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Construct validity of a health questionnaire intended to measure the subjective experience of health among patients in mental health services
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0001-9753-0988
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
Lunds universitet.
Lunds Universitet.
2008 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 15, no 3, p. 238-245Article in journal (Refereed) Published
Abstract [en]

Mental health services have been lacking systematic health-promoting activities, and health is often perceived as the absence of disease from a biomedical perspective. It is vital to develop methods to assess perceived health among patients in a broader perspective. The aim of the study was to investigate construct validity of a newly developed health questionnaire intended to measure subjectively experienced health among patients in mental health services. A cross-sectional study, including a randomly selected sample of 139 outpatients in contact with the mental health services, was performed in order to explore the relationship between perceived health and self-reported levels of self-esteem, symptoms, empowerment, quality of life and experiences of stigmatization. Self-esteem, symptoms, empowerment and quality of life altogether accounted for 70% of the variation in overall perceived health. Overall perceived health showed positive associations to self-esteem, empowerment and quality of life and negative associations to psychiatric symptoms, discrimination and rejection experiences. The findings suggest that perceived health as measured by the health questionnaire can be a meaningful and valid construct that may be useful for measuring health in clinical mental healthcare practice and in mental health services research.

Place, publisher, year, edition, pages
Chichester, West Sussex: Blackwell Publishing, 2008. Vol. 15, no 3, p. 238-245
Keyword [en]
experience, health, mental health services, patients, questionnaire, validity
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-2079DOI: 10.1111/j.1365-2850.2007.01219.xISI: 000253630100008PubMedID: 18307653Scopus ID: 2-s2.0-40149108471Local ID: 2082/2474OAI: oai:DiVA.org:hh-2079DiVA, id: diva2:239297
Available from: 2008-10-21 Created: 2008-10-21 Last updated: 2018-03-23Bibliographically approved
In thesis
1. Dimensions of Health among Patients in Mental Health Services
Open this publication in new window or tab >>Dimensions of Health among Patients in Mental Health Services
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.

Place, publisher, year, edition, pages
Lund: Department of Health Sciences, Faculty of Medicine, Lund University, 2007. p. 121
Series
Lund University, Faculty of Medicine doctoral dissertation series, ISSN 1652-8220 ; 2007:79
Keyword
Health, Mental health services, Nurse, Patient, Perceptions, Phenomenography, Questionnaire, Reliability, Subjective experience, Validity
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-16873 (URN)ISBN: 978-91-85559-57-2 (ISBN)
Public defence
2007-05-25, Hörsal 01, Vårdvetenskapens hus, Baravägen 3, Lund, 13:00 (Swedish)
Opponent
Supervisors
Note

Medicine doktorsexamen

Available from: 2012-01-10 Created: 2012-01-08 Last updated: 2016-02-26Bibliographically approved

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Jormfeldt, HenrikaArvidsson, Barbro

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