A clinimetric analysis of the euthymia, resilience, and positive mental health scales

• Published in: Journal of affective disorders 2021-11, Vol.294, p.71-76
• Main Authors: Carrozzino, Danilo, Christensen, Kaj S., Mansueto, Giovanni, Brailovskaia, Julia, Margraf, Jürgen, Cosci, Fiammetta
• Format: Article
• Language: English
• Subjects: Clinimetrics; Euthymia; Positive mental health; Resilience; Validity
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2021.07.001

•The Euthymia Scale is a valid and comprehensive measure of euthymia.•The Resilience Scale is a valid measure of subjective ability to cope with stress.•The Positive Mental Health Scale is a valid measure of positive mental health.•These tools are highly sensitive patient-reported outcome measures. Euthymia has been described as a transdiagnostic construct characterized by the absence of mood disturbances and the presence of an integration of psychic forces, such as coping strategy and well-being. A multidimensional measure, the Euthymia Scale (ES), has been proposed to assess it. We investigated construct and concurrent validity of the ES. Construct validity was studied via Rasch and Mokken analyses and compared with that of the 11-item Resilience Scale (RS-11) and 9-item Positive Mental Health Scale (PMH-Scale). A total of 951 participants were recruited (77.5% women; 24.86 ± 5.62 years). The ES, RS and PMH demonstrated similar sensitivity and construct validity. Findings indicate minor needs for adjustments only. As expected the ES demonstrated a strong negative correlation with neuroticism. The convenience sample of subjects recruited primarily from female Italian university students and a community-based data collection limit the generalizability of the present findings. The cross-sectional design precludes the assessment of test-retest reliability, predictive and incremental validity. Only self-report measures and a Likert version of the ES were used. ES is the most comprehensive measure of euthymia. The RS-11 is a valid measure of a specific component of euthymia, namely subjective ability to cope with stress and empower well-being in face of life adversities. The PMH-Scale is a valid measure of overall positive mental health.