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      Psychometric Properties of the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS) in the Iranian Older Adults

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          Abstract

          Purpose

          Mental wellbeing is considered as an important and effective factor in older adults’ psychological health. Due to lack of a standard instrument for the assessment of mental wellbeing in Iranian older adults, the present study was performed to examine validity and reliability of the Persian version of the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS-P) for use among Iranian older adults.

          Patients and Methods

          The study sample included 304 older adults aged 60 and over, admitted to the Shohada Educational Hospital affiliated to the Tabriz University of Medical Sciences, North West of Iran. The participants were recruited through the convenience sampling method in May to September 2017.

          Results

          The mean and standard deviation of the mental wellbeing score were 50.30 and 8.82, respectively. Exploratory factor analysis (EFA) results demonstrated a one-factor solution with 13 items which was verified by the confirmatory factor analysis (CFA). The estimated internal consistency measure of Cronbach’s alpha (0.93) and two weeks’ time test-retest reliability index (0.84) met the prerequisite criteria.

          Conclusion

          According to the results, the WEMWBS-P with 13 items has acceptable validity and reliability to assess the mental wellbeing of Iranian and other Persian-speaking older adults.

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          Most cited references23

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          Principles and practice in reporting structural equation analyses.

          Principles for reporting analyses using structural equation modeling are reviewed, with the goal of supplying readers with complete and accurate information. It is recommended that every report give a detailed justification of the model used, along with plausible alternatives and an account of identifiability. Nonnormality and missing data problems should also be addressed. A complete set of parameters and their standard errors is desirable, and it will often be convenient to supply the correlation matrix and discrepancies, as well as goodness-of-fit indices, so that readers can exercise independent critical judgment. A survey of fairly representative studies compares recent practice with the principles of reporting recommended here.
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            Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health.

            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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              Individual-patient monitoring in clinical practice: are available health status surveys adequate?

              Interest has increased in recent years in incorporating health status measures into clinical practice for use at the individual-patient level. We propose six measurement standards for individual-patient applications: (1) practical features, (2) breadth of health measured, (3) depth of health measured, (4) precision for cross-sectional assessment, (5) precision for longitudinal monitoring and (6) validity. We evaluate five health status surveys (Functional Status Questionnaire, Dartmouth COOP Poster Charts, Nottingham Health Profile, Duke Health Profile, and SF-36 Health Survey) that have been proposed for use in clinical practice. We conducted an analytical literature review to evaluate the six measurement standards for individual-patient applications across the five surveys. The most problematic feature of the five surveys was their lack of precision for individual-patient applications. Across all scales, reliability standards for individual assessment and monitoring were not satisfied, and the 95% CIs were very wide. There was little evidence of the validity of the five surveys for screening, diagnosing, or monitoring individual patients. The health status surveys examined in this paper may not be suitable for monitoring the health and treatment status of individual patients. Clinical usefulness of existing measures might be demonstrated as clinical experience is broadened. At this time, however, it seems that new instruments, or adaptation of existing measures and scaling methods, are needed for individual-patient assessment and monitoring.
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                Author and article information

                Journal
                Psychol Res Behav Manag
                Psychol Res Behav Manag
                prbm
                prbm
                Psychology Research and Behavior Management
                Dove
                1179-1578
                18 August 2020
                2020
                : 13
                : 693-700
                Affiliations
                [1 ]Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medial Sciences , Tabriz, Iran
                [2 ]Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences , Sanandaj, Iran
                [3 ]Department of Biostatistics and Epidemiology, Faculty of Health, Tabriz University of Medial Sciences , Tabriz, Iran
                Author notes
                Correspondence: Abdolreza ShaghaghiDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medial Sciences , Tabriz51666614711, IranTel +009 411 333622 Email shaghaghir@tbzmed.ac.ir
                Author information
                http://orcid.org/0000-0002-1234-9037
                http://orcid.org/0000-0002-4213-5152
                http://orcid.org/0000-0002-3884-1847
                Article
                256323
                10.2147/PRBM.S256323
                7443441
                32884372
                5cdc91d2-0da4-444e-b658-dba696a6abd3
                © 2020 Mavali et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 04 April 2020
                : 25 July 2020
                Page count
                Figures: 2, Tables: 3, References: 42, Pages: 8
                Categories
                Original Research

                Clinical Psychology & Psychiatry
                older adults,iran,mental wellbeing
                Clinical Psychology & Psychiatry
                older adults, iran, mental wellbeing

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