Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Carrer del Doctor Aiguader, 88, Edifici PRBB, 08003, Barcelona, Spain.
Qual Life Res. 2014 Apr;23(3):857-68. doi: 10.1007/s11136-013-0513-7. Epub 2013 Sep 5.
Mental well-being has aroused interest in Europe as an indicator of population health. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) was developed in the United Kingdom showing good face validity and has been previously adapted into Spanish. The aim of this study is to assess the validity and reliability of the Spanish version of WEMWBS in the general population.
Cross-sectional home face-to-face interview survey with computer-assisted personal interviewing was administered with the 2011 Catalan Health Interview Survey Wave 3, which is representative of the non-institutionalized general population of Catalonia, Spain. A total of 1,900 participants 15+ years of age were interviewed. The Spanish version of WEMWBS was administered together with socioeconomic and health-related variables, with a hypothesized level of association.
Similar to the original, confirmatory factor analysis fits a one-factor model adequately (CFI = 0.974; TLI = 0.970; RMSEA = 0.059; χ (2) = 584.82; df = 77; p < .001) and has a high internal consistency (Cronbach's alpha = 0.930; Guttman's lambda 2 = 0.932). The WEMWBS discriminated between population groups in all health-related and socioeconomic variables, except in gender (p = 0.119), with a magnitude similar to that hypothesized. Overall, mental well-being was higher for the general population of Catalonia (average and whole distribution) than that for Scotland general population.
The Spanish version of WEMWBS showed good psychometric properties similar to the UK original scale. Whether better mental well-being in Catalonia is due to methodological or substantive cultural, social, or environmental factors should be further researched.
心理健康作为人口健康的一个指标,在欧洲引起了人们的兴趣。华威-爱丁堡心理健康量表(WEMWBS)在英国开发,具有良好的表面效度,并已被改编为西班牙语。本研究旨在评估 WEMWBS 西班牙语版本在普通人群中的有效性和可靠性。
采用 2011 年加泰罗尼亚健康访谈调查第 3 波的横断面家庭面对面访谈调查,该调查代表了西班牙加泰罗尼亚的非住院普通人群。共对 1900 名 15 岁以上的参与者进行了访谈。WEMWBS 的西班牙语版本与社会经济和健康相关变量一起进行了管理,假设了关联水平。
与原始版本相似,验证性因素分析充分拟合单因素模型(CFI=0.974;TLI=0.970;RMSEA=0.059;χ²=584.82;df=77;p<0.001),且具有较高的内部一致性(Cronbach's alpha=0.930;Guttman's lambda 2=0.932)。WEMWBS 在所有健康相关和社会经济变量上区分了人群组,除了性别(p=0.119),其差异程度与假设的相似。总体而言,加泰罗尼亚普通人群的心理健康水平(平均和整个分布)高于苏格兰普通人群。
WEMWBS 的西班牙语版本表现出与英国原始量表相似的良好心理测量特性。加泰罗尼亚更好的心理健康状况是由于方法学还是实质性的文化、社会或环境因素,应该进一步研究。