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Mental Health Measurement Scales and Their Dimensions: A Systematic Review with Implications for Rajyoga Meditation Research

Dipendra Nath Subedi, Prof.(Dr.) Ajaya Bhattarai, Rajesh Arora

Zenodo (CERN European Organization for Nuclear Research) May 16, 2026 preprint DOI: 10.5281/zenodo.20242177 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review
Topics Anxiety Meditation
Keywords Mental health Psychological intervention Scale ratio Distress Construct python library Intervention counseling Clinical psychology Psychometrics Social anxiety Applied psychology Construct validity Depression economics
Key findings Argues that no single scale fully captures the complexity of mental health, and that combining well-being and distress measures provides a more comprehensive understanding in intervention studies.

Abstract

Mental health is a complex and multidimensional construct that includes emotional, psychological and social wellbeing. In recent decades, increasing academic pressure, life style changes and social demands have led to a rise in stress, anxiety and depression, particularly among adolescents and students. Accurate assessment of mental health is essential for both clinical and educational research, as well as for evaluating intervention- based approaches such as meditation and yoga. The present systematic review examines widely used mental health measurement scales, focusing on their conceptual dimensions, psychometric properties and applicability in research settings. Major instruments reviewed include the Perceived Stress Scale (PSS), General Health Questionnaire (GHQ), Depression Anxiety Stress Scale (DASS), Mental Health Inventory (MHI), Ryff’s Psychological Well-Being Scale (PWB) and Warwick-Edinburgh Mental Well-being Scale (WEMWBS). The review highlights that mental health assessment requires both negative (stress, anxiety, depression) and positive (well-being, resilience, life satisfaction) dimensions. Findings indicate that no single scale fully captures the complexity of mental health; therefore, multi-scale approaches are recommended. Furthermore, the review identifies a significant research gap in the integration of spiritual-based interventions such as Rajyoga meditation with standardized psychometric assessments. The study concludes that combining well-being and distress measures provides a more comprehensive understanding of mental health outcomes in intervention studies.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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