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Process Of Mental Health Maintenance On Chinese Adults

Posted on:2012-03-08Degree:DoctorType:Dissertation
Country:ChinaCandidate:K L YinFull Text:PDF
GTID:1115330335955808Subject:Basic Psychology
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Mental health maintenance is an important issue for Chinese adults on psychological harmony and well-being. After implementing the reform and opening-up policy over 30 years, China has great changes on economy, politics, society, culture and other fields. During the whole innovation, it is undoubtedly that Chinese adults have undergone lots of pressures and challenges. In order to getting people into a happier life, the government attaches great importance to improving people's livelihood and promoting social harmony. It is deserved to study on how to make people feel happy due to the happy feeling not necessarily accompanied by their livelihood improving. Chinese people create lots of mental health maintenance methods in their daily life, and some of them could help people to promote their mental well being effectively. The purpose of this study is explore these effectively approaches which could promote people's mental well being to serve for China to bring out moderate prosperity in all-round way.At first, the study determined a definition for mental health and the process of mental health maintenance by reviewing related literatures. Mental health is defined as an enterprising states of well-being in which individual promote positive emotional feeling initiatively, improve quality of life constantly, and work effectively. The process of mental health maintenance refers the methods which individuals employ to bring out such enterprising states. The study investigates the process of mental health maintenance in normal Chinese adults and analyzes the factors which have influence on maintaining mental health with ten studies.In-depth interviews was used on interviewing 76 adults to get the mental health maintenance process, and analysis the results of in-depth interview to test the types of mental health maintenance process preliminarily in study 1. Based on the research on study 1, we compiled the scale of mental health maintenance process by two pretests in study 2. Stratified cluster sampling was taken to investigate adults from 20 years old to upwards 60 years old from Yunnan, Chongqing, Shanxi, Hubei, Being and Guangdong, and retake valid questionnaires 2021 in formal test, in which the effective rate of questionnaires is 89.92%. The results from formal test show that the scale of mental health maintenance process works good in internality reliability and validity. In order to intensive study the impact factors of mental health maintenance process, in study 3 a definition was made to determine what mental health belief is, in-depth interview and open questionnaire were taken to discuss the factors which are involved in the definition of mental health belief. In study 4 we compiled scale on mental health belief with two pretests according to the result from study 3. The result of formal test shows that the scale of mental health belief is good in internality reliability and validity. For the purpose of analyzing the relationship between process of mental health maintenance and mental health, we revised the mental health continuum short form (NHC-SF), which compiled by Keyes, a US psychologist in study 5. MCH-SF was translated to Chinese and applied to a sample of 1981 adults. Factor analysis revealed that MHC-SF replicated the three-factor structure of emotional, psychological and social well-being found in US samples, and the MHC-SF Scale is good in internal reliability. MHC-SF China is applicable to estimate mental health state of Chinese adults. It was discussed that the relationship between mental health maintenance process and demographic variables such as gender, age, area, work unit, income and schooling in study 6. The relationship between mental health belief with mental health maintenance process was discussed in study 7. According to diagnostic condition of MCH-SF, in study 81981 adults were classified to three groups:flourishing, moderately mentally healthy, and languishing, and the difference on the process of mental health maintenance among three groups were discussed. Depending on the social psychological theory on the relationship between belief and behavior, in study 9 without the limitation of causality between mental health maintenance process and mental belief, six hypothesis models were built to explore the relationship of mental health maintenance process and mental health belief to mental health state / depress state by taking mental health maintenance process as independent variable and mental health belief as mediating variable or in turn the position of two factors. We checked the results from study 9 by running intensive test in study 10 based on the concept happy enterprising individual which proposed by Xiting Huang, and five happy enterprising individuals,3 unhappy individuals from in-depth interviewees of study 1 were chosen in study 10. The informant about the relationship between happy and unhappy enterprising individuals on mental health maintenance process, mental health belief and state of mental health/states of negative emotion was analyzed by comparative case study. The result from ten studies shows:(1) Mental health maintenance process of Chinese adults involves process of building coping resources, strengthening self, and adjusting attitude. Three processes consist of nine sub processes. Building coping resources process consists of building body power resources, building family resources, building friend resources, and building power resources. Strengthening self process consists of individual growing up and contributing to society. Adjusting attitude process consists of adjusting attitude to deal with emotion, adjusting attitude to handle difficulty, adjusting attitude to improve ability.(2) It is in slight higher frequency the whole process of mental health maintenance was employed by Chinese adults, and the frequency of employment is between'sometimes'and'often'. The most employed process is adjusting attitude process. For nine sub processes, the process of building family resource was employed most frequently and the second most employed processes was growing up individual process, however building body power resource was rarely employed.(3) Mental health belief has significant impact on mental health maintenance process, the more positive mental health belief adults hold, the more frequently they used mental health maintenance methods. Nine processes are subjected to great impact on mental health belief. The first two methods which were influenced by mental health belief is adjusting ability attitude and growth up individuals, and building friendship resource got least impact from mental health belief.(4) In population of Chinese adults, the better they are on mental health, the more frequently they employ mental health maintenance processes. Specially, these methods were most frequently employed by flourishing adults, mentally healthy adults employ these methods in moderately frequency, and languishing adults are those who rarely use these methods.(5) Mental health maintenance process not only has direct impacts on adults'mental health state, but also these impacts throw their shadow on mental health belief, which eventually has impact on mental health state. However, the influence of mental health maintenance process on depress is full mediator effects, in other words, mental health belief fully mediated the relationship between mental health maintenance process and depress.(6) Happy enterprising individuals who possess excellent mental health belief employed processes to promote mental health, such as building power resource, building friendship resource process, growing up individual, and contributing to society. The mental health maintenance process that used by happy enterprising individuals has great direct impact to improve their mental health, and its impact on negative emotion is shown by mental health belief. Unhappy individuals possess bad mental health belief, they always employ processed to cope with psychological distress, such as asking other to do something, bubbling, crying, tolerating, and closing self, they were in deficiency of promoting mental health methods.There are some innovations in the theory and methodology. In theory, the study refers mental health maintenance as an enduring and initiative course that improve individual's mental health, rather than a temporary and passive course for copying pressure. In this opinion, the study explored the issue about adults'mental health maintenance. Mental health maintenance process and its three type methods, such as building copying resource, strengthening self process, and adjusting attitude process, are identified and tested, and the positive impaction of three type methods on mental health are verified effectively. Moreover, the mental health belief was identified, and the multiple relations among mental health maintenance process, mental health belief, and mental health state/depress state were verified. In methodology, the study integrated theoretical researches with empirical studies, and integrates qualitative researches with quantitative researches. Ten studies were employed to explore the process of mental health maintenance on Chinese adults with the qualitative and quantitative mixed research designs, such as running study from qualitative research to quantitative research, and then going back to qualitative research, in order to work out this issue comprehensive, systematical, and in-depth. Furthermore, effect size index was employed in the study to test whether significant difference between variables in statistic is also significant in practice, and structural equation model was employed to test the relationship among mental health maintenance process, mental health belief and mental health state.In value of application, the present study provides some useful theoretical and empirical support for mental health education, which could be used to guide mental health education for adults, and also applied to mental health self-rotecting.Mental health maintenance process is a system, so it should be tested from various views in future study. In present study mental health maintenance process was mainly discussed on happy enterprising, it should be need to test it from different view in future, in order to take a look into any other types of it. Furthermore, in present study we tested the relationship among mental health maintenance process, mental health belief, demographic variables such as gender, age and so on. In future studies more influence factors such as personality, life event, and personal interaction should be introduced, and the relation of these factors with mental health should be involved into analysis.
Keywords/Search Tags:mental health, mental health maintenance process, mental health belief, depress, happy enterprising individual, building copying resource process, self-supporting and self strengthening process, adjusting attitude process
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