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Mental Health and/or Mental Illness: A Scoping Review of the Evidence and Implications of the Dual-Continua Model of Mental Health

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Iasiello, Matthew, van Agteren, Joep, Muir Cochrane, Eimear·2020·Evidence Base

DOI 10.21307/eb-2020-001

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Abstract

The dual-continua model of mental health suggests that mental illness and positive mental health reflect distinct continua, rather than the extreme ends of a single spectrum. The aim of this review was to scope the literature surrounding the dual-continua model of mental health, to summarise the evidence, highlight the areas of focus for individual studies and discuss the wider implications of the model. A search was conducted in PsycINFO (n=233), PsycARTICLES (n=25), Scopus (n=137) and PubMed (n=47), after which a snowballing approach was used to scope the remaining literature. The current scoping review identified 83 peer-reviewed empirical articles, including cross-sectional, longitudinal and intervention studies, which found overall support for superior explanatory power of dual-continua models of mental health over the traditional bipolar model. These studies were performed in clinical and non-clinical populations, over the entire life-course and in Western and non-Western populations. This review summarised the evidence suggesting that positive mental health and mental illness are two distinct but interrelated domains of mental health; each having shared and unique predictors, influencing each other via complex interrelationships. The results presented here have implications for policy, practice and research for mental health assessment, intervention design, and mental health care design and reform.

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“Harnessing internet-based innovations in mental health service provision can stimulate wider mental health reform and help strengthen services for the entire population, regardless of the presence of (severe) mental disorders [43].”
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Authors: Iasiello, M., van Agteren, J., & Muir Cochrane, E.
Affiliations: South Australian Health and Medical Research Institute (AU)
ORCID: Iasiello, Matthew
van Agteren, Joep
Muir Cochrane, Eimear
Venue: Evidence Base
Publisher: The Australia and New Zealand School of Government (ANZSOG)
Published: 2020
Volume: 2020
ISSN: 1838-9422 (ISSN-L)
DOI: 10.21307/eb-2020-001
OpenAlex: W3015075171
Cited by: 270
References: 118
Citations by year: 2026: 41 · 2025: 58 · 2024: 70 · 2023: 46 · 2022: 33 · 2021: 16 · 2020: 5
FWCI: 27.36
Type: journal article
Language: en
Open access: diamond
doi.org
Locations: Evidence Base (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: positive mental health, mental illness, mental health continuum, mental health assessment, mental health reform

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Mental Health and/or Mental Illness: A Scoping Review of the Evidence and Implications of the Dual-Continua Model of Mental Health

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