Testing the factor structure of the Warwick-Edinburgh Mental Well-Being Scale in adolescents: A bi-factor modelling methodology

Psychiatry Res. 2020 Nov:293:113393. doi: 10.1016/j.psychres.2020.113393. Epub 2020 Aug 17.

Abstract

Aim: Despite extensive use in mental health research and practice, limited evidence exists for the hypothesised unidimensional model of the Warwick-Edinburgh Mental Well-Being Scale in adolescents. Few studies have assessed competing Confirmatory Factor Analysis (CFA) models, and the instrument has yet to be assessed in younger adolescents in Northern Ireland, a jurisdiction characterised by high rates of mental illness.

Subject and methods: School pupils (n=1,673) aged 13-18 years (M = 14.87, SD = 1.16), including 1,036 females, 997 urban children, and 312 from lower socio-economic status, completed psychometric tests. Seven CFA models based on extant research were tested, including unidimensional, bi-factor, higher-order and clustered.

Results: Several models, including the default unidimensional model, did not achieve recommended CFA fit thresholds. Model 6 comprising one strong 'general well-being' factor and three residual factors (i.e., figuratively labelled: 'Affective', 'Psychological Functioning' and 'Social Relationships') was confirmed as the superior model. Most item variance was explained by the general factor, relative to residual factors.

Conclusions: Adolescents predominantly conceptualise well-being as a unitary construct that coexists with relatively weak affective, psychological and social relationship domains. Researchers and practitioners should foremost calculate a composite score of well-being, and if appropriate, explore sub-domains to supplement understanding of adolescent well-being.

Keywords: Confirmatory factor analysis; Mental health; Psychology; Validity; Well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Child
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Interpersonal Relations*
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Mental Health / standards*
  • Northern Ireland / epidemiology
  • Psychometrics / methods
  • Psychometrics / standards*
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*