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Measuring Positive Mental Health in the Postpartum Period: The Bifactor Structure of the Mental Health Continuum–Short Form in Portuguese Women

Fabiana Monteiro, Ana Fonseca, Marco Pereira, María Cristina Canavarro

2020Assessment32 citationsDOIOpen Access PDF

Abstract

This study aimed to investigate the factor structure of the Mental Health Continuum–Short Form (MHC-SF) in the postpartum context using a single-factor model, a correlated three-factor model, and a bifactor model. The reliability and validity of the MHC-SF were also examined. The total sample consisted of 882 postpartum Portuguese women. Confirmatory factor analysis showed that the bifactor model yielded a significantly better fit to the data than the other models. The unidimensionality strength indices (explained common variance = .76, percentage of uncontaminated correlations = .69) and the ω H values supported the general factor of positive mental health, which accounted for 91.5% of the reliable variance in the total score. Additionally, the MHC-SF showed high reliability (ω = .96), and its total and subscale scores were significantly correlated with other measures related to mental health. The results of this study suggest a strong general factor of positive mental health and support the use of its total score in this context.

Topics & Concepts

PsychologyMental healthConfirmatory factor analysisPortugueseContext (archaeology)Clinical psychologyStructural equation modelingDevelopmental psychologyPsychiatryStatisticsBiologyPhilosophyMathematicsLinguisticsPaleontologyMaternal Mental Health During Pregnancy and PostpartumHealth disparities and outcomesPsychological Well-being and Life Satisfaction