Psychometric Evaluation of a Persian Version of Beliefs about Emotions Scale in Community and Clinical Samples
Abstract
Objective: This research is primarily conducted to determine the psychometric properties of the Beliefs about Emotions Scale (BES) in community and clinical samples. The BES is a scale measure used for evaluating individuals’ beliefs in terms of how acceptable it is for them to experience and express their emotions.
Method: This study was conducted on two separate samples. In the first part, 300 individuals were selected from a general sample in Tehran using the quota sampling method. For the second part of the study, we used purposive sampling to gather data from 119 patients suffering from Major Depressive Disorder (MDD) and 121 patients from Somatic Symptoms Disorder (SSD), whose disorders were diagnosed based on the DSM-5 diagnostic criteria. The BES structural validity was examined through Confirmatory Factor Analysis (CFA). Additionally, test-retest composite and internal consistency indices were explored to investigate the reliability of the BES score. Finally, the associations of the BES score with the Hospital Anxiety and Depression Scale (HADS), Young Schema Questionnaire (YSQ), Multidimensional Perfectionism Scale (MPS), Difficulties in Emotion Regulation Scale (DERS), and Emotion Regulation Questionnaire (ERQ) scores were highlighted to investigate the discriminant and convergent validity of the BES score.
Results: According to CFAs, the one-factor model for the BES demonstrated a good fit with the data collected from both the clinical and community samples. The internal consistency (Cronbach's alpha) was satisfactory in the community sample (α = 0.84) and the clinical samples of SSD (α = 0.86) and MDD (α = 0.83). The community sample demonstrated high overall test-retest reliability (ICC = 0.93, P < 0.001; 95% CI: 0.89 - 0.95). In terms of convergent validity, the findings confirmed that in the MMD sample, there was a significant relationship between the BES and almost all measures (including Depression (r = 0.39, P < 0.01), Anxiety (r = 0.21, P < 0.05), Self-Sacrifice (r = 0.27, P < 0.01), MPS-total score (r = 0.22, P < 0.05), DERS total score (r = 0.50, P < 0.01), and Suppression (r = 0.38, P < 0.01). However, in the SSD group, this finding was not found.
Conclusion: The results demonstrated that the Persian BES is a reliable and valid scale of maladaptive beliefs about emotions which could be implemented for both clinical and research aims.
2. Rimes KA, Chalder T. The Beliefs about Emotions Scale: validity, reliability and sensitivity to change. J Psychosom Res. 2010;68(3):285-92.
3. Bowers H, Wroe A, Pincus T. The relationship between beliefs about emotions and quality of life in irritable bowel syndrome. Psychol Health Med. 2017;22(10):1203-9.
4. Bowers H, Wroe AL, Pincus T. 'Isn't it ironic?' Beliefs about the unacceptability of emotions and emotional suppression relate to worse outcomes in fibromyalgia. Clin Rheumatol. 2017;36(5):1121-8.
5. Wenzlaff RM, Wegner DM. Thought suppression. Annu Rev Psychol. 2000;51:59-91.
6. Sydenham M, Beardwood J, Rimes KA. Beliefs about Emotions, Depression, Anxiety and Fatigue: A Mediational Analysis. Behav Cogn Psychother. 2017;45(1):73-8.
7. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder: Guilford Press; 2018.
8. Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Thompson-Hollands J, Carl JR, et al. Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behav Ther. 2012;43(3):666-78.
9. Hayes S, Strosahl K, Wilson K. Acceptance and commitment therapy: American Psychological Association. Washington, DC[Google Scholar]. 2009.
10. Gierk B, Kohlmann S, Kroenke K, Spangenberg L, Zenger M, Brähler E, et al. The somatic symptom scale-8 (SSS-8): a brief measure of somatic symptom burden. JAMA Intern Med. 2014;174(3):399-407.
11. Mograbi DC, Indelli P, Lage CA, Tebyriça V, Landeira-Fernandez J, Rimes KA. Cross-cultural adaptation and validation of the Brazilian version of the Beliefs about Emotions Scale. Trends Psychiatry Psychother. 2018;40(1):21-8.
12. Cattell R. The scientific use of factor analysis in behavioral and life sciences: SSBM; 2012.
13. Gorsuch RL. Factor Analysis, Hillsdale, New Jersey, L. Erlbaum Associates; 1983.
14. Tabachnick B, Fidell L. Using Multivariate Statistics. Pearson Education. Boston, MA. 2007.
15. Comrey AL, Lee HB. A first course in factor analysis: Psychology press; 2013.
16. Hancock GR, French BF. Power analysis in structural equation modeling. 2013.
18. Lee T, Cai L, MacCallum RC. Power analysis for tests of structural equation models. 2012.
19. Newsom J. Minimum sample size recommendations (Psy 523/623 structural equation modeling, Spring 2018). Manuscript Retrieved from upa pdx edu/IOA/newsom/semrefs htm. 2018.
20. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling: psychology press; 2004.
21. Kline RB. Principles and practice of structural equation modeling: Guilford press; 2023.
22. Jackson DL. Revisiting sample size and number of parameter estimates: Some support for the N: q hypothesis. Struct Equ Modeling. 2003;10(1):128-41.
23. Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: Design and interpretation: Sage publications; 2016.
24. Regier DA, Narrow WE, Clarke DE, Kraemer HC, Kuramoto SJ, Kuhl EA, et al. DSM-5 field trials in the United States and Canada, Part II: test-retest reliability of selected categorical diagnoses. Am J Psychiatry. 2013;170(1):59-70.
25. Clarke DE, Narrow WE, Regier DA, Kuramoto SJ, Kupfer DJ, Kuhl EA, et al. DSM-5 field trials in the United States and Canada, Part I: study design, sampling strategy, implementation, and analytic approaches. Am J Psychiatry. 2013;170(1):43-58.
26. Mohammadkhani P, Forouzan AS, Hooshyari Z, Abasi I. Psychometric properties of Persian version of structured clinical interview for DSM-5-research version (SCID-5-RV): a diagnostic accuracy study. IJPBS. 2020;14(2).
27. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
28. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69-77.
29. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. TUMJ2009;67(5):379-85.
30. JE Y. Young schema questionnaire short form. New York: Cognitive Therapy Center. 1998.
31. Waller G, Meyer C, Ohanian V. Psychometric properties of the long and short versions of the Young Schema Questionnaire: Core beliefs among bulimic and comparison women. Cognitive therapy and research. 2001;25:137-47.
32. Khosravani V, Najafi M, Mohammadzadeh A. The Young Schema questionnaire-short form: A Persian version among a large sample of psychiatric patients. International journal of mental health and addiction. 2020;18:949-67.
33. Hewitt PL, Flett GL. Perfectionism and depression: A multidimensional analysis. Journal of social behavior and personality. 1990;5(5):423.
34. Aminizadeh S, Dolatshahi B, Pourshahbaz A, Babapour B, Yousefzadeh I, Zamanshoar E, et al. Psychometric properties of multidimensional perfectionism scale (MPS). Practice in Clinical Psychology. 2013;1(4):205-10.
35. Monopoli WJ, Huet A, Allan NP, Judah MR, Bunford N. Distinct aspects of emotion dysregulation differentially correspond to magnitude and slope of the late positive potential to affective stimuli. Cogn Emot. 2022;36(2):372-83.
36. Mazaheri M. Psychometric Properties of the Persian Version of the Difficulties in Emotion Regulation Scale) DERS-6 & DERS-5- Revised (in an Iranian Clinical Sample. Iran J Psychiatry. 2015;10(2):115-22.
37. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348-62.
38. Hasani J. Persian version of the emotion regulation questionnaire: Factor structure, reliability and validity. IJBS. 2016;10(4):156-61.
39. Barker C, Pistrang N, Elliott R. Research methods in clinical psychology: An introduction for students and practitioners: JWS; 2015.
40. Sasaki Y, Oe Y, Horikoshi M, Rimes K. Development of the Japanese Version of the Beliefs about Emotions Scale 1. Jpn Psychol Res. 2022.
41. Tran L, Rimes KA. Unhealthy perfectionism, negative beliefs about emotions, emotional suppression, and depression in students: A mediational analysis. PERS INDIV DIFFER. 2017;110:144-7.
42. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev. 2010;30(2):217-37.
43. Okur Güney ZE, Sattel H, Witthöft M, Henningsen P. Emotion regulation in patients with somatic symptom and related disorders: A systematic review. PLoS One. 2019;14(6):e0217277.
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Issue | Vol 19 No 1 (2024) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijps.v19i1.14343 | |
Keywords | ||
Cognition Depressive Disorder Emotions Somatization Disorder Validation Study |
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