Youth Positive Mental Health Concepts and Definitions: A Systematic Review and Qualitative Synthesis

BACKGROUND

Research on youth positive mental health (PMH) lacks comprehensiveness. We reviewed literature to (i) identify and understand concepts related to youth PMH and (ii) to summarize their definitions under broad conceptual themes.

METHOD

We conducted a systematic review using PRISMA methodology. The protocol was registered in PROSPERO database (ID:CRD42020203712). Pubmed, Embase, PsycINFO, and OpenGrey databases were searched for publications that examined, assessed, explained, or defined PMH concepts in youth populations. Methods included searching, independent screening and review using pre-determined inclusion and exclusion criteria, extraction, coding, and iterative thematic syntheses of literature.

RESULTS

Of 3427 unique records identified, 105 articles from 26 countries met review criteria. Qualitative analysis resulted in 22 broad themes of youth PMH. These included interpersonal relationships (interpersonal competence, school connectedness, etc.), positive emotions (feel and create pleasant emotions, gratitude, etc.), self-efficacy (strengths, human agency, etc.), life satisfaction (global assessment of one's life), and personal growth (goal achievement, life aspirations, etc.). Five novel concepts related to youth PMH were identified.

CONCLUSIONS

Our review summarized and operationalized multiple concepts of youth PMH for applications in research, evaluation, and public health improvement.

The Satisfaction with Life Scale in Adolescent Samples: Measurement Invariance across 24 Countries and Regions, Age, and Gender

Measurement of adolescent life satisfaction across cultures has not received much attention in previous empirical research. The present study evaluated measurement invariance of the Satisfaction with Life Scale (SWLS) among adolescents in 24 countries and regions (N = 22,710; age range = 13-19 years; 53% female). A single-factor model with residual covariance between a pair of items tapping past life satisfaction fitted well in 19 countries and regions and showed a partial metric invariance. In a subset of nine countries and regions, partial scalar invariance was supported. Partial metric invariance across all 24 countries and regions was achieved when custom model modifications in five countries and regions were included. Three SWLS items showed evidence of noninvariance across cultures. The measurement model was found to operate similarly across gender and age. Our findings suggest that caution is needed when using the SWLS for measuring life satisfaction among adolescents from different cultures.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s11482-021-10024-w.

Sources of Happiness: A Mixed Methods Phenomenological Study of Factors Affecting Residents' Subjective Wellbeing in Shenzhen, China

Maintaining cultural sensitivity has been a challenge in subjective wellbeing (SWB) research involving nonwestern populations, which continues to primarily use a quantitative approach and Westernoriginating measurements. Accounting for culturally specific characteristics of the study area and sample, we employed a concurrent mixed-methods phenomenological approach to uncover factors contributing to urban Chinese residents' SWB in the context of their daily lives. Data from 65 semi-structured interviews in Shenzhen, China revealed five meta-themes, including harmony in interpersonal relationships, financial wellbeing and homeownership, health, physical and social environment, and intentional activities and mentality. Residents' background contextual information was cross-referenced with the meta-themes to enrich data interpretation, unveiling the profound imprint of age and life stages, the broad-scale structural inequities associated with China's household registration system, and the firm grip of traditional family core values and folk wisdom in the form of a transcendental mindset of inner peace and dignity. The results provide a contextualized understanding of the primary sources of SWB relevant to today's urban Chinese residents, and offer valuable insight about the social-cultural complexities involved in "ordinary" Chinese residents' pursuit of happiness that is co-shaped by individual effort, deep-rooted traditional values, and consequential social infrastructure and policies amidst the country's deepening, transformative urbanization. Keywords: China, Cultural Sensitivity, Happiness, Mixed Methods, Phenomenological Approach, Socio-Cultural Context, Sources of Happiness, Subjective Wellbeing, Urban Resident.

Measurement of Hedonic and Eudaimonic Orientations to Happiness: The Spanish Orientations to Happiness Scale

Understanding happiness and well-being has been one of the central issues for psychologists in recent decades. Happiness orientations have been identified as important pathways toward different types of well-being, and so the development and validation of scales for their measurement is an important step in their study. The present research aims to adapt and validate the Spanish Orientations to Happiness Scale (SOTH), a 6-item scale based on the Orientations to Happiness Questionnaire. This brief scale, which measures hedonic and eudemonic orientations, was administered to 1,647 Spanish workers. Scale structure was subjected to exploratory (EFA) and confirmatory (CFA) factor analysis to obtain evidence of factorial validity. Evidence for convergent validity was assessed by correlating the scale with two measures of hedonic and eudaimonic well-being, and discriminant validity was assessed with the average variance extracted (AVE). Results of EFA showed a two-factor solution, and CFA partially supported this structure, χ2(8, N = 793) = 36.61, p .72) and valid (AVE = .50), and so it is a valuable tool for assessing orientations to happiness in the Spanish context. Finally, the scientific value and practical utility of the scale are discussed.

Positive Variables in Adult Patients Who Are at Different Stages of a Naturalistic Psychotherapeutic Treatment

This study aimed twofold: 1) to study some positive variables (three paths to well-being, life satisfaction, overall well-being and meaning of life) in adult patients who are at different stages of a naturalistic cognitive behavioral psychotherapeutic treatment and 2) to analyze their relationship with the progress during treatment, therapeutic alliance and adherence to treatment from the therapist´s perspective. The sample was composed of 85 outpatients who were in psychotherapeutic treatment. Patients completed the Three Pathways to Well-being Scale, Meaning in Life Questionnaire, Satisfaction with Life Scale, Well-being Index and Symptom Checklist-90-Revised. Therapists completed treatment related data and an opinion survey of patient´s progress, adherence to treatment and therapeutic relationship. Findings showed positive variables to be higher at the final stage of psychotherapy, particularly higher satisfaction with life, engagement, well-being, and presence of meaning in life. Higher positive variables were moderately associated with more progress during treatment according to therapist’s perspective; however a low association was found with adherence to treatment and therapeutic relationship. No differences were found in positive variables according the type of prevalent symptoms.