A continuous assessment and a categorical diagnosis of the presence of mental health, described as flourishing, and the absence of mental health, characterized as languishing, is applied to a random sample of 1050 Setswana-speaking adults in the Northwest province of South Africa. Factor analysis revealed that the mental health continuum-short form (MHC-SF) replicated the three-factor structure of emotional, psychological and social well-being found in US samples. The internal reliability of the overall MHC-SF Scale was 0.74. The total score on the MHC-SF correlated 0.52 with a measure of positive affect, between 0.35 and 0.40 with measures of generalized self-efficacy and satisfaction with life, and between 0.30 and 0.35 with measures of coping strategies, sense of coherence, and community collective self-efficacy. The total score on the MHC-SF correlated -0.22 with the total score on the General Health Questionnaire. Criteria for the categorical diagnosis were applied, and findings revealed that 20% were flourishing, 67.8% were moderately mentally healthy, and 12.2% were languishing. Confirmatory factor analysis supported the hypothesized two-continua model of mental health and mental illness found in the USA.

Age, gender, marital status, education attainment, employment status, and environmental setting explain different amounts of variance in psychological well-being and mental health. Inconsistent findings are reported for the socio-demographic variables in psychological well-being depending amongst others on the definition and measurement of well-being, context and the nature of the population. The present study explored the association of socio-demographic variables in an African context using two models that conceptualise and measure well-being as a holistic integrated and complex construct, namely the General Psychological Well-being model (GPW) and the Mental Health Continuum model (MHC). The study was conducted among an African sample in the North West Province of South Africa. A sample of 459 male and female Setswanaspeaking adults from rural and urban areas completed measures of general psychological well-being and the mental health continuum. Descriptive statistics, correlations, crosstabulations and regression analyses were computed. Findings indicate that socio-demographic variables play a role in determining holistic psychological well-being in a South African Setswana-speaking community. Urban living, employment, education and being married were associated with higher psychological well-being. Rural or urban environmental setting, followed by employment status, accounted for the greatest variance in psychological well-being measures. Age and gender were not significantly associated with well-being. The findings suggest that the current state of African rural living is detrimental to well-being. Through employment being an index of socio-economic status, the unemployed experience poor well-being. Future research efforts to explore the mechanisms of these relationships, and context-relevant intervention programmes are recommended.

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