Dadfar Mahboubeh, Momeni Safarabad Nahid, Asgharnejad Farid Ali Asghar, Nemati Shirzy Monir, Ghazie Pour Abarghouie Farzad
School of Behavioral Sciences and Mental Health - Tehran Institute of Psychiatry, International Campus, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
School of Behavioral Sciences and Mental Health - Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
Trends Psychiatry Psychother. 2018;40(2):79-84. doi: 10.1590/2237-6089-2017-0044.
The association between psychological well-being and physical and mental health has been shown in the literature. Psychological well-being is a multifaceted concept. The World Health Organization-5 Well-Being Index (WHO-5) is a 5-item instrument used to screen for depression. However, the validity of the WHO-5 has not been investigated in Iranian psychiatric or psychological settings.
To investigate the validation of the Farsi version of the WHO-5 in a sample of Iranian psychiatric outpatients.
A cross-sectional study was conducted with a convenience sample of 116 Iranian volunteer psychiatric outpatients selected from the psychiatric and psychological clinics at the School of Behavioral Sciences and Mental Health - Tehran Institute of Psychiatry, Iran University of Medical Sciences. Patients completed the WHO-5, the Patient Health Questionnaire-9 (PHQ-9), the Patient Health Questionnaire-15 (PHQ-15), and the short form of the Beck Depression Inventory-13 (BDI-13).
The mean score of the WHO-5 was 8.95 (standard deviation [SD] = 5.49). Cronbach's α for the WHO-5 was 0.91. The WHO-5 negatively correlated with PHQ-9 (-0.358), PHQ-15 (-0.328), and BDI-13 (-0.475), indicating good validity. Factor analysis of the WHO-5 items identified one factor labeled psychological well-being.
The WHO-5 has a single dimensional structure and acceptable psychometric parameters. The results of this study suggest that WHO-5 can be used in a clinical context in Iran.
文献表明心理健康与身心健康之间存在关联。心理健康是一个多维度的概念。世界卫生组织-5幸福指数（WHO-5）是一种用于筛查抑郁症的包含5个条目的工具。然而，WHO-5在伊朗的精神科或心理环境中的有效性尚未得到研究。
在伊朗精神科门诊患者样本中调查WHO-5波斯语版本的有效性。
进行了一项横断面研究，以便利抽样的方式从伊朗医科大学德黑兰精神病学研究所行为科学与心理健康学院的精神科和心理科诊所选取了116名伊朗志愿精神科门诊患者。患者完成了WHO-5、患者健康问卷-9（PHQ-9）、患者健康问卷-15（PHQ-15）以及贝克抑郁量表-13简版（BDI-13）。
WHO-5的平均得分为8.95（标准差[SD]=5.49）。WHO-5的克朗巴哈α系数为0.91。WHO-5与PHQ-9（-0.358）、PHQ-15（-0.328）和BDI-13（-0.475）呈负相关，表明有效性良好。对WHO-5条目进行因子分析确定了一个标记为心理健康的因子。
WHO-5具有单维结构和可接受的心理测量参数。本研究结果表明WHO-5可在伊朗的临床环境中使用。
