Psychometric Properties of Various Scales Measuring Psychological Well-Being in a South African Context: The FORT 1 Project

Sense of coherence and religion/spirituality: A systematic review and meta-analysis based on a methodical classification of instruments measuring religion/spirituality

The coherence hypothesis assumes that sense of coherence (SOC) explains the positive link between religion/spirituality (R/S) and mental health. The aim of our meta-analysis is to evaluate the evidence for the association between SOC (sensu Antonovsky) and different aspects of R/S and thus to contribute to the verification of the coherence hypothesis. Eighty-nine English- and German-language primarily cross-sectional studies with 67,913 participants met the inclusion criteria. The R/S scales of all included studies were subjected to item-by-item qualitative content analysis in order to determine whether scales do actually measure religion or spirituality and which R/S aspects dominated the instrument. Based on this classification, overall and subgroup meta-analyses were conducted using a random effects model. The adjusted effect size between SOC and all positive R/S measures was r+ = .120, 95% CI [.092, .149]. Particularly significant (r+ < -.180 or > .180) were correlations with negative R/S scales (r+ = -.405, 95% CI [-.476, -.333]), R/S instruments measuring primarily positive emotions (r+ = .212, 95% CI [.170, .253]) or meaning-making (r+ = .196, 95% CI [.126, .265]). Both sample characteristics (age, culture, gender, health status, religious affiliation) and study characteristics (e.g., publication year) had a moderating effect on the R/S-SOC connection. The correlation was particularly high in studies from Southern Asia (r+ = .226, 95% CI [.156, .297]), the African Islamic cultural value zone (r+ = .196, 95% CI [.106, .285]), and in a small subgroup of Iranian studies (r+ = .194, 95% CI [.117, .271]). The results confirm that R/S and SOC are clearly associated and suggest that there are different religious/spiritual pathways to a strong SOC. The strength of the associations presumably depends not only on individual differences, but also on cultural embeddedness and social plausibility of R/S. Trial registration. PROSPERO registration number: CRD42021240380. https://www.crd.york.ac.uk/prospero/display_record.php?ID = CRD42021240380.

Psychometric properties of the Harmony in Life Scale in South African and Ghanaian samples

Harmony is regarded as important for well-being in many cultures. However, (cultural) differences in the meanings and manifestations of harmony may impact the equivalence of measures of harmony in life, as well as the associations between harmony and other well-being constructs. This study aimed to investigate the factorial, convergent and divergent validity, and measurement invariance of the Harmony in Life Scale (HILS) in South African and Ghanaian samples. Confirmatory factor analysis was applied to data from three South African samples (two multicultural samples completed the HILS in English; and a Setswana-speaking sample completed the HILS in Setswana) and one Ghanaian sample (completed the HILS in English). Sample sizes ranged between n = 400 and n = 427. Good fit indices were obtained for all samples, except for the Setswana-speaking sample from South Africa. In all instances the HILS showed good internal consistency reliability and convergent and divergent validity. Full scalar invariance was supported for the two multicultural South African samples, but only partial scalar invariance when data from the Ghanaian sample were added to the analysis. The HILS shows potential for future use in all samples, except the Setswana-speaking sample. Findings emphasise the importance of considering cultural and/or contextual and linguistic differences and how these may influence the measurement of psychological constructs. Future research should qualitatively explore the meanings and manifestations of harmony in various African and other global contexts in local languages.Contribution: This study is the first to investigate the psychometric properties of the original English version of the HILS in South African and Ghanaian samples, as well as a Setswana translation of the scale. The study contributes to the understanding of harmony in life and the measurement thereof in diverse contexts, in this case specifically focused on African samples, and may, in turn, inform interventions and evaluation of interventions. 

The dynamics of Appraisal II: a meta-analysis of the relationship between fortitude and the indices of psychological well-being

Identifying the factors that contribute to differential vulnerability in the face of adversity is key to psychology fulfilling its mandate as a helping profession. One such factor, fortitude, which is described as the psychological strength to manage adversity and to stay well, has consistently been linked to psychological well-being. The objective of the research was to statistically integrate studies examining the relationship between fortitude and the indices of psychological well-being by using a meta-analysis. We used a random-effects model for the meta-analysis. In addition to the overall effect size, we examined publication bias and the moderating role of age and methodological quality. We also performed a subgroup analysis to compare between studies with positive and negative indicators of psychological well-being. In addition, we used robust variance estimation to account for effect-size dependencies, as some studies have reported more than one correlation coefficient. A total of 13 studies reporting 35 correlation coefficients pertaining to the relationship between fortitude and the indices of psychological well-being were extracted. The meta-analysis revealed a significant overall effect ( r = .44, p < .001). The results also indicated that age and methodological quality did not influence the effect size. Subgroup analysis indicated that the overall effect size for studies that used positive indicators ( r = .49, p < .001) was higher than that for studies that used negative indicators ( r = .36, p < .001). In addition, no visual or statistical evidence of publication bias was observed. The robust variance estimation results also confirmed that the effect-size dependencies did not influence the overall effect size. The study results provide strong evidence regarding the association between fortitude and psychological well-being. This finding has several implications for promoting mental health and suggests that interventions aimed at building fortitude can be leveraged to mitigate psychological distress.

The prevalence of hope, subjective well-being, and psychopathology among trauma survivors at community-based clinics in Gauteng

This study examined the prevalence of hope and subjective well-being as well as symptoms of depression and post-traumatic stress disorder among trauma survivors at community-based clinics in Gauteng. We further explored traumatic events and help-seeking behaviour in this context. Using a cross-sectional survey design, we collected demographic information and administered questionnaires measuring hope, well-being, depression, and post-traumatic stress. The sample comprised 120 adults, of whom the majority were Black females. Results showed that participants experienced low levels of hope, positive affect, and life satisfaction as well as high levels of negative affect, depression, and post-traumatic stress. In addition, the majority of participants experienced multiple traumatic events in the past 5 years, which had a negative impact on their well-being. However, receiving professional help and being able to cope in the aftermath of trauma may contribute towards higher levels of well-being and fewer psychopathological symptoms. Our findings thus highlighted the need for effective therapeutic interventions among trauma survivors.

Factorial validity of the Twi versions of five measures of mental health and well-being in Ghana

BACKGROUND

Mental health is considered an integral part of human health. Reliable and valid measurement instruments are needed to assess various facets of mental health in the native language of the people involved. This paper reports on five studies examining evidence for the factorial validity of the Twi versions of five mental health and well-being measurement instruments: Affectometer-2 (AFM-2); Automatic Thought Questionnaire-Positive (ATQ-P); Generalized Self-Efficacy Scale (GSEs); Patient Health Questionnaire-9 (PHQ-9); and Satisfaction with Life Scale (SWLS) in a rural Ghanaian adult sample.

METHOD

Measures were translated and evaluated using a research-committee approach, pilot-tested, and administered to adults (N = 444) randomly selected from four rural poor communities in Ghana. We applied confirmatory factor analysis (CFA), bifactor CFA, exploratory structural equation modeling (ESEM), and bifactor ESEM to the AFM-2, ATQ-P, and the PHQ-9, and CFA to the GSEs and the SWLS. The omega coefficient of composite reliability was computed for each measure.

RESULTS

A two-factor bifactor ESEM model displayed superior model fit for the AFM-2. The total scale and the Negative Affect subscale, but not the Positive Affect subscale, attained sufficient reliability. Two models (a four-factor 22-item bifactor ESEM model and a 5-factor 22-item ESEM model) fitted the data best for the ATQ-P. The bifactor ESEM model displayed a high reliability value for the total scale and satisfactory reliability values for three of its four subscales. For the GSEs, a one-factor CFA model (residuals of items 4 and 5 correlated) demonstrated superior model fit with a high reliability score for the total scale. A two-factor ESEM model outperformed all other models fitted for the PHQ-9, with moderate and satisfactory reliability scores for the subscales. A one-factor CFA model (residuals of item 4 and 5 correlated) demonstrated superior model fit for the SWLS, with a satisfactory reliability value for the total scale.

CONCLUSIONS

Findings established evidence for the factorial validity of the Twi versions of all five measures, with the global scores, but not all subscale scores, demonstrating satisfactory reliability. These validated measurement instruments can be used to assess mental health and well-being in the research and practice contexts of the current sample.

Effects of a Community-Based Multicomponent Positive Psychology Intervention on Mental Health of Rural Adults in Ghana

BACKGROUND

There is growing evidence that positive psychology interventions (PPIs) enhance positive mental health and lead to a decrease in symptoms of psychopathology. This study examines the effectiveness of a 10-week multicomponent PPI (the Inspired Life Program; ILP) in promoting positive mental health and reducing symptoms of depression and negative affect in a sample of rural poor adults in Ghana.

METHODS

Using a quasi-randomized controlled trial design, participants from four rural poor communities were randomly allocated to intervention (n = 40) or control (n = 42) conditions. The intervention group participated in the 10-week ILP. Both groups completed a battery of mental health measures, including the Mental Health Continuum-Short Form, at pre-intervention, immediately after the intervention, and at 3 months follow-up. Hierarchical linear modeling was applied to evaluate whether the intervention was effective.

RESULTS

There was a greater improvement in positive mental health, with a marked reduction in symptoms of depression in the intervention group compared to the control group, immediately and 3 months after the intervention. There were also larger increases in the proportion of flourishers in the intervention group compared to the control group, immediately and three months after the intervention.

CONCLUSIONS

The observed effects of the ILP intervention program suggest that group-based PPIs can promote positive mental health and buffer against psychopathology among people living in rural poor communities in sub-Saharan Africa.

Representations of Hope, Goals, and Meaning From Lay Person’s Perspectives in Two African Contexts

In the rapidly expanding field of positive psychology, a core question is now what the relationships among various positive constructs are and how we can understand this in various contexts. We aimed to explore the possible nomological network linking the constructs hope, goals, and meaning from a bottom-up Africentric perspective in two African contexts (Ghana and South Africa) among samples of 18 emerging adults between the ages of 18 and 25 years in each context. Connotations of hope, goals, and meaning as experienced by participants were thematically analyzed and thereafter conceptually clustered. These clusters formed overlapping nodes indicating the nomological network among constructs. Apart from positive intrapersonal cognitive processes linking the main constructs, the fulfillment of various well-being needs, embedded-ness in horizontal and vertical relationships, intertwined understandings, and links across domains of life came to the fore as nodes linking the constructs hope, goals, and meaning in the current sample. Our findings further illustrated that African-centered perspectives on the interconnectedness of things through spirituality and relationships endorse positive psychology views that emphasize relational dimensions as crucial aspects of cognitive well-being.

Validation of the Stress Overload Scale and Stress Overload Scale–Short Form among a Setswana-speaking community in South Africa

Although there has been extensive research on the phenomenon of stress, there is still a lack of assessment tools, especially in the South African context, that have strong theoretical underpinnings, tapping into both internal depletion of resources and the excessive external demands from the environment in the measurement of stress. The aim of this study was to validate the Setswana version of the original 30-item long form of the Stress Overload Scale as well as the 10-item short form (Stress Overload Scale–Short Form), both evaluating experienced personal vulnerability and external event load. A sample of N = 376 adults living in a rural community in the Northern Cape Province of South Africa were randomly selected to partake in the study. Emerging model fit indices of confirmatory factor analysis testing the hypothesized two-factor structure of the original Stress Overload Scale were not convincingly good. However, we found a remarkable improvement in model fit indices in the case of the Stress Overload Scale–Short Form. Concurrent validity was shown for the Stress Overload Scale–Short Form in significant correlations with depression and emotional well-being. We conclude that the Setswana version of the Stress Overload Scale–Short Form is a psychometrically sound instrument for measuring stress in the present context; however, further validation of the original Stress Overload Scale in diverse samples is necessary to provide stronger support for the hypothesized two-factor structure.