Author:
Kinderman Peter,Tai Sara,Pontin Eleanor,Schwannauer Matthias,Jarman Ian,Lisboa Paulo
Abstract
BackgroundThe relationship between well-being and mental ill health is complex;
people may experience very low levels of well-being even in the absence
of overt mental health problems.AimsThis study tested the hypothesis that anxiety, depression and well-being
have different causal determinants and psychological mediating
mechanisms.MethodThe influence of causal and mediating factors on anxiety, depression and
well-being were investigated in a cross-sectional online questionnaire
survey hosted on a UK national broadcasting website.ResultsMultivariate conditional independence analysis of data from 27 397
participants revealed different association pathways for the two
constructs. Anxiety and depression were associated with negative life
events mediated by rumination; low levels of subjective well-being were
associated with material deprivation and social isolation, mediated by
adaptive coping style.ConclusionsOur findings support the ‘two continua’ model of the relationship between
psychological well-being and mental health problems, with implications
for both treatment and prevention.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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