School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Psychosomatics and Psychiatry, Zhongda Hospital, Southeast University, Nanjing, China.
Clin Psychol Psychother. 2022 Jan;29(1):360-366. doi: 10.1002/cpp.2592. Epub 2021 Apr 14.
The present study was conducted to primarily evaluate the clinimetric sensitivity of the Chinese version of the Euthymia Scale (ES), testing whether this measure discriminated between different groups of patients. Concurrent validity, a clinimetric property that refers to the assessment of the extent to which the rating scale under examination correlates with another related, previously validated, assessment instrument, was also tested investigating whether the ES significantly and negatively correlated with measures of depression and anxiety. A cross-sectional study was conducted. A total of 295 inpatients were recruited from different medical settings and included in this study. In addition to the ES, participants completed the PHQ-9 for the assessment of depression and the GAD-7 for the evaluation of symptoms of generalized anxiety. The clinimetric sensitivity of the ES was evaluated using the Mann-Whitney test and the Kruskal-Wallis analysis of variance, whereas the concurrent validity was tested via Spearman's correlation coefficients. The ES total score and its subscales of psychological flexibility and well-being discriminated between different groups of inpatients and sensitively differentiated depressed from non-depressed patients. Negative and statistically significant correlations between the ES and measures of depression and anxiety were found. Findings of the present study indicate that the Chinese version of the ES is a valid and sensitive clinimetric index that can be used not only to differentiate depressed from non-depressed patients but also as a screening measure to detect vulnerability to depression in a wide range of medical patients.
本研究旨在主要评估中文版本的 Euthymia Scale（ES）的临床敏感性，检验该测量工具是否能够区分不同患者群体。同时，还测试了临床有效性，这是一种临床属性，指的是评估所检查的评分量表与另一个相关的、已验证的评估工具之间的相关性程度，考察 ES 是否与抑郁和焦虑的测量值显著负相关。采用横断面研究方法。共招募了来自不同医疗环境的 295 名住院患者参与本研究。除 ES 外，参与者还完成了 PHQ-9 以评估抑郁症状，完成 GAD-7 以评估广泛性焦虑症状。采用曼-惠特尼检验和 Kruskal-Wallis 方差分析评估 ES 的临床敏感性，采用斯皮尔曼相关系数检验其同时效性。ES 的总分及其心理灵活性和幸福感的分量表能够区分不同住院患者群体，并能敏感地区分抑郁患者和非抑郁患者。ES 与抑郁和焦虑测量值之间存在负相关且具有统计学意义。本研究的结果表明，中文版本的 ES 是一种有效且敏感的临床指标，不仅可以区分抑郁患者和非抑郁患者，还可以作为一种筛查工具，用于检测广泛的医疗患者中对抑郁的易感性。
