Euthymia is a trans-diagnostic construct characterized by lack of mood disturbances; presence of positive affect; balance of psychological well-being dimensions, flexibility, consistency, and resistance to stress. The aim of this critical review is to draw a conceptual map of euthymia. Relationships with other constructs, continuum between euthymia and dysthymia with discomfort as an intermediate area, associations with lifestyle, clinimetric assessment, role of psychotherapeutic interventions, establishment of therapeutic targets, and neurobiological mechanisms are discussed. The model is based on the bipolar nature of well-being dimensions. Euthymia means using allostasis optimally and maintaining a healthy balance that promotes positive aspects of brain and body health through health-promoting behaviors. It may provide a framework for a renewed definition of recovery, for measuring treatment outcome and for targeting interventions, including the sequential administration of therapeutic components. Clinical assessment requires a clinimetric approach encompassing a broad range of aspects, such as allostatic load and lifestyle behaviors, all interacting with each other and contributing to the euthymia/dysthymia balance. Clinimetric indices for assessing euthymia (the Clinical Interview for Euthymia and the Euthymia Scale) and related constructs (the Clinical Interview for Dysthymia and the Semi-Structured Interview for the Diagnostic Criteria for Psychosomatic Research) are presented here. Well-Being Therapy, a psychotherapeutic strategy specifically aimed at pursuing euthymia, relies on self-observation of well-being episodes using a structured diary as a distinct therapeutic ingredient. The clinical science of euthymia may unravel innovative approaches to assessment and treatment of psychiatric and medical disorders, according to a unitary conceptual framework.
Psychother Psychosom

中文翻译：

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Euthymia 的临床科学：概念图

Euthymia 是一种跨诊断结构，其特点是没有情绪障碍。存在积极的影响；心理健康维度、灵活性、一致性和对压力的抵抗力的平衡。这篇批判性评论的目的是绘制一张 euthymia 的概念图。讨论了与其他构造的关系、以不适为中间区域的心境正常和心境恶劣之间的连续性、与生活方式的关联、临床评估、心理治疗干预的作用、治疗目标的建立和神经生物学机制。该模型基于幸福维度的两极性质。Euthymia 意味着最佳地使用异态平衡并保持健康的平衡，通过促进健康的行为促进大脑和身体健康的积极方面。它可能为重新定义康复、衡量治疗结果和针对干预措施（包括治疗成分的序贯给药）提供一个框架。临床评估需要一种临床测量方法，涵盖广泛的方面，例如自平衡负荷和生活方式行为，所有这些都相互影响并有助于心境安宁/心境恶劣的平衡。本文介绍了用于评估 euthymia 的临床指标（Euthymia 临床访谈和 Euthymia 量表）和相关结构（心境恶劣临床访谈和心身研究诊断标准半结构化访谈）。Well-Being Therapy，一种专门针对追求 euthymia 的心理治疗策略，依赖于使用结构化日记作为独特的治疗成分的幸福感事件的自我观察。根据统一的概念框架，euthymia 的临床科学可能会揭示评估和治疗精神疾病和医学疾病的创新方法。
心理治疗师