The Dual Factor Model of Mental Health in Inpatients
Study Details
Study Description
Brief Summary
The Dual Factor Model of mental health (DFM; Greensporn & Saklofske, 2001) postulates that mental health consists of two at least partially unrelated factors, the experience or absence of psycho-pathological symptoms (i.e. depressive symptoms) and the experience or absence of positive mental health (i.e. life satisfaction, meaningfulness). Both factors contribute to an individual's well-being and mental health.The DFM has been used as a framework to describe and evaluate participants' mental health in different settings in cross-sectional and longitudinal designs mostly outside of clinical settings. Psychological Interventions, such as cognitive-behavioral therapy are widely studied concerning their reduction of psycho-pathological symptoms. However, little is known about the effect of psychological interventions on the second factor (positive mental health) of the DFM. This is especially important, because the latter has been shown to contribute significantly to subjective well-being and to reduce the risk of suicidal intentions and behavior.
Primary, the authors aim to investigate the DFM in an inpatient sample over the course of time (pre-treatment, post-treatment, 6 and 12 months after discharge). Secondly, they aim to investigate the relationship between positive mental health and suicidal ideation over the course of time.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Participants will be divided into four groups according to the DFM over the course of time:
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unhappy: high psychopathology and low positive mental health; depression and/or anxiety scores above published cut -offs and positive mental health scores under published cut offs.
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symptomatic but content: high psychopathology and high positive mental health; depression and/or anxiety scores above published cut -offs and normal to high positive mental health scores
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vulnerable: low psychopathology and low positive mental health; depression and/or anxiety scores under published cut -offs and positive mental health scores under published cut offs
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Complete mental health: low psychopathology and high positive mental health; depression and/or anxiety scores under published cut -offs normal to high positive mental health scores.
The authors will then depict the movements of patients through these groups graphically and use regression analyses to check for differences according to age, diagnosis and gender.
Towards the second aim they will use regression analyses to investigate the protective effect of positive mental health on suicidal ideation or behavior.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Study Group All participants are inpatients at the clinic "Stillachhaus" in Germany. They are receiving treatment for a variety of psychological disoders, mostly depressive disoders. |
Behavioral: Routine care inpatient treatment
All participants are receiving inpatient treatment consisting of a variety of psychological interventions such as cognitive-behavioral therapy, third-wave interventions, psycho-education and in some cases medication.
|
Outcome Measures
Primary Outcome Measures
- Depression Anxiety Stress Scale-21 (DASS-21; Nilges et al., 2016) [In the first 3 days of treatment]
Measures depression, anxiety and stress with 21 items. Scores range from 0-63 with higher scores indicating more severe anxiety, depression and stress.
- Depression Anxiety Stress Scale-21 (DASS-21; Nilges et al., 2016) [In the last three days of treatment]
Measures depression, anxiety and stress with 21 items. Scores range from 0-63 with higher scores indicating more severe anxiety, depression and stress.
- Depression Anxiety Stress Scale-21 (DASS-21; Nilges et al., 2016) [6 months after discharge]
Measures depression, anxiety and stress with 21 items. Scores range from 0-63 with higher scores indicating more severe anxiety, depression and stress.
- Depression Anxiety Stress Scale-21 (DASS-21; Nilges et al., 2016) [12 months after discharge]
Measures depression, anxiety and stress with 21 items. Scores range from 0-63 with higher scores indicating more severe anxiety, depression and stress.
- Positive mental health scale (PMH; Lukat et al., 2016) [In the first 3 days of treatment]
Measures positive psychological functioning with 9 items. Scores range from 0-27 with higher scores indicating more positive mental health.
- Positive mental health scale (PMH; Lukat et al., 2016) [In the last three days of treatment]
Measures positive psychological functioning with 9 items. Scores range from 0-27 with higher scores indicating more positive mental health
- Positive mental health scale (PMH; Lukat et al., 2016) [6 months discharge]
Measures positive psychological functioning with 9 items. Scores range from 0-27 with higher scores indicating more positive mental health
- Positive mental health scale (PMH; Lukat et al., 2016) [12 months discharge]
Measures positive psychological functioning with 9 items. Scores range from 0-27 with higher scores indicating more positive mental health.
Secondary Outcome Measures
- Suicidal Behavior Questionnaire (SBQ; Osman et al., 2001) ). [In the first 3 days of treatment]
Assesses past and current suicidal ideation and behavior. Scores range from 3-18 with higher scores indicating a higher risk for suicidal behavior.
- Suicidal Behavior Questionnaire (SBQ; Osman et al., 2001) ). [In the last three days of treatment]
Assesses past and current suicidal ideation and behavior. Scores range from 3-18 with higher scores indicating a higher risk for suicidal behavior.
- Suicidal Behavior Questionnaire (SBQ; Osman et al., 2001) ). [6 months after discharge]
Assesses past and current suicidal ideation and behavior. Scores range from 3-18 with higher scores indicating a higher risk for suicidal behavior.
- Suicidal Behavior Questionnaire (SBQ; Osman et al., 2001) ). [12 months after discharge]
Assesses past and current suicidal ideation and behavior. Scores range from 3-18 with higher scores indicating a higher risk for suicidal behavior.
Eligibility Criteria
Criteria
Inclusion Criteria:
-inpatients at the Stiilachaus Privatklinik
Exclusion Criteria:
-None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Stillachhaus Privatklinik | Oberstdorf | Bavaria | Germany | 87561 |
Sponsors and Collaborators
- Ruhr University of Bochum
- Stillachhaus Privatklinik
Investigators
- Study Director: Juergen Margraf, Prof., Ruhr-University Bochum
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2017-387