正常人群心理健康的Keyes双因素模型分析  

The analysis of Keyes＇ dual-factor model of mental nealth in normal population

作　　者：刘悦坦[1,2] 王义强 刘健[2] 倪喆[2] 薛闯 

机构地区：[1]安徽医科大学医学心理系,合肥230000 [2]杭州市第七人民医院,杭州310013

出　　处：《中华行为医学与脑科学杂志》2017年第10期950-954,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：杭州市科技发展计划项目（20140733Q46）;浙江省科技厅公益类项目（2013C33095）;杭州市科技局重点专科专病项目（20120533Q14）

摘　　要：目的验证心理健康双因素理论在正常人群中的适用性；以心理健康双因素模型为理论基础，了解正常人群的心理健康状况。方法依据Keyes心理健康双因素理论，采用问卷法对1900名浙江省正常人群进行消极、积极两个层面的心理健康调查，并进行验证性因素分析。结果通过对不同模型进行比较，心理健康双因素模型在浙江省人群中的拟合指数更为理想（x2/df=3．63，RMR=0．04，RMSEA=0．095）；不同心理健康类型结果：完全心理健康者占69．8％，完全病态9．4％，易感者7．3％，有症状但自我满足者13．5％，四分法分布结果与国外研究基本一致，而六分法结果与Keyes的研究结果差异显著（x2=187．5，P〈0．01）；本研究选用的PHQ-9、GAD-7和GHQ-12的量表组合在人群中筛选出心理疾病比例为22．9％。结论心理健康双因素模型适用于浙江省人群；可以用爱丁堡幸福量表（WEMWBS）作为积极维度，医院焦虑量表（GAD-7）、医院抑郁量表（PHQ-9）和一般健康问卷（GHQ-12）作为消极维度的组合来评估心理健康。Objective To verify the applicability of mental health dual-factor theory in normal population and understand the mental health of them. Methods According to Keyes＇ theory of mental health, the questionnaire was used to investigate the negative and positive psychological health of 1900 normal population. Then, confirmatory factor analysis was carried out. Result The fitting index of the dual-Factor model in Zhejiang group was more ideal by comparing the different models（ X2/df= 3.63, RMR = 0.04 , RMSEA = 0.095）.In the people of Zhejiang province, 69.8% were completely mentally healthy, 9.4% were troubled, 7.3% were vulnerable, 13.5% were symptomatic but content. The distribution results were consistent with those of foreign researches. The results between the six-point method and Keyes＇ method were significantly different（X2= 187.5 ,P〈0.01）. In this study,a combination of PHQ-9,GAD-7 and GHQ-12 was used in the study,and 22.9% of the population were screened for mental illness. Conclusion The dual-Factor model of mental health is suitable for normal population. Mental health can be assessed by warwick-edinburgh mental well-being scale（WEMWBS） ,PHQ-9, GAD-7 and GHQ-12.

关 键 词：积极心理学 心理疾病 心理健康 双因素模型 

分 类 号：R395.6[哲学宗教—心理学]