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Mental well-being and mental illness : findings from the Adult Psychiatric Morbidity Survey for England 2007

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Weich, Scott, Brugha, T. S. (Traolach S.), King, Michael B., McManus, Sally, Bebbington, Paul, Jenkins, Rachel, Cooper, Claudia, McBride, O. and Stewart-Brown, Sarah L.. (2011) Mental well-being and mental illness : findings from the Adult Psychiatric Morbidity Survey for England 2007. The British Journal of Psychiatry, Vol.199 (No.1). pp. 23-28. ISSN 0007-1250

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Official URL: http://dx.doi.org/10.1192/bjp.bp.111.091496

Abstract

Mental well-being underpins many aspects of health and social functioning, and is economically important. Aims: To describe mental well-being in a general population sample and to determine the extent to which mental well-being and mental illness are independent of one another. Method: Secondary analysis of a survey of 7293 adults in England. Nine survey questions were identified as possible indicators of mental well-being. Common mental disorders (ICD-10) were ascertained using the Revised Clinical Interview Schedule (CIS-R). Principal components analysis was used to describe the factor structure of mental well-being and to generate mental well-being indicators. Results: A two-factor solution found eight out of nine items with strong loadings on well-being. Eight items corresponding to hedonic and eudaemonic well-being accounted for 36.9% and 14.3% of total variance respectively. Separate hedonic and eudaemonic well-being scales were created. Hedonic well-being (full of life; having lots of energy) declined with age, while eudaemonic well-being (getting on well with family and friends; sense of belonging) rose steadily with age. Hedonic well-being was lower and eudaemonic well-being higher in women. Associations of well-being with age, gender, income and self-rated health were little altered by adjustment for symptoms of mental illness. Conclusions: In a large nationally representative population sample, two types of well-being were distinguished and reliably assessed: hedonic and eudaemonic. Associations with mental wellbeing were relatively independent of symptoms of mental illness. Mental well-being can remain even in the presence of mental suffering.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Mental illness -- England -- Research, Health surveys -- England, Well-being -- England -- Research, Psychiatric rating scales -- England
Journal or Publication Title: The British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Date: July 2011
Volume: Vol.199
Number: No.1
Page Range: pp. 23-28
Identification Number: 10.1192/bjp.bp.111.091496
Status: Peer Reviewed
Publication Status: Published
URI: http://wrap.warwick.ac.uk/id/eprint/38707

Data sourced from Thomson Reuters' Web of Knowledge

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