Fekih-Romdhane Feten, Cherif Wissal, Alhuwailah Amthal, Fawaz Mirna, Shuwiekh Hanaa Ahmed Mohamed, Helmy Mai, Hassan Ibrahim Hassan Mohammed, Naser Abdallah Y, Zarrouq Btissame, Chebli Marianne, El Frenn Yara, Yazbeck Gabriella, Salameh Gaelle, Hamdan-Mansour Ayman, Radwan Eqbal, Hakiri Abir, Obeid Sahar, Cheour Majda, Hallit Souheil
Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Department of Psychiatry Ibn Omrane, Razi Hospital, Manouba, Tunisia.
Glob Ment Health (Camb). 2025 Aug 19;12:e95. doi: 10.1017/gmh.2025.10051. eCollection 2025.
This study aimed to perform a cross-country validation of the Arabic version of the World Health Organization 5-item (WHO-5) Well-Being Index, in terms of factor structure, composite reliability, cross-gender measurement invariance and concurrent validity. We carried out a cross-sectional, web-based study on a total of 3,247 young adults (aged 18-35 years) from six Arab countries (Tunisia, Lebanon, Egypt, Jordan, Morocco and Kuwait). Confirmatory Factor Analysis showed that the one-factor model demonstrated acceptable fit across all six countries. In addition, the Arabic WHO-5 Well-Being Index yielded high reliability coefficients in samples from each country (McDonald's and Cronbach's = .92-.96), across genders ( = .95 in men and .94 in women) and age groups ( = .94/α = .94 in participants aged ≤25 years and =.96/ =.96 in those aged ≥26 years). Multi-group analyses demonstrated that configural, metric and scalar invariance were supported across gender, countries and age groups. Regarding concurrent validity, WHO-5 Well-being scores were strongly and significantly inversely correlated with depression, anxiety, stress, suicidal ideation and insomnia severity. This study provides a brief, valid and reliable Arabic version of the WHO-5 Well-Being Index that can be applied cross-nationally among Arabic-speaking young adult populations for screening and research purposes.
本研究旨在对世界卫生组织5项（WHO-5）幸福感指数阿拉伯语版本进行跨国验证，内容涉及因子结构、组合信度、跨性别测量不变性和同时效度。我们对来自六个阿拉伯国家（突尼斯、黎巴嫩、埃及、约旦、摩洛哥和科威特）的总共3247名年轻人（年龄在18 - 35岁之间）开展了一项基于网络的横断面研究。验证性因子分析表明，单因子模型在所有六个国家均显示出可接受的拟合度。此外，阿拉伯语WHO-5幸福感指数在每个国家的样本中、不同性别之间（男性为0.95，女性为0.94）以及不同年龄组之间（年龄≤25岁的参与者中为0.94/α = 0.94，年龄≥26岁的参与者中为0.96/ = 0.96）均产生了较高的信度系数。多组分析表明，在性别、国家和年龄组之间，构型不变性、度量不变性和标量不变性均得到支持。关于同时效度，WHO-5幸福感得分与抑郁、焦虑、压力、自杀意念和失眠严重程度呈强烈且显著的负相关。本研究提供了一个简短、有效且可靠的阿拉伯语版WHO-5幸福感指数，可在讲阿拉伯语的年轻成年人群体中跨国应用于筛查和研究目的。
