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The Complete Mental Health Model: The Social Distribution of Mental Health and Mental Illness in the Dutch Population

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Mental Well-Being

Abstract

The promotion of mental health is a new goal in public mental health care, which has traditionally focused on the treatment and prevention of mental illness. Mental health consists not only of the absence of disease but also of the experience of emotional well-being and personal and social fulfillment. We studied the social distribution of mental illness and different components of mental health in the Dutch population across time. Sociodemographic variables hold different relations with different indicators of mental illness and mental health. These relations are remarkably stable across time. The exceptions to this stability for age and educational level showed distinct time trajectories for the different indicators of mental health and illness. We conclude that it is important to distinguish among the three different components of mental health, i.e., emotional, psychological, and social well-being. The findings provide further support that mental health and mental illness represent different continua.

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References

  • Andrews, F. M., & Withey, S. B. (1976). Social indicators of well-being: Americans’ perceptions of life quality. New York: Plenum.

    Book  Google Scholar 

  • Bradburn, N. M. (1969). The structure of psychological well-being. Chicago: Aldine.

    Google Scholar 

  • Campbell, A., Converse, P. E., & Rodgers, W. L. (1976). The quality of American life: Perceptions, evaluations and satisfactions. New York: Russell Sage.

    Google Scholar 

  • Cantril, H. (1965). The pattern of human concerns. New Brunswick: Rutgers University Press.

    Google Scholar 

  • Clarke, P., Marshall, V., Ryff, C., & Wheaton, B. (2001). Measuring psychological well-being in the Canadian study of health and aging. International Psychogeriatrics, 13, 79–90.

    Article  PubMed  Google Scholar 

  • Compton, W. C., Smith, M. L., Cornish, K. A., & Qualls, D. L. (1996). Factor structure of mental health measures. Journal of Personality and Social Psychology, 76, 406–413.

    Article  Google Scholar 

  • De Beurs, E., & Zitman, F. (2006). De Brief Symptom Inventory (BSI): De betrouwbaarheid en validiteit van een handzaam alternatief. [Reliability and validity of a practical alternative to the SCL 90]. Maandblad Geestelijke Volksgezondheid, 61, 120–141.

    Google Scholar 

  • De Graaf, R., ten Have, M., & van Dorsselaer, S. (2010). De psychische gezondheid van de Nederlandse bevolking: NEMESIS-2, Opzet en eerste resultaten. Utrecht: Trimbos.

    Google Scholar 

  • Deci, E., & Ryan, R. (2008). Hedonia, eudaimonia, and well-being: An introduction. Journal of Happiness Studies, 9, 1–11.

    Article  Google Scholar 

  • Derogatis, L. R. (1975). The brief symptom inventory. Baltimore, MD:Clinical Psychometric Research.

    Article  Google Scholar 

  • Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.

    Article  PubMed  Google Scholar 

  • Diener, E., Suh, E. M., Lucas, R., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302.

    Article  Google Scholar 

  • Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. J. (2010). Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility. American Journal of Public Health, 100, 2372–2378.

    Article  PubMed  Google Scholar 

  • Gallagher, M., Lopez, S., & Preacher, K. (2009). The hierarchical structure of well-being. Journal of Personality, 77, 1025–1050.

    Article  PubMed  Google Scholar 

  • Greenspoon, P. J., & Saklofske, D. H. (2001). Toward an integration of subjective well-being and psychopathology. Social Indicators Research, 54, 81–108.

    Article  Google Scholar 

  • Gurin, G., Veroff, J., & Feld, S. (1960). Americans view their mental health. New York: Basic Books.

    Google Scholar 

  • Headey, B., Kelley, J., & Wearing, A. (1993). Dimensions of mental health: Life satisfaction, positive affect, anxiety, and depression. Social Indicators Research, 29, 63–82.

    Article  Google Scholar 

  • Huta, V. (2005). Pursuing pleasure versus growth and excellence: Links with different aspects of well-being. Dissertation, McGill University, Montreal.

    Google Scholar 

  • Joshanloo, M., & Nosratabadi, M. (2009). Levels of mental health continuum and personality traits. Social Indicators Research, 90, 211–224.

    Article  Google Scholar 

  • Kafka, G., & Kozma, A. (2002). The construct validity of Ryff’s Scales of Psychological Well-Being (SPWB) and their relationship to measures of subjective well-being. Social Indicators Research, 57, 171–190.

    Article  Google Scholar 

  • Kashdan, T. B., Biswas-Diener, R., & King, L. A. (2008). Reconsidering happiness: The costs of distinguishing between hedonics and eudaimonia. Journal of Positive Psychology, 3, 219–233.

    Article  Google Scholar 

  • Keyes, C. L. M. (1998). Social well–being. Social Psychology Quarterly, 61, 121–140.

    Article  Google Scholar 

  • Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207–222.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73, 539–548.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2006). Mental health in adolescence: Is America’s youth flourishing? American Journal of Orthopsychiatry, 76, 395–402.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health. American Psychologist, 62, 95–108.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., & Annas, J. (2009). Feeling good and functioning well: Distinctive concepts in ancient philosophy and contemporary science. Journal of Positive Psychology, 4, 197–201.

    Article  Google Scholar 

  • Keyes, C. L. M., & Shapiro, A. D. (2004). Social well-being in the United States: A descriptive epidemiology. In O. G. Brim, C. D. Ryff, & R. C. Kessler (Eds.), How healthy are we: A national study of well-being at midlife (pp. 350–373). Chicago: University of Chicago Press.

    Google Scholar 

  • Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82, 1007–1022.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Wissing, M., Potgieter, J., Temane, M., Kruger, A., & van Rooy, S. (2008). Evaluation of the Mental Health Continuum – Short Form (MHC-SF) in Setswana-speaking South Africans. Clinical Psychology and Psychotherapy, 15, 181–192.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Dhingra, S. S., & Simoes, E. J. (2010a). Change in level of positive mental health as a predictor of future risk of mental illness. American Journal of Public Health, 100, 2366–2371.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Myers, J. M., & Kendler, K. S. (2010b). The structure of the genetic and environmental influences on mental well-being. American Journal of Public Health, 100, 2379–2384.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Eisenberg, D., Perry, G. S., Dube, S. R., Kroenke, K., & Dhingra, S. S. (2012). The relationship of level of positive mental health with current mental disorders in predicting suicidal behavior and academic impairment in college students. Journal of American College Health, 60(2), 126–133.

    Article  PubMed  Google Scholar 

  • King, L. A., & Napa, C. (1998). What makes a life good? Journal of Personality and Social Psychology, 75, 156–165.

    Article  PubMed  Google Scholar 

  • Knoef, M., & Vos, K. de. (2009). The representativeness of LISS, an online probability panel. Retrieved August 31, 2012, from https://www.lisspanel.nl/assets/uploaded/representativeness_­LISS_panel.pdf

  • Lamers, S. M. A., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. M. (2011). The psychometric properties of the Mental Health Continuum-Short Form (MHC- SF) in the Dutch population. Journal of Clinical Psychology, 67, 99–110.

    Article  PubMed  Google Scholar 

  • Lamers, S. M. A., Glas, C. A. W., Westerhof, G. J., & Bohlmeijer, E. T. (2012, online first). Longitudinal evaluation of the Mental Health Continuum-Short Form (MHC-SF): Item functioning across demographics, physical illness and mental illness. European Journal of Psychological Assessment. doi:10.1027/1015-5759/a000109

    Google Scholar 

  • Lindfors, P., Berntsson, L., & Lundberg, U. (2006). Factor structure of Ryff’s psychological well-being scales in Swedish female and male white-collar workers. Personality and Individual Differences, 40, 1213–1222.

    Article  Google Scholar 

  • Maddux, J. (2009). Stopping the ‘madness’: Positive psychology and deconstructing the illness ideology and the DSM. In S. J. Lopez & C. R. Snyder (Eds.), Oxford handbook of positive psychology (2nd ed., pp. 61–69). New York: Oxford University Press.

    Google Scholar 

  • Mangelli, L., Gribbin, N., Büchi, S., Allard, S., & Sensky, T. (2002). Psychological well-being in rheumatoid arthritis: Relationship to ‘disease’ variables and affective disturbance. Psychotherapy and Psychosomatics, 71(2), 112–116.

    Article  PubMed  Google Scholar 

  • Marks, N. F., & Lambert, J. D. (1998). Marital status continuity and change among young and midlife adults: Longitudinal effects on psychological wellbeing. Journal of Family Issues, 19, 652–686.

    Article  Google Scholar 

  • Masse, R., Poulin, C., Dassa, C., Lambert, J., Belair, S., & Battaglini, A. (1998). The structure of mental health higher-order confirmatory factor analyses of psychological distress and wellbeing measures. Social Indicators Research, 45, 475–504.

    Article  Google Scholar 

  • McGregor, I., & Little, B. R. (1998). Personal projects, happiness, and meaning: On doing well and being yourself. Journal of Personality and Social Psychology, 74, 494–512.

    Article  PubMed  Google Scholar 

  • Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. Lancet, 370, 851–858.

    Article  PubMed  Google Scholar 

  • Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., et al. (2007). No health without mental health. Lancet, 370, 859–877.

    Article  PubMed  Google Scholar 

  • Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Ryff, C. D., & Essex, M. J. (1991). Psychological well-being in adulthood and old age: Descriptive markers and explanatory processes. Annual Review of Gerontology and Geriatrics, 10, 144–171.

    Google Scholar 

  • Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–727.

    Article  PubMed  Google Scholar 

  • Ryff, C. D., & Singer, B. (2006). Best news yet on the six-factor model of well-being. Social Science Research, 35, 1103–1119.

    Article  Google Scholar 

  • Ryff, C. D., & Singer, B. (2008). Know thyself and become what you are: A eudaimonic approach to psychological well-being. Journal of Happiness Studies, 9, 13–39.

    Article  Google Scholar 

  • Suldo, S. M., & Shaffer, E. J. (2008). Looking beyond psychopathology: The dual-factor model of mental health in youth. School Psychology Review, 37, 52–68.

    Google Scholar 

  • Vaillant, G. E. (2003). Mental health. American Journal of Psychiatry, 169, 1373–1384.

    Article  Google Scholar 

  • Veenhoven, R. (1996). Developments in satisfaction research. Social Indicators Research, 37, 1–46.

    Article  Google Scholar 

  • Vittersø, J., Oelmann, H., & Wang, A. (2009). Life satisfaction is not a balanced estimator of the good life: Evidence from reaction time measures and self-reported emotions. Journal of Happiness Studies, 10, 1–17.

    Article  Google Scholar 

  • Waterman, A. (1990). The relevance of Aristotle’s conception of eudaimonia for the psychological study of happiness. Theoretical & Philosophical Psychology, 10(1), 39–44.

    Article  Google Scholar 

  • Waterman, A. (1993). Two conceptions of happiness: Contrasts of personal expressiveness (eudaimonia) and hedonic enjoyment. Journal of Personality and Social Psychology, 64, 678–691.

    Article  Google Scholar 

  • Waterman, A. (2008). Reconsidering happiness: A eudaimonist’s perspective. The Journal of Positive Psychology, 3(4), 234–252.

    Article  Google Scholar 

  • Waterman, A. S., Schwartz, S. J., & Conti, R. (2008). The implications of two conceptions of ­happiness (hedonic enjoyment and eudaimonia) for the understanding of intrinsic motivation. Journal of Happiness Studies, 9, 41–79.

    Article  Google Scholar 

  • Westerhof, G. J., & Keyes, C. L. M. (2008). Geestelijke gezondheid is meer dan de afwezigheid van geestelijke ziekte. Maandblad Geestelijke Volksgezondheid, 63, 808–820.

    Google Scholar 

  • Westerhof, G. J., & Keyes, C. L. M. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17, 110–119.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2004). Promoting mental health: Concepts, emerging evidence, practice (Summary report). Geneva: WHO.

    Google Scholar 

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Correspondence to Gerben J. Westerhof .

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Westerhof, G.J. (2013). The Complete Mental Health Model: The Social Distribution of Mental Health and Mental Illness in the Dutch Population. In: Keyes, C. (eds) Mental Well-Being. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5195-8_3

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