Abstract
The current study evaluated the psychometric properties of the Mental Health Continuum Short Form (MHC-SF), a measure of well-being, in Iranian adolescents. The MHC-SF was administrated to two samples, each consisting of 400 Iranian 15-year-olds recruited using multistage random cluster sampling (N1 = 400, N2 = 400, total N = 800). Exploratory and confirmatory factor analyses, Cronbach's alpha, McDonald’s Omega test–retest reliability, divergent and convergent validity were used to evaluate the scale. Three components of the MHC-SF (emotional, psychological and social well-being) were identified in sample 1 and then replicated in sample 2. Analyses of sample 2 revealed that the test–retest correlations after 30 days were high, Cronbach’s alpha (α = .88) and McDonald’s Omega (ω = . 84) were high, and that the components correlated highly with subjective well-being. Additional analyses of sample 2 indicated that the MHC-SF demonstrated convergent validity as it significantly positively correlated with the students' GPA, mathematics and science scores, resilience, psychological flexibility and mindfulness. The MHC-SF displayed divergent validity as it significantly negatively correlated with academic burnout, depression, anxiety, stress and psychiatric conditions. No significant gender differences or testing order effects were observed. The MHC-SF is a valid and reliable measure of well-being, and is suitable for use with Iranian adolescents. Future research is required to identify whether, and under what conditions, the three subscale scores are more suitable than the total score.
Similar content being viewed by others
Data availability
Data not available due to legal restrictions. The Ministry of Education did not agree for the students’ data to be shared publicly, so supporting data are not available. Data are however available from the corresponding author upon reasonable request and with permission of Ministry of Education.A blank consent form is available in the supplementary.
References
Asghari, A., Saed, F., & Dibajnia, P. (2008). Psychometric properties of the Depression Anxiety Stress Scales-21 (DASS-21) in a non-clinical Iranian sample. International Journal of Psychology, 2(2), 82–102.
Barclay, D. W., Higgins, C. A., & Thompson, R. (1995). The partial least squares approach to causal modeling: personal computer adoption and use as illustration. Technology Studies, 2(2), 285–309.
Batz, C., & Tay, L. (2018). Gender differences in subjective well-being. In E. Diener, S. Oishi, & L. Tay (Eds.), Handbook of well-being. DEF Publishers.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., ... & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676-688.
Bortes, C., Ragnarsson, S., Strandh, M., & Petersen, S. (2021). The bidirectional relationship between subjective well-being and academic achievement in adolescence. Journal of Youth and Adolescence, 50(5), 992–1002.
Bower, R. (2017). Psychometric evaluation of the Mental Health Continuum-Short Form (MHC-SF) with adolescents living in the West of Scotland (Doctoral dissertation, University of Glasgow).
Campbell, O. L. K., Bann, D., & Patalay, P. (2021). The gender gap in adolescent mental health: a cross-national investigation of 566,829 adolescents across 73 countries. SSM-Population Health, (13), 100742. https://doi.org/10.1016/j.ssmph.2021.100742
Chen, X., Cai, Z., He, J., et al. (2020). Gender differences in life satisfaction among children and adolescents: A meta-analysis. J Happiness Studies, 21, 2279–2307.
Chin, W. W. (1998). Commentary: Issues and opinion on structural equation modeling. MIS Quarterly, 22(1), vii–xvi. https://doi.org/10.2307/249674
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.
Diener, E., & Seligman, M. E. (2018). Beyond money: Progress on an economy of well-being. Perspectives on Psychological Science, 13(2), 171–175.
Dunn, T. J., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105(3), 399–412.
Eraslan-Capan, B. (2016). Social connectedness and flourishing: The mediating role of hopelessness. Universal Journal of Educational Research, 4(5), 933–940.
Erskine, H. E., Baxter, A. J., Patton, G., Moffitt, T. E., Patel, V., Whiteford, H. A., & Scott, J. G. (2017). The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiology and Psychiatric Sciences, 26(4), 395–402.
Esteban-Gonzalo, S., Esteban-Gonzalo, L., Cabanas-Sánchez, V., Miret, M., & Veiga, O. L. (2020). The investigation of gender differences in subjective wellbeing in children and adolescents: The UP&DOWN study. International Journal of Environmental Research and Public Health, 17(8), 2732.
Fornell, C., & Larcker, D. (1987). A second generation of multivariate analysis: Classification of methods and implications for marketing research. Review of Marketing, 1, 407–450.
Garson, G. D. (2016). Partial least squares: Regression and structural equation models. Statistical Associates Publishing.
Ghasemi, N., Kalantari, M., Asghari, K., & Molavi, H. (2014). Factor structure, validity and reliability of the persian version of the acceptance and action questionnaire (AAQ–II–7). International Journal of Education and Research, 2(9). https://www.ijern.com
Giedd, J. N., Raznahan, A., Alexander-Bloch, A., Schmitt, E., Gogtay, N., & Rapoport, J. L. (2015). Child psychiatry branch of the National Institute of Mental Health longitudinal structural magnetic resonance imaging study of human brain development. Neuropsychopharmacology, 40(1), 43–49.
Gingerich, W. J., & Wabeke, T. (2001). A solution-focused approach to mental health intervention in school settings. Children & Schools, 23(1), 33–47.
Gu, J., Strauss, C., Crane, C., Barnhofer, T., Karl, A., Cavanagh, K., & Kuyken, W. (2016). Examining the factor structure of the 39-item and 15-item versions of the Five Facet Mindfulness Questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression. Psychological Assessment, 28(7), 791.
Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. Journal of Marketing Theory and Practice, 19(2), 139–152.
Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing. In New Challenges to International Marketing (pp. 277–319). Emerald Group Publishing Limited.
Hulland, J. (1999). Use of partial least squares (PLS) in strategic management research: A review of four recent studies. Strategic Management Journal, 20(2), 195–204.
Jones, P. B. (2013). Adult mental health disorders and their age at onset. The British Journal of Psychiatry, 202(s54), s5–s10.
Joshanloo, M. (2016). A new look at the factor structure of the MHC-SF in Iran and the United States using exploratory structural equation modeling. Journal of Clinical Psychology, 72(7), 701–713.
Kelishadi, R., Djalalinia, S., Qorbani, M., Mansourian, M., Motlagh, M. E., Ardalan, G., ... & Heshmat, R. (2016). Self-Rated health and life satisfaction in Iranian children and adolescents at the national and provincial level: the CASPIAN-IV study. Iranian Red Crescent Medical Journal, 18(12).e28096. https://doi.org/10.5812/ircmj.28096
Kennes, A., Peeters, S., Janssens, M., Reijnders, J., Lataster, J., & Jacobs, N. (2020). Psychometric evaluation of the mental health continuum-short form (MHC-SF) for Dutch adolescents. Journal of Child and Family Studies, 29(11), 3276–3286.
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Ustun, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20(4), 359.
Kessler, R. C., Angermeyer, M., Anthony, J. C., De Graaf, R. O. N., Demyttenaere, K., Gasquet, I., ... & Uestuen, T. B. (2007b). Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry, 6(3): 168.
Keyes, C. L. M. (2009). Atlanta: Brief description of the mental health continuum short form (MHC-SF). Available: http://www.sociology.emory.edu/ckeyes/
Keyes, C. L. M. (2013). Promoting and protecting positive mental health: Early and often throughout the lifespan. In C. L. M. Keyes (Ed.), Mental Well-Being: International Contributions to the Study of Positive Mental Health (p. 3–28). Springer Science + Business Media. https://doi.org/10.1007/978-94-007-5195-8_1
Keyes, C. L., Yao, J., Hybels, C. F., Milstein, G., & Proeschold-Bell, R. J. (2020). Are changes in positive mental health associated with increased likelihood of depression over a two year period? A test of the mental health promotion and protection hypotheses. Journal of Affective Disorders, 270, 136–142.
Keyhani, M., Taghvaei, D., Rajabi, A., & Amirpour, B. (2015). Internal consistency and confirmatory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among nursing female. Iranian Journal of Medical Education, 14(10), 857–865.
Khademi, J., Björkqvist, K., Söderberg, P., & Österman, K. (2015). Sex differences in mental health among 13–15 year old adolescents in Iran and Finland: A comparative study. Journal of Child and Adolescent Behavior, 3(216), 20.
Khani, M. H., Mohammadi, M., Anvari, F., & Farsi, M. (2018). Students school burnout inventory: Development, validation, and reliability of scale. International Journal of School Health, 5(1), 1–6.
Kjell, O. N., Nima, A. A., Sikström, S., Archer, T., & Garcia, D. (2013). Iranian and Swedish adolescents: differences in personality traits and well-being. PeerJ, 1, e197.
Kline, R. B. (2010). Principles and Practice of Structural Equation mModeling (3rd ed.). Guilford Press.
Kraiss, J. T., Ten Klooster, P. M., Chrispijn, M., Stevens, A. W., Kupka, R. W., & Bohlmeijer, E. T. (2019). Measuring personal recovery in people with bipolar disorder and exploring its relationship with well-being and social role participation. Clinical Psychology & Psychotherapy, 26(5), 540–549.
Lim, Y. J. (2014). Psychometric characteristics of the Korean mental health continuum-short form in an adolescent sample. Journal of Psychoeducational Assessment, 32(4), 356–364.
Lucas, R. E. (2018). Reevaluating the strengths and weaknesses of self-report measures of subjective well-being. Handbook of subjective Well-being. Noba scholar handbook series: Subjective Well-being (p 1–12). DEF Publishers. Available at https://www.nobascholar.com/chapters/2
Malakouti, S. K., Fatollahi, P., Mirabzadeh, A., & Zandi, T. (2007). Reliability, validity and factor structure of the GHQ-28 used among elderly Iranians. International Psychogeriatrics, 19(4), 623–634.
Mohammadi, M. R., Ahmadi, N., Khaleghi, A., Mostafavi, S. A., Kamali, K., Rahgozar, M., ... & Fombonne, E. (2019). Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. Iranian Journal of Psychiatry, 14(1), 1.
Moss, E., Rousseau, D., Parent, S., St-Laurent, D., & Saintonge, J. (1998). Correlates of attachment at school age: Maternal reported stress, mother-child interaction, and behavior problems. Child Development, 69(5), 1390–1405.
Noorbala, A. A., Faghihzadeh, S., Kamali, K., Bagheri Yazdi, S. A., Hajebi, A., Mousavi, M. T., ... & Nouri, B. (2017). Mental health survey of the iranian adult population in 2015. Archives of Iranian Medicine (AIM), 20(3).
Nowicka-Sauer, K., Karcz, B., Dymowska, A., & Siebert, J. (2018). Prevalence of selected mental disorders among graduation class adolescents: Data from a screening study. Family Medicine & Primary Care Review, 3, 241–244.
O’Connor, B. P., Crawford, M. R., & Holder, M. D. (2015). An item response theory analysis of the Subjective Happiness Scale. Social Indicators Research, 124, 249–258.
Patten, S. B. (2017). Age of onset of mental disorders. The Canadian Journal of Psychiatry / La Revue Canadienne De Psychiatrie, 62(4), 235–236. https://doi.org/10.1177/0706743716685043
Pfeffermann, D., & Rao, C. R (2009). Handbook of Statistics Vol.29A Sample Surveys: Theory, Methods and Inference. Elsevier B.V. ISBN 978–0–444–53124–7.
Rafiey, H., Alipour, F., LeBeau, R., Amini Rarani, M., Salimi, Y., & Ahmadi, S. (2017). Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF) in Iranian earthquake survivors. International Journal of Mental Health, 46(3), 243–251.
Reinhardt, M., Horváth, Z., Morgan, A., & Kökönyei, G. (2020). Well-being profiles in adolescence: Psychometric properties and latent profile analysis of the mental health continuum model–a methodological study. Health and Quality of Life Outcomes, 18(1), 1–10.
Salmanian, M., Mohammadi, M. R., Hooshyari, Z., Mostafavi, S. A., Zarafshan, H., Khaleghi, A., ... & Amiri, S. (2019). Prevalence, comorbidities, and sociodemographic predictors of conduct disorder: the national epidemiology of Iranian children and adolescents psychiatric disorders (IRCAP). European Child & Adolescent Psychiatry, 1–15.
Schotanus-Dijkstra, M., Drossaert, C. H., Pieterse, M. E., Walburg, J. A., & Bohlmeijer, E. T. (2015). Efficacy of a multicomponent positive psychology self-help intervention: study protocol of a randomized controlled trial. JMIR Research Protocols, 4(3), e4162.
Sharifi, V., Mojtabai, R., Shahrivar, Z., Alaghband-Rad, J., Zarafshan, H., & Wissow, L. (2016). Child and adolescent mental health care in Iran: Current status and future directions. Archives of Iranian Medicine, 19(11), 797–804.
Söderqvist, F., & Larm, P. (2021). Psychometric evaluation of the mental health continuum–short form in Swedish adolescents. Current Psychology. https://doi.org/10.1007/s12144-021-01626-6
Sterling, M. (2011). General health questionnaire–28 (GHQ-28). Journal of Physiotherapy, 57(4), 259.
Sulea, C., Van Beek, I., Sarbescu, P., Virga, D., & Schaufeli, W. B. (2015). Engagement, boredom, and burnout among students: Basic need satisfaction matters more than personality traits. Learning and Individual Differences, 42, 132–138.
Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2007). Using Multivariate Statistics (Vol. 5, pp. 481–498): Pearson.
Tenenhaus, M., Amato, S., & Esposito Vinzi, V. (2004). A global goodness-of-fit index for PLS structural equation modelling. In Proceedings of the XLII SIS Scientific Meeting (Vol. 1, pp. 739–742).
Van Droogenbroeck, F., Spruyt, B., & Keppens, G. (2018). Gender differences in mental health problems among adolescents and the role of social support: Results from the Belgian health interview surveys 2008 and 2013. BMC Psychiatry, 18(1), 1–9.
Van Zyl, L. E., & Stander, M. W. (2019). Flourishing interventions 2.0: a practical guide to student development. In Positive Psychological Intervention Design and Protocols for Multi-Cultural Contexts (pp. 435–448). Springer, Cham.
Vladisavljević, M., & Mentus, V. (2019). The structure of subjective well-being and its relation to objective well-being indicators: Evidence from EU-SILC for Serbia. Psychological Reports, 122(1), 36–60.
Warburton, D. E., & Bredin, S. S. (2019). Health Benefits of Physical Activity: A Strengths-Based Approach. Journal of Clinical Medicine, 8(12), 2044. https://doi.org/10.3390/jcm8122044
Westerhof, G. J., & Keyes, C. L. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17(2), 110–119.
World Health Organization (2018). Mental health: strengthening our response. Retrieved February 2022.
Wu, W. W. (2010). Linking Bayesian networks and PLS path modeling for causal analysis. Expert Systems with Applications, 37(1), 134–139.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethic code
Ethics approval numbers are only issued to Iranian university professors so no number was assigned to this project. Authors followed the guidelines for ethics prescribed by the American Psychological Association for working with human participants and the Helsinki Declaration of 1964 and its later amendments and written informed consent form received from all parents of subjects before the study.
Consent to participation / Consent for publication
Written informed consent of participation and publication was obtained from all parents of participants involved in the study and a blank sample of the consent form is available in the supplementary as “online recourse 4”.
Conflict of interest/competing interest
The authors declare no conflict of financial or non- financial interest.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Khazaei, M., Holder, M.D., Sirois, F.M. et al. Evaluating the psychometric properties of the Mental Health Continuum Short Form (MHC-SF) in Iranian adolescents. Curr Psychol 42, 17995–18009 (2023). https://doi.org/10.1007/s12144-022-02970-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-022-02970-x