Centre for Development, Evaluation, Complexity, and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff, CF10 3BD, UK.
Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK.
Qual Life Res. 2022 Jan;31(1):205-213. doi: 10.1007/s11136-021-02896-0. Epub 2021 May 28.
Studying mental wellbeing requires the use of reliable, valid, and practical assessment tools, such as the Short version of the Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Research on the mental wellbeing of children in care is sparse. The current study aims to: (1) examine the unidimensionality of SWEMWBS; (2) assess measurement invariance of SWEMWBS across children and young people in care compared to their peers not in care; and (3) investigate the latent factor mean differences between care status groups.
We used data from the 2017 School Health Research Network Student Health and Wellbeing (SHW) survey, completed by 103,971 students in years 7 to 11 from 193 secondary schools in Wales. The final data include a total of 2,795 participants (46% boys), which includes all children in care and a sub-sample of children not in care who completed the SWEMWBS scale fully and answered questions about their living situation.
Confirmatory factor analysis supported the unidimensionality of SWEMWBS. The SWEMWBS is invariant across groups of young people in foster, residential and kinship care compared to children and young people not in care at configural, metric and scalar levels. Findings from latent mean comparisons showed that young people in care reported lower mental wellbeing than their peers, with those in residential care reporting the lowest scores.
Findings suggest that SWEMWBS is a valid scale for measuring differences in mental wellbeing for young people in care similar to the population.
研究心理健康需要使用可靠、有效和实用的评估工具,例如华威-爱丁堡心理健康量表(SWEMWBS)的简短版。关于照顾儿童的心理健康的研究很少。本研究旨在:(1)检验 SWEMWBS 的单维性;(2)评估 SWEMWBS 在照顾儿童和年轻人与未照顾同龄人之间的测量不变性;(3)调查照顾状态组之间潜在因子均值差异。
我们使用了 2017 年学校健康研究网络学生健康与幸福感(SHW)调查的数据,该调查由威尔士 193 所中学的 103971 名 7 至 11 年级学生完成。最终数据包括 2795 名参与者(46%为男生),其中包括所有照顾儿童和未照顾儿童的子样本,他们完整地完成了 SWEMWBS 量表并回答了关于他们生活状况的问题。
验证性因素分析支持 SWEMWBS 的单维性。SWEMWBS 在配置、度量和标度水平上在寄养、住宿和亲属照顾的年轻人群体与未照顾的年轻人群体之间是不变的。潜在均值比较的结果表明,照顾中的年轻人报告的心理健康水平低于同龄人,其中住宿照顾的年轻人报告的得分最低。
研究结果表明,SWEMWBS 是衡量照顾中的年轻人与同龄人之间心理健康差异的有效工具。