Self-report Survey Research Articles

중년 남성의 성역할 스트레스와 주관적 안녕감의 관계에서 생성감으로 조절된 정서표현양가성의 매개효과

This study aims to examine the mediating effect of ambivalence over emotional expressiveness on the relationship between gender role stress and subjective well-being among middle-aged men, and to explore whether this mediating effect is moderated by generativity. An online self-report survey was conducted with 480 married middle-aged men aged 40-59 years. Data collected were analyzed using SPSS PROCESS macro 4.2. The results revealed several key findings:. First, ambivalence over emotional expressiveness mediated the relationship between gender role stress and subjective well-being. Second, the impact of ambivalence over emotional expressiveness on subjective well-being varied depending on generativity levels. Third, the mediating effect of ambivalence over emotional expressiveness was contingent upon generativity levels. Specifically, higher levels of generativity among middle-aged men attenuated the maladaptive mediating effect of ambivalence over emotional expressiveness, suggesting a mitigation of the decline in subjective well-being due to gender role stress. The significance of this study lies in providing evidence for developing activities and programs aimed at enhancing generativity as a protective factor for middle-aged men.

그릿과 성장 마인드셋에 따른 정신적 안녕감의 차이: 잠재 프로파일 분석

This study aims to identify latent profiles using indicators of K-Grit (persistence effort, passion-enjoyment, passion-meaning) and growth mindset. Furthermore, we test whether these profiles differ in mental well-being. An online self-report survey was conducted with 535 college students aged 19-31 (240 males, 295 females), assessing K-Grit, growth mindset, and mental well-being, A 3-step latent profile analysis revealed four profiles: Growth-Oriented(15.5%; above-average scores in all factors), Average (55.8%; all scores at the mean level), Low-Growth (23.3%; all scores below average), and Meaning-Deficient (5.4%; all scores are the lowest in general, especially the lowest passion-meaning). Significant differences were found in mental well-being among the four latent groups, with higher levels of grit and growth mindset associated with greater mental well-being. In particular, the Meaning-Deficient profile revealed the lowest overall well-being. Our findings emphasize the necessity of finding purpose and meaning in one's life to promote better mental well-being. This study lays the foundation for developing intervention strategies aimed at enhancing the mental health of college students.

Methods used for caries detection and diagnosis in Ontario dental practices: a cross-sectional survey

BackgroundEarly detection of caries is essential for applying non-surgical treatment procedures and preventing the formation of cavitated lesions leading to unnecessary removal of tooth structure. Understanding dentists’ preferences for caries detection tools can inform stakeholders about their strategies and knowledge of contemporary, evidence-based caries management approaches. However, there is a lack of research exploring the detection methods of caries commonly used by dentists in Ontario, Canada. The objective of this study was to investigate the methods of caries detection and diagnosis preferred by dentists in Ontario.MethodsA 21-item self-reported survey was mailed to one thousand Ontario dental practices in the Winter of 2022. Descriptive and bivariate data analysis were performed to determine the associations between: demographics and professional practice characteristics (explanatory variables), and methods for detecting and diagnosing dental caries (outcome variables) using SPSS Statistics 29.0.ResultsA total of 325 dentists (33%) responded to the survey, with 274 answering all of the questions completely. The highest proportion of respondents were 35–44 years of age (32.8%) and male (53.4%). More than half of the respondents reported using a dental explorer to assess primary occlusal caries (57.6%), secondary caries (57.1%), and cervical caries (57.5%). Likewise, 57.9% of the participants reported using dental radiographs to diagnose proximal caries. Among additional caries detection tools, digital radiography (89.8%) and traditional radiography (84.7%) were the most used methods/modalities, while cone beam computed tomography was the least (12.8%). Most study participants did not use any caries classification system (77.7%) or caries risk assessment tool (85.3%).ConclusionsParticipants preferred conventional methods for caries detection, instead of contemporary visual-tactile caries lesions classification and/or caries risk assessment systems. These findings indicate a need for continuing dental education programs tailored to evidence-based caries management approaches.

Factors Associated with the Posttraumatic Growth of Psychiatrists Who Have Experienced Patient Suicide: A Pilot Study

ABSTRACT Previous studies have suggested that psychiatrists undergo posttraumatic growth after experiencing patient suicide. However, research remains scant on the posttraumatic growth of psychiatrists who have experienced patient suicide. Thus, this study examined the factors associated with the posttraumatic growth of psychiatrists who have experienced patient suicide. The sample comprised 39 psychiatrists, and data were collected through an online self-report survey. The data collected were analyzed using descriptive statistics, frequency analysis, Pearson’s correlation analysis, and Mann-Whitney U tests. Study results demonstrate that being older, having more clinical experience, having more experience with patient suicide, and receiving supportive supervision were associated with higher levels of posttraumatic growth among psychiatrists who have experienced patient suicide. However, higher levels of posttraumatic stress were associated with lower levels of posttraumatic growth. In conclusion, there is a need to increase support for psychiatrists who have experienced patient suicide to help them overcome occupational trauma and enhance posttraumatic growth. This study suggests several policy and practical implications for enhancing the posttraumatic growth of psychiatrists.

Economic burden of patients with leading cancers in China: a cost-of-illness study

BackgroundChina accounts for 24% of newly diagnosed cancer cases and 30% of cancer-related deaths worldwide. Comprehensive analyses of the economic burden on patients across different cancer treatment phases, based on empirical data, are lacking. This study aims to estimate the financial burden borne by patients and analyze the cost compositions of the leading cancers with the highest number of new cases in China.MethodsThis cross-sectional cost-of-illness study analyzed patients diagnosed with lung, breast, colorectal, esophageal, liver, or gastric cancer, identified through electronic health records (EHRs) from 84 hospitals across 17 provinces in China. Patients completed any one of the initial treatment phase, follow-up phase, and relapse/metastasis phase were recruited by trained attending physicians through a stratified sampling procedure to ensure enough cases for each cancer progression stage and cancer treatment phase. Direct and indirect costs by treatment phase were collected from the EHRs and self-reported surveys. We estimated per case cost for each type of cancer, and employed subgroup analyses and multiple linear regression models to explore cost drivers.ResultsWe recruited a total of 13,745 cancer patients across three treatment phases. The relapse/metastasis phase incurred the highest per case costs, varying from $8,890 to $14,572, while the follow-up phase was the least costly, ranging from $1,840 to $4,431. Being in the relapse/metastasis phase and having an advanced clinical stage of cancer at diagnosis were associated with significantly higher cost, while patients with low socioeconomic status borne lower costs.ConclusionsThere were substantial financial burden on patients with six leading cancers in China. Health policymakers should emphasize comprehensive healthcare coverage for marginalized populations such as the uninsured, less educated, and those living in underdeveloped regions.

The impact of multimorbidity on QoL in inflammatory myopathies: COVAD cluster analysis.

The presence of comorbidities can substantially affect patients' quality of life, but data regarding their impact on idiopathic inflammatory myopathies (IIMs) are limited. We examined the prevalence of comorbidities in IIM patients, other autoimmune rheumatic diseases (oAIRDs), and healthy controls (HCs), using data from the self-reported COVAD-2 survey. We defined Basic Multimorbidity (BM) as the presence of ≥ 2 non-rheumatic chronic conditions and Complex Multimorbidity (CM) as the presence of ≥ 3 non-rheumatic chronic conditions affecting ≥3 organ systems. Hierarchical Clustering on Principal Components was performed for grouping. Among the COVAD respondents, 1558 IIMs, 4591 oAIRDs, and 3652 HCs were analysed. IIMs exhibited a high burden of comorbidities (OR: 1.62 vs oAIRDs and 2.95 vs HCs, p< 0.01), BM (OR 1.66 vs oAIRDs and 3.52 vs HCs, p< 0.01), CM (OR: 1.69 vs AIRDs and 6.23 vs HCs, p< 0.01), and mental health disorders (MHDs) (OR 1.33 vs oAIRDs and 2.63 vs HCs, p< 0.01). Among the IIM patients, those with comorbidities or MHDs had lower PROMIS Global Physical (PGP), PROMIS Global Mental (PGM), and PROMIS Physical Function (SF10) scores, and higher fatigue (F4a) scores (all p< 0.001). PGP, PGM, SF10a and F4a were influenced by age, active disease, BM, and MHDs. Four distinct clusters were identified among the IIMs according to comorbidities and PROMIS scores. Patients with IIMs have a higher burden of comorbidities that influence physical and mental health, identifiable as clinical clusters for optimized and holistic management approaches.

Behavior, attitude, perception, and knowledge regarding fertility preservation among Chinese pediatric oncologists: a survey in China.

Clinical specialists are supposed to inform childhood cancer patients of infertility risk and conduct fertility preservation (FP). However, little is known about whether doctors in China are fully prepared. This study aimed to investigate behavior, attitude, perception, and knowledge regarding FP among pediatric oncological specialists in a nation wide survey, to set the stage for improvements in current clinicalpracticepatterns. This study was conducted on physicians and surgeons specialized in pediatric oncology using a questionnaire through theWeChat platform. The behavior, attitude, perception, and knowledge were assessed by Likert questions and results were quantified to obtainscores. Data were then described and analyzed using R and GraphPad. Totally 373 specialists in pediatric tumors were included in the analysis. Hematologists, oncological surgeons, and reproductive medicine specialists won most trusts to be responsible for FP job. Most respondents did not have habits of delivering FP information or cooperating with FP specialists during treatment though they were well equipped with FP knowledge and desired for uniform national guideline for FP procedures. The severity of illness was regarded as the primary barrier of FP delivery. When a doctor was more educated and experienced, he was more likely to have better performance in FP. The total score, the knowledge score, and the single score concerning frequency of patients' inquiry showed aggregational trend on geographic distribution. Chinese pediatric oncologists demonstrated unsatisfactory practice behaviors based upon this self-reporting survey, although their attitude towards FP was generally positive.

A structural equation model of parenting and child's resilience after the earthquake in Türkiye.

This study investigated the relationship between parental psychological wellbeing, parenting, children's psychological difficulties, and prosocial behavior in Kahramanmaraş earthquake-affected families living in Türkiye in 2023. To this end, a mediation model was proposed for parental psychological distress that was hypothesized to exert an indirect effect on a child's psychological difficulties and prosocial behavior through parenting. Participants were 358 preschoolers between 4 and 6 years old and their one parent (father or mother) who completed a set of validated self-report surveys in a cross-sectional design study. Results showed positive associations between parental psychological distress and child's psychological difficulties but negative association with child's prosocial behavior. Furthermore, quality of parenting mediated the association between parental psychological distress and child's psychological difficulties and prosocial behavior. Our findings suggest that positive parenting may serve as a protective mechanism that mediates the association between parental psychological distress and a child's psychological difficulties and prosocial behaviors among families displaced by a natural disaster like an earthquake. These findings point to the need for supporting positive parent-child relationships in addition to decreasing the psychological distress of parents when exposed to potentially traumatizing events like this.

Is It About Who You Know? The Role of Social Capital on Re-employability of Older Women in Urban China

Evidence concerning the impact of the social capital of older women on labor market outcomes is complex. This article aims to examine and demonstrate the effect of social capital on the re-employability of older retired women in urban China and to reveal the process of accessing their re-employment position via social capital. This paper seizes data from a self-reported survey conducted in four major cities of Fujian province in China among women who are fully retired or re-employed and aged from 55 to 75. The results show that social capital is still the principal method for older women to access the workforce post-retirement. Individuals’ weak ties significantly improve the re-employment possibilities of older retired women. However, the results also indicate that using social capital, especially blood capital, as solid ties do not ensure the quality of re-employment for older women, which means the benefits, wages, and labor rights of re-employment jobs are not guaranteed.

Public safety personnel’s perceptions of mental health training: an assessment of the Emotional Resilience Skills Training

ABSTRACT Public safety personnel (PSP) work experiences necessitate diverse and frequent exposures to potentially psychologically traumatic events (PPTEs) and other occupational stressors, which may explain the higher prevalence of mental health disorders and suicidal ideation among PSP relative to the general population. Consequently, PSP require emotional coping skills and evidence-informed mental health training to navigate arduous situations. The Emotional Resilience Skills Training (ERST) is a pilot 13-week mental health training program led by a peer and based on the robustly evidenced Unified Protocol for the Transdiagnostic Treatment of Mental Disorders. The study assessed whether PSP: perceived the ERST as improving their mental health or their management of stressors; applied the associated knowledge and skills; and would recommend ESRT to other PSP. Data were collected using a self-report survey and focus groups. A total of 197 PSP (58% male) completed a self-report survey and 72 PSP (33% female) participated in a sector-specific focus group to assess the ERST. The results indicate that PSP perceived ERST as helpful when applied. Almost all participants would recommend the training to other PSP. PSP expressed the ongoing need for mental health skills and knowledge, but also identified mental health training gaps during early-career training and stages.

Police interviewing in Taiwan: A self-report survey of practices and beliefs

ABSTRACT Following upon a prior survey of 631 North American law enforcement officers, and in light of heightened concerns about false confessions, we assessed the interrogation practices and beliefs of 551 police investigators in Taiwan. Overall, participants estimated that they were 66% accurate at truth and lie detection, that 48% of suspects waived their rights, that they elicited self-incriminating statements from 75% of all suspects, and that 27% of suspects confessed in the presence of their attorney. Of particular note is the self-report by participants that 72% of their interrogation sessions were fully recorded. With regard to the use of various interrogation techniques, participants estimated that they often identified contradictions in the suspect’s story, confronted the suspect with actual evidence, appealed to the suspect’s self-interests, and isolated the suspect from family and friends. We discussed the consistency of our findings with prior research, addressed potential shortcomings, and made recommendations to future directions.

Alcohol Use among Young Women in Kampala City: Comparing Self-Reported Survey Data with Presence of Urinary Ethyl Glucuronide Metabolite.

This study sought to determine the level of concordance between self-reported alcohol use and the presence of its urinary ethyl glucuronide (EtG) metabolite in women living in urban Kampala. In 2023, we recruited 300 young women, ages 18 to 24 years, to participate in a prospective cohort study across three sites in urban Kampala (i.e., Banda, Bwaise, and Makindye) to examine the mechanistic pathways of mental illness. As part of the baseline assessment, participants were asked to complete a research assistant-administered survey and to provide a urine sample to screen for 16 different substances and/or their metabolites, including EtG. Overall, 58% (n = 174) reported to have ever consumed alcohol and 23% (n = 68) to have used it in the past month. Among the 300 women, 10% (n = 30) had EtG levels in their urine sample and of these, 40% (n = 12) reported to have never consumed alcohol, using a self-reported survey (p = 0.035). Recent alcohol use was relatively low among the women in this study. However, the discordance between self-reported alcohol use and the presence of EtG presents concerns about the accuracy of self-reported alcohol use. Additional research is needed to contextualize self-reported alcohol use, social desirability, and the implications for alcohol prevention and intervention strategies for young women in urban Kampala.

“Integrated model perspective of capital theory, TPB and SCCT towards determining business students' digital entrepreneurial intention in developing country context”

The current research studies aim to investigate antecedents that influence business graduate students' digital entrepreneurial intention (DEI) to establish digital start-up ventures by employing the capital theory, theory of planned behaviour (TPB) and social cognitive career theory (SCCT) model. Using quantitative and convenience sampling methods, 564 self-reported primary survey data were collected through an online questionnaire from business graduates in Karnataka, India. Partial least squares structural equation modelling (PLS-SEM) was employed to analyse survey data and empirically test the hypothesis. Findings suggest that digital entrepreneurial competence, digital entrepreneurial knowledge, digital entrepreneurial self-efficacy, digital innovative cognition, subjective norms, information technology culture, perceived behaviour control and social media influence antecedents significantly influence digital entrepreneurial attitudes towards DEI. Hence, digital entrepreneurial education and digital entrepreneurial role models are insignificant in influencing digital entrepreneurial attitudes towards DEI. Furthermore, business students' digital entrepreneurial attitudes significantly influence digital entrepreneurial intention towards creating digital-based start-up ventures. These research findings and results will contribute to governments, collegiate education departments, universities, and societal supporting systems to develop a framework and policies regarding technical and entrepreneurial education systems and create digital start-up ecosystems in the Indian context.

A comparison of challenging and positive caregiving experiences for caregivers of individuals with schizophrenia spectrum and bipolar disorders

BackgroundCaregivers of people with serious mental illness experience challenges that may affect their mental health. Few researchers have explored whether positive or negative caregiver experiences differ due to disorder characteristics of the person receiving care. We aimed to determine whether caregiver appraisals and psychological functioning differed between caregivers of those diagnosed with schizophrenia spectrum (SSD) and bipolar disorder (BD). MethodsCaregivers of people with SSD and BD participated in an online self-report survey assessing appraisals, distress, anxiety, depression, and psychological wellbeing. Independent samples t-tests and multivariate generalised linear models determined group differences, and Pearson correlation coefficients and Fisher z-score transformations determined differences in the strength of correlations between groups. Results108 caregivers participated in the study. Caregivers of people with SSD reported significantly greater negative appraisals of the care recipient's negative symptoms and dependency. Caregivers did not differ on positive appraisals. Both groups reported moderate distress, mild anxiety and depression, and moderate psychological wellbeing, but did not differ. Higher negative caregiver appraisals were more strongly associated with higher distress, anxiety and depression, and lower psychological wellbeing, for caregivers of those with SSD than BD. LimitationsSmall between group sample sizes, and analyses may have been moderated by significant demographic differences between groups. ConclusionsCaregivers can experience difficulties associated with their role, and some differences may be attributed to the care recipient's disorder. Future research and interventions should consider specific disorder characteristics, such as symptom profiles, to better support caregivers in having their specific needs addressed whilst themselves providing care.

Analyzing the reporting error of public transport trips in the Danish national travel survey using smart card data

AbstractHousehold travel surveys have been used for decades to collect individuals and households’ travel behavior. However, self-reported surveys are subject to recall bias, as respondents might struggle to recall and report their activities accurately. This study examines the time reporting error of public transit users in a nationwide household travel survey by matching, at the individual level, five consecutive years of data from two sources, namely the Danish national travel survey (TU) and the Danish smart card system (Rejsekort). Survey respondents are matched with travel cards from the Rejsekort data solely based on the respondents’ declared spatiotemporal travel behavior. Approximately, 70% of the respondents were successfully matched with Rejsekort travel cards. The findings reveal a median time reporting error of 11.34 min, with an Interquartile Range of 28.14 min. Furthermore, a statistical analysis was performed to explore the relationships between the survey respondents’ reporting error and their socio-economic and demographic characteristics. The results indicate that females and respondents with a fixed schedule are in general more accurate than males and respondents with a flexible schedule in reporting their times of travel. Moreover, trips reported during weekdays or via the internet displayed higher accuracies compared to trips reported during weekends and holidays or via telephone interviews. This disaggregated analysis provides valuable insights that could help in improving the design and analysis of travel surveys, as well accounting for reporting errors/biases in travel survey-based applications. Furthermore, it offers valuable insights underlying the psychology of travel recall by survey respondents.

Do they really boil their drinking water? a descriptive study in a rural district of the Lao people’s democratic republic

BackgroundFor safe drinking water, household water treatments (HWT) is important to reduce the risk of diarrhea in low-and-middle countries including Lao People’s Democratic Republic (Lao PDR). However, the measurement of HWT relies chiefly on self-report in most nationwide surveys. Thus, the validity of self-reported measurement is of concern. The objective of this study was to determine the proportion of households with the presence of boiled water among households that report boiling practices in a rural area of the Lao PDR.MethodsThis study was conducted with randomly selected 108 households in the four villages in the catchment area of the two health centers, in Xepon district of the Savannakhet province, between September and October 2023. The inclusion criterion of the households was the households that report boiling as HWT. Surveyors conducted interviews with an adult household member and observations on boiled water through household visits, using a questionnaire. Descriptive statistics were conducted to summarize the collected information using the frequency with proportion for categorical variables and the median with interquartile range for continuous variables. Bivariate analyses were conducted to assess an association between each of the factors and the presence of boiled water, using Fisher’s exact test.ResultsAmong the 108 households that reported boiling practice, 91 households were able to show the surveyor self-reported boiled water. Thus, the proportion of households with the presence of boiled water was 90.1% (95% confidence interval: 82.5–95.1%). Households with a fixed schedule of boiling were significantly more likely to present boiled water, compared to households without (94.5% vs. 50.0%). Not all household members do not necessarily drink boiled water: approximately a quarter (25.7%) of the participants reported that some household members drink unboiled water.ConclusionsThis study showed that among households that reported boiling drinking water, 90.1% were able to present a container with self-reported boiled water. It suggests that the self-reported measure of boiling practices can be valid in the study villages.

Group A Streptococcus infections in children and adolescents in the post-COVID-19 era: a regional Italian survey

BackgroundDespite the worldwide increasing incidence of Group A Streptococcus (GAS) infections reported since December 2022, data on noninvasive GAS (nGAS) infections in the post COVID-19 era are limited. By a self-reported survey performed in an outpatient setting, we investigated the number and clinical features of GAS infections, the diagnostic work-up and the type of treatment utilized. In addition, the rate of influenza vaccination was evaluated.MethodsIn June 2023 family pediatricians involved in the study sent the survey to parents of patients aged 0–16 years. The survey included questions on GAS infections that occurred from January 1 to May 31, 2023.ResultsAmong 3580 children, 20.3% had a GAS infection (0,8% < 1 year, 16,4% 1–3 years, 42,3% 3–6 years, 26,5% 6–9 years, 11,4%, 9–12 years, and 2,6% 12–16 years). Symptoms reported were sore throat (76.9%), fever (75.2%), tonsillar exudate (25.2%), lymphadenopathy (21.8%), and scarlet fever (14.7%). A single patient was hospitalized due to GAS meningitis.Twenty four percent of children had more than one GAS infection. In this group, frequencies of symptoms reported in the first and in the following infection were similar, except for fever and scarlet fever which were less frequent during relapses. GAS was identified by rapid antigen detection test in 81.0% of children. Eighty-nine per cent of children were treated with antibiotics, mostly amoxicillin/clavulanate (40.4%) and amoxicillin (39.4%). Thirty four percent of children received influenza vaccine. No difference was observed among immunized and not immunized regarding the number and characteristics of GAS infection. ConclusionsWe reported a certain prevalence of nGAS infections in children, mainly those aged 3–6 years age, who were mostly characterized by a low score of symptoms, and in most of the cases diagnosed and treated using a microbiological test as confirmatory tool.In this new clinical setting, a national study would be useful to reach more significant data for the definition of a correct diagnosis and clinical management of nGAS infections in children. Moreover, it is important to improve flu vaccination campaign and coverage to protect children from coinfections that could worsen the disease and misdiagnose the etiology of pharyngitis.

Why Did You Stop? Reasons for Stopping Faking Orgasms and Its Association with Sexual, Relationship, and Life Satisfaction in Denmark, Finland, France, Norway, Sweden, and the UK

ABSTRACT The current study investigated the phenomenon of faking orgasms, including the reasons why people stop faking orgasms, sociodemographic predictors of faking orgasms, its association with sex toy use, and its association with sexual, relationship, and life satisfaction. A cross-country convenience sample of 11,541 respondents from six European countries (Denmark, Finland, France, Norway, Sweden, and the UK) was collected in May and June 2022 through respondent panels by Cint, a market research software platform. Participants completed an online self-report survey. The study’s main findings showed that around 51% of men and women in the study had never faked orgasms, around 28% had faked orgasms but stopped faking and around 13% currently faked orgasms. Further, the reasons for men and women to stop faking orgasms included becoming more comfortable with not having an orgasm, improving sexual communication with their sexual partner, and the partner paying more attention to the respondents’ desires and preferences. Finally, it was shown that faking orgasms was associated with lower sexual, relationship, and life satisfaction. The current study represents one of the few research projects focusing on the phenomenon of stopping faking orgasms and reasons for it, with the added strength of including a large male sample.

Influence of moral reasoning and environmental concern on sustainable food consumption behaviors: A gender comparison among university students

Currently, South American countries face social and environmental challenges that can be addressed through the transformation of food purchasing and preparation patterns. This study aims to enhance comprehension regarding personal factors influencing sustainable food consumption, by examining the impact of moral reasoning and environmental concern on this behavior. The responses of 233 Chilean university students to an online self-report survey were analyzed using Partial Least Squares Structural Equation Modeling. The results have shown that moral reasoning and environmental concern positively impact sustainable food consumption behaviors, such as opting for food with minimal packaging, conserving energy during cooking, and repurposing food waste. Additionally, significant gender differences in these effects were observed. These novel findings provide further evidence supporting the necessity of bolstering moral education and environmental consciousness to foster the adoption of sustainable food consumption practices among university students in developing South American nations. Furthermore, the results underscore the importance of considering gender distinctions in education, particularly in light of entrenched family and societal roles.

Exploring a dual-factor mental health screening model with children in grades 5-10.

The dual-factor mental health (DFMH) model posits that mental health comprises two distinct yet interrelated dimensions: psychological distress and psychological well-being. This study used responses to a 10-item measure within a self-report risk survey to explore the prevalence rates and criterion validity of a DFMH screening model based on norm-referenced classifications with a nationally representative sample of U.S. children in Grades 5-10 (N = 5,949). Students' responses were classified into one of four possible DFMH statuses: complete mental health, troubled, symptomatic but content, or vulnerable. Results indicated most students were classified as complete mental health (71.2%), followed by symptomatic but content (13.2%), vulnerable (10.6%), and troubled (5.1%), respectively. Criterion validity findings showed students classified in the complete mental health group had the most beneficial concurrent outcomes across several academic, behavioral, and emotional indicators when compared with students in all other DFMH groups. Additionally, students in the symptomatic but content group demonstrated substantively better outcomes than both vulnerable and troubled students, whereas students in the vulnerable group had similar concurrent outcomes compared to those in the troubled group. Overall, results from this study provide further validity evidence supporting the interpretation and use of a DFMH screening model in schools with a nationally representative sample of elementary, middle, and high-school-aged youth. Implications and directions for future research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).