Mental illness and/or mental health? Investigating axioms of the complete state model of health
Mental illness and/or mental health? Investigating axioms of the complete state model of health
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DOI：
10.1037/0022-006x.73.3.539
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发表时间：
2005-06-01
影响因子：
5.9
通讯作者：
Keyes, CLM
中科院分区：
文献类型：
--
作者：
Keyes, CLM
提出了对心理健康的存在（即繁荣）和缺乏（即衰退）进行持续评估和分类诊断，并将其应用于美国中年研究数据，该数据是全国范围内 25 岁至 74 岁之间具有代表性的成年人样本（N = 3,032）。验证性因素分析支持这样的假设：心理健康（即情绪、心理和社会福祉）和精神疾病（即重性抑郁发作、广泛性焦虑、恐慌症和酒精依赖）的测量构成独立的相关单极维度。分类诊断的估计值为 18.0%，与精神障碍交叉制表后，估计为 16.6%，完全心理健康。心理完全健康的成年人的日常生活活动健康限制最少，缺勤天数最少，半天工作减少最少，心理社会功能最健康（低无助感、明确的生活目标、高复原力和高亲密感）。
A continuous assessment and a categorical diagnosis of the presence (i.e., flourishing) and the absence (i.e., languishing) of mental health were proposed and applied to the Midlife in the United States study data, a nationally representative sample of adults between the ages of 25 and 74 years (N = 3,032). Confirmatory factor analyses supported the hypothesis that measures of mental health (i.e., emotional, psychological, and social well-being) and mental illness (i.e., major depressive episode, generalized anxiety, panic disorder, and alcohol dependence) constitute separate correlated unipolar dimensions. The categorical diagnosis yielded an estimate of 18.0% flourishing and, when cross-tabulated with the mental disorders, an estimate of 16.6% with complete mental health. Completely mentally healthy adults reported the fewest health limitations of activities of daily living, the fewest missed days of work, the fewest half-day work cutbacks, and the healthiest psychosocial functioning (low helplessness, clear life goals, high resilience, and high intimacy).