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      Validation of the Mental Health Continuum‐Short Form and the dual continua model of well‐being and psychopathology in an adult mental health setting

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          Abstract

          Objective

          The growing evidence for the dual continua model of psychopathology and well‐being has important implications for measuring outcomes in mental health care. The aim of the current study is to validate a measure of well‐being as well as the dual continua model in adults with mood, anxiety, personality, and developmental disorders.

          Methods

          472 adult psychiatric outpatients filled out the Mental Health Continuum‐Short Form (MHC‐SF) and the Outcome Questionnaire before start of treatment.

          Results

          Confirmatory factor analyses (CFA) confirmed the three‐factor structure of emotional, psychological, and social well‐being of the MHC‐SF. The dual continua model had the best fit in the complete sample and the different diagnostic groups.

          Conclusion

          The MHC‐SF is a reliable and valid instrument to measure well‐being in the psychiatric population. Although relatively high correlations between psychopathology and well‐being exist, the results underline the importance to measure well‐being in addition to psychopathology in mental health care.

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          Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health.

          Corey Keyes (2005)
          A continuous assessment and a categorical diagnosis of the presence (i.e., flourishing) and the absence (i.e., languishing) of mental health were proposed and applied to the Midlife in the United States study data, a nationally representative sample of adults between the ages of 25 and 74 years (N = 3,032). Confirmatory factor analyses supported the hypothesis that measures of mental health (i.e., emotional, psychological, and social well-being) and mental illness (i.e., major depressive episode, generalized anxiety, panic disorder, and alcohol dependence) constitute separate correlated unipolar dimensions. The categorical diagnosis yielded an estimate of 18.0% flourishing and, when cross-tabulated with the mental disorders, an estimate of 16.6% with complete mental health. Completely mentally healthy adults reported the fewest health limitations of activities of daily living, the fewest missed days of work, the fewest half-day work cutbacks, and the healthiest psychosocial functioning (low helplessness, clear life goals, high resilience, and high intimacy). (c) 2005 APA, all rights reserved.
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            Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF).

            Sanne M A Lamers, Gerben J Westerhof, Ernst T Bohlmeijer … (2011)
            There is a growing consensus that mental health is not merely the absence of mental illness, but it also includes the presence of positive feelings (emotional well-being) and positive functioning in individual life (psychological well-being) and community life (social well-being). We examined the structure, reliability, convergent validity, and discriminant validity of the Mental Health Continuum-Short Form (MHC-SF), a new self-report questionnaire for positive mental health assessment. We expected that the MHC-SF is reliable and valid, and that mental health and mental illness are 2 related but distinct continua. This article draws on data of the LISS panel of CentERdata, a representative panel for Longitudinal Internet Studies for the Social Sciences (N = 1,662). Results revealed high internal and moderate test-retest reliability. Confirmatory factor analysis (CFA) confirmed the 3-factor structure in emotional, psychological, and social well-being. These subscales correlated well with corresponding aspects of well-being and functioning, showing convergent validity. CFA supported the hypothesis of 2 separate yet related factors for mental health and mental illness, showing discriminant validity. Although related to mental illness, positive mental health is a distinct indicator of mental well-being that is reliably assessed with the MHC-SF. © 2010 Wiley Periodicals, Inc.
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              Happiness is everything, or is it? Explorations on the meaning of psychological well-being.

              Carol Ryff (1989)
              Article 0 comments Cited 310 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Katinka Franken:
                ORCID: http://orcid.org/0000-0002-7136-3154
                c.p.m.franken@utwente.nl
                Journal
                Journal ID (nlm-ta): J Clin Psychol
                Journal ID (iso-abbrev): J Clin Psychol
                Journal ID (doi): 10.1002/(ISSN)1097-4679
                Journal ID (publisher-id): JCLP
                Title: Journal of Clinical Psychology
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0021-9762
                ISSN (Electronic): 1097-4679
                Publication date (Electronic): 05 July 2018
                Publication date (Print): December 2018
                Volume: 74
                Issue: 12 ( doiID: 10.1002/jclp.2018.74.issue-12 )
                Pages: 2187-2202
                Affiliations
                [ 1 ] University of Twente Enschede The Netherlands
                [ 2 ] GGNet Warnsveld The Netherlands
                Author notes
                [*] [* ] Correspondence

                Katinka Franken, Department of Psychology, Health & Technology, Centre for eHealth and Well‐being Research, University of Twente, Postbus 217, 7500 AE Enschede, The Netherlands.

                Email: c.p.m.franken@ 123456utwente.nl

                Author information
                http://orcid.org/0000-0002-7136-3154
                Article
                Publisher ID: JCLP22659
                DOI: 10.1002/jclp.22659
                PMC ID: 6282789
                PubMed ID: 29978482
                SO-VID: 14224075-9e9a-4d51-93b5-274a0e5e5b49
                Copyright © © 2018 The Authors. Journal of Clinical Psychology published by Wiley Periodicals, Inc
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date received : 14 November 2017
                Date revision received : 30 May 2018
                Date accepted : 05 June 2018
                Page count
                Figures: 0, Tables: 5, Pages: 16, Words: 8767
                Categories
                Subject: Research Article
                Subject: Research Articles
                Custom metadata
                source-schema-version-number 2.0
                component-id jclp22659
                cover-date December 2018
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.5.3 mode:remove_FC converted:06.12.2018

                Keywords: clinical population,dual continua model,mental health continuum‐short form,psychopathology,well‐being
                Data availability:
                Keywords: clinical population, dual continua model, mental health continuum‐short form, psychopathology, well‐being

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