Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2017-0064
Trends in Psychiatry and Psychotherapy
Original Article

Cross-cultural adaptation and validation of the Brazilian version of the Beliefs about Emotions Scale

Adaptação transcultural e validação da versão brasileira da Escala de Crenças sobre Emoções

Daniel C. Mograbi; Pamela Indelli; Caio A. Lage; Vitória Tebyriça; Jesus Landeira-Fernandez; Katharine A. Rimes

http://dx.doi.org/10.1590/2237-6089-2017-0064 Trends Psychiatry Psychother, vol.40, n1, p.21-28, 2018
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Abstract

Abstract Introduction Beliefs about the unacceptability of expression and experience of emotion are present in the general population but seem to be more prevalent in patients with a number of health conditions. Such beliefs, which may be viewed as a form of perfectionism about emotions, may have a deleterious effect on symptomatology as well as on treatment adherence and outcome. Nevertheless, few questionnaires have been developed to measure such beliefs about emotions, and no instrument has been validated in a developing country. The current study adapted and validated the Beliefs about Emotions Scale in a Brazilian sample. Methods The adaptation procedure included translation, back-translation and analysis of the content, with the final Brazilian Portuguese version of the scale being tested online in a sample of 645 participants. Internal consistency of the scale was very high and results of a principal axis factoring analysis indicated a two-factor solution. Results Respondents with high fatigue levels showed more perfectionist beliefs, and the scale correlated positively with questionnaires measuring anxiety, depression and fear of negative evaluation, confirming cross-cultural associations reported before. Finally, men, non-Caucasians and participants with lower educational achievement gave greater endorsement to such beliefs than women, Caucasian individuals and participants with higher educational level. Conclusions The study confirms previous clinical findings reported in the literature, but indicates novel associations with demographic variables. The latter may reflect cultural differences related to beliefs about emotions in Brazil.

Keywords

Beliefs, emotion, emotional regulation, perfectionism, validation

Resumo

Resumo Introdução Crenças sobre a inaceitabilidade da expressão e experiência de emoção estão presentes na população em geral, mas parecem ser mais prevalentes em pacientes com uma série de problemas de saúde. Tais crenças, que podem ser vistas como uma forma de perfeccionismo sobre as emoções, podem ter um efeito deletério na sintomatologia, bem como na adesão ao tratamento e nos seus resultados. No entanto, poucos questionários foram desenvolvidos para medir tais crenças sobre emoções, e nenhum instrumento foi validado em um país em desenvolvimento. O presente estudo adaptou e validou a Escala de Crenças sobre Emoções (Beliefs about Emotions Scale) em uma amostra brasileira. Métodos O procedimento de adaptação incluiu tradução, retrotradução e análise do conteúdo, com a versão final brasileira da escala sendo testada online em uma amostra de 645 participantes. A consistência interna da escala foi muito alta e os resultados da análise fatorial de eixo principal indicaram uma solução de dois fatores. Resultados Os respondentes com altos níveis de fadiga mostraram crenças mais perfeccionistas, e a escala se correlacionou positivamente com questionários medindo ansiedade, depressão e medo de avaliação negativa, confirmando associações transculturais relatadas anteriormente. Finalmente, homens, não caucasianos e participantes com baixo nível de escolaridade endossaram mais tais crenças do que mulheres, indivíduos caucasianos e participantes com maior nível de escolaridade. Conclusões O estudo confirma achados clínicos anteriores relatados na literatura, mas indica novas associações com variáveis demográficas. O último pode refletir diferenças culturais relacionadas às crenças sobre emoções no Brasil.

Palavras-chave

Crenças, emoção, regulação emocional, perfeccionismo, validação

References

Surawy C, Hackmann A, Hawton K, Sharpe M. Chronic fatigue syndrome: a cognitive approach. Behav Res Ther. 1995;33:535-44.

Corstorphine E. Cognitive-emotional-behavioural therapy for the eating disorders: working with beliefs about emotions. Eur Eat Disord Rev. 2006;14:448-61.

Jack DC. Silencing the self: women and depression. 1991.

Cramer KM, Gallant MD, Langlois MW. Self-silencing and depression in women and men: Comparative structural equation models. Pers Individ Dif. 2005;39:581-92.

Todarello O, Taylor GJ, Parker JD, Fanelli M. Alexithymia in essential hypertensive and psychiatric outpatients: A comparative study. J Psychosom Res. 1995;39:987-94.

Ali A, Toner BB, Stuckless N, Gallop R, Diamant NE, Gould MI. Emotional abuse, self-blame, and self-silencing in women with irritable bowel syndrome. Psychosom Med. 2000;62:76-82.

Jones M, Wessinger S, Crowell M. Coping strategies and interpersonal support in patients with irritable bowel syndrome and inflammatory bowel disease. Clin Gastroenterol Hepatol. 2006;4:474-81.

Fox H, Hong K, Sinha R. Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addict Behav. 2008;33:388-94.

Nock MK, Mendes WB. Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. J Consult Clin Psychol. 2008;76:28-38.

Hambrook D, Oldershaw A, Rimes K, Schmidt U, Tchanturia K, Treasure J. Emotional expression, self-silencing, and distress tolerance in anorexia nervosa and chronic fatigue syndrome. Br J Clin Psychol. 2011;50:310-25.

Rimes KA, Chalder T. The Beliefs about Emotions Scale: Validity, reliability and sensitivity to change. J Psychosom Res. 2010;68:285-92.

Veilleux JC, Salomaa AC, Shaver JA, Zielinski MJ, Pollert GA. Multidimensional assessment of beliefs about emotion. Assessment. 2015;22:86-100.

Tamir M, John OP, Srivastava S, Gross JJ. Implicit theories of emotion: Affective and social outcomes across a major life transition. J Pers Soc Psychol. 2007;92:731-44.

Ekman P. Basic emotions. Handbook of cognition and emotion. 2005:301-20.

Matsumoto D. Cultural similarities and differences in display rules. Motiv Emot. 1990;14:195-214.

Shaver P, Wu S, Schwartz J. Cross-cultural similarities and differences in emotion and its representation: A prototype approach. Pers Soc Psychol Rev. 1992;13:175-212.

Zborowski M. Cultural components in responses to pain. J Soc Issues. 1952;8:16-30.

Zola IK. Culture and symptoms--An analysis of patients presenting complaints. Am Sociol Rev. 1966;31:615-30.

Savani K, Kumar S, Naidu NVR, Dweck CS. Beliefs about emotional residue: The idea that emotions leave a trace in the physical environment. J Pers Soc Psychol. 2011;101:684-701.

Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970;1:185-216.

Kroenke K, Spitzer R, Williams J, Monahan P, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146:317-25.

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing Generalized Anxiety Disorder. Arch Intern Med. 2006;166:1092.

Certificate of linguistic validation certificate: general anxiety disorder-7 (GAD-7). 2006.

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med. 2001;16:606-13.

Osório FCADL, Mendes AV, Crippa JA, Loureiro SR. Study of the discriminative validity of the PHQ-9 and PHQ-2 in a sample of Brazilian women in the context of primary health care. Perspect Psychiatr Care. 2009;45:216-27.

Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright Wallace E. Development of a fatigue scale. J Psychosom Res. 1993;37:147-53.

Cho HJ, Costa E, Menezes PR, Chalder T, Bhugra D, Wessely S. Cross-cultural validation of the Chalder Fatigue Questionnaire in Brazilian primary care. J Psychosom Res. 2007;62:301-4.

Watson D, Friend R. Measurement of social-evaluative anxiety. J Consult Clin Psychol. 1969;33:448-57.

Silva A, Nardi A. Translation and cross-cultural adaptation of the Brazilian Portuguese version of the Fear of Negative Evaluation Scale (FNE). Rev Psiquiatr Rio Gd Sul. 2009;31:159-69.

Tabachnick B, Fidell L. Using multivariate statistics. 2001.

Costello A, Osborne J. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005:10.

Hayton J, Allen D, Scarpello V. Factor retention decisions in exploratory factor analysis: a tutorial on parallel analysis. Organ Res Meth. 2004;7:191-205.

O'Connor B. SPSS and SAS programs for determining the number of components using parallel analysis and Velicer's MAP test. Behav Res Methods Instrum Comput. 2000;32:396-402.

Matsunaga M. How to factor-analyze your data right: Do's, don'ts, and how-to's. Int J Psychol Res. 2010;3:97-110.

Jason L, Evans JM, Brown M, Porter N, Brown A, Hunnell J. Fatigue scales and chronic fatigue syndrome: issues of sensitivity and specificity. Disabil Stud Q. 2011;31.

George D, Mallery P. SPSS for Windows step by step: a simple guide and reference, 11.0 update. 2003.

Brown TA. Confirmatory factor analysis for applied research. 2006.

Hatcher L. A step-by step approach to using the SAS system for factor analysis and structural equation modeling. 1994.

The global gender gap report. 2014.

Timmers M, Fischer A, Manstead A. Ability versus vulnerability: Beliefs about men's and women's emotional behaviour. Cogn Emot. 2003;17:41-63.

Brody R, Hall JA. Gender and emotion in context. Handbook of emotions. 2008:395-408.

Pagano A. Everyday narratives on race and health in Brazil. Med Anthropol Q. 2014;28:221-41.

Kempke S, Luyten P, Claes S, Goossens L, Bekaert P, Wambeke PV. Self-critical perfectionism and its relationship to fatigue and pain in the daily flow of life in patients with chronic fatigue syndrome. Psychol Med. 2013;43:995-1002.

Flo E, Chalder T. Prevalence and predictors of recovery from chronic fatigue syndrome in a routine clinical practice. Behav Res Ther. 2014;63:1-8.

James K, Verplanken B, Rimes KA. Self-criticism as a mediator in the relationship between unhealthy perfectionism and distress. Pers Individ Dif. 2015;79:123-8.

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