BackgroundIn recent years, it has been increasingly recognized that the absence of mental disorder is not the same as the presence of positive mental health (PMH). With the PMH-scale we propose a short, unidimensional scale for the assessment of positive mental health. The scale consists of 9 Likert-type items.MethodsThe psychometric properties of the PMH-scale were tested in a series of six studies using samples from student (n = 5406), patient (n = 1547) and general (n = 3204) populations. Factorial structure and measurement equivalence were tested with the measurement invariance testing. The factor models were analysed with the maximum likelihood procedure. Internal consistency was examined using Cronbach’s alpha, test-retest reliability, convergent and divergent validity was examined by Pearson correlation. Sensitivity to (therapeutic) change was examined with the t-test.ResultsResults confirmed unidimensionality, scalar invariance across samples and over time, high internal consistency, good retest-reliability, good convergent and discriminant validity as well as sensitivity to therapeutic change.ConclusionsThese findings suggest that the PMH-Scale indeed measures a single concept and allows us to compare scores over groups and over time. The PMH-scale thus is a brief and easy to interpret instrument for measuring PMH across a large variety of relevant groups.

In this study we describe differences of the ethnic majorities' attitudes toward Muslims across Western countries. Using data from the Pew Global Attitudes Survey (2005), we were able to increase and test cross-cultural comparability of anti-Muslim attitudes. We constructed a single factor CFA model with three indicators, which was tested for scalar equivalence. Our results indicate that anti-Muslim attitudes differ significantly across the countries in our analysis. Germany and the Netherlands turned out to display relatively high levels of anti-Muslim attitudes, whereas these levels were relatively low in Great-Britain and the USA. We conclude our study with giving some post-hoc explanations for the differences found across countries. Keywords Anti-Muslim attitudes • Cross-cultural research • Measurement equivalence 1 Introduction and research questionPrevious research on out-group derogation in Western countries has been mainly focused on ethnic minorities, refugees or immigrants in general (e.g., Scheepers et al. 2002;Mclaren and Johnson 2007;Zick et al. 2008). Since a relatively large proportion of the ethnic minority population is Muslim (estimates range from 7 to 15 million Muslims in Europe) (Zolberg and Woon 1999;Fetzer and Soper 2003), it is rather remarkable that only a few studies

Multidisciplinary treatment programs for patients with personality disorders (PDs) often include art therapy, but the efficacy of this intervention has hardly been evaluated. The objective of this study is to evaluate the effects of an art therapy intervention on psychological functioning of patients with a PD. In this randomized controlled trial, 57 adult participants diagnosed with a PD cluster B/C (SCID-II) were randomly assigned to either weekly group art therapy (1.5 hours, 10 weeks) or a waiting list group. Outcome measures OQ45, AAQ-II, and SMI were assessed at baseline, at post-test (10 weeks after baseline), and at follow-up (5 weeks after post-test). The results show that art therapy is an effective treatment for PD patients because it not only reduces PD pathology and maladaptive modes but it also helps patients to develop adaptive, positive modes that indicate better mental health and self-regulation.

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Remoralization as an outcome measure for psychological treatments was compared with symptom reduction (agoraphobic avoidance and cognitions). Twenty-four patients with panic disorder and agoraphobia received empirically supported treatment and were monitored across multiple time points for 28 weeks. Treatment resulted in reduced symptoms and enhanced remoralization (Cohen's d=1.19-1.45). Slopes of symptoms and remoralization were obtained from latent growth model analyses. The slopes correlated highly (r=- .50 to -.55), which indicates similar patterns of change over time. The slope of remoralization also correlated with a number of aspects of health-related quality of life, while the slope of symptom reduction did not. Although strongly related to symptom reduction, the measurement of remoralization is expected to provide unique information for treatment efficacy research.

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