The meaning of symptom-check-list scores in mental health surveys: A testing of multiple hypotheses

Autor: H.B.M. Murphy
Rok vydání: 1978
Předmět:
Zdroj: Social Science & Medicine. Medical Psychology and Medical Sociology. 12:67-75
ISSN: 0160-7979
DOI: 10.1016/0160-7979(78)90026-7
Popis: Symptom-check-lists were administered, along with other types of interview, to women in two districts of Montreal, the goal being to illuminate their significance and elucidate a paradoxical finding. It was confirmed that the more comfortable district yielded higher scores but no greater evidence of ill-health, life stress or ego weakness. Language use, over-inclusiveness, help-seeking behaviour and coping strategies were explored without yielding any explanation for the paradox, but it was then found that the two samples differed in their ego ideals and awareness of higher needs. In the district where the subjects were more conscious of the basic human needs for security, health, shelter, etc. high symptom levels only appeared when accompanied by concrete reasons, but in the district where self-actualisation was a recognised need, the symptom score could be high in healthy and declaredly content subjects, if this need did not appear to be met. These findings are linked to Abraham Maslow's theory of Hierarchy of Needs, and suggest that symptom-check-lists should only be used for mental health surveys after we have defined mental health and verified that the instrument is relevant.
Databáze: OpenAIRE