Fears of Compassion Scales: Cross-Cultural Adaptation and Validity Evidence for Use in Brazil

Trends in Psychology - Trang 1-22 - 2022
Sandiléia Pfeiffer1, Natália Peixoto Pereira1, Carolina Saraiva de Macedo Lisboa1
1Program of Graduate Studies in Psychology, Pontifical Catholic University of Rio Grande Do Sul, Porto Alegre, Rio Grande do Sul, Brazil

Tóm tắt

Fears of compassion are associated with harmful mental health effects, with research increasing worldwide. As a measure to assess this construct, the Fears of Compassion Scales were developed, with adapted versions in several countries. This study aimed to perform the cultural adaptation and search for evidence of validity of the Fears of Compassion Scales for use in Brazil. After the translation and cultural adaptation process, two online surveys were conducted. In the first, 284 adults (mean age = 36.47) answered the Fears of Compassion Scales and a sociodemographic questionnaire. Through Exploratory Factor Analysis and Cronbach’s alpha and McDonald’s omega tests, the three scales showed good internal consistency indices and confirmed the original format of the instrument, with a one-factor solution. One item of scale 1 did not fit and was excluded, while a new item in scale 2, developed through focus groups, showed good fit indices. In the second data collection, 381 women (mean age = 31.56) answered the Fears of Compassion Scales, the Self-Compassion Scale, and the Psychological Well-Being Scale. Confirmatory factor analyses corroborated the format proposed in the first analysis, and convergent and divergent validity data were confirmed. The results indicate that the Fears of Compassion Scales are suitable for use in Brazil. The instrument tends to contribute to studies on the theme, providing a better understanding of its functioning and enabling future interventions to improve access to compassion and all its benefits.

Tài liệu tham khảo

Amira, K., Wright, J. C., & Goya-Tocchetto, D. (2019). In-group love versus out-group hate: Which is more important to partisans and when? Political Behavior, 0123456789.https://doi.org/10.1007/s11109-019-09557-6 Asano, K., Tsuchiya, M., Ishimura, I., Lin, S., Matsumoto, Y., Miyata, H., Kotera, Y., Shimizu, E., & Gilbert, P. (2017). The development of fears of compassion scale Japanese version. PLoS ONE, 12(10), 1–17. https://doi.org/10.1371/journal.pone.0185574 Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7(2), 147–178. https://doi.org/10.1177/0265407590072001 Basran, J., Pires, C., Matos, M., McEwan, K., & Gilbert, P. (2019). Styles of leadership, fears of compassion, and competing to avoid inferiority. Frontiers in Psychology, 9, JAN. https://doi.org/10.3389/fpsyg.2018.02460 Bell, T., Montague, J., Elander, J., & Gilbert, P. (2021). Multiple emotions, multiple selves: Compassion focused therapy chairwork. The Cognitive Behaviour Therapist, 14. https://doi.org/10.1017/s1754470x21000180 Bentler, P. M. (1990). Comparative fit indices in structural equation models. Psychological Bulletin, 107(2), 238–246. Biermann, M., Bohus, M., Gilbert, P., Vonderlin, R., Cornelisse, S., Osen, B., Graser, J., Brüne, M., Ebert, A., Lyssenko, L., & Kleindienst, N. (2020). Psychometric properties of the German version of the fears of compassion scales. Clinical Psychology and Psychotherapy, March, 1–13. https://doi.org/10.1002/cpp.2496 Borsa, J. C., Damásio, B. F., & Bandeira, D. R. (2012). Adaptação e Validação de Instrumentos Psicológicos entre Culturas: Algumas Considerações. Paidéia, 22(53), 423–432. Boykin, D. M., Himmerich, S. J., Pinciotti, C. M., Miller, L. M., Miron, L. R., & Orcutt, H. K. (2018). Barriers to self-compassion for female survivors of childhood maltreatment: The roles of fear of self-compassion and psychological inflexibility. Child Abuse and Neglect, 76(November 2017), 216–224. https://doi.org/10.1016/j.chiabu.2017.11.003 Brady, W. J., & Bavel, J. J. Van. (2020). Troll and divide: The language of online polarization. 1–23. Breines, J. G., Thoma, M. V., Gianferante, D., Hanlin, L., Chen, X., & Rohleder, N. (2014). Self-compassion as a predictor of interleukin-6 response to acute psychosocial stress. Brain, Behavior, and Immunity, 37, 109–114. https://doi.org/10.1016/j.bbi.2013.11.006 Brown, S. L., & Brown, R. M. (2015).Connecting prosocial behavior to improved physical health: Contributions from the neurobiology of parenting. Neuroscience and Biobehavioral Reviews, 1–17. https://doi.org/10.1016/j.neubiorev.2015.04.004 Brown, T. A. (2015). Confirmatory factor analysis for applied research. In Journal of Chemical Information and Modeling (Second Edi, Vol. 53, Issue 9). The Guilford Press. Brugnago, F. (2014). A nova polarização política nas eleições de 2014 Radicalização ideológica da direita no mundo contemporâneo do Facebook. Aurora. Revista de Arte, Mídia e Política, 7(21), 99–129. ISSN 1982–6672. Carvalho, D., Marques, C. C., Pinto, A. M., Martins, M. J., Leal, I., & Castilho, P. (2021). Fears of compassion scales in psychosis: confirmatory factor analysis and psychometric properties. Current Psychology. https://doi.org/10.1007/s12144-021-01979-y Cassepp-Borges, V., Balbinotti, M. A. A., & Teodoro, M. (2010). Tradução e validação de conteúdo: Uma proposta para a adaptação de instrumentos. In L. Pasquali (Ed.), Instrumentação psicológica: Fundamentos e práticas (pp. 506–520). Artmed. Conway, C. C., & Slavich, G. M. (2017). Behavior genetics of prosocial behavior. In P. Gilbert (Ed.), Compassion: Concepts, research and applications (pp. 151–170). Routledge. Crimston, C. R., Blessing, S., Gilbert, P., & Kirby, J. N. (2021). Fear leads to suffering: Fears of compassion predict restriction of the moral boundary. British Journal of Social Psychology, 1–21. https://doi.org/10.1111/bjso.12483 Crocker, J., & Canevello, A. (2008). Creating and undermining social support in communal relationships: The role of compassionate and self-image goals. Journal of Personality and Social Psychology, 95(3), 555–575. https://doi.org/10.1037/0022-3514.95.3.555 Dentale, F., Petrocchi, N., Vecchione, M., Biagioli, C., Gennaro, A., & Violani, C. (2017). Factorial structure and construct validity of an Italian version of the Fears of Compassion Scales: A study on non-clinical subjects. Psychology and Psychotherapy: Theory, Research and Practice, 90(4), 735–750. https://doi.org/10.1111/papt.12136 Descutner, C. J., & Thelen, M. H. (1991). Development and validation of a Fear-of-Intimacy Scale. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(2), 218– 225. https://doi.org/10.1037/1040-3590.3.2.218 Di Bello, M., Carnevali, L., Petrocchi, N., Thayer, J. F., Gilbert, P., & Ottaviani, C. (2020). The compassionate vagus: A meta-analysis on the connection between compassion and heart rate variability. Neuroscience and Biobehavioral Reviews, 116(October 2019), 21–30. https://doi.org/10.1016/j.neubiorev.2020.06.016 Duarte, J. A., Mendes, A. L., Marta-Simões, J., & Ferreira, C. (2020). Striving as a paradoxical strategy to deal with fears of compassion: Impact on disordered eating. Eating and Weight Disorders, 25(4), 983–990. https://doi.org/10.1007/s40519-019-00715-7 Dunn, T. J., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105(3), 399–412. https://doi.org/10.1111/bjop.12046 Geller, J., Iyar, M. M., Kelly, A. C., & Srikameswaran, S. (2019). Barriers to self-compassion in the eating disorders: The factor structure of the fear of self-compassion scale. Eating Behaviors, 35(August), 101334. https://doi.org/10.1016/j.eatbeh.2019.101334 Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208. https://doi.org/10.1192/apt.bp.107.005264 Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41. https://doi.org/10.1111/bjc.12043 Gilbert, P. (2022). Formulation and fears, blocks, and resistances. In P. Gilbert & G. Simos (Orgs.), Compassion focused therapy: Clinical practice and applications (Vol 1). Routledge. https://doi.org/10.4324/9781003035879-7 Gilbert, P., Basran, J., MacArthur, M., & Kirby, J. N. (2019). Differences in the semantics of prosocial words: An exploration of compassion and kindness. Mindfulness, 10(11), 2259–2271. https://doi.org/10.1007/s12671-019-01191-x Gilbert, P., & Mascaro, J. S. (2017). Compassion fears, blocks and resistances: An evolutionary investigation. In and J. R. D. Emma M. Seppälä, Emiliana Simon-Thomas, Stephanie L. Brown, Monica C. Worline, C. Daryl Cameron (Ed.), The Oxford Handbook of Compassion Science (pp. 399–418). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780190464684.013.29 Gilbert, P., Mcewan, K., Catarino, F., & Baião, R. (2014a). Fears of compassion in a depressed population implication for psychotherapy. Journal of Depression and Anxiety, S2(003), 1–8. https://doi.org/10.4172/2167-1044.S2-003 Gilbert, P., McEwan, K., Catarino, F., Baião, R., & Palmeira, L. (2014b). Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology, 53(2), 228–244. https://doi.org/10.1111/bjc.12037 Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85(4), 374–390. https://doi.org/10.1111/j.2044-8341.2011.02046.x Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84(3), 239–255. https://doi.org/10.1348/147608310X526511 Gillath, O., Shaver, P. R., & Mikulincer, M. (2005). An attachment-theoretical approach to compassion and altruism. In Compassion: Conceptualisations, Research and Use in Psychotherapy (pp. 121–147). https://doi.org/10.4324/9780203003459-8 Gollwitzer, A., Martel, C., Brady, W. J., Pärnamets, P., Freedman, I. G., Knowles, E. D., & Van Bavel, J. J. (2020). Partisan differences in physical distancing are linked to health outcomes during the COVID-19 pandemic. Nature Human Behaviour, 4(11), 1186–1197. https://doi.org/10.1038/s41562-020-00977-7 Guo, M., Wang, J., Day, J., & Kirby, J. N. (2020). Validation of the Fears of Compassion Scale in a Chinese cultural context. Mindfulness. Heckathorn, D. D. (2011). Snowball versus respondent-driven sampling. Sociological Methodology, 41(1), 355–366. https://doi.org/10.1111/j.1467-9531.2011.01244.x.SNOWBALL Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118 Irwing, P., & Hughes, D. J. (2018). Test development. In P. Irwing, T. Booth, & D. J. Hughes (Eds.), The Wiley Handbook of Psychometric Testing: A multidisciplinary reference on survey, scale and test development (First Edit, p. 1032). Wiley. Jorge, D. D. (2016). Estudo das propriedades psicométricas das Escalas dos Medos da Compaixão em adolescentes portugueses com perturbações do comportamento. Universidade de Coimbra. Joshanloo, M., Lepshokova, Z. K., Panyusheva, T., Natalia, A., Poon, W. C., Yeung, V. W. lan, Sundaram, S., Achoui, M., Asano, R., Igarashi, T., Tsukamoto, S., Rizwan, M., Khilji, I. A., Ferreira, M. C., Pang, J. S., Ho, L. S., Han, G., Bae, J., & Jiang, D. Y. (2014). Cross-Cultural Validation of Fear of Happiness Scale Across 14 National Groups. Journal of Cross-Cultural Psychology, 45(2), 246–264. https://doi.org/10.1177/0022022113505357 Keltner, D., Kogan, A., Piff, P. K., & Saturn, S. R. (2014). The Sociocultural Appraisals, Values, and Emotions (SAVE) framework of prosociality: Core processes from gene to meme. Annual Review of Psychology, 65(1), 425–460. https://doi.org/10.1146/annurev-psych-010213-115054 Khanjani, S., Foroughi, A., Tahmasebi, A., Bavafa, A., Jaberghaderi, N., & Rafiee, S. (2020). Factorial structure and construct validity of an Iranian version of the Fear of Compassion Scale: A study in nurses. Iranian Journal of Nursing and Midwifery Research, 25, 490–496. https://doi.org/10.4103/ijnmr.IJNMR Kim, J. J., Gerrish, R., Gilbert, P., & Kirby, J. N. (2020). Stressed, depressed, and rank obsessed: Individual differences in compassion and neuroticism predispose towards rank-based depressive symptomatology. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12270 Kirby, J. N., Day, J., & Sagar, V. (2019). The ‘flow’ of compassion: A meta-analysis of the Fears of Compassion Scales and psychological functioning. Clinical Psychology Review, 70, 26–39. https://doi.org/10.1016/j.cpr.2019.03.001 Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A meta-analysis of compassion-based interventions : Current state of knowledge and future directions. Behavior Therapy, 48(6), 778–792. https://doi.org/10.1016/j.beth.2017.06.003 Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological Medicine, 45(5), 927–945. https://doi.org/10.1017/S0033291714002141 Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936–949. https://doi.org/10.3758/s13428-015-0619-7 Macbeth, A., & Gumley, A. (2012). Clinical Psychology Review Exploring compassion : A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. https://doi.org/10.1016/j.cpr.2012.06.003 de Machado, W. L., & BandeiraPawlowski, D. R. J. (2013). Validação da Psychological Well-being Scale em uma amostra de estudantes universitários. Avaliação Psicológica, 12(2), 263–272. M Matos K McEwan M Kanovský J Halamová SR Steindl N Ferreira M Linharelhos D Rijo K Asano S Gregório MG Márquez SP Vilas G Brito-Pons P Lucena-Santos M Silva Oliveira da EL Souza de L Llobenes N Gumiy MI Costa …P Gilbert 2021a Fears of compassion magnify the harmful effects of threat of COVID-19 on mental health and social safeness across 21 countries Clinical Psychology and Psychotherapyhttps://doi.org/10.1002/cp,1-17.10.1002/cpp.2601 Matos, M., McEwan, K., Kanovský, M., Halamová, J., Steindl, S. R., Ferreira, N., Linharelhos, M., Rijo, D., Asano, K., Vilas, S. P., Márquez, M. G., Gregório, S., Brito-Pons, G., Lucena-Santos, P., da Silva Oliveira, M., de Souza, E. L., Llobenes, L., Gumiy, N., Costa, M. I., & Gilbert, P. (2021). The role of social connection on the experience of COVID-19 related posttraumatic growth and stress. PLoS ONE, 16(12 December), 1–17. https://doi.org/10.1371/journal.pone.0261384 Matos, M., Duarte, J., & Pinto-Gouveia, J. (2017). The origins of fears of compassion: Shame and lack of safeness memories, fears of compassion and psychopathology. Journal of Psychology: Interdisciplinary and Applied, 151(8), 804–819. https://doi.org/10.1080/00223980.2017.1393380 Merritt, O. A., & Purdon, C. L. (2020). Scared of compassion: Fear of compassion in anxiety, mood, and non-clinical groups. British Journal of Clinical Psychology, 59(3), 354–368. https://doi.org/10.1111/bjc.12250 Muris, P., & Petrocchi, N. (2016). Protection or vulnerability ? A Meta-Analysis of the Relations between the Positive and Negative Components of Self-Compassion and Psychopathology Literature Search and Selection of Studies. https://doi.org/10.1002/cpp.2005 Naismith, I., Zarate Guerrero, S., & Feigenbaum, J. (2019). Abuse, invalidation, and lack of early warmth show distinct relationships with self-criticism, self-compassion, and fear of self-compassion in personality disorder. Clinical Psychology and Psychotherapy, 26(3), 350–361. https://doi.org/10.1002/cpp.2357 Narvaez, D. (2017). Evolution, childrearing and compassionate morality. In P. Gilbert (Ed.), Compassion: Conceptualisations, Research and Use in Psychotherapy (pp. 78–186). Routledge. Neff, K. D. (2003). The Development of a Scale to measure self-compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860390209035 Oliveira, V. R., Ferreira, C., Mendes, A. L., & Marta-Simões, J. (2017). Shame and eating psychopathology in Portuguese women: Exploring the roles of self-judgment and fears of receiving compassion. Appetite, 110, 80–85. https://doi.org/10.1016/j.appet.2016.12.012 Pärnamets, P., Shuster, A., Reinero, D. A., & Van Bavel, J. J. (2013). A value-based framework for understanding cooperation. Current Directions in Psychological Science, 53(9), 1689–1699. Pasquali, L. (1998). Princípios de elaboração de escalas psicológicas. Rev. Psiq. Clin, 25(5), 206–213. Pauley, G., & McPherson, S. (2010). The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychology and Psychotherapy: Theory, Research and Practice, 83(2), 129–143. https://doi.org/10.1348/147608309X471000 Pfeiffer, S., & Lisboa, C. S. de M. (2021). Dificuldades no engajamento às medidas contra a COVID-19: o papel dos medos da compaixão. PSICO. Rand, D. G., & Nowak, M. A. (2013). Human cooperation. Trends in Cognitive Sciences, 17(8), 413–425. https://doi.org/10.1016/j.tics.2013.06.003 Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48, 2. https://doi.org/10.18637/jss.v048.i02 Simões, D., & Pinto-Gouveia, J. (2012). Medo da compaixão: estudo das propriedades psicométricas da Fears of compassion scales (FCS) e da sua relação com medidas de vergonha, compaixão e psicopatologia. In Medo da compaixão : estudo das propriedades psicométricas da Fears of Compassion Scales (FCS) e da sua relação com medidas de vergonha, compaixão e psicopatologia. https://estudogeral.sib.uc.pt/handle/10316/23280 Souza, L. K., & Hutz, C. S. (2016). Adaptation of the Self-Compassion Scale for use in Brazil: Evidences of construct validity. Temas Em Psicologia, 24(1), 159–172. https://doi.org/10.9788/tp2016.1-11 Steindl, S., Bell, T., Dixon, A., Kirby, JN. (2022). Therapist perspectives on working with fears, blocks and resistances to compassion in compassion focused therapy. Counselling and Psychotherapy Research, December 2021, 1–14. https://doi.org/10.1002/capr.12530 Talevi, D., Socci, V., Carai, M., Carnaghi, G., Faleri, S., Trebbi, E., Bernardo, A. D. I., Capelli, F., & Pacitti, F. (2020). Mental health outcomes of the CoViD-19 pandemic. Rivista Di Psichiatria, 55(3), 137–144. Timmerman, M. E., & Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16(2), 209–220. https://doi.org/10.1037/a0023353 Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277(July), 55–64. https://doi.org/10.1016/j.jad.2020.08.001 Zhang, S., Guo, M., Wang, J., & Lin, L. (2021). The relationship between fears of compassion, emotion regulation difficulties, and emotional eating in college students: A moderated mediation model. Frontiers in Psychology, 12(December), 1–8. https://doi.org/10.3389/fpsyg.2021.780144 Zessin, U., Dickh, O., & Garbade, S. (2015). The relationship between self-compassion and well-being : A meta-analysis. Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051