Psychometric validation of the Chinese Warwick–Edinburgh mental well-being scale in patients with heart failure or myocardial infarction: evidence from classical test theory and item response theory - Report - MDSpire

Psychometric validation of the Chinese Warwick–Edinburgh mental well-being scale in patients with heart failure or myocardial infarction: evidence from classical test theory and item response theory

  • By

  • Qinyi Tang

  • Xinrui Zhang

  • Haitao Zhou

  • Rulian Zheng

  • Shaoting Hu

  • Wenjian Guo

  • Aishu Dong

  • July 15, 2026

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Psychometric Assessment of the Chinese Version of the WEMWBS in Heart Patients

Overview

The Chinese-language Warwick–Edinburgh Mental Well-Being Scale (WEMWBS) demonstrates excellent psychometric properties in patients with heart failure or myocardial infarction.

Background

Positive mental well-being is crucial in cardiovascular care, particularly for patients with heart failure or myocardial infarction, who often face significant psychological burdens. Validated tools for assessing mental well-being in this demographic are limited.

Data Highlights

MeasureResult
Cronbach’s α0.961
χ²/df2.68
CFI0.955
TLI0.944
RMSEA0.091
SRMR0.038
Correlation with WHO-5r = 0.746

Key Findings

  • The Chinese-language WEMWBS showed excellent internal consistency (Cronbach’s α = 0.961).
  • Confirmatory factor analysis indicated an acceptable fit for the one-factor model.
  • Criterion-related validity was supported by a strong correlation with the WHO-5 (r = 0.746).
  • Item response theory analyses indicated satisfactory item discrimination.
  • The study involved 392 patients with heart failure or myocardial infarction.

Clinical Implications

The findings suggest that the Chinese-language WEMWBS can be effectively utilized to assess positive mental well-being in patients with cardiovascular conditions. Incorporating this tool into clinical practice may enhance the understanding of patients' psychological health and inform comprehensive care strategies.

Conclusion

The Chinese-language WEMWBS demonstrates satisfactory psychometric properties in patients with heart failure or myocardial infarction.

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