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Mantas-Jiménez S, Reig-García G, Roqueta-Vall-Llosera M, Camara-Liebana D, Masià-Plana A, Lluch-Canut MT, Juvinya-Canal D. Positive mental health and sense of coherence among emergency medical service professionals. Front Public Health 2024; 12:1344872. [PMID: 38444442 PMCID: PMC10912187 DOI: 10.3389/fpubh.2024.1344872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 02/01/2024] [Indexed: 03/07/2024] Open
Abstract
Background Positive mental health (PMH) is a construct used to define and evaluate health from a positive perspective. Healthcare professionals in the emergency ambulance service are more likely to experience mental health disorders than the overall population. The demographic and occupational variables and Sense of Coherence (SOC) can act as predictors of PMH and can serve as protective elements against stress and demanding situations in the work environment. Objective This study aimed to evaluate PMH and its relationship with demographic and occupational variables and determine if SOC is a predictive variable for PMH in health professionals working in the emergency ambulance service. Methods A descriptive, cross-sectional, and correlational study was conducted with a sample of 406 healthcare professionals from the emergency ambulance service in eight health regions of Catalonia, Spain. The following variables were analyzed: Age, biological sex, household members, dependents family members, professional category, type of contract, job satisfaction and sense of collaboration with other institutions. The following assessment instruments were used: Positive Mental Health Questionnaire and Sense of Coherence scale. Results High scores were obtained in Positive Mental Health (PMH). Study participants who reported feeling completely satisfied in their work also showed a significant relationship with all PMH factors: greater satisfaction with their personal life, in their helpful prosocial attitude toward others, in their capability to deal effectively with stress and navigate conflict scenarios, in their ability to solve problems and self-realization, greater empathy and ability to understand the feelings of others, greater ability to establish interpersonal relationships. Comprehensibility, as a dimension of SOC, was identified as a predictor for some factors of PMH: a greater personal satisfaction, self-control, autonomy, interpersonal skills and total PMHQ. More than 43% of positive mental health in health professionals is explained by higher Meaningfulness and Comprehensibility values of the SOC, the absence of dependent family members and having a non-graduate background. Conclusion Healthcare workers in the emergency ambulance service had high PMH. Meaningfulness (ME) and Comprehensibility (C), dimensions of SOC, were identified as model predictors of greater PMH, showing higher scores in most of PMH factors. To enhance SOC as a mental health promotion measure, resilience programs should be implemented to help professionals develop skills to face and overcome adverse situations. Educating in stress management thought networks are key elements to strengthen SOC. Managers in emergency medical services play a key role in transforming healthcare work environments to promote positive outcomes in the mental health of their healthcare workers.
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Affiliation(s)
- Susana Mantas-Jiménez
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | - Glòria Reig-García
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | - Marta Roqueta-Vall-Llosera
- Department of Nursing, University of Girona, Girona, Spain
- Health Gender and Aging Research Group, Girona, Spain
| | - David Camara-Liebana
- Department of Nursing, University of Girona, Girona, Spain
- Department of Psychology, Quality of Life Research Institute, Universitat de Girona, Girona, Spain
| | - Afra Masià-Plana
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | | | - Dolors Juvinya-Canal
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
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Nobre J, Calha A, Luis H, Oliveira AP, Monteiro F, Ferré-Grau C, Sequeira C. Mental Health Literacy and Positive Mental Health in Adolescents: A Correlational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138165. [PMID: 35805824 PMCID: PMC9266633 DOI: 10.3390/ijerph19138165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 06/29/2022] [Accepted: 07/01/2022] [Indexed: 11/16/2022]
Abstract
This study aimed to assess adolescents′ Mental Health Literacy (MHL) level, Positive Mental Health (PMH) level, the association between sociodemographic variables and the MHL and PMH levels, and the relationship between adolescent′s MHL and PMH levels. A quantitative, cross-sectional, correlational study was conducted with a convenience sample of 260 adolescents studying in the 5th to 12th years of school. The Mental Health Knowledge Questionnaire, the Mental Health-Promoting Knowledge, and the Positive Mental Health Questionnaire were used for data collection. Most of the adolescents were female (55.8%) with a mean age of 14.07 years. The participants showed good levels of MHL (MHKQ). The participants showed good levels of MHL (MHKQ
𝘹¯
= 60.03; MHPK-10 𝘹¯ = 4.49) and high levels of PMH (𝘹¯ = 128.25). The adolescents with higher levels of MHL were the oldest, in a higher year of school, female, those whose mothers are employed, those who have healthy eating habits, and those who have a better body image self-perception. Adolescents in a lower year of school, with adequate sleep habits, who spend fewer hours a day in front of a screen or online, and who have a better self-perception of mental and physical health and body image were the ones with higher PMH levels. These findings suggest the need to implement experimental or quasi-experimental studies to ascertain the effectiveness of interventions that promote adolescents′ positive mental health literacy.
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Affiliation(s)
- Joana Nobre
- Health School, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal; (H.L.); (A.P.O.); (F.M.)
- Faculty of Nursing, University of Rovira i Virgili, 43003 Tarragona, Spain;
- Nursing Research Unit for South and Islands (NURSE’IN), 2914-503 Setubal, Portugal
- VALORIZA—Research Centre for Endogenous Resource Valorization, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal;
- Correspondence:
| | - António Calha
- VALORIZA—Research Centre for Endogenous Resource Valorization, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal;
- School of Education and Social Sciences, Polytechnic Institute of Portalegre, 7300-109 Portalegre, Portugal
| | - Henrique Luis
- Health School, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal; (H.L.); (A.P.O.); (F.M.)
- Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Teresa Ambrósio, 1600-277 Lisbon, Portugal
- Center for Innovative Care and Health Technology (ciTechcare), Polytechnic of Leiria, 2410-541 Leiria, Portugal
| | - Ana Paula Oliveira
- Health School, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal; (H.L.); (A.P.O.); (F.M.)
- Faculty of Nursing, University of Rovira i Virgili, 43003 Tarragona, Spain;
| | - Francisco Monteiro
- Health School, Polytechnic Institute of Portalegre, 7300-555 Portalegre, Portugal; (H.L.); (A.P.O.); (F.M.)
| | - Carme Ferré-Grau
- Faculty of Nursing, University of Rovira i Virgili, 43003 Tarragona, Spain;
| | - Carlos Sequeira
- Group Inovation and Development in Nursing (NursID), Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), 4200-450 Porto, Portugal;
- Nursing School of Porto, 4200-072 Porto, Portugal
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Sousa KHJF, Lluch-Canut MT, Gallasch CH, Zeitoune RCG. CROSS-CULTURAL ADAPTATION OF THE POSITIVE MENTAL HEALTH QUESTIONNAIRE FOR NURSING STUDENTS IN THE BRAZILIAN CONTEXT. TEXTO & CONTEXTO ENFERMAGEM 2021. [DOI: 10.1590/1980-265x-tce-2020-0431] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to describe the cross-cultural adaptation process of the Positive Mental Health Questionnaire for undergraduate Nursing students, in the Brazilian context. Method: a psychometric study conducted in public universities in Rio de Janeiro/Brazil, between October 2019 and July 2020. The transcultural adaptation process encompassed the following stages: translation; reconciliation; back-translation; independent reviews by a committee of reviewers; pre-completion; completion; harmonization; formatting and review; cognitive test with 31 undergraduate Nursing students from two public universities; and analysis of the comments. Results: the process lasted approximately ten months, and the initial translations, carried out independently by two translators, achieved close versions; none of the translators reported difficulties in translating the meanings of the items. The Brazilian version of the instrument maintained conceptual, semantic, idiomatic, and experimental equivalences. The mean content validity ratio values for clarity, relevance, pertinence, and theoretical dimension were higher than established; the assessment by the target audience showed good understanding. Conclusion: the Positive Mental Health Questionnaire - Brazilian version showed equivalence with the original version, developed in Spain, and presented satisfactory evidence of content validity for use with undergraduate Nursing students in Brazil, being easy-to-understand by the target audience.
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Puig Llobet M, Sánchez Ortega M, Lluch-Canut M, Moreno-Arroyo M, Hidalgo Blanco MÀ, Roldán-Merino J. Positive Mental Health and Self-Care in Patients with Chronic Physical Health Problems: Implications for Evidence-based Practice. Worldviews Evid Based Nurs 2020; 17:293-300. [PMID: 32762130 DOI: 10.1111/wvn.12453] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 01/16/2020] [Accepted: 02/10/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND The capacity for self-care and positive mental health (PMH) has an influence on well-being and on one's approach to chronic illness. PURPOSE The aim was to determine the level of PMH and self-care agency as well as the relations among sociodemographic variables, PMH, and the level of self-care among patients with chronic physical health problems. We also examined correlations between PMH and self-care agency. METHODS A descriptive, cross-sectional correlational study was conducted with a sample of 209 patients at a primary care center. The instruments used were the Positive Mental Health Questionnaire and the Appraisal of Self-Care Agency scale. The STROBE statement was used. RESULTS Significant differences were found in the PMH factors in relation to sociodemographic variables and health conditions. Suffering one or more chronic diseases was associated negatively, and significantly, with the capacity for self-care. The four most prevalent chronic health problems in the sample were hypertension, hypercholesterolemia, obesity, and diabetes mellitus. LINKING EVIDENCE TO ACTION In people with chronic physical health problems, there is a positive relationship between PMH and self-care capacity. An increase in the possibility of caring for oneself saw an increase in PMH; conversely, an increase in PMH brought with it an increased capacity for self-care as well. Therefore, if actions are taken to increase PMH, the capacity for self-care will also increase.
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Affiliation(s)
- Montserrat Puig Llobet
- School of Nursing, Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Research Group CARINGCF-2017-380 (Consolidate Group 2017-380: Group Advanced Nursing), Tarragona, Spain.,Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care), Madrid, Spain.,Master Nursing interventions to the Complex Chronic Patient, Barcelona, Spain
| | - MªAurelia Sánchez Ortega
- School of Nursing, Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Primary Care Catalan Health Institute, Barcelona, Spain
| | - MªTeresa Lluch-Canut
- School of Nursing, Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care), Madrid, Spain.,Research Group GEIMAC (Consolidated Group 2017-1681: Group of Studies of Invariance of the Instruments of Measurement and Analysis of Change in the Social and Health Areas), Barcelona, Spain
| | - MªCarmen Moreno-Arroyo
- School of Nursing, Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Department of the Fundamental and Medical-Surgical Nursing, Department Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Member of the Board of Directors of the Spanish Society of Intensive Nursing, Barcelona, Spain
| | - Miguel Àngel Hidalgo Blanco
- School of Nursing, Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.,Department of the Fundamental and Medical-Surgical Nursing, Department Faculty of Medicine and Health Sciences, Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain
| | - Juan Roldán-Merino
- Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care), Madrid, Spain.,Research Group GEIMAC (Consolidated Group 2017-1681: Group of Studies of Invariance of the Instruments of Measurement and Analysis of Change in the Social and Health Areas), Barcelona, Spain.,Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, Barcelona, Spain.,Research Group GIESS (Grupo de investigación en Enfermería, Educación y Sociedad), Barcelona, Spain.,Coordinator Research Group REICESMA (Red Española Investigación de Enfermería en Cuidados de Salud Mental y Adicciones), Madrid, Spain
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Vaingankar JA, Subramaniam M, Tan LWL, Abdin E, Lim WY, Wee HL, Chong SA, van Dam RM. Psychometric properties and population norms of the positive mental health instrument in a representative multi-ethnic Asian population. BMC Med Res Methodol 2018; 18:29. [PMID: 29544448 PMCID: PMC5856373 DOI: 10.1186/s12874-018-0487-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 02/27/2018] [Indexed: 01/07/2023] Open
Abstract
Background Measures of mental well-being and positive mental health (PMH) have been largely developed and used in Western populations, however, data on representative Asian communities are lacking. Using data from a population sample, this study sought to establish psychometric properties and norms of the PMH Instrument (PMH-I), a measure of positive mental health developed in Singapore. Methods We conducted a nationally representative survey among 1925 adults aged 18–79 years of Chinese, Malay, Indian or other ethnicity. Participants reported socio-demographic characteristics and completed the PMH-I along with measures of health-related quality of life (HRQoL) and psychological distress. Construct validity of the PMH-I was assessed using confirmatory factor analysis and concurrent validity was tested through correlation with other psychological measures. Normative PMH values and differences in population subgroups were estimated. Results The six-factor-higher-order structure of the PMH-I comprising six subscales of general coping, emotional support, spirituality, interpersonal skills, personal growth and autonomy and global affect was confirmed. Concurrent validity was shown through significant positive correlation of the total PMH score and its subscales with HRQoL and an inverse correlation with psychological distress. Weighted age, gender and ethnicity-specific norms were derived for the Singapore population. Total PMH was significantly higher in participants aged over 40 years as compared with 18–29 year olds and in non-Chinese ethnic groups as compared with Chinese. These differences were observed for all PMH-I subscales, with the exception of emotional support and interpersonal skills score differences by age. In contrast, gender, marital status, and education level were significantly associated with some of the subscales, but not with total PMH. Conclusions These results support the psychometric properties of the PMH-I in a multi-ethnic Asian population sample. The generalizable population-based norms support the application of the PMH-I for measuring mental health and assessing its determinants within the Singapore general population. Electronic supplementary material The online version of this article (10.1186/s12874-018-0487-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Mythily Subramaniam
- Institute of Mental Health, 10, Buangkok View, Singapore, 539747, Singapore.,Saw Swee Hock School of Public Health and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore.,Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Linda Wei Lin Tan
- Saw Swee Hock School of Public Health and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore
| | - Edimansyah Abdin
- Institute of Mental Health, 10, Buangkok View, Singapore, 539747, Singapore
| | - Wei Yen Lim
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore, Singapore
| | - Hwee Lin Wee
- Saw Swee Hock School of Public Health and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore
| | - Siow Ann Chong
- Institute of Mental Health, 10, Buangkok View, Singapore, 539747, Singapore
| | - Rob Martinus van Dam
- Saw Swee Hock School of Public Health and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore
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