVID-19 pandemic and analyze the differences between the two countries. A cross-sectional quantitative study was based on an online questionnaire. Socio-demographic data were collected in addition to four validated scales: CAGE (acronym cut-annoyed-guilty-eye) Questionnaire, Satisfaction with Life Scale, Generalized Anxiety Disorder-7 and Patient Health Questionnaire-2. For each outcome, a multiple linear regression was performed. Five hundred and fifty people answered the questionnaire (435 women). The median age was 38 (Q1, Q3: 30, 47) years, 52.5% resided in Brazil and 47.5% in Portugal. The prevalence of anxiety was 71.3% (mild anxiety was present in 43.1%), the prevalence of depression was 24.7% and 23.8% of the sample had both depression and anxiety. Isolation was a significant factor for depression but not for anxiety. Well-being was below average. Mental illness was considerably higher than pre-COVID-19 levels. Portugal and Brazil will have to be prepared for future consequences of poor mental health and contribute immediate psychological support to their adult populations.


2000 ◽  
Vol 87 (2) ◽  
pp. 431-440 ◽  
Author(s):  
Bernd G. Heubeck ◽  
James T. Neill

Ostroff, Woolverton, Berry, and Lesko in 1996 examined the adolescent subsample of Veit and Ware's 1983 normative data for the Mental Health Inventory and recommended a two-factor rather than the original five-factor model for the assessment of adolescents' mental health. Analysis of a 30-item version with a new independent sample of 878 adolescents in another English-speaking country supported a two-factor model of psychological well-being and distress for boys and girls. Internal consistency was > .9, and scores were stable (~.7) over a 10-wk. period. Boys reported slightly better mental health than girls, as in the original American research.


Author(s):  
Katherine L. Forthman ◽  
Janna M. Colaizzi ◽  
Hung-wen Yeh ◽  
Rayus Kuplicki ◽  
Martin P. Paulus

Neighborhood characteristics can have profound impacts on resident mental health, but the wide variability in methodologies used across studies makes it difficult to reach a consensus as to the implications of these impacts. The aim of this study was to simplify the assessment of neighborhood influence on mental health. We used a factor analysis approach to reduce the multi-dimensional assessment of a neighborhood using census tracts and demographic data available from the American Community Survey (ACS). Multivariate quantitative characterization of the neighborhood was derived by performing a factor analysis on the 2011–2015 ACS data. The utility of the latent variables was examined by determining the association of these factors with poor mental health measures from the 500 Cities Project 2014–2015 data (2017 release). A five-factor model provided the best fit for the data. Each factor represents a complex multi-dimensional construct. However, based on heuristics and for simplicity we refer to them as (1) Affluence, (2) Singletons in Tract, (3) African Americans in Tract, (4) Seniors in Tract, and (5) Hispanics or Latinos in Tract. African Americans in Tract (with loadings showing larger numbers of people who are black, single moms, and unemployed along with fewer people who are white) and Affluence (with loadings showing higher income, education, and home value) were strongly associated with poor mental health (R2=0.67, R2=0.83). These findings demonstrate the utility of this factor model for future research focused on the relationship between neighborhood characteristics and resident mental health.


1998 ◽  
Vol 83 (1) ◽  
pp. 371-381 ◽  
Author(s):  
William C. Compton

Principal components analyses were calculated with intercorrelations of scores on scales measuring mental health and the five-factor model of personality on a sample of 296 university students. Mental health was measured with Affect Balance scale, Happiness Measure, Satisfaction with Life scale, Life Orientation test, Short Index of Self-actualization, Social Interest scale, and the Self-control Schedule, along with subscales from Scales of Psychological Well-being, Openness to Experience scale, and the Perceived Self Questionnaire. The five-factor model was measured with the Interpersonal Adjective Scale Revised–B5. Separate analyses for both the traditional five-factor model and the expanded interpersonal circumplex model of personality gave six-factor solutions. Scores on scales measuring subjective well-being, openness, and social interest loaded on the same factors as Neuroticism, Openness to Experience, and Agreeableness, respectively. Scales that measured autonomy and self-actualization formed a factor that was separate from the five-factor model.


2010 ◽  
Vol 26 (3) ◽  
pp. 194-202 ◽  
Author(s):  
Daniel A. Newman ◽  
Christine A. Limbers ◽  
James W. Varni

The measurement of health-related quality of life (HRQOL) in children has witnessed significant international growth over the past decade in an effort to improve pediatric health and well-being, and to determine the value of health-care services. In order to compare international HRQOL research findings across language groups, it is important to demonstrate factorial invariance, i.e., that the items have an equivalent meaning across the language groups studied. This study examined the factorial invariance of child self-reported HRQOL across English- and Spanish-language groups in a Hispanic population of 2,899 children ages 8–18 utilizing the 23-item PedsQL™ 4.0 Generic Core Scales. Multigroup confirmatory factor analysis (CFA) was performed specifying a five-factor model across language groups. The findings support an equivalent 5-factor structure across English- and Spanish-language groups. Based on these data, it can be concluded that children across the two languages studied interpreted the instrument in a similar manner. The multigroup CFA statistical methods utilized in the present study have important implications for cross-cultural assessment research in children in which different language groups are compared.


2021 ◽  
Author(s):  
Silvina Catuara-Solarz ◽  
Bartlomiej Skorulski ◽  
Inaki Estella ◽  
Claudia Avella-Garcia ◽  
Sarah Shepherd ◽  
...  

BACKGROUND Against a long-term trend of increasing demand, the COVID-19 pandemic has led to a global rise in common mental disorders. Now more than ever, there is an urgent need for scalable, evidence-based interventions to support mental well-being. OBJECTIVE The aim of this proof-of-principle study was to evaluate the efficacy of a mobile-based app in adults with self-reported symptoms of anxiety and stress in a randomised control trial that took place during the first wave of the COVID-19 pandemic in the UK. METHODS Adults with mild to severe anxiety and moderate to high levels of perceived stress were randomised to either the intervention or control arm. Participants in the intervention arm were given access to the app, Foundations, for the duration of the 4-week study. All participants were required to self-report a range of validated measures of mental well-being (10-item Connor-Davidson Resilience scale [CD-RISC-10]; 7-item Generalised Anxiety Disorder scale [GAD-7]; Office of National Statistics Four Subjective Well-being Questions [ONS-4]; World Health Organisation-5 Well-Being Index [WHO-5]) and sleep (Minimal Insomnia Scale [MISS]) at baseline and weeks 2 and 4; and, in addition, on perceived stress weekly (10-item Perceived Stress Score [PSS]). RESULTS 136 participants completed the study and were included in the final analysis. The intervention group (n=62) showed significant improvements compared to the control group (n=74) on measures of anxiety (GAD-7 score, delta from baseline to week 2 in the intervention group: -1.35 [SD 4.43]; control group: -0.23 [SD 3.24]; t134= 1.71 , P=.04), resilience (CD-RISC score, delta from baseline to week 2 in the intervention group: 1.79 [± SD 4.08]; control group: -0.31 [± SD 3.16]; t134 -3.37, P<.001), sleep (MISS score, delta from baseline to week 2 in the intervention group: -1.16 [± SD 2.67]; control group: -0.26 [± SD 2.29]; t134= 2.13, P=.01), and mental well-being (WHO-5 score, delta from baseline to week 2 in the intervention group: 1.53 [5.30]; control group: -0.23 [± SD 4.20]; t134= -2.16, P=.02) within 2 weeks of using Foundations, with further improvements emerging at week 4. Perceived stress was also reduced within the intervention group, although the results did not reach statistical significance relative to the control group (PSS score, delta from baseline to week 2 in the intervention group: -2.94 [± SD 6.84]; control group: -2.05 [± SD 5.34]; t134= 0.84, P=.20). CONCLUSIONS This study provides proof-of-principle that the digital mental health app, Foundations, can improve measures of mental well-being, anxiety, resilience, and sleep within 2 weeks of use, with greater effects after 4 weeks. It therefore offers potential as a scalable, cost-effective, and accessible solution to enhance mental well-being, even during times of crisis such as the COVID-19 pandemic.


2018 ◽  
Author(s):  
Agoston Mihalik ◽  
Fabio S. Ferreira ◽  
Maria J. Rosa ◽  
Michael Moutoussis ◽  
Gabriel Ziegler ◽  
...  

AbstractUnderstanding how variations in dimensions of psychometrics, IQ and demographics relate to changes in brain connectivity during the critical developmental period of adolescence and early adulthood is a major challenge. This has particular relevance for mental health disorders where a failure to understand these links might hinder the development of better diagnostic approaches and therapeutics. Here, we investigated this question in 306 adolescents and young adults (14-24y, 25 clinically depressed) using a multivariate statistical framework, based on canonical correlation analysis (CCA). By linking individual functional brain connectivity profiles to self-report questionnaires, IQ and demographic data we identified two distinct modes of covariation. The first mode mapped onto an externalization/internalization axis and showed a strong association with sex. The second mode mapped onto a well-being/distress axis independent of sex. Interestingly, both modes showed an association with age. Crucially, the changes in functional brain connectivity associated with changes in these phenotypes showed marked developmental effects. The findings point to a role for the default mode, frontoparietal and limbic networks in psychopathology and depression.


Author(s):  
Foteini Tseliou ◽  
Mark Atkinson ◽  
Shantini Paranjothy ◽  
Pauline Ashfield-Watt

Background Informal caregiving has become an integral part of many societies, however there is increasing concern about the well-being of carers and how they manage their care-related responsibilities in conjunction with their health and mental health. Previous studies have reported mixed results with some proposing that carers are intrinsically healthier. Aims To explore the association between different levels of caregiving and health behaviours and mental health status. Methods Data were collected through HealthWise Wales (HWW) and linked to healthcare records (N=27,455). These included self-reported data on level of caring responsibilities (0;1-19;20-49;50+ hours per week), whether or not they left employment due to their caring role, mental health using the short Mental Health Inventory (MHI-5) and health behaviour data on smoking status, physical activity and dietary habits. Data on current diagnosis of Anxiety and Depression were drawn from linked healthcare records. Separate logistic regression models adjusted for age, gender and socio-economic status were fitted to assess the association between intensity of caring responsibility and each mental health and health behaviour outcome. Results Of the 14,451 HWW participants who had complete records, 3,856 (26.7%) reported being an informal carer. Intense carers (20-49 hours per week) were more likely to be physically inactive (OR:1.27, 95%CI:1.04-1.56), smoke cigarettes (OR:1.49, 95%CI:1.11-2.00) and eat unhealthily (OR:1.48, 95%CI:1.13-1.93). They were more also likely to self-report (OR:1.87, 95%CI:1.51-2.32) or have a diagnosis of depression or anxiety (OR:1.57, 95%CI:1.26-1.97). Other levels of caregiving intensity also demonstrated the above associations. Carers who had given up work to care were more likely to be smokers and have common mental disorders. Conclusion Being an informal carer is associated with unhealthy behaviours and common mental disorders, with a gradient effect dependent on the level of caregiving activity. New interventions that can support carers to improve their health and wellbeing are urgently needed.


2021 ◽  
Author(s):  
Fiona McEwen ◽  
Cassandra Popham ◽  
Patricia Moghames ◽  
Demelza Smeeth ◽  
Bernadette de Villiers ◽  
...  

The BIOPATH cohort was established to explore the interplay of psychosocial and biological factors in the development of resilience and mental health problems in Syrian refugee children. Based in Lebanon, a middle-income country significantly impacted by the refugee crisis, it is the first such cohort of refugees in the Middle East. Families were recruited from informal tented settlements in the Beqaa region using purposive cluster sampling. At baseline (October 2017–January 2018), N=3,190 individuals participated (n=1,595 child-caregiver dyads; child gender, 52.7% female; mean [SD] age=11.44 [2.44] years, range=6-19]). Re-participation rate at one year follow up was 63%. Individual interviews were conducted with children and primary caregivers and biological samples collected from children. Measures include: (i) children’s well-being and mental health problems (using tools validated against clinical interviews in a subsample of the cohort); (ii) psychosocial risk and protective factors at the level of the individual (e.g., coping strategies), family (e.g., parent-child relationship), community (e.g., collective efficacy), and wider context (e.g., services); (iv) saliva samples for genetic and epigenetic (methylation) analyses; (v) hair samples to measure cortisol, dehydroepiandrosterone [DHEA] and testosterone. This cohort profile provides details about sampling and recruitment, data collection and measures, demographic data, attrition and potential bias, key findings on resilience and mental health problems in children, and strengths and limitations of the cohort. Researchers interested in accessing data should contact Professor Michael Pluess at Queen Mary University of London, UK (e-mail: [email protected]).


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