Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health

A continuous assessment and a categorical diagnosis of the presence (i.e., flourishing ) and the absence (i.e., languishing ) of mental health were proposed and applied to the Midlife in the United States study data, a nationally representative sample of adults between the ages of 25 and 74 years (...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2005-06, Vol.73 (3), p.539-548
Main Author: Keyes, Corey L. M
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Adults
Age Distribution
Aged
Alcoholism
Anxiety
Anxiety disorders. Neuroses
Assessment
Biological and medical sciences
Confirmatory factor analysis
Correlation
Depression
Depression (Psychology)
Depression - diagnosis
Depression - epidemiology
Diagnosis
Dimensional approach
Factor Analysis
Female
Happiness
Helplessness
Human
Humans
Hypothesis Testing
Identification
Intimacy
Male
Measurement Techniques
Measures (Individuals)
Medical sciences
Mental depression
Mental Disorders
Mental Health
Mental illness
Middle Aged
Miscellaneous
Mood disorders
Panic disorder
Personality Traits
Psychological Evaluation
Psychological Theory
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Psychosocial Factors
Sex Distribution
Social Functioning
Subjective wellbeing
Subjectivity
United States
Well Being
Wellness
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Summary:A continuous assessment and a categorical diagnosis of the presence (i.e., flourishing ) and the absence (i.e., languishing ) of mental health were proposed and applied to the Midlife in the United States study data, a nationally representative sample of adults between the ages of 25 and 74 years ( N = 3,032). Confirmatory factor analyses supported the hypothesis that measures of mental health (i.e., emotional, psychological, and social well-being) and mental illness (i.e., major depressive episode, generalized anxiety, panic disorder, and alcohol dependence) constitute separate correlated unipolar dimensions. The categorical diagnosis yielded an estimate of 18.0% flourishing and, when cross-tabulated with the mental disorders, an estimate of 16.6% with complete mental health. Completely mentally healthy adults reported the fewest health limitations of activities of daily living, the fewest missed days of work, the fewest half-day work cutbacks, and the healthiest psychosocial functioning (low helplessness, clear life goals, high resilience, and high intimacy).
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.73.3.539