{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T08:37:00Z","timestamp":1792831020331,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:00:00Z","timestamp":1792800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:00:00Z","timestamp":1792800000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020520","name":"Richard Tam Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Traditional measures of well\u2010being in bipolar disorder (BD) often equate well\u2010being with the absence of mood symptoms, overlooking strengths\u2010based indicators like acceptance, agency, and positive emotion that individuals with BD identify as central to their lived experience of wellness. To address this misalignment, we developed and psychometrically validated a new well\u2010being measure, the Well\u2010being Evaluation for Living with Bipolar (WELL\u2010B), grounded in the concept of thriving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The WELL\u2010B was co\u2010designed with individuals with BD and caregivers through a collaborative learning health system and piloted in the Prechter Longitudinal Study for Bipolar Disorder (PLS\u2010BD). Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009192) completed the WELL\u2010B twice over 2\u2009months. The WELL\u2010B captured personalized, qualitative examples of well\u2010being across eight domains and corresponding quantitative ratings using four overarching prompts. Using both Classical Test Theory and Modern Test Theory frameworks, we evaluated factor structure, internal consistency, item\u2010level properties, test\u2013retest reliability, and convergent and divergent validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Exploratory factor analysis revealed a stable three\u2010factor solution: general well\u2010being, time availability, and work\u2010related well\u2010being factors. All factors showed strong internal consistency (alphas &gt;\u20090.85), and item response theory analyses indicated moderate to high item discrimination. The well\u2010being factor was strongly associated with better mental health functioning and lower depression, anxiety, and alcohol use. Most participants rated the WELL\u2010B as acceptable, feasible, and meaningful for reflecting on their wellness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The WELL\u2010B offers a strengths\u2010based, patient\u2010centered approach to assessing well\u2010being in BD. Future directions include refinement, broader validation, and testing clinical utility for treatment planning and monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bdi.70193","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:45:46Z","timestamp":1792827946000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Developing and Validating a Patient\u2010Centered Measure of Well\u2010Being in Bipolar Disorder: The\n                    <scp>WELL<\/scp>\n                    \u2010\n                    <scp>B<\/scp>"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1609-1306","authenticated-orcid":false,"given":"Audrey R.","family":"Stromberg","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9062-7899","authenticated-orcid":false,"given":"Alexandra H.","family":"Vinson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Learning Health Sciences University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4487-3589","authenticated-orcid":false,"given":"Claudia","family":"Diaz\u2010Byrd","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Learning Health Sciences University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8657-047X","authenticated-orcid":false,"given":"Ravleen","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin G.","family":"McInnis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1111-7357","authenticated-orcid":false,"given":"Sarah H.","family":"Sperry","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.5.543"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.13208"},{"issue":"8","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1111\/j.1524-4733.2010.00768.x","article-title":"Functional Impairment and Disability Across Mood States in Bipolar Disorder","volume":"13","author":"Rosa A. 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