PDF(Pubmed)
Abstract：
UNASSIGNED: Adolescence is a key period of vulnerability for poor mental health as the brain is still developing and may be more sensitive to the negative impacts of stress and adversity. Unfortunately, few measures comprehensively assess wellbeing in adolescents.
UNASSIGNED: The 26-item COMPAS-W Wellbeing Scale for adults was validated in a sample of 1,078 adolescents aged 13-17 years old (51.67% male, 79.13% non-clinical vs 20.87% psychiatric or developmental clinical cases). The six COMPAS-W sub-scales and total scale were examined in this sample using second-order confirmatory factor analysis, and psychometric testing.
UNASSIGNED: The 23-item COMPAS-W demonstrated the best fit for this sample according to goodness-of-fit indices (χ 2 (220, 1078) = 1439.395, p < 0.001, CFI = 0.893, TLI = 0.877, RMSEA = 0.070, SRMR = 0.095). Internal reliability for the confirmed 23-item COMPAS-W model was run for the total scale (α = 0.912) and sub-scales (Composure, α = 0.735; Own-worth, α = 0.601; Mastery, α = 0.757; Positivity, α = 0.721; Achievement, α = 0.827; and Satisfaction, α = 0.867). Test-retest reliability over 6 weeks was also good for the total scale at r = 0.845 and the sub-scales: Composure (r = 0.754), Own-worth (r = 0.743), Mastery (r = 0.715), Positivity (r = 0.750), Achievement (r = 0.750), and Satisfaction (r = 0.812). Compared with non-clinical participants\' wellbeing (M = 90.375, SE = 0.400), those with clinical diagnoses reported lower wellbeing, both for those with developmental diagnoses (M = 85.088, SE = 1.188), or psychiatric diagnoses (M = 78.189, SE = 1.758), or combined developmental and psychiatric diagnoses (M = 77.079, SE = 2.116). Yet, when wellbeing category scores were considered by diagnosis group, both non-clinical and clinical groups demonstrated incidence across all three categories of languishing, moderate and flourishing wellbeing, in support of the dual-continua model of mental health. On average, younger adolescents\' (13-14 years) wellbeing did not differ from older adolescents\' (15-17 years) wellbeing; however, for sex, males scored 1.731 points significantly higher in wellbeing compared with females (p = 0.028); and American participants scored 3.042 points significantly higher in wellbeing compared with Australian participants (p < 0.001).
UNASSIGNED: In conclusion, the 23-item COMPAS-W is a reliable measure of wellbeing for adolescents, both for those with and without developmental and psychiatric diagnoses.
UNASSIGNED: The 26-item COMPAS-W Wellbeing Scale for adults was validated in a sample of 1,078 adolescents aged 13-17 years old (51.67% male, 79.13% non-clinical vs 20.87% psychiatric or developmental clinical cases). The six COMPAS-W sub-scales and total scale were examined in this sample using second-order confirmatory factor analysis, and psychometric testing.
UNASSIGNED: The 23-item COMPAS-W demonstrated the best fit for this sample according to goodness-of-fit indices (χ 2 (220, 1078) = 1439.395, p < 0.001, CFI = 0.893, TLI = 0.877, RMSEA = 0.070, SRMR = 0.095). Internal reliability for the confirmed 23-item COMPAS-W model was run for the total scale (α = 0.912) and sub-scales (Composure, α = 0.735; Own-worth, α = 0.601; Mastery, α = 0.757; Positivity, α = 0.721; Achievement, α = 0.827; and Satisfaction, α = 0.867). Test-retest reliability over 6 weeks was also good for the total scale at r = 0.845 and the sub-scales: Composure (r = 0.754), Own-worth (r = 0.743), Mastery (r = 0.715), Positivity (r = 0.750), Achievement (r = 0.750), and Satisfaction (r = 0.812). Compared with non-clinical participants\' wellbeing (M = 90.375, SE = 0.400), those with clinical diagnoses reported lower wellbeing, both for those with developmental diagnoses (M = 85.088, SE = 1.188), or psychiatric diagnoses (M = 78.189, SE = 1.758), or combined developmental and psychiatric diagnoses (M = 77.079, SE = 2.116). Yet, when wellbeing category scores were considered by diagnosis group, both non-clinical and clinical groups demonstrated incidence across all three categories of languishing, moderate and flourishing wellbeing, in support of the dual-continua model of mental health. On average, younger adolescents\' (13-14 years) wellbeing did not differ from older adolescents\' (15-17 years) wellbeing; however, for sex, males scored 1.731 points significantly higher in wellbeing compared with females (p = 0.028); and American participants scored 3.042 points significantly higher in wellbeing compared with Australian participants (p < 0.001).
UNASSIGNED: In conclusion, the 23-item COMPAS-W is a reliable measure of wellbeing for adolescents, both for those with and without developmental and psychiatric diagnoses.
摘要：
■青少年时期是心理健康状况不佳的关键时期，因为大脑仍在发育，可能对压力和逆境的负面影响更加敏感。不幸的是,很少有措施全面评估青少年的幸福感。
■在1,078名13-17岁青少年的样本中验证了26项成人COMPAS-W健康量表（男性占51.67％，79.13%的非临床病例和20.87%的精神病或发育性临床病例)。使用二阶验证性因子分析检查了该样本中的六个COMPAS-W子量表和总量表，和心理测试。
■根据拟合优度指数（χ2（220，1078）=1439.395，p<0.001，CFI=0.893，TLI=0.877，RMSEA=0.070，SRMR=0.095），23项COMPAS-W证明了该样本的最佳拟合。已确认的23项COMPAS-W模型的内部可靠性是针对总量表（α=0.912）和子量表（复合，α=0.735；自身价值，α=0.601；精通，α=0.757；积极性，α=0.721；成就，α=0.827；满意度，α=0.867)。6周内的重测信度对于r=0.845的总量表和子量表：复合（r=0.754）也很好，自己的价值（r=0.743），掌握（r=0.715），阳性（r=0.750），成就（r=0.750），和满意度(r=0.812)。与非临床参与者的健康状况(M=90.375，SE=0.400)相比，那些有临床诊断的人报告健康状况较低，对于那些有发育诊断的人(M=85.088，SE=1.188)，或精神病诊断（M=78.189，SE=1.758），或联合发育和精神病诊断（M=77.079，SE=2.116）。然而，当诊断组考虑健康类别评分时，非临床和临床组都显示出所有三类疾病的发病率，适度和繁荣的福祉，支持心理健康的双重连续性模型。平均而言,青少年(13-14岁)的幸福感与青少年(15-17岁)的幸福感没有差异；然而，为了性，男性的幸福感得分显著高于女性(p=0.028);美国参与者的幸福感得分显著高于澳大利亚参与者(p<0.001)的3.042分。
■总而言之，23项COMPAS-W是衡量青少年幸福感的可靠指标，对于那些有和没有发育和精神病诊断的人。
■在1,078名13-17岁青少年的样本中验证了26项成人COMPAS-W健康量表（男性占51.67％，79.13%的非临床病例和20.87%的精神病或发育性临床病例)。使用二阶验证性因子分析检查了该样本中的六个COMPAS-W子量表和总量表，和心理测试。
■根据拟合优度指数（χ2（220，1078）=1439.395，p<0.001，CFI=0.893，TLI=0.877，RMSEA=0.070，SRMR=0.095），23项COMPAS-W证明了该样本的最佳拟合。已确认的23项COMPAS-W模型的内部可靠性是针对总量表（α=0.912）和子量表（复合，α=0.735；自身价值，α=0.601；精通，α=0.757；积极性，α=0.721；成就，α=0.827；满意度，α=0.867)。6周内的重测信度对于r=0.845的总量表和子量表：复合（r=0.754）也很好，自己的价值（r=0.743），掌握（r=0.715），阳性（r=0.750），成就（r=0.750），和满意度(r=0.812)。与非临床参与者的健康状况(M=90.375，SE=0.400)相比，那些有临床诊断的人报告健康状况较低，对于那些有发育诊断的人(M=85.088，SE=1.188)，或精神病诊断（M=78.189，SE=1.758），或联合发育和精神病诊断（M=77.079，SE=2.116）。然而，当诊断组考虑健康类别评分时，非临床和临床组都显示出所有三类疾病的发病率，适度和繁荣的福祉，支持心理健康的双重连续性模型。平均而言,青少年(13-14岁)的幸福感与青少年(15-17岁)的幸福感没有差异；然而，为了性，男性的幸福感得分显著高于女性(p=0.028);美国参与者的幸福感得分显著高于澳大利亚参与者(p<0.001)的3.042分。
■总而言之，23项COMPAS-W是衡量青少年幸福感的可靠指标，对于那些有和没有发育和精神病诊断的人。
