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The following is a summary of “An investigation of the Bernstein’s strengths Scale: factorial validity and network analysis of attention-deficit/hyperactivity symptoms, mental health, and the strengths of the healthy adult self,” published in the October 2024 issue of Psychiatry by Miklósi et al. 

Bernstein’s model defines 16 strengths of a healthy adult, assessed by the Bernstein Strengths Scale (BSS), to support well-being in adults with attention-deficit/hyperactivity disorder (ADHD). 

Researchers conducted a retrospective study to examine the factorial validity of Bernstein’s Strengths Scale (BSS) and its association with strengths, ADHD symptoms, and mental health in a nonclinical sample. 

They collected data from 528 adults through an online questionnaire that included BSS, the Mental Health Continuum–Short Form (MHC-SF), and the Adult ADHD Self-Report Scale (ASRS). 

The results showed an acceptable fit to the 16-factor model; however, the Self-control subscale and item 28 of the Compassion subscale were removed due to reliability concerns. The revised 15-factor, 44-item model demonstrated excellent fit, χ² (797) = 1130.149, P < .001, RMSEA = 0.028, 90% CI [0.024, 0.032], SRMS = 0.049, CFI = 0.993, TLI = 0.991. Principal component analysis identified three second-order factors. In the network model, Self-confidence and Wisdom emerged as key nodes. ADHD symptoms were negatively linked to Responsibility, Self-care, Identity, Emotional balance, Self-confidence, and mental health but showed positive connections with Humor, Self-reflection, and Imagination/creativity. Mental health was most strongly associated with Gratitude among other strengths. 

The study concluded that the BSS is a valid tool for assessing strengths in healthy adults, and enhancing personal strengths in psychosocial interventions for adults with ADHD may improve emotional well-being and daily functioning. 

Source: bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-024-06156-6#Abs1