メンタルヘルス促進行動を定量評価する新しい9項目尺度を開発 (New Scale Measures Mental Health Promoting Behaviour)

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2026-06-15 コペンハーゲン大学(UCPH)

デンマークのUniversity of Copenhagenの研究チームは、精神疾患の症状や不調の有無ではなく、精神的健康を維持・向上させる日常行動を評価する新たな尺度「Mental Health-Promoting Behaviour Scale(MHPB)」を開発した。従来のメンタルヘルス評価はうつ症状や不安などの問題点に焦点を当てることが多かったが、本尺度は睡眠、運動、社会的つながり、ストレス対処、マインドフルネス、自分への思いやりなど、健康増進に寄与する行動を包括的に測定する点が特徴である。研究では多数の参加者を対象に統計解析を行い、尺度の信頼性と妥当性を検証した結果、精神的ウェルビーイングとの強い関連性が確認された。研究者らは、この尺度が個人の健康状態の把握だけでなく、公衆衛生政策や予防プログラムの評価、健康教育の効果測定にも活用できると指摘している。さらに、精神医療や保健分野において、病気の診断・治療中心のアプローチから、精神的健康の維持・促進を重視する予防的アプローチへの転換を支援するツールとして期待されている。

<関連情報>

メンタルヘルス促進行動の測定:デンマーク版「行動・所属・コミットメント・メンタルヘルス促進行動(ABC-MHPB)」尺度の開発と心理測定特性 Measuring Mental Health Promoting Behaviours: Development and Psychometric Properties of a Danish Act Belong Commit-Mental Health Promoting Behaviours (ABC-MHPB) Scale

Line Nielsen, Ziggi Ivan Santini, Malene Kubstrup Nelausen, Carsten Hinrichsen, Frederik Schou-Juul, Vibeke Jenny Koushede, Robert J Donovan, Charlotte Bjerre Meilstrup
International Journal of Mental Health Promotion  Published:24 April 2026
DOI:https://doi.org/10.32604/ijmhp.2026.079059

Abstract

Background: The Act Belong Commit-ABCs of Mental Health campaign is the world’s first comprehensive, population-wide, community-based initiative to promote mental health. In response to a growing demand for valid tools to monitor mental health promoting behaviours, this study presents the development and psychometric evaluation of the ABC-Mental Health Promoting Behaviours (ABC-MHPB) scale in a Danish population-based sample.
Methods: A 10-item scale was developed, based on the ABC framework, to assess mental health promoting behaviours. A total of 119,221 randomly selected participants aged 18+ filled out an electronic survey, including the scale to measure the underlying construct of mental health promoting behaviours. Analyses pertaining to construct, content, reliability, discriminant, and convergent validity assessments were carried out, and an operationalization was proposed.
Results: The initial 10-item version showed inadequate model fit, resulting in the removal of one item. Construct validity testing supported a 9-item three-factor model with satisfactory fit. Full invariance was observed across education (primary/unknown vs. higher), and partial invariance across sex (women vs. men) and age (<25 vs. 25+), with content, discriminant, and convergent validity also supported. Based on a practical operationalization of the scale, regression results showed a cross-sectional pattern characteristic of a dose-response association with the outcomes of mental well-being and loneliness.
Conclusion: The findings suggest that the 9-item ABC-MHPB scale is an appropriate tool for assessing and monitoring mental health promoting behaviours in the general population and might be relevant as a tool to evaluate interventions aiming to promote mental health. Further validation over time and in diverse populations, along with intervention and longitudinal studies, is needed to confirm its associations with mental health outcomes.

医療・健康
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