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

D. Carrozzino, K.S. Christensen, G. Mansueto, J. Brailovskaia, J. Margraf, F. Cosci*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background: 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. Methods: 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). Results: 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. Limitations: 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. Conclusions: 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.
Original languageEnglish
Pages (from-to)71-76
Number of pages6
JournalJournal of Affective Disorders
Publication statusPublished - 1 Nov 2021


  • Euthymia
  • Clinimetrics
  • Positive mental health
  • Resilience
  • Validity

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