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The Electronic Mental Wellness Tool as a Self-Administered Brief Screening Instrument for Mental Disorders in the General Spanish Population during the Post-COVID-19 Era

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  • Ismael Martinez-Nicolas

    (Faculty of Life Sciences, Catholic University of Murcia (UCAM), 30107 Guadalupe, Spain
    Sistema Español de Notificación en Seguridad en Anestesia y Reanimación (SENSAR), IDEhA Simulation Centre, Fundación Alcorcon University Hospital, 28922 Alcorcon, Spain)

  • Cale Basaraba

    (New York State Psychiatric Institute, Columbia University, New York, NY 10024, USA)

  • David Delgado-Gomez

    (Department of Statistics, University Carlos III of Madrid, 28903 Getafe, Spain
    Santander Big Data Institute, Universidad Carlos III de Madrid, 28903 Getafe, Spain)

  • Olatz Lopez-Fernandez

    (Department of Psychiatry, University Hospital Jimenez Diaz Foundation, 28040 Madrid, Spain
    Faculty of Psychology, Madrid Complutense University, 28049 Madrid, Spain
    Faculty of Psychology, Francisco de Vitoria University, 28049 Madrid, Spain
    Faculty of Psychology, Cardenal Cisneros Centro de Estudios Universitarios, 28223 Madrid, Spain)

  • Enrique Baca-Garcia

    (Department of Psychiatry, University Hospital Jimenez Diaz Foundation, 28040 Madrid, Spain
    Department of Psychiatry, University Hospital Rey Juan Carlos, 28933 Móstoles, Spain
    Department of Psychiatry, General University Hospital of Villalba, 28400 Collado Villalba, Spain
    Department of Psychiatry, University Hospital Infanta Elena, 28342 Valdemoro, Spain)

  • Milton L. Wainberg

    (New York State Psychiatric Institute, Columbia University, New York, NY 10024, USA)

Abstract

(1) Background: In the “post-COVID-19 era”, there is a need to focus on properly assessing and addressing the extent of its well-established mental health collateral damage. The “Electronic Mental Wellness Tool” (E-mwTool) is a 13-item validated stepped-care or stratified management instrument that aims at the high-sensitivity captures of individuals with mental health disorders to determine the need for mental health care. This study validated the E-mwTool in a Spanish-speaking population. (2) Methods: It is a cross-sectional validation study using the Mini International Neuropsychiatric Interview as a criterion standard in a sample of 433 participants. (3) Results: About 72% of the sample had a psychiatric disorder, and 67% had a common mental disorder. Severe mental disorders, alcohol use disorders, substance use disorders, and suicide risk had a much lower prevalence rate (6.7%, 6.2%, 3.2%, and 6.2%, respectively). The first three items performed excellently in identifying any mental health disorder with 0.97 sensitivity. Ten additional items classified participants with common mental disorders, severe mental disorders, substance use disorders, and suicide risk. (4) Conclusions: The E-mwTool had high sensitivity in identifying common mental disorders, alcohol and substance use disorders, and suicidal risk. However, the tool’s sensitivity in detecting low-prevalence disorders in the sample was low. This Spanish version may be useful to detect patients at risk of mental health burden at the front line of primary and secondary care in facilitating help-seeking and referral by their physicians.

Suggested Citation

  • Ismael Martinez-Nicolas & Cale Basaraba & David Delgado-Gomez & Olatz Lopez-Fernandez & Enrique Baca-Garcia & Milton L. Wainberg, 2023. "The Electronic Mental Wellness Tool as a Self-Administered Brief Screening Instrument for Mental Disorders in the General Spanish Population during the Post-COVID-19 Era," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3204-:d:1065787
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    References listed on IDEAS

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    1. Gemma-Claire Ali & Grace Ryan & Mary J De Silva, 2016. "Validated Screening Tools for Common Mental Disorders in Low and Middle Income Countries: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-14, June.
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