背景:根据世界卫生组织(WHO),心理健康是一种幸福的状态,在这种状态下,个人意识到自己的能力,可以应付正常的生活压力,可以富有成效地工作,并能够为他或她的社区做出贡献。因此,任何衡量心理健康和福祉的人口指标不仅应反映精神挑战的存在或不存在,而且还应反映一个人在一系列认知中的广泛心理能力和功能。社会,情感和身体维度。然而,虽然现有的心理健康指标通常强调健康状况不佳,现有的幸福感指标通常集中在幸福感或生活满意度上,从一系列社会和经济因素间接推断福祉,或者没有反映出影响人们日常生活的全部心理功能的读数,并且跨越了痛苦和无法正常工作的连续体,通过发挥充分发挥潜力的能力。
方法:我们提出了心理健康商,或MHQ,一种全面捕捉心理功能的心理健康人口指标,并检查它与功能生产力的关系。我们描述了MHQ指标所基于的47项评估和寿命影响评定量表,以及用于构造MHQ度量的非线性算法的每个步骤背后的基本原理。
结果:我们证明了MHQ指标与生产寿命函数之间的线性关系,其中从任何点或任何方向的尺度运动与人口水平的生产能力的等效变化有关,一种不能用简单的和分数证明的关系。我们进一步表明,这种关系在所有年龄段都是相同的。最后,我们展示了MHQ指标产生的各种见解的潜力,提供全球思维项目的例子,一项旨在跟踪和了解我们不断发展的心理健康的倡议,自2020年以来,已经收集了来自140多个国家的100多万人的回复。
结论:MHQ是衡量心理健康的指标,符合WHO的定义,适合大规模人群监测。
BACKGROUND: According to the World Health Organization (WHO), mental health is \'a state of wellbeing in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community\'. Any population
metric of mental health and wellbeing should therefore not only reflect the presence or absence of mental challenges but also a person\'s broad mental capacity and functioning across a range of cognitive, social, emotional and physical dimensions. However, while existing metrics of mental health typically emphasize ill health, existing metrics of wellbeing typically focus on happiness or life satisfaction, indirectly infer wellbeing from a selection of social and economic factors, or do not reflect a read out of the full spectrum of mental functioning that impacts people\'s everyday life and that spans the continuum from distress and the inability to function, through to the ability to function to one\'s full potential.
METHODS: We present the Mental Health Quotient, or MHQ, a population metric of mental wellbeing that comprehensively captures mental functioning, and examine how it relates to functional productivity. We describe the 47-item assessment and the life impact rating scale on which the MHQ
metric is based, as well as the rationale behind each step of the nonlinear algorithm used to construct the MHQ
metric.
RESULTS: We demonstrate a linear relationship between the MHQ metric and productive life function where movement on the scale from any point or in any direction relates to an equivalent shift in productive ability at the population level, a relationship that is not borne out using simple sum scores. We further show that this relationship is the same across all age groups. Finally, we demonstrate the potential for the types of insights arising from the MHQ
metric, offering examples from the Global Mind Project, an initiative that aims to track and understand our evolving mental wellbeing, and since 2020 has collected responses from over 1 million individuals across 140 + countries.
CONCLUSIONS: The MHQ is a
metric of mental wellbeing that aligns with the WHO definition and is amenable to large scale population monitoring.