Validating the Warwick-Edinburgh Mental Well-being Scale for the positive mental health surveillance of adults in Canada.

IF 3.3 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Reports Pub Date : 2026-03-18 DOI:10.25318/82-003-x202600300002-eng

Colin A Capaldi, Melanie Varin, Laura L Ooi

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引用次数: 0

Abstract

Background: The accurate monitoring of population mental health requires repeated assessments using valid and reliable measures. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) and its short form (SWEMWBS) are widely used positive mental health (PMH) measures ([S]WEMWBS is used hereafter to refer to both). This study tested their validity among Canadian adults using representative health survey data.

Data and methods: Cross-sectional data from the 2024 Canadian Community Health Survey - Rapid Response on Sleep Quality and Positive Mental Health of adults (18 years and older) living in the provinces were used. The distributions of (S)WEMWBS responses and scores were examined. Confirmatory factor analysis (CFA) and bifactor exploratory structural equation modelling (ESEM) were conducted to assess factorial validity. Measurement invariance was tested across gender and age. Differences in (S)WEMWBS scores by gender, age, and other mental health indicators were examined. Cronbach's alphas were used to investigate internal consistency.

Results: (S)WEMWBS scores had relatively normal distributions, with no floor and minimal ceiling effects. A bifactor ESEM and bifactor CFA model for the WEMWBS and SWEMWBS, respectively, fit the data best, with indices suggesting that they were essentially unidimensional. Evidence was found for measurement invariance across gender and age. Older adults had higher (S)WEMWBS scores on average, as did men on the WEMWBS. The (S)WEMWBS had acceptable internal consistency and were associated with other mental health indicators.

Interpretation: The (S)WEMWBS appear to be valid and reliable PMH measures for Canadian adults. The (S)WEMWBS could be regularly included in health surveys to support the surveillance of population-level changes in PMH.

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华威-爱丁堡心理健康量表对加拿大成年人积极心理健康监测的验证。

背景：人口心理健康的准确监测需要使用有效和可靠的措施进行反复评估。沃里克-爱丁堡心理健康量表（WEMWBS）及其缩略形式（SWEMWBS）是广泛使用的积极心理健康（PMH）测量指标（[S]WEMWBS在下文中指代两者）。本研究使用具有代表性的健康调查数据在加拿大成年人中测试了它们的有效性。数据和方法：采用了2024年加拿大社区健康调查的横断面数据——对各省成年人（18岁及以上）睡眠质量和积极心理健康的快速反应。研究了(S)WEMWBS反应和得分的分布。采用验证性因子分析（CFA）和双因素探索性结构方程模型（ESEM）来评估因子效度。测试了不同性别和年龄的测量不变性。(S)WEMWBS评分在性别、年龄和其他心理健康指标上的差异进行了检查。使用Cronbach's alpha来调查内部一致性。结果(5)WEMWBS评分呈相对正态分布，不存在下限效应，上限效应最小。WEMWBS和SWEMWBS的双因子ESEM和双因子CFA模型最适合数据，其指标表明它们本质上是一维的。在性别和年龄之间发现了测量不变性的证据。老年人的WEMWBS平均得分较高，男性在WEMWBS上也是如此。(S)WEMWBS具有可接受的内部一致性，并与其他心理健康指标相关。解释：(S)WEMWBS似乎是加拿大成年人PMH的有效和可靠的测量方法。(S)WEMWBS可定期纳入健康调查，以支持监测PMH的人口水平变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.