Complete Mental Health in South Australian Youth: Prevalence, Measurement, and Promotion

  • Anthony Venning
  • Jaklin Eliott
  • Lisa Kettler
  • Anne Wilson


From a positive psychological perspective, a focus on developing an individual’s strengths rather than exclusively focusing on the symptoms of mental illness is a better way to promote a sustainable mental health. With this in mind, the Complete State Model of Mental Health (Keyes CLM, Lopez SJ, Towards a science of mental health. In: Snyder CR, Lopez JL (eds) Handbook of positive psychology. Oxford University Press, New York, pp 45–59, 2002) was adopted to examine both mental health and mental illness within Australian adolescents (13–17 years; N = 3,913). Normative scores for the Adult Hope Scale (Snyder et al, J Pers Soc Psychol, 60:570–585, 1991) were established, and results suggest that the prevalence of mental health has been overestimated, and that the presence of hopeful thinking is a better predictor of mental health than the absence of mental illness. This research helps to redirect the focus of mental health policy and practice in Australia by highlighting the importance of a positive focus in developing strategies to promote a sustainable mental health and reduce the burden of mental illness, both in adolescence and beyond.


Mental Health Mental Illness Positive Emotion Goal Pursuit Sustainable State 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). Washington, DC: Author.Google Scholar
  2. Arehart-Treichel, J. (2006). Teen personality traits can predict adult mental health. Psychiatric News, 41, 26.Google Scholar
  3. Australian Bureau of Statistics. (1997). Mental health and well-being: Profile of adults, Australia. Cat. no. 4326. Canberra: Author.Google Scholar
  4. Australian Bureau of Statistics. (2006). Physical activity in Australia: A snapshot 2004-05. Cat. no. 4835. Canberra: Author.Google Scholar
  5. Australian Bureau of Statistics. (2008). National survey of mental health and wellbeing: Summary of results, 2997. Canberra: Author.Google Scholar
  6. Australian Bureau of Statistics. (2009). Australian social trends, Australia. Cat. no. 4102. Canberra: Author.Google Scholar
  7. Australian Institute of Health and Welfare. (2005). 2004 national drug strategy household survey: Detailed findings, Cat. no. PHE 66. Canberra: AIHW.Google Scholar
  8. Australian Institute of Health and Welfare. (2006). Australia’s health 2006: Cat. no. AUS 73. Canberra: AIHW.Google Scholar
  9. Australian Institute of Health and Welfare. (2008). Australia’s health 2008 Cat. no. AUS 99. Canberra: AIHW.Google Scholar
  10. Barrett, P. M., Farrell, L. J., Ollendick, T. H., & Dadds, M. (2006). Long-term outcomes of an Australian universal prevention trial of anxiety and depression symptoms in children and youth: An evaluation of the friends program. Journal of Clinical Child and Adolescent Psychology, 35, 403–411.PubMedCrossRefGoogle Scholar
  11. Boskovic, G., & Jengic, Y. (2008). Mental health as eudaimonic well-being? Psychiatria Danubina, 20, 452–455.PubMedGoogle Scholar
  12. Boyd, C. P., Kostanski, M., Gullone, E., Ollendick, T. H., & Shek, D. T. L. (2000). Prevalence of anxiety and depression in Australian adolescents: Comparisons with worldwide data. The Journal of Genetic Psychology, 161, 479–492.PubMedCrossRefGoogle Scholar
  13. Braverman, M. T. (1999). Research on resilience and its implications for tobacco prevention. Nicotine & Tobacco Research, 1, S67–S72.CrossRefGoogle Scholar
  14. Brickman, P., & Campbell, D. T. (1971). Hedonic relativism and planning the good society. In M. H. Appley (Ed.), Adaptation-level theory. New York: Academic.Google Scholar
  15. Carr-Gregg, M. R., Enderby, K. C., & Grover, S. R. (2003). Risk-taking behaviours of young women in Australia: Screening for health-risk behaviours. Medical Journal of Australia, 178, 601–604.PubMedGoogle Scholar
  16. Cheavens, J. S. (2000). Hope and depression: Light through the shadows. In C. R. Snyder (Ed.), Handbook of hope: Theory, measures, and applications (pp. 321–340). San Diego: Academic.Google Scholar
  17. Cheavens, J. S., Feldman, D. B., Gum, A., Scott, T., & Snyder, C. R. (2006). Hope therapy in a community sample: A pilot investigation. Social Indicators Research, 77, 61–78.CrossRefGoogle Scholar
  18. Council of Australian Governments. (2006). National action plan on mental health 2006-2011. Canberra: Author.Google Scholar
  19. Diener, E., Emmons, R. A., Larsen, R. J., & Griffen, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.PubMedCrossRefGoogle Scholar
  20. Duckworth, A. L., Steen, T. A., & Seligman, M. P. (2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629–651.CrossRefGoogle Scholar
  21. Eckersley, R. M., Wierenga, A., & Wyn, J. (2005). Life in a time of uncertainty: Optimising the health and wellbeing of young Australians. Medical Journal of Australia, 183, 402–404.PubMedGoogle Scholar
  22. Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.PubMedCrossRefGoogle Scholar
  23. Fredrickson, B. L. (2002). Positive emotions. In C. R. Snyder & J. L. Lopez (Eds.), Handbook of positive psychology (pp. 120–134). New York: Oxford University Press.Google Scholar
  24. Fredrickson, B. L. (2008). Promoting positive affect. In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 449–468). New York: Guilford Press.Google Scholar
  25. Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition & Emotion, 19, 313–332.CrossRefGoogle Scholar
  26. Fredrickson, B. L., & Joiner, T. (2002). Positive emotions trigger upward spirals toward emotional well-being. Psychological Science, 13, 172–175.PubMedCrossRefGoogle Scholar
  27. Fredrickson, B. L., & Losada, M. F. (2005). Positive affect and the complex dynamics of human flourishing. American Psychologist, 7, 678–686.CrossRefGoogle Scholar
  28. Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks in the United States on September the 11th 2001. Journal of Positive and Social Psychology, 84, 365–376.Google Scholar
  29. Fujita, F., & Diener, E. (2005). Life satisfaction set point: Stability and change. Journal of Personality and Social Psychology, 88, 158–164.PubMedCrossRefGoogle Scholar
  30. Graber, J., Brooks-Gunn, J., & Petersen, A. (1996). Transitions through adolescence: Interpersonal domains and context. Mahwah: Erlbaum.Google Scholar
  31. Grant, A. M., & Cavanagh, M. J. (2007). Evidence-based coaching: Flourishing or languishing? Australian Psychologist, 42, 239–254.CrossRefGoogle Scholar
  32. Headey, B. (2006). Subjective well-being: Revisions to dynamic equilibrium theory using natural panel data and panel regression methods. Social Indicators Research, 79, 369–403.CrossRefGoogle Scholar
  33. Headey, B., & Wearing, A. (1992). Understanding happiness: A theory of subjective well-being. Melbourne: Longman Cheshire.Google Scholar
  34. Headroom. (2009). Headroom. Retrieved June 22, 2009, from
  35. Headspace. (2006). Headspace: Where young minds come first. Retrieved September 7, 2006, 2006, from
  36. Herth, K. (1990). Fostering hope in terminally-ill people. Journal of Advanced Nursing, 15, 1250–1259.PubMedCrossRefGoogle Scholar
  37. Irving, L. M., Snyder, C. R., & Crowson, J. J. (1998). Hope and coping with cancer by college women. Journal of Personality, 66, 195–214.PubMedCrossRefGoogle Scholar
  38. Irwin, C. E., Igra, V., Eyre, S., & Millstein, S. G. (1997). Risk taking: The paradigm. Annals of the New York Academy of Sciences, 817, 1–35.PubMedCrossRefGoogle Scholar
  39. Kahneman, D., Diener, E., & Schwarz, N. (1999). Well-being: The foundations of hedonic psychology. New York: Russell Sage.Google Scholar
  40. Keeler, H. J., & Kaiser, M. M. (2010). An integrative model of adolescent health risk behaviour. Journal of Pediatric Nursing, 25, 126–137.PubMedCrossRefGoogle Scholar
  41. Kessler, R. C., Berglund, P. A., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication (NCS-R). Archives of General Psychiatry, 62, 593–602.PubMedCrossRefGoogle Scholar
  42. Keyes, C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61, 121–140.CrossRefGoogle Scholar
  43. Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Research, 43, 207–222.Google Scholar
  44. Keyes, C. L. M. (2004). The nexus of cardiovascular disease and depression revisited: The complete mental health perspective and the moderating role of age and gender. Aging and Mental Health, 8, 266–274.PubMedCrossRefGoogle Scholar
  45. Keyes, C. L. M. (2005a). Mental illness and/or mental health? Investigating axioms of the complete state model of mental health. Journal of Consulting and Clinical Psychology, 73, 539–548.PubMedCrossRefGoogle Scholar
  46. Keyes, C. L. M. (2005b). Chronic physical conditions and aging: Is mental health a potential protective factor? Ageing International, 30, 88–104.CrossRefGoogle Scholar
  47. Keyes, C. L. M. (2006). Mental health in adolescence: Is America’s youth flourishing? American Journal of Orthopsychiatry, 76, 395–402.PubMedCrossRefGoogle Scholar
  48. Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing. American Psychologist, 62, 95–108.PubMedCrossRefGoogle Scholar
  49. Keyes, C. L. M., & Lopez, S. J. (2002). Towards a science of mental health. In C. R. Snyder & J. L. Lopez (Eds.), Handbook of positive psychology (pp. 45–59). New York: Oxford University Press.Google Scholar
  50. Keyes, C. L. M., Ryff, C. D., & Shmotkin, D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82, 1007–1022.PubMedCrossRefGoogle Scholar
  51. King, L. A. (2008). Interventions for enhancing subjective well-being: Can we make people happier, and should we? In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 431–448). New York: The Guilford Press.Google Scholar
  52. Larson, R. W., & Ham, M. (1993). Stress and “storm and stress” in early adolescence: The relationship of negative events with dysphoric affect. Developmental Psychology, 29, 130–140.CrossRefGoogle Scholar
  53. Licence, K. (2004). Promoting and protecting the health of children and young people. Child: Care Health and Development, 30, 623–635.CrossRefGoogle Scholar
  54. Lopez, S. J., Floyd, R. K., Ulven, J. C., & Snyder, C. R. (2000). Hope therapy: Helping clients build a house of hope. In C. R. Snyder & J. L. Lopez (Eds.), Handbook of hope: Theory, measures, and applications (pp. 123–150). San Diego: Academic.Google Scholar
  55. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression, anxiety and stress scales (2nd ed.). Sydney: Psychology Foundation.Google Scholar
  56. Lowry-Webster, H. M., Barrett, P. M., & Dadds, M. R. (2001). A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behaviour Change, 18, 36–50.CrossRefGoogle Scholar
  57. Luthar, S. S. (1991). Vulnerability and resilience: A study of high-risk adolescents. Child Development, 62, 600–616.PubMedCrossRefGoogle Scholar
  58. Maggs, J. L., Schulenberg, J., & Hurrelmann, K. (1997). Developmental transitions during adolescence: Health promotion implications. In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and development transitions during adolescence (pp. 522–546). New York: Cambridge University Press.Google Scholar
  59. McGorry, P., Parker, A., & Purcell, R. (2006). Australian Psychological Society, Youth Mental Health Services. Retrieved October 2011, from
  60. MindMatters. (2009). MindMatters. Retrieved June 22, 2009, from
  61. Moffitt, T. E. (1993). “Adolescence-limited” and “life-course-persistent” antisocial behaviour: A developmental taxonomy. Psychological Review, 100, 674–701.PubMedCrossRefGoogle Scholar
  62. Nekolaichuk, C. L., Jevne, R. F., & Maguire, T. O. (1999). Structuring the meaning of hope in health and illness. Social Science & Medicine, 48, 591–605.CrossRefGoogle Scholar
  63. Petersen, A. C., & Leffert, N. (1995). What is special about adolescence? In M. Rutter (Ed.), Psychosocial disturbances in young people: Challenges for prevention (pp. 3–36). New York: Cambridge University Press.Google Scholar
  64. Quayle, D., Dziuraweic, S., Roberts, C., Kane, R., & Ebsworthy, G. (2001). The effect of an optimism and lifeskills program on depressive symptoms in preadolescence. Behaviour Change, 18, 194–203.CrossRefGoogle Scholar
  65. Ramana, R., Paykel, E. S., Cooper, Z., Hayhurst, H., Saxty, M., & Surtees, P. G. (1995). Remission and relapse in major depression: A two-year prospective follow-up study. Psychological Medicine, 25, 1161–1170.PubMedCrossRefGoogle Scholar
  66. Roberts, C., Kane, R., Thomson, H., Bishop, B., & Hart, B. (2003). The prevention of depressive symptoms in rural school children: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 71, 622–628.PubMedCrossRefGoogle Scholar
  67. Rowling, L. (2006). Adolescence and emerging adulthood (12-17 years and 18-24 years). In M. Cattan & S. Tilford (Eds.), Mental health promotion: A lifespan approach (pp. 100–136). New York: Open University Press.Google Scholar
  68. Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316–331.PubMedCrossRefGoogle Scholar
  69. Rutter, M., & Smith, D. J. (1995). Psychosocial disorders in young people: Time trends and their causes. Chichester: Wiley.Google Scholar
  70. Ryan, R. M., & Deci, E. L. (2001). On happiness and human potential: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–146.PubMedCrossRefGoogle Scholar
  71. Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081.CrossRefGoogle Scholar
  72. Sawyer, M. G., Kosky, R. S., Graetz, B. W., Arney, F., Zubrick, S. R., & Baghurst, P. (2000). The national survey of mental health and well-being: The child and adolescent component. Australian and New Zealand Journal of psychiatry, 34, 214–220.PubMedCrossRefGoogle Scholar
  73. Seifert, K. L., Hoffnung, R. J., & Hoffnung, M. (2000). Lifespan development. New York: Houghton Mifflin Company.Google Scholar
  74. Seligman, M. P. (2005). Positive psychology, positive prevention, and positive therapy. In C. R. Snyder & J. L. Lopez (Eds.), Handbook of positive psychology (pp. 3–9). New York: Oxford University Press.Google Scholar
  75. Seligman, M. P. (2008). Positive health. Applied Psychology: An International Review, 57, 3–18.CrossRefGoogle Scholar
  76. Seligman, M. P., & Csikszentmihalyi, M. (2000). Positive psychology. American Psychologist, 55, 5–14.PubMedCrossRefGoogle Scholar
  77. Seligman, M. P., Steen, T. A., Park, N., & Petersen, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410–421.PubMedCrossRefGoogle Scholar
  78. Shaffer-Hudkins, E., Suldo, S. March, A., & Loker, T. (2010). How adolescents’ mental health predicts their physical health: Unique contributions of subjective wellbeing and psychopathology. Applied Research in Quality of Life, 5(3), 203–217.Google Scholar
  79. Shochet, I. M., Dadds, M., Holland, D., Whitefield, K., Harnett, P. H., & Osgarby, S. M. (2001). The efficacy of a universal school-based program to prevent adolescent depression. Journal of Clinical Child Psychology, 30, 303–315.PubMedCrossRefGoogle Scholar
  80. Smart, D., & Sanson, A. (2005). What is life like for young Australians today, and how well are they faring? Family Matters, 70, 46–53.Google Scholar
  81. Snyder, C. R. (1994). The psychology of hope: You can get there from here. New York: The Free Press.Google Scholar
  82. Snyder, C. R. (2000). Genesis: The birth and growth of hope. In C. R. Snyder (Ed.), Handbook of hope: Theory, measures, and applications (pp. 25–38). San Diego: Academic.Google Scholar
  83. Snyder, C. R. (2002). Hope theory: Rainbows in the mind. Psychological Inquiry, 13, 249–275.CrossRefGoogle Scholar
  84. Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., et al. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60, 570–585.PubMedCrossRefGoogle Scholar
  85. Snyder, C. R., Feldman, D. B., Taylor, J. D., Schroeder, L. L., & Adams, V. H. (2000). The roles of hopeful thinking in preventing problems and enhancing strengths. Applied and Preventative Psychology, 15, 262–295.Google Scholar
  86. Venning, A., Eliott, J., Kettler, L., & Wilson, A. (2009). Normative data for the Hope Scale using Australian adolescents. Australian Journal of Psychology, 61, 100–106.CrossRefGoogle Scholar
  87. Venning, A., Kettler, L., Zajac, I., Wilson, A., & Eliott, J. (2011). Is hope or mental illness a stronger predictor of mental health? International Journal of Mental Health Promotion, 13, 31–38.CrossRefGoogle Scholar
  88. Venning, A., Wilson, A., Kettler, L., & Eliott, J. (2012). Mental Health among Youth in South Australia :a survey of Flourishing, Languishing, Struggling, and Floundering. Australian Psychologist. Published online 28 March. doi:10.1111/j.1742-9544.2012.00068.x.Google Scholar
  89. Zubrick, S., Silburn, S., Garton, A., Burton, P., Dalby, R., Carlton, J., et al. (1995). Western Australian child health survey 1993: Developing health and well-being in the nineties (No. ABS Cat. no. 4303.5). Perth: Australian Bureau of Statistics and the institute for Child Health research.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Anthony Venning
    • 1
  • Jaklin Eliott
    • 2
  • Lisa Kettler
    • 1
  • Anne Wilson
    • 3
  1. 1.School of PsychologyThe University of AdelaideAdelaideAustralia
  2. 2.School of Population HealthThe University of AdelaideAdelaideAustralia
  3. 3.School of NursingThe University of AdelaideAdelaideAustralia

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