Cross-cultural validity of the WHO-5 Well-Being Index and Euthymia Scale: A clinimetric analysis.

Autor: Carrozzino D; Department of Psychology 'Renzo Canestrari', Alma Mater Studiorum University of Bologna, Bologna, Italy., Christensen KS; Research Unit for General Practice and Section for General Medical Practice, Department of Public Health, Aarhus University, Aarhus, Denmark., Patierno C; Department of Psychology 'Renzo Canestrari', Alma Mater Studiorum University of Bologna, Bologna, Italy., Woźniewicz A; Department of Geriatrics, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland., Møller SB; Department of Psychology, University of Southern Denmark, Denmark., Arendt ITP; Department of Psychology, University of Southern Denmark, Denmark., Zhang Y; School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China; Department of Psychosomatics and Psychiatry, Zhongda Hospital, Southeast University, Nanjing, China., Yuan Y; Department of Psychosomatics and Psychiatry, Zhongda Hospital, Southeast University, Nanjing, China., Sasaki N; Department of Mental Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan., Nishi D; Department of Mental Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan., Berrocal Montiel C; Department of Surgical, Medical and Molecular Pathology, and Critical Care Medicine, University of Pisa, Pisa, Italy., Ceccatelli S; Department of Health Sciences, University of Florence, via di San Salvi 12, 50135 Florence, Italy., Mansueto G; Department of Health Sciences, University of Florence, via di San Salvi 12, 50135 Florence, Italy; Department of Psychology, Sigmund Freud University, Ripa di Porta Ticinese, 77, 20143 Milan, Italy., Cosci F; Department of Health Sciences, University of Florence, via di San Salvi 12, 50135 Florence, Italy; Department of Psychiatry & Neuropsychology, Maastricht University, PO Box 616, Maastricht, the Netherlands. Electronic address: fiammetta.cosci@unifi.it.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2022 Aug 15; Vol. 311, pp. 276-283. Date of Electronic Publication: 2022 May 21.
DOI: 10.1016/j.jad.2022.05.111
Abstrakt: Background: The assessment of psychological well-being and euthymia represents an emerging issue in clinical psychology and psychiatry. Rating scales and indices such as the 5-item version of the World Health Organization Well-Being Index (WHO-5) and the Euthymia Scale (ES) were developed but insufficient attention has been devoted to the evaluation of their cross-cultural validity. This is the first study using Clinimetric Patient-Reported Outcome Measures (CLIPROM) criteria to assess cross-cultural validity and sensitivity of five different versions of the WHO-5 and ES.
Methods: A multicenter cross-sectional study involving a total of 3762 adult participants from different European (i.e., Italy, Poland, Denmark) and non-European (i.e., China, Japan) countries was conducted. Item Response Theory models (Mokken and Rasch analyses) were applied.
Results: Mokken coefficients of scalability were found to range from 0.42 to 0.84. The majority of the versions of the WHO-5 fitted the Rasch model expectations. Paired t-tests revealed that the Italian and Danish WHO-5 versions were unidimensional. Person Separation Reliability indices showed that the Polish, Danish, and Japanese ES versions could reliably discriminate between subjects with different levels of euthymia.
Limitations: A convenience sampling was used, thus limiting the generalizability of study findings. In addition, no measures of negative mental health were administered.
Conclusions: WHO-5 can be used in international studies for cross-cultural comparisons since it covers transcultural components of subjective well-being. Findings also suggest that the ES can be used as a cross-cultural screening tool since it entailed the clinimetric property of sensitivity.
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Databáze: MEDLINE