바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

The Two-Factor Model of Mental Health: In a Clinical Population

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2012, v.17 no.4, pp.1087-1096
https://doi.org/10.17315/kjhp.2012.17.4.018


Abstract

Traditionally, pathogenic models of mental health assumed that positive mental health and mental disorders are polarized on a continuum. However, the most recent view of positive psychology has demonstrated that positive mental health and mental disorders are two separate factors in a general population. If this two factor model of mental health is also appropriate to psychiatric patients and clients in counseling, this assertion will be consolidated against the pathogenic model. Confirmatory factor analysis of 112 patients and 108 clients revealed the correlated two-factor model of mental health had the higher goodness of fit than the one-factor model or the independent two factor model. As a result, the two-factor model of mental health was validated in a clinical population. Finally, the importance of positive mental health intervention for a clinical population, as well as a general population, was discussed.

keywords
정신건강, 웰빙, 정신장애, 긍정심리학, 정신과 환자, mental health, well-being, mental disorder, positive psychology, psychiatric patients

Reference

1.

김근향 (2011). 정신과 입원환자의 적응기능 향상을 위한 긍정심리치료 프로그램의 효과. 고려대학교박사학위논문.

2.

김진영, 고영건 (2009). 긍정 임상심리학: 멘탈 휘트니스(mental fitness)와 긍정 심리치료(positivepsychotherapy). 한국심리학회지: 사회문제,15(1), 155-168.

3.

박근영, 이민규 (2010). 교도소 수용자의 정신건강과 정신질환이 심리사회적 기능에 미치는 영향. 한국심리학회지: 사회 및 성격, 24(2), 73-88.

4.

이명자, 류정희 (2008). 완전한 정신건강모형 검증. 교육연구, 31, 47-68.

5.

임영진 (2012). 주요우울장애 대학생을 대상으로 한 긍정심리치료의 효과. 한국심리학회지: 임상,31(3), 679-692.

6.

임영진, 고영건, 신희천, 조용래 (2010). 특별 심포지엄:한국인의 행복 및 정신건강 지수: 한국인의 정신건강. 한국심리학회 연차학술발표대회 논문집, pp. 233-257.

7.

임영진, 고영건, 신희천, 조용래 (2012). 정신적 웰빙 척도(MHC-SF)의 한국어판 타당화 연구. 한국심리학회지: 일반, 31(2), 369-386.

8.

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.

9.

Brown, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long(Eds.), Testing structural equation models (pp. 136-162). Newburry Park, CA: Sage.

10.

Duckworth, A. L., Steen, T. A., & Seligman, M. E. P. (2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629-651.

11.

Herrman, H., Saxena, S., & Moodie, R. (2005). Promoting mental health: concepts, emerging evidence, practice: a report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. World Health Organization.

12.

Kazdin, A. E. (1993). Adolescent mental health: Prevention and treatment programs. American Psychologist, 48(2), 127–141.

13.

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

14.

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

15.

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.

16.

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.

17.

Keyes, C. L. M., & Lopez, S. J. (2002). Toward a science of mental health: positive directions in diagnosis and intervention. In C. R. Snyder & S. J. Lopez(Eds.), Handbook of positive psychology (pp. 45-59). New York: Oxford University Press.

18.

Keyes, C. L. M., Dhingra, S., & Simoes, E. (2010). Change in level of positive mental health as a predictor of future risk of mental illness. American Journal of Public Health, 100(12), 2366-2371.

19.

Keyes, C. L. M., Wissing, M., Potgieter, J. P., 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 & Psychotherapy, 15(3), 181-192.

20.

Maddux, J. E., Snyder, C., & Lopez, S. J. (2004). Toward a positive clinical psychology: Deconstructing the illness ideology and constructing an ideology of human strengths and potential. In P. A. Linley & S. Joseph(Eds.), Positive psychology in practice (pp. 320-334). Hoboken, NJ: Wiley.

21.

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.

22.

Schumacker, R. E., & Lomax, R. G. (1996). A beginner's guide to structural equation modeling. Hilsdale, NJ: Lawerence Erlbaum Associates.

23.

Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: an introduction. American Psychologist, 55, 5-14.

24.

Seligman, M. E. P., Rashid, T., & Parks, A. C.(2006). Positive psychotherapy. AmericanPsychologist, 61(8), 774-788.

25.

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly metaanalysis. Journal of Clinical Psychology, 65, 467-487.

26.

Steiger, J. H. (1990). Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research, 25, 173-180.

27.

Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.

28.

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.

The Korean Journal of Health Psychology