Validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in French psychiatric and general populations
Validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in French psychiatric and general populations
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DOI：
10.1016/j.psychres.2016.08.050
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发表时间：
2016-11-30
影响因子：
11.3
通讯作者：
Franck, Nicolas
中科院分区：
文献类型：
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作者：
Trousselard, Marion;Steiler, Dominique;Franck, Nicolas
沃里克-爱丁堡心理健康量表 (WEMWBS) 已在许多国家的一般人群样本中得到验证。人们对在临床人群中使用这一措施的兴趣日益浓厚，特别是在三级预防和心理健康促进方面。本文报告了法国 WEMWBS 在健康和慢性缓解精神分裂症人群中的验证。法国 WEMWBS 接受了 319 名工人、75 名学生和 121 名患者。对于非患者，完成自我报告的特质和状态焦虑、正念、积极和消极影响以及一般健康问卷。患者完成阳性和阴性症状量表、临床总体印象严重程度量表、Birchwood Insight量表、社会适应量表和总体功能评估量表。在 6 个月时评估重测可靠性和对干预的反应性。无论样本是什么，反应频率均呈正态分布，并且内部一致性良好（Cronbach's alpha）。特征值的碎石图表明样本中存在单一因素。一维解决方案产生次优拟合指数。构建有效性得到确认。干预前后观察到分数显着改善。重测变异不显着。被评估患者的洞察力和认知能力受损意味着在对所有患者应用 WEMWBS 之前必须引起注意。尽管如此，WEMWBS 在更多的欧洲人群中被证明是有效和可靠的，这表明对健康和慢性缓解精神分裂症人群的干预措施的监测和评估具有跨文化有效性。 (C) 2016 Elsevier Ireland Ltd. 保留所有权利。
The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) has been validated in general population samples in many countries. Interest in using this measure in clinical populations is growing, particularly for tertiary prevention and mental health promotion. This paper reports validation of the French WEMWBS in healthy and chronic remitted schizophrenia populations.The French WEMWBS was administered to 319 workers, 75 students and 121 patients. For non patients, self-reported Trait- and State-Anxiety, Mindfulness, Positive and Negative Affect and the General Health Questionnaire were completed. For patients, the Positive and Negative Syndrome Scale, Clinical Global Impression Severity Scale, Birchwood Insight Scale, Social Adjustment Scale, and Global Assessment of Functioning scale were completed. Test-retest reliability and responsiveness to intervention was assessed at 6 months.Whatever the sample, response frequencies showed normal distributions, and internal consistency was good (Cronbach's alpha). Scree plots of eigenvalues suggested a single factor in the samples. The one-dimensional solution yielded suboptimal fit indices. Construct validity was confirmed. Significant improvement in scores was observed before and after intervention. Test-retest variation was non-significant.Impairment of insight and cognition in the assessed patients implies that attention must be paid before applying WEMWBS to all patients. Nevertheless, WEMWBS proved valid and reliable in a further European population, suggesting transcultural validity for both monitoring and evaluation of interventions in healthy as well as chronic remitted schizophrenia populations. (C) 2016 Elsevier Ireland Ltd. All rights reserved.