Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7

Abstract Purpose This study assesses the construct validity and sensitivity to change of the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) as an outcome measure in the treatment of common mental disorders (CMD) in primary care settings. Methods 127 participants attending up to 5 sessions...

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Autores principales:	Neha Shah, Mizaya Cader, Bill Andrews, Rose McCabe, Sarah L. Stewart-Brown
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	SWEMWBS PHQ-9 GAD-7 mental wellbeing Anxiety Depression Outcome measure Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/2e3de52430e04505b8bfe7ce20517622
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spelling	oai:doaj.org-article:2e3de52430e04505b8bfe7ce205176222021-11-28T12:25:24ZShort Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-710.1186/s12955-021-01882-x1477-7525https://doaj.org/article/2e3de52430e04505b8bfe7ce205176222021-11-01T00:00:00Zhttps://doi.org/10.1186/s12955-021-01882-xhttps://doaj.org/toc/1477-7525Abstract Purpose This study assesses the construct validity and sensitivity to change of the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) as an outcome measure in the treatment of common mental disorders (CMD) in primary care settings. Methods 127 participants attending up to 5 sessions of therapy for CMD in primary care self-rated the SWEMWBS, the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) scales. SWEMWBS’s construct validity and sensitivity to change was evaluated against the PHQ-9 and GAD-7 across multiple time points in two ways: correlation coefficients were calculated between the measures at each time point; and sensitivity to change over time was assessed using repeated measures ANOVA. Results Score distributions on SWEMWBS, but not PHQ-9 and GAD-7, met criteria for normality. At baseline, 92.9% (118/127) of participants scored above clinical threshold on either PHQ-9 or GAD-7. Correlations between SWEMWBS and PHQ-9 scores were calculated at each respective time point and ranged from 0.601 to 0.793. Correlations between SWEMWBS and GAD-7 scores were calculated similarly and ranged from 0.630 to 0.743. Significant improvements were seen on all three scales over time. Changes in PHQ-9 and GAD-7 were curvilinear with greatest improvement between sessions 1 and 2. Change in SWEMWBS was linear over the five sessions. Conclusions This exploratory study suggests that SWEMWBS is acceptable as a CMD outcome measure in primary care settings, both in terms of construct validity and sensitivity to change. Given patient preference for positively over negatively framed measures and statistical advantages of measures which are normally distributed, SWEMWBS could be used as an alternative to PHQ-9 and GAD-7 in monitoring and evaluating CMD treatment.Neha ShahMizaya CaderBill AndrewsRose McCabeSarah L. Stewart-BrownBMCarticleSWEMWBSPHQ-9GAD-7 mental wellbeingAnxietyDepressionOutcome measureComputer applications to medicine. Medical informaticsR858-859.7ENHealth and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	SWEMWBS PHQ-9 GAD-7 mental wellbeing Anxiety Depression Outcome measure Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	SWEMWBS PHQ-9 GAD-7 mental wellbeing Anxiety Depression Outcome measure Computer applications to medicine. Medical informatics R858-859.7 Neha Shah Mizaya Cader Bill Andrews Rose McCabe Sarah L. Stewart-Brown Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
description	Abstract Purpose This study assesses the construct validity and sensitivity to change of the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) as an outcome measure in the treatment of common mental disorders (CMD) in primary care settings. Methods 127 participants attending up to 5 sessions of therapy for CMD in primary care self-rated the SWEMWBS, the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) scales. SWEMWBS’s construct validity and sensitivity to change was evaluated against the PHQ-9 and GAD-7 across multiple time points in two ways: correlation coefficients were calculated between the measures at each time point; and sensitivity to change over time was assessed using repeated measures ANOVA. Results Score distributions on SWEMWBS, but not PHQ-9 and GAD-7, met criteria for normality. At baseline, 92.9% (118/127) of participants scored above clinical threshold on either PHQ-9 or GAD-7. Correlations between SWEMWBS and PHQ-9 scores were calculated at each respective time point and ranged from 0.601 to 0.793. Correlations between SWEMWBS and GAD-7 scores were calculated similarly and ranged from 0.630 to 0.743. Significant improvements were seen on all three scales over time. Changes in PHQ-9 and GAD-7 were curvilinear with greatest improvement between sessions 1 and 2. Change in SWEMWBS was linear over the five sessions. Conclusions This exploratory study suggests that SWEMWBS is acceptable as a CMD outcome measure in primary care settings, both in terms of construct validity and sensitivity to change. Given patient preference for positively over negatively framed measures and statistical advantages of measures which are normally distributed, SWEMWBS could be used as an alternative to PHQ-9 and GAD-7 in monitoring and evaluating CMD treatment.
format	article
author	Neha Shah Mizaya Cader Bill Andrews Rose McCabe Sarah L. Stewart-Brown
author_facet	Neha Shah Mizaya Cader Bill Andrews Rose McCabe Sarah L. Stewart-Brown
author_sort	Neha Shah
title	Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
title_short	Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
title_full	Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
title_fullStr	Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
title_full_unstemmed	Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7
title_sort	short warwick-edinburgh mental well-being scale (swemwbs): performance in a clinical sample in relation to phq-9 and gad-7
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2e3de52430e04505b8bfe7ce20517622
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Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): performance in a clinical sample in relation to PHQ-9 and GAD-7

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