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中国城市背景下青少年心理健康测量的信度与效度

Reliability and validity of mental health measurement of young people in a Chinese urban context.

作者信息

Zhou Jing, Toikko Timo

机构信息

School of Law, Shanghai Lixin University of Accounting and Finance, Shanghai, China.

Department of Social Sciences, University of Eastern Finland, Kuopio, Finland.

出版信息

PLoS One. 2025 Jun 17;20(6):e0321523. doi: 10.1371/journal.pone.0321523. eCollection 2025.

Abstract

Globally, there is increasing attention on mental health promotion for young people because of its great public health and social significance. The scarcity of suitable mental health measures for young people underscores the urgent need for tailored interventions to address their unique mental health challenges. This study explores the reliability and validity of the self-rated mental health measurement scale (SRMHS) for assessing Chinese youth mental health in an urban context in China, addressing a critical research gap in culturally and contextually appropriate mental health measurement instruments. The study responds to the global demand for valid and reliable health data to support mental well-being initiatives. Utilizing a sample of 3,279 participants aged 14-35 years, the study employed rigorous statistical analyses, including Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and tests for convergent, discriminant, and concurrent validity, to evaluate the scale's psychometric properties. Results confirm a three-dimensional structure of the mental health scale, encompassing positive emotion, psychosocial symptoms and negative emotion, and cognitive function, demonstrating good internal consistency, reliability, and validity. Subgroup consistency categorized across gender, age, and social identity was examined, and the significant correlations between mental health scores with relevant psychological outcomes showed good concurrent validity, indicating the effectiveness of SRMHS in capturing a broad spectrum of psychological states relevant to youth development. Findings highlight the importance of a multidimensional approach to mental health assessment, reflecting global advocacy for recognizing mental well-being as not merely the absence of illness, but also the presence of positive psychological states. This study significantly contributes to the field by providing a scientifically robust and culturally sensitive tool for assessing youth mental health in China, and promotes a more inclusive and holistic approach to mental health research and practice globally. The results of this study could benefit policy-making, targeted interventions, and the overall improvement of youth mental well-being.

摘要

在全球范围内,由于青少年心理健康具有重大的公共卫生和社会意义,人们对促进青少年心理健康的关注度日益提高。适合青少年的心理健康测量方法匮乏,这凸显了针对他们独特的心理健康挑战制定量身定制干预措施的迫切需求。本研究探讨了自评心理健康测量量表(SRMHS)在中国城市背景下评估中国青少年心理健康的信效度,填补了文化和背景适宜的心理健康测量工具这一关键研究空白。该研究回应了全球对有效和可靠健康数据的需求,以支持心理健康倡议。该研究以3279名年龄在14至35岁之间的参与者为样本,采用了严格的统计分析方法,包括探索性因素分析(EFA)、验证性因素分析(CFA)以及收敛效度、区分效度和同时效度检验,以评估该量表的心理测量特性。结果证实了心理健康量表的三维结构,包括积极情绪、心理社会症状和消极情绪以及认知功能,显示出良好的内部一致性、信度和效度。研究还考察了按性别、年龄和社会身份分类的亚组一致性,心理健康得分与相关心理结果之间的显著相关性显示出良好的同时效度,表明SRMHS在捕捉与青少年发展相关的广泛心理状态方面是有效的。研究结果强调了心理健康评估采用多维度方法的重要性,反映了全球倡导将心理健康不仅仅视为没有疾病,还包括积极心理状态的存在。本研究通过提供一种科学稳健且文化敏感的工具来评估中国青少年的心理健康,为该领域做出了重大贡献,并在全球范围内促进了更具包容性和整体性的心理健康研究与实践方法。本研究结果可惠及政策制定、针对性干预以及青少年心理健康的整体改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6185/12173409/61d45656f3aa/pone.0321523.g001.jpg

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