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).