Evidence map›Paper›PMID 32887631›Full record

ArticleHealth and quality of life outcomes2020

Measuring positive mental health and flourishing in Denmark: validation of the mental health continuum-short form (MHC-SF) and cross-cultural comparison across three countries.

Ziggi Ivan Santini, Manuel Torres-Sahli, Carsten Hinrichsen, Charlotte Meilstrup, Katrine R Madsen, Signe Boe Rayce, Melissa M Baker, Margreet Ten Have, Marijke Schotanus-Dijkstra, Vibeke Koushede

Abstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Measurement of flourishing: a scoping review.Frontiers in psychology · 2024
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  16. The Effect of Psychological Distress on Measurement Invariance in Measures of Mental Wellbeing.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ziggi Ivan SantiniThe Danish National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark. ziggi.santini@gmail.com.ORCID http://orcid.org/0000-0002-7318-3181
Manuel Torres-SahliSchool of Social Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK.
Carsten HinrichsenThe Danish National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark.
Charlotte MeilstrupThe Danish National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark.
Katrine R MadsenThe Danish National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen, Denmark.
Signe Boe RayceVive - The Danish Center for Social Science Research, Herluf Trolles Gade 11, 1052, Copenhagen, Denmark.
Melissa M BakerPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Margreet Ten HaveThe Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Utrecht, the Netherlands.
Marijke Schotanus-DijkstraDepartment of Psychology, Centre for eHealth and Well-being Research, Health and Technology, University of Twente, Enschede, AE, 7500, The Netherlands.
Vibeke KoushedeDepartment of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Mental Health Continuum-Short Form (MHC-SF) is a measure of positive mental health and flourishing, which is widely used in several countries but has not yet been validated in Denmark. This study aimed to examine its qualitative and quantitative properties in a Danish population sample and compare scores with Canada and the Netherlands.

methodsThree thousand five hundred eight participants aged 16-95 filled out an electronic survey. Both the unidimensional and multidimensional aspects of the Danish MHC-SF were studied through bifactor modelling. Cognitive interviews examined face validity and usability.

resultsThe general score of the Danish MHC-SF was reliable for computing unit-weighted composite scores, as well as using a bifactor model to compute general factor scores or measurement models in an SEM context. Nonetheless, subscale scores were unreliable, explaining very low variance beyond that explained by the general factor. The participants of the qualitative interviews observed problems with wording and content of the items, especially from the social subscale. The general score correlated with other scales as expected. We found substantial variation in flourishing prevalence rates between the three cultural settings.

conclusionsThe Danish MHC-SF produced reliable general scores of well-being. Most of the issues observed regarding the subscale scores have been shown in previous research in other contexts. The further analysis of indices of the bifactor model and the inclusion of qualitative interviews allowed for a better understanding of the possible sources of problems with the questionnaire's subscales. The use of subscales, the substantive understanding of the general score, as well as the operationalization of the state of flourishing, require further study.

Indexed as

Mental HealthAdolescentAdultAgedCross-Cultural ComparisonDenmarkFemaleHumansMaleMiddle AgedPersonal SatisfactionPsychometricsQuality of LifeSurveys and QuestionnairesYoung AdultEpidemiologic measurementsMental healthPositive psychologyPsychometricsPublic health

Identifiers

PMID32887631
PMCPMC7650216

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.