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 - Takeaways - 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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  • 1

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

  • 2

    A total of 392 patients completed the Chinese-language WEMWBS, which demonstrated excellent internal consistency with a Cronbach’s α of 0.961.

  • 3

    The modified one-factor confirmatory factor model of the WEMWBS showed acceptable fit indices, indicating good construct validity.

  • 4

    Criterion-related validity was supported by a strong positive correlation between the WEMWBS and the WHO-5 Well-Being Index (r = 0.746).

  • 5

    Item response theory analyses indicated satisfactory item discrimination and ordered threshold parameters for the Chinese-language WEMWBS.

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