The Dual Factor Model of Mental Health in Inpatients
- Conditions
- DepressionPsychological Disease
- Interventions
- Behavioral: Routine care inpatient treatment
- Registration Number
- NCT04450238
- Lead Sponsor
- Ruhr University of Bochum
- 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.
- Detailed Description
Participants will be divided into four groups according to the DFM over the course of time:
1. 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.
2. 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
3. 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
4. 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1552
-inpatients at the Stiilachaus Privatklinik
-None
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Study Group Routine care inpatient treatment All participants are inpatients at the clinic "Stillachhaus" in Germany. They are receiving treatment for a variety of psychological disoders, mostly depressive disoders.
- Primary Outcome Measures
Name Time Method 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.
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.
- Secondary Outcome Measures
Name Time Method 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.
Trial Locations
- Locations (1)
Stillachhaus Privatklinik
🇩🇪Oberstdorf, Bavaria, Germany