Reliability and validity of the Spanish version of the World Health Organization-Five Well-Being Index in elderly
Reliability and validity of the Spanish version of the World Health Organization-Five Well-Being Index in elderly
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DOI：
10.1111/j.1440-1819.2012.02387.x
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发表时间：
2012-10-01
影响因子：
11.9
通讯作者：
Lucas-Carrasco, Ramona
中科院分区：
文献类型：
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作者：
Lucas-Carrasco, Ramona
目标世界卫生组织(WHO)-五项幸福指数(WHO-5)是一个简短的5项指数，旨在评估情绪幸福水平。WHO-5的积极问题转向了测量快乐和精力水平，在筛查抑郁症方面发挥了作用。本文介绍了西班牙WHO-5在老年人中的心理测量学特性。方法来自社区中心和初级保健中心的199名参与者参与了这项研究，完成了一系列测量：世卫组织-5，生活质量(WHOQOL-BREF)，抑郁症状(老年抑郁量表[GDS-15])，以及健康和社会人口学信息。使用标准的心理测量学方法进行分析。结果量表的内部一致性信度较好(Cronbach‘s a=0.86)。探索性因素分析显示为单因素解，可解释WHO-5总方差的66%。WHO-5与WHOQOL-BREF和GDS-15有较高的相关性，具有较好的收敛效度。判别效度通过WHO-5区分健康和不健康以及抑郁和非抑郁参与者的能力得到证实(根据GDS-15衡量)。结论WHO-5在老年人中具有良好的心理测量学特征。它可能是在初级保健和社区中心评估情绪健康和检测老年人抑郁症状的有用工具。
Aims The World Health Organization (WHO)-Five Well-being Index (WHO-5) is a short 5-item index designed to assess the level of emotional well-being. The positive questions of the WHO-5, shifted towards measuring cheerfulness and the level of energy, work in the screening of depression. This paper describes the psychometric properties of the Spanish WHO-5 in older persons. Methods A total of 199 participants from community centers and primary care centers participated in the study completing a battery of measures: WHO-5, Quality of Life (WHOQOL-BREF), depressive symptoms (Geriatric Depression Scale [GDS-15]), as well as health and sociodemographic information. Analysis was performed using standard psychometric methods. Results Internal consistency reliability was good (Cronbach's a?=?0.86). Exploratory factor analysis showed a one-factor solution which accounted for 66% of the total variance of WHO-5. Moderatehigh correlations were found between WHO-5 and the WHOQOL-BREF and GDS-15 were confirmed, indicating good convergent validity. Discriminative validity was confirmed by the ability of the WHO-5 to differentiate between healthy and unhealthy and depressed and non-depressed participants (as measured by the GDS-15). Conclusions The WHO-5 showed acceptable psychometric properties in elderly persons. It might be a useful tool to assess emotional well-being and to detect depressive symptoms among older persons in primary care and community centers.