National and Kapodistrian University of Athens, 2nd Department of Psychiatry, Athens, Greece.
Panteion University of Social and Political Sciences, Department of Psychology, Athens, Greece.
J Clin Psychol. 2019 Sep;75(9):1585-1612. doi: 10.1002/jclp.22780. Epub 2019 Apr 17.
The Mental Health Continuum-Short Form (MHC-SF), measuring emotional, social, and psychological well-being, has scarcely been validated in clinical populations. We evaluated MHC-SF in 203 patients with affective disorders and 163 nonclinical participants.
Traditional confirmatory factor analysis (CFA), bifactor CFA, three-factor exploratory structural equation modeling (ESEM), and bifactor ESEM models were compared. Convergent/discriminant validity was tested against classic well-being validators and current mood state.
All three subscales were significantly lower in patients. Test-retest reliability in patients was moderate. Bifactor ESEM fitted data best and displayed full scalar gender and partial scalar invariance across groups. Factor strength indices suggested that MHC-SF is primarily unidimensional, especially in patients. However, subscales differed considerably on size, internal consistency, distinctness, discriminant validity, and temporal stability.
MHC-SF was valid and reliable for monitoring well-being in both clinical and nonclinical samples, but further research is needed before safely concluding on its dimensionality.
衡量情绪、社交和心理幸福感的心理健康连续体-短式量表（MHC-SF）在临床人群中几乎未经验证。我们在 203 名情感障碍患者和 163 名非临床参与者中评估了 MHC-SF。
比较了传统验证性因素分析（CFA）、双因素 CFA、三因素探索性结构方程建模（ESEM）和双因素 ESEM 模型。对经典幸福感验证器和当前情绪状态进行了收敛/区分效度检验。
所有三个分量表在患者中均显著降低。患者的重测信度为中等。双因素 ESEM 最适合拟合数据，并在组间显示出全标量性别和部分标量不变性。因子强度指数表明，MHC-SF 主要是单维的，尤其是在患者中。然而，分量表在大小、内部一致性、独特性、区分效度和时间稳定性方面存在显著差异。
MHC-SF 可用于监测临床和非临床样本中的幸福感，具有有效性和可靠性，但在安全得出其维度结论之前，还需要进一步研究。
