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.

中文翻译：

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Euthymia Scale中文版的临床测量特性

本研究主要评估中文版Euthymia量表（ES）的临床敏感性，测试该量表是否区分不同的患者组。同时效度是一种临床属性，是指评估所检查的评分量表与另一种相关的、先前验证的评估工具的相关程度，也测试了 ES 是否与抑郁和焦虑的测量显着和负相关。进行了一项横断面研究。本研究共招募了来自不同医疗机构的 295 名住院患者。除了 ES，参与者还完成了用于评估抑郁症的 PHQ-9 和用于评估广泛性焦虑症状的 GAD-7。使用 Mann-Whitney 检验和 Kruskal-Wallis 方差分析评估 ES 的临床敏感性，而通过 Spearman 相关系数检验同时效度。ES总分及其心理灵活性和幸福感子量表区分了不同的住院患者群体，并敏感地区分了抑郁症和非抑郁症患者。发现了 ES 与抑郁和焦虑测量之间的负相关和统计学上显着的相关性。本研究结果表明，中文版 ES 是一种有效且敏感的临床指标，不仅可用于区分抑郁症和非抑郁症患者，还可作为筛查措施，检测广泛人群中抑郁症的易感性。医疗病人。