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Protocol - General Well-being

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Description:

The General Well Being Schedule (GWB) is an 18-item, self-administered questionnaire that was developed for the U.S. Health and Nutrition Examination Survey (HANES I). The GWB includes positive and negative questions across six dimensions: positive well-being, self-control, vitality, depression, anxiety, and general health. Each item has the time frame "during the last month," and the first 14 questions use 6-point response scales representing intensity or frequency. The remaining four questions use 0-10 rating scales defined by adjectives at each end. The polarity of items 1, 3, 6, 7, 9, 11, 15, and 16 is reversed for scoring, and items within each subscale are added together. Lower scores reflect distress and higher scores reflect positive well-being.

Protocol:

The General Well-Being Schedule

Read: This section of the examination contains questions about how you feel and how things have been going with you. For each question, mark (X) beside the answer which best applies to you.

1. How have you been feeling in general? (DURING THE PAST MONTH)

[ ] 1 In excellent spirits

[ ] 2 In very good spirits

[ ] 3 In good spirits mostly

[ ] 4 I have been up and down in spirits a lot

[ ] 5 In low spirits mostly

[ ] 6 In very low spirits

2. Have you been bothered by nervousness or your "nerves"? (DURING THE PAST MONTH)

[ ] 1 Extremely so-to the point where I could not work or take care of things

[ ] 2 Very much so

[ ] 3 Quite a bit

[ ] 4 Some-enough to bother me

[ ] 5 A little

[ ] 6 Not at all

3. Have you been in firm control of your behavior, thoughts, emotions, or feelings? (DURING THE PAST MONTH)

[ ] 1 Yes, definitely so

[ ] 2 Yes, for the most part

[ ] 3 Generally so

[ ] 4 Some-enough to bother me

[ ] 5 A little

[ ] 6 Not at all

4. Have you felt so sad, discourages, hopeless, or had so many problems that you wondered if anything was worthwhile? (DURING THE PAST MONTH)

[ ] 1 Extremely so-to the point that I have just about given up

[ ] 2 Very much so

[ ] 3 Quite a bit

[ ] 4 Some-enough to bother me

[ ] 5 A little bit

[ ] 6 Not at all

5. Have you been under or felt you were under any strain, stress, or pressure? (DURING THE PAST MONTH)

[ ] 1 Yes-almost more than I could bear or stand

[ ] 2 Yes-quite a bit of pressure

[ ] 3 Yes-some, more than usual

[ ] 4 Yes-some, but about usual

[ ] 5 Yes-a little

[ ] 6 Not at all

6. How happy, satisfied, or pleased have you been with your personal life? (DURING THE PAST MONTH)

[ ] 1 Extremely happy-could not have been more satisfied or pleased

[ ] 2 Very happy

[ ] 3 Fairly happy

[ ] 4 Satisfied-pleased

[ ] 5 Somewhat dissatisfied

[ ] 6 Very dissatisfied

7. Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory? (DURING THE PAST MONTH)

[ ] 1 Not at all

[ ] 2 Only a little

[ ] 3 Some-but not enough to be concerned or worried about

[ ] 4 Some, and I have been a little concerned

[ ] 5 Some, and I am quite concerned

[ ] 6 Yes, very much so, and I am very concerned

8. Have you been anxious, worried, or upset? (DURING THE PAST MONTH)

[ ] 1 Extremely so-to the point of being sick or almost sick

[ ] 2 Very much so

[ ] 3 Quite a bit

[ ] 4 Some-enough to bother me

[ ] 5 A little bit

[ ] 6 Not at all

9. Have you been waking up fresh and rested? (DURING THE PAST MONTH)

[ ] 1 Every day

[ ] 2 Most every day

[ ] 3 Fairly often

[ ] 4 Less than half the time

[ ] 5 Rarely

[ ] 6 None of the time

10. Have you been bothered by any illness, bodily disorder, pains, or fears about your health? (DURING THE PAST MONTH)

[ ] 1 All the time

[ ] 2 Most of the time

[ ] 3 A good bit of the time

[ ] 4 Some of the time

[ ] 5 A little of the time

[ ] 6 None of the time

11. Has your daily life been full of things that were interesting to you? (DURING THE PAST MONTH)

[ ] 1 All the time

[ ] 2 Most of the time

[ ] 3 A good bit of the time

[ ] 4 Some of the time

[ ] 5 A little of the time

[ ] 6 None of the time

12. Have you felt down hearted and blue? (DURING THE PAST MONTH)

[ ] 1 All the time

[ ] 2 Most of the time

[ ] 3 A good bit of the time

[ ] 4 Some of the time

[ ] 5 A little of the time

[ ] 6 None of the time

13. Have you been feeling emotionally stable and sure of yourself? (DURING THE PAST MONTH)

[ ] 1 All the time

[ ] 2 Most of the time

[ ] 3 A good bit of the time

[ ] 4 Some of the time

[ ] 5 A little of the time

[ ] 6 None of the time

14. Have you felt tired, worn out, used-up, or exhausted? (DURING THE PAST MONTH)

[ ] 1 All the time

[ ] 2 Most of the time

[ ] 3 A good bit of the time

[ ] 4 Some of the time

[ ] 5 A little of the time

[ ] 6 None of the time

For each of the four scales below, note that the words at each end of the 0 to 10 scale describe opposite feelings. Circle any number along which seems closest to how you have generally felt? (DURING THE PAST MONTH)

15. How concerned or worried about your HEALTH have you been? (DURING THE PAST MONTH)

[ ] 0 Not concerned at all

[ ] 1  

[ ] 2  

[ ] 3  

[ ] 4  

[ ] 5  

[ ] 6  

[ ] 7  

[ ] 8  

[ ] 9  

[ ] 10 Very concerned

16. How RELEAXED or TENSE have you been? (DURING THE PAST MONTH)

[ ] 0 Very relaxed

[ ] 1  

[ ] 2  

[ ] 3  

[ ] 4  

[ ] 5  

[ ] 6  

[ ] 7  

[ ] 8  

[ ] 9  

[ ] 10 Very tense

17. How much ENERGY, PEP, and VITALITY have you felt? (DURING THE PAST MONTH)

[ ] 0 No energy AT ALL listless

[ ] 1  

[ ] 2  

[ ] 3  

[ ] 4  

[ ] 5  

[ ] 6  

[ ] 7  

[ ] 8  

[ ] 9  

[ ] 10 Very ENERGETIC, dynamic

18. How DEPRESSED or CHEERFUL have you been? (DURING THE PAST MONTH)

[ ] 0 Very depressed

[ ] 1  

[ ] 2  

[ ] 3  

[ ] 4  

[ ] 5  

[ ] 6  

[ ] 7  

[ ] 8  

[ ] 9  

[ ] 10 Very cheerful

Scoring:

Items 1, 3, 6, 7, 9, 11, 15, and 16 are reverse scored. The scores from all items are added together and 14 are subtracted from the total to give a range of 0-110. There are three proposed cut-points: total scores of 0-60 reflect "severe distress," 61-72 "moderate distress," and 73-110 "positive well-being".

Six sub-scores can be derived.

Subscore Label

Question topics

Anxiety

2. nervousness

5. strain, stress, or pressure

8. anxious, worried, upset

16. relaxed, tense

Depression

4. sad, discouraged, hopeless

12. down-hearted, blue

18. depressed

Positive well-being

1. feeling in general

6. happy, satisfied with life

11. interesting daily life

Self-control

3. firm control of behavior, emotions

7. afraid losing mind, or losing control

13. emotionally stable, sure of self

Vitality

9. waking fresh, rested

14. feeling tired, worn out

17. energy level

General health

10. bothered by illness

15. concerned, worried about health

Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Adults, ages 18 and older

Specific Instructions:

None

Selection Rationale

The General Well-Being Schedule (GWB) is a brief, reliable, valid, and widely used self-administered questionnaire that addresses subjective well-being. Traumatic events, with or without subsequent post-traumatic stress disorder (PTSD), can affect the sense of well-being, and the GWB addresses this important dimension of post-traumatic adjustment.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Psychological Well-being Questionnaire Score 4588696 CDE Browser
Derived Variables

None

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Fazio, A. F. (1977). A concurrent validational study of the NCHS General Well-Being Schedule. Hyattsville, Maryland: U.S. Department of Health, Education and Welfare, National Center for Health Statistics.

General References

Dupuy, H. J. (1978). Self-representations of general psychological well-being of American adults. Paper presented at American Public Health Association Meeting, Los Angeles, CA..

Poston, W. S. C. II, Olvera, N. E., Yanez C., et al. (1998). Evacuation of the factor structure and psychometric characteristics of the General Well-Being Schedule (GWB) with Mexican American women. Women Health, 27, 51-64.

Taylor, J. E., Poston, W. S. C. II, Haddock, C. K., et al. (2003). Psychometric characteristics of the General Well-Being Schedule (GWB) with African-American women. Quality of Life Research, 12, 31-39.

Protocol ID:

630701

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX630701_Anxious_Worried_Upset PX630701080000 Have you been anxious, worried, or upset? (DURING THE PAST MONTH) 4 N/A
PX630701_Bothered_Illness_HealthFears PX630701100000 Have you been bothered by any illness, bodily disorder, pains, or fears about your health? (DURING THE PAST MONTH) 4 N/A
PX630701_Bothered_Nerves PX630701020000 Have you been bothered by nervousness or your "nerves"? (DURING THE PAST MONTH) 4 N/A
PX630701_Control_Behavior_Feelings PX630701030000 Have you been in firm control of your behavior, thoughts, emotions, or feelings? (DURING THE PAST MONTH) 4 Variable Mapping
PX630701_Daily_Life_Interesting PX630701110000 Has your daily life been full of things that were interesting to you? (DURING THE PAST MONTH) 4 N/A
PX630701_Depressed_Or_Cheerful PX630701180000 How DEPRESSED or CHEERFUL have you been? (DURING THE PAST MONTH) 4 N/A
PX630701_Energy_Vitality PX630701170000 For each of the four scales below, note that the words at each end of the 0 to 10 scale describe opposite feelings. Circle any number along which seems closest to how you have generally felt? (DURING THE PAST MONTH) How much ENERGY, PEP, and VITALITY have you felt? (DURING THE PAST MONTH) 4 Variable Mapping
PX630701_Feeling_Emotionally_Stable PX630701130000 Have you been feeling emotionally stable and sure of yourself? (DURING THE PAST MONTH) 4 N/A
PX630701_Feeling_General PX630701010000 How have you been feeling in general? (DURING THE PAST MONTH) 4 N/A
PX630701_Felt_Downhearted_Blue PX630701120000 Have you felt down hearted and blue? (DURING THE PAST MONTH) 4 Variable Mapping
PX630701_Felt_Sad_Problems PX630701040000 Have you felt so sad, discourages, hopeless, or had so many problems that you wondered if anything was worthwhile? (DURING THE PAST MONTH) 4 N/A
PX630701_Felt_Tired_Exhausted PX630701140000 Have you felt tired, worn out, used-up, or exhausted? (DURING THE PAST MONTH) 4 Variable Mapping
PX630701_Happy_Personal_Life PX630701060000 How happy, satisfied, or pleased have you been with your personal life? (DURING THE PAST MONTH) 4 Variable Mapping
PX630701_Losing_Mind PX630701070000 Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory? (DURING THE PAST MONTH) 4 N/A
PX630701_Relaxed_Or_Tense PX630701160000 For each of the four scales below, note that the words at each end of the 0 to 10 scale describe opposite feelings. Circle any number along which seems closest to how you have generally felt? (DURING THE PAST MONTH) How RELEAXED or TENSE have you been? (DURING THE PAST MONTH) 4 N/A
PX630701_Stress_Pressure PX630701050000 Have you been under or felt you were under any strain, stress, or pressure? (DURING THE PAST MONTH) 4 N/A
PX630701_Waking_Up_Fresh PX630701090000 Have you been waking up fresh and rested? (DURING THE PAST MONTH) 4 N/A
PX630701_Worried_Health PX630701150000 For each of the four scales below, note that the words at each end of the 0 to 10 scale describe opposite feelings. Circle any number along which seems closest to how you have generally felt? (DURING THE PAST MONTH)How concerned or worried about your HEALTH have you been? (DURING THE PAST MONTH) 4 N/A
Research Domain Information
Measure Name:

General Well-being

Release Date:

November 21, 2014

Definition

A questionnaire to measure subjective feelings of psychological well-being and distress.

Purpose

This measure is used to assess "inner personal state" on a dimension ranging from positive well-being to distress. It complements instruments that assess external resources and conditions such as income, work environment, or neighborhood.

Keywords

Nervousness, Behavior, Stress, Hopeless, Post-traumatic Stress Disorder, PTSD, Strain, Anxiety, Pain, Fear, Well-being, Distress, Trauma