Jormfeldt H, Arvidsson B, Svensson B, Hansson L
Department of Health Sciences, Lund Unviersity, Lund, Sweden.
J Psychiatr Ment Health Nurs. 2008 Apr;15(3):238-45. doi: 10.1111/j.1365-2850.2007.01219.x.
Mental health services have been lacking systematic health-promoting activities, and health is often perceived as the absence of disease from a biomedical perspective. It is vital to develop methods to assess perceived health among patients in a broader perspective. The aim of the study was to investigate construct validity of a newly developed health questionnaire intended to measure subjectively experienced health among patients in mental health services. A cross-sectional study, including a randomly selected sample of 139 outpatients in contact with the mental health services, was performed in order to explore the relationship between perceived health and self-reported levels of self-esteem, symptoms, empowerment, quality of life and experiences of stigmatization. Self-esteem, symptoms, empowerment and quality of life altogether accounted for 70% of the variation in overall perceived health. Overall perceived health showed positive associations to self-esteem, empowerment and quality of life and negative associations to psychiatric symptoms, discrimination and rejection experiences. The findings suggest that perceived health as measured by the health questionnaire can be a meaningful and valid construct that may be useful for measuring health in clinical mental healthcare practice and in mental health services research.
心理健康服务一直缺乏系统的健康促进活动，而且从生物医学角度来看，健康通常被视为没有疾病。从更广泛的角度开发评估患者感知健康的方法至关重要。本研究的目的是调查一份新开发的健康问卷的结构效度，该问卷旨在测量心理健康服务患者主观体验到的健康状况。为了探究感知健康与自尊、症状、赋权、生活质量和污名化经历的自我报告水平之间的关系，开展了一项横断面研究，研究对象为随机抽取的139名与心理健康服务机构有接触的门诊患者。自尊、症状、赋权和生活质量共同解释了总体感知健康差异的70%。总体感知健康与自尊、赋权和生活质量呈正相关，与精神症状、歧视和被排斥经历呈负相关。研究结果表明，通过健康问卷测量的感知健康可能是一个有意义且有效的结构，可用于临床心理保健实践和心理健康服务研究中的健康测量。
