Factor loadings for the CFA measurement model.

Healthy Adult (HA), a key schema therapy construct, represents the individual’s ‘healthy’ state, characterized by balancing personal and others’ needs within a realistic perspective. We developed the Multidimensional Healthy Adult Scale to explore how various dimensions of the HA contribute to different aspects of well-being and tested its factor structure and psychometric properties. Data were collected from 472 participants (24.1% male, 75.5% female) between the ages of 18 and 60. The items of the scale were generated based on a qualitative study conducted in Türkiye. Data were analyzed using Confirmatory Factor Analysis and Structural Equation Modeling in Lavaan, which demonstrated a strong fit for the measurement and predictive models. The Bond, Balance, and Battle factors, along with the overarching HA, showed good fit. Low Balance scores were associated with higher psychopathology and negative affect, while high Battle scores were associated with greater life satisfaction and positive affect. Although Bond correlated positively with Balance and Battle, high Bond scores, when controlling for the others, were linked to increased psychopathology and negative affect. These results provide evidence for a multidimensional structure of the HA. Further validation of the scale and clarification of Bond’s role is needed for clinical insights.

健康成人（Healthy Adult, HA）作为图式疗法的核心构念，指代个体处于'健康'的心理状态，其特征为在现实视角下平衡自身与他人的合理需求。本研究编制了多维健康成人量表（Multidimensional Healthy Adult Scale），旨在探索健康成人的不同维度如何影响幸福感的不同表现形式，并检验了该量表的因素结构与心理测量学属性。研究共纳入472名年龄介于18至60岁的被试，其中男性占比24.1%，女性占比75.5%。该量表的条目基于在土耳其开展的一项质性研究生成。本研究采用Lavaan软件中的验证性因素分析（Confirmatory Factor Analysis）与结构方程模型（Structural Equation Modeling）对数据进行分析，结果显示测量模型与预测模型均具备良好的拟合度。联结（Bond）、平衡（Balance）与对抗（Battle）三个维度，连同整体的健康成人构念，均展现出良好的拟合效果。较低的平衡维度得分与更高的精神病理学水平及负性情绪显著相关；而较高的对抗维度得分则与更高的生活满意度及正性情绪显著相关。尽管联结维度与平衡、对抗维度均呈正相关，但在控制其余两个维度的情况下，较高的联结维度得分仍与更高的精神病理学水平及负性情绪相关。上述研究结果为健康成人构念的多维结构提供了实证支持。未来仍需对该量表开展进一步的效度验证，并澄清联结维度的具体作用，以推动临床应用层面的深入洞察。