{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:24:01Z","timestamp":1791433441973,"version":"4.3.3"},"reference-count":21,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":946,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J\n                        Psychiatry"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The relationship between well-being and mental ill health is complex;\n                           people may experience very low levels of well-being even in the absence\n                           of overt mental health problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study tested the hypothesis that anxiety, depression and well-being\n                           have different causal determinants and psychological mediating\n                           mechanisms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The influence of causal and mediating factors on anxiety, depression and\n                           well-being were investigated in a cross-sectional online questionnaire\n                           survey hosted on a UK national broadcasting website.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multivariate conditional independence analysis of data from 27 397\n                           participants revealed different association pathways for the two\n                           constructs. Anxiety and depression were associated with negative life\n                           events mediated by rumination; low levels of subjective well-being were\n                           associated with material deprivation and social isolation, mediated by\n                           adaptive coping style.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings support the \u2018two continua\u2019 model of the relationship between\n                           psychological well-being and mental health problems, with implications\n                           for both treatment and prevention.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.bp.114.147553","type":"journal-article","created":{"date-parts":[[2015,4,10]],"date-time":"2015-04-10T00:51:31Z","timestamp":1428627091000},"page":"456-460","source":"Crossref","is-referenced-by-count":89,"title":["Causal and mediating factors for anxiety, depression and\n                        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