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首页> 外文期刊>BMC Psychiatry >Measuring mental well-being in Norway: validation of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
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Measuring mental well-being in Norway: validation of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)

机译：评估挪威的心理健康：沃里克-爱丁堡心理健康量表（WEMWBS）的验证

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Background Mental well-being is an important, yet understudied, area of research, partly due to lack of appropriate population-based measures. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) was developed to meet the needs for such a measure. This article assesses the psychometric properties of the Norwegian version of the WEMWBS, and its short-version (SWEMWBS) among a sample of primary health care patients who participated in the evaluation of Prompt Mental Health Care (PMHC), a novel Norwegian mental health care program aimed to increase access to treatment for anxiety and depression. Methods Forward and back-translations were conducted, and 1168 patients filled out an electronic survey including the WEMWBS, and other mental health scales. The original dataset was randomly divided into a training sample (≈70%) and a validation sample (≈30%). Parallel analysis and confirmatory factor analysis were carried out to assess construct validity and precision. The final models were cross-validated in the validation sample by specifying a model with fixed parameters based on the estimates from the trainings set. Criterion validity and measurement invariance of the (S)WEMWBS were examined as well. Results Support was found for the single factor hypothesis in both scales, but similar to previous studies, only after a number of residuals were allowed to correlate (WEMWBS: CFI?=?0.99; RMSEA?=?0.06, SWEMWBS: CFI?=?.99; RMSEA?=?0.06). Further analyses showed that the correlated residuals did not alter the meaning of the underlying construct and did not substantially affect the associations with other variables. Precision was high for both versions of the WEMWBS (>.80), and scalar measurement invariance was obtained for gender and age group. The final measurement models displayed adequate fit statistics in the validation sample as well. Correlations with other mental health scales were largely in line with expectations. No statistically significant differences were found in mean latent (S)WEMWBS scores for age and gender. Conclusion Both WEMWBS scales appear to be valid and precise instruments to measure mental well-being in primary health care patients. The results encourage the use of mental well-being as an outcome in future epidemiological, clinical, and evaluation studies, and may as such be valuable for both research and public health practice.
机译：背景技术心理健康是一个重要但尚未研究的领域，部分原因是缺乏适当的基于人群的措施。沃里克-爱丁堡精神健康量表（WEMWBS）是为了满足此类措施的需要而开发的。本文评估了参与评估提示精神卫生保健（PMHC）（一种新型的挪威精神卫生保健）的初级卫生保健患者样本中挪威版WEMWBS的心理测量特性及其短版（SWEMWBS）该计划旨在增加获得焦虑和抑郁症治疗的机会。方法进行正向和反向翻译，对1168例患者进行了电子调查，包括WEMWBS和其他心理健康量表。原始数据集被随机分为训练样本（约70％）和验证样本（约30％）。进行平行分析和验证性因素分析以评估构建体的有效性和准确性。通过基于训练集的估计指定具有固定参数的模型，可以在验证样本中对最终模型进行交叉验证。 （S）WEMWBS的标准有效性和测量不变性也进行了检查。结果在两个量表中均发现了对单因素假设的支持，但与先前的研究相似，只是在允许多个残差相关之后（WEMWBS：CFI≥0.99;RMSEA≥0.06; SWEMWBS：CFI≥6）。 .99; RMSEA？=？0.06）。进一步的分析表明，相关残差不会改变基础结构的含义，也不会显着影响与其他变量的关联。两种版本的WEMWBS的精度都很高（> .80），并且性别和年龄组的标量测量不变性。最终的测量模型在验证样本中也显示出足够的拟合统计量。与其他心理健康量表的相关性在很大程度上符合预期。在年龄和性别的平均潜在（S）WEMWBS得分中未发现统计学上的显着差异。结论两种WEMWBS量表似乎都是衡量初级保健患者心理健康的有效且精确的工具。结果鼓励在未来的流行病学，临床和评估研究中使用心理健康作为结果，因此对于研究和公共卫生实践均可能是有价值的。

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