Abstract

BackgroundGiven the absence of a brief scale that reconciles and encompasses different conceptual definitions of well-being (physical, psychological, social and spiritual), the present research aimed at developing and validating a Comprehensive Well-Being Scale (CWBS) that encompasses these different conceptual definition and extend the definition of well-being to transcendental well-being among individuals in recovery of mental illness. The present research focuses on testing the scale among people in recovery of mental illness so that a brief and theoretically comprehensive scale would be available for mental health organization to evaluate the well-being of service users, and to develop and evaluate well-being related services.MethodsA 56-item preliminary well-being scale was developed by a professional panel. In Study 1, 300 mental health service users in Hong Kong were recruited. Twenty items were selected through principal component analysis to form the CWBS. In Study 2, another sample of 300 service users was recruited. Confirmatory factor analysis was done to confirm a two-factor structure. Validity of the scale was also examined.ResultsThe CWBS yielded good internal consistency (Cronbach’s alphas = .79–.91). The finding supported a two-factor structure, namely Intrapersonal Well-Being, and Transpersonal Well-Being, χ2 (169) = 335.61, p < .001, CFI = .90, RMSEA = .06, SRMR = .06.ConclusionsThe CWBS established concurrent and construct validity in assessing well-being among Chinese in recovery of mental illness in Hong Kong. It provided theoretical and practical implications for measuring well-being. Theoretically, it extended the concept of well-being to encompass transcendental well-being in model of recovery among individuals recovery from mental illness. Practically, it provided a tool for evaluation of well-being and service development in mental health organization.

Highlights

  • Given the absence of a brief scale that reconciles and encompasses different conceptual definitions of well-being, the present research aimed at developing and validating a Comprehensive Well-Being Scale (CWBS) that encompasses these different conceptual definition and extend the definition of well-being to transcendental well-being among individuals in recovery of mental illness

  • Intrapersonal and transpersonal well‐being In this research, we proposed domains of Intrapersonal and Transpersonal Well-being to reconcile the overlaps between different conceptual definitions of well-being, as well as to fill in the existing research gap and extend the concept of well-being in people in recovery to a more comprehensive definition

  • The current paper aimed to provide a practical and efficient tool for mental health organization to routinely measure comprehensive wellbeing, and to develop and evaluate services that aim to improve the well-being of people in recovery of mental illness

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Summary

Introduction

Given the absence of a brief scale that reconciles and encompasses different conceptual definitions of well-being (physical, psychological, social and spiritual), the present research aimed at developing and validating a Comprehensive Well-Being Scale (CWBS) that encompasses these different conceptual definition and extend the definition of well-being to transcendental well-being among individuals in recovery of mental illness. Mental health recovery used to mean the amelioration of symptoms With their focus on symptomatology, psychiatrists and clinical psychologists developed elaborate assessment tools to measure. Sham et al BMC Psychology (2021) 9:179 improve their health and wellness, live a self-directed life, and strive to reach their full potential. It is not synonymous with cure [3]. Personal recovery of people with schizophrenia was found to positively predict well-being above and beyond clinical and functional recovery [5] Adopting this model, Provencher and Keyes [6] augmented the promotion of personal recovery to include positive mental health as an additional outcome. The following sections will outline current definitions of well-being, highlight the importance of the impact of spiritual well-being to mental health and our proposal to develop a comprehensive well-being measure for people in recovery of mental illness

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