Can the 12-item General Health Questionnaire be used to measure positive mental health?
Can the 12-item General Health Questionnaire be used to measure positive mental health?
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DOI：
10.1017/s0033291707009993
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发表时间：
2007-07-01
影响因子：
6.9
通讯作者：
Weich, Scott
中科院分区：
文献类型：
--
作者：
Hu, Yongjian;Stewart-Brown, Sarah;Weich, Scott
背景福祉是健康和社会成果的一个重要决定因素。以人口为基础的研究需要积极的心理健康状态的措施。12项一般健康问卷（GHQ-12）已被广泛用于许多环境和语言，包括积极和消极的措辞项目。我们的目的是测试的假设，即GHQ-12评估C积极和消极的心理健康，这些领域是相互独立的。探索性（EFA）和验证性（CFA）的因素分析进行了英国家庭小组调查（BHPS）和英格兰健康调查（HSE）的数据。回归模型被用来评估与个人和家庭特征的关联是否在积极和消极的心理健康维度上有所不同。我们还探讨了更高层次的差异，在这些措施之间的选举wards.Results.我们在两个数据集中发现了一致的、可复制的因子结构。EFA结果表明，一个双因素的解决方案，CFA证明，这是上级优于一个单因素模型。这些因素对应于“精神障碍症状”和“积极的心理健康”。进一步的分析表明，这些因素与年龄、性别、就业状况、住房条件差和家庭组成无关。精神障碍症状的病房水平差异有统计学意义，但积极的心理健康水平差异不显著。GHQ-12测量心理健康的积极和消极方面，虽然相关，但这些方面具有一定的独立性。GHQ-12可用于在基于人群的研究中测量积极的心理健康。
Background. Well-being is an important determinant of health and social outcomes. Measures of positive mental health states are needed For population-based research. The 12-item General Health Questionnaire (GHQ-12) has been widely used in many settings and languages, and includes positively and negatively worded items. Our aim was to test the hypothesis that the GHQ-12 assesses C both positive and negative mental health and that these domains are independent of one another.Method. Exploratory (EFA) and confirmatory (CFA) factor analyses were conducted using data from the British Household Panel Survey (BHPS) and the Health Survey for England (HSE). Regress on models were used to assess whether associations with individual and household characteristics varied across positive and negative mental health dimensions. We also explored higher-level variance in these measures, between electoral wards.Results. We found a consistent, replicable factor structure in both datasets. EFA results indicated a two-factor solution, and CFA demonstrated that this was superior to a one-factor model. These factors correspond to `symptoms of mental disorder' and 'positive mental health'. Further analyses demonstrated independence of these factors in associations with age, gender, employment status, poor housing and household composition. Statistically significant ward-level variance was found for symptoms of mental disorder but not positive mental health.Conclusions. The GHQ-12 measures both positive and negative aspects of mental health, and although correlated, these dimensions have some independence. The GHQ-12 could be used to measure positive mental health in population-based research.