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More research is needed to deepen our understanding of how substance use and mental health interact, and the types of treatment programs that are suitable for reducing substance use and improving mental health functionality.
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Only two items of the mental health and functionality domain did not comply with the requirements for adequate functioning of rating scale categories.
The mental health and functionality scale originally included 21 items.
The CHQ questionnaire addresses multiple domains of physical, mental health and functionality.
Two main factors, social maladjustment and mental health and functionality, explain the majority of HeRQoLEDv2 scores.
Two latent second-order factors -- social maladjustment and mental health and functionality -- fit the data for the HeRQoLEDv2.
DIF analyses were performed independently for the "Social maladjustment scale" and for the "Mental health and functionality scale".
The Cronbach alpha was 0.91 for the social maladjustment domain and 0.90 for the mental health and functionality domain.
The mental health and functionality factor, in turn, was hypothesized to correlate negatively and moderately with the mental component summary of the SF-12.
In addition, although redundant items were identified for mental health and functionality, they were maintained because the scale generally provided good content validity and good fit indices.
These seven first order factors could be associated to two second-order latent traits: "social maladjustment" and "mental health and functionality".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com