Identifying Latent Mental Health Profiles
This study analyzed potential profiles for anxiety, depression, body imagery distress, and subjective well-being in 510 women with PCOS. A series of five LPAs were conducted to obtain the optimal model, and the fit indices for each group of potential profiles are detailed in Table 1. The AIC, BIC, and aBIC continuously decreased, and all Entropy values were more than 0.8, increasing the number of latent classes. Although the subsequent four-profile and five-profile solutions showed lower IC values, the fit indices decreases were smaller, meaning IC values were flattening(DiStefano & Kamphaus, 2006). Additionally, the Lo-Mendell-Rubin likelihood ratio test suggested an optimal fit for models with three profiles or fewer. After examining the model’s fit indices, entropy, parsimony, and interpretability, the three-profile solution was found to be the optimal class solution (AIC = 13616.29, BIC = 13691.30, aBIC = 13634.17, LMR p =0.002, BLRT p <0 .001). Considering all fitting indexes and practical clinical significance, the 3-profile model was regarded as the optimal model in this study, with observed entropy of 0.81, suggesting women with PCOS were correctly classified approximately 81% of the time(Ferguson et al., 2020).
Based on the dual-factor model, the mental health latent profile labels for women with PCOS by assessing the parameters and clinical significance of the mental health profile (i.e., GAD-7, PHQ-9, BISS, and IWB; see Table 2 and Figure 1). Generally, the first profile was labelled as Symptomatic but Content profile (n=259, 53.2%) had comparatively moderate anxiety and depression symptoms but experienced comparatively content subjective well-being (Figure 1). The second profile labelled Complete Mental Health profile (n=169, 35.7%), had high life satisfaction and experienced low anxiety, depression, and body-image distress (Figure 1). Finally, because the women with PCOS were characterized with statistically significant highest anxiety and depression symptoms, higher body-image distress and lower subjective well-being compared to other profiles, group three was called the Troubled profile (n=49, 11.1%) (Figure 1).