ArticleBMJ open2021
Development of a dual-factor measure of adolescent mental health: an analysis of cross-sectional data from the 2014 Canadian Health Behaviour in School-aged Children (HBSC) study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dual-factor Models of Mental Health: A Systematic Review of Empirical Evidence.Psychosocial intervention · 2024Pooled it
- Effect of family socio-economic status on subjective well-being among Norwegian adolescents: Mediation and moderation effects by general self-efficacy from a gendered perspective.BMC public health · 2025Article
- General Self-Efficacy as a Mediator of Physical Activity's Impact on Well-Being Among Norwegian Adolescents: A Gender and Age Perspective.Behavioral sciences (Basel, Switzerland) · 2025Article
- Adolescent Addictive Behaviors and Subjective Well-Being: The Mediating Role of Mental Health Problems.Psychology research and behavior management · 2025Article
- Article
- The Mental Well-Being of Italian Adolescents in the Last Decade through the Lens of the Dual Factor Model.Children (Basel, Switzerland) · 2022Article
- Exploring an Applied Ecological Model of the Effects of Household, School, and Community Environments on Adolescent Mental Health in Japan.International journal of environmental research and public health · 2022Article
- Impact of organized activities on mental health in children and adolescents: An umbrella review.Preventive medicine reports · 2022Review
- Development of a novel continuous measure of adolescent mental health inspired by the dual-factor model.Frontiers in psychology · 2022Article
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3 authors.
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Abstract
introductionStudies of adolescent mental health require valid measures that are supported by evidence-based theories. An established theory is the dual-factor model, which argues that mental health status is only fully understood by incorporating information on both subjective well-being and psychopathology.
objectivesTo develop a novel measure of adolescent mental health based on the dual-factor model and test its construct validity.
designCross-sectional analysis of national health survey data. SETTING AND
participantsNationally weighted sample of 21 993 grade 6-10 students; average age: 14.0 (SD 1.4) years from the 2014 Canadian Health Behaviour in School-aged Children study. MEASURES: Self-report indicators of subjective well-being (life satisfaction, positive and negative affect), and psychopathology (psychological symptoms and overt risk-taking behaviour) were incorporated into the dual-factor measure. Characteristics of adolescents families, specific mental health indicators and measures of academic and social functioning were used in the assessment of construct validity.
resultsProportions of students categorised to the four mental health groups indicated by the dual-factor measure were 67.6% 'mentally healthy', 17.5% 'symptomatic yet content', 5.5% 'asymptomatic yet discontent' and 9.4% 'mentally unhealthy'. Being mentally healthy was associated with the highest functioning (greater social support and academic functioning) and being mentally unhealthy was associated with the worst. A one-unit increase (ranges=0-10) in peer support (OR 1.19; 95% CI 1.15 to 1.22), family support (OR 1.32; 95% CI 1.28 to 1.36), student support (OR 1.20; 95% CI 1.17 to 1.24) and average school marks (OR 1.18; 95% CI 1.10 to 1.27) increased the odds of being symptomatic yet content versus mentally unhealthy. Mentally healthy youth were the most likely to live with both parents (77% vs ≤65%) and report their family as well-off (62% vs ≤53%).
conclusionsWe developed a novel, construct valid dual-factor measure of adolescent mental health. This potentially provides a nuanced and comprehensive approach to the assessment of adolescent mental health that is direly needed.
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