Adaptation and validation of a patient-reported compassion measure in the Spanish population: The Spanish version of the Sinclair Compassion Questionnaire (SCQesp).

International practice guidelines and policies recognize compassion as a fundamental dimension of quality care. A key element in enhancing compassion in healthcare settings is having reliable patient-reported experience measures. In the Spanish context, there is a need for a valid Spanish patient-reported compassion measure for use in both research and clinical practice. The Sinclair Compassion Questionnaire (SCQ) represents the gold standard for patient-reported compassion measures in English-speaking settings. The primary aim of this study is to culturally adapt and validate the SCQ in a Spanish population. A Spanish version of the SCQ (SCQesp) was used to collect data from 303 Spanish patients (in two contexts: hospitalized and medical visit). Confirmatory factor analysis confirmed a one-factor solution in the 15-item (SCQesp) and five-item (SCQesp-SF) short form version. The SCQesp showed excellent values of reliability: Cronbach's α = 0.98; composite variance = 0.98 (0.905-0.854); and stratified variance = 0.78. The SCQesp-SF showed similar values of reliability. The SCQesp has excellent psychometric properties, making it a valid and reliable measure for assessing compassion in healthcare research and clinical care. This scientifically rigorous and psychometrically robust compassion measure in Spanish could allow healthcare providers, researchers, and leaders to routinely assess compassion.

The Big Five and subjective wellbeing: The mediating role of optimism.

BACKGROUND: Previous literature has shown that personality is one of the most important predictors of Subjective Wellbeing. However, the mechanisms through which basic personality dispositions contribute to wellbeing have scarcely been explored. Therefore, in this study we examined the mediating role of Optimism in the relationship between the Big Five personality model (both factors and facets) and Subjective Wellbeing. Additionally, we assessed whether the results varied by sex. METHOD: A sample of 611 Spanish adolescents completed self-report measures of BFQ, LOT-R, and SHS. We conducted structural equation modeling to test the proposed mediating models. RESULTS: Optimism completely mediated the relationship between Extraversion and Emotional Stability factors and Subjective Wellbeing. Likewise, Optimism mediated the relationship between the personality facets Politeness, Perseverance, Emotion control, Impulse control, and Dynamism and Subjective Wellbeing. The findings were invariant by sex. CONCLUSIONS: These results provide help in identifying the possible mechanisms through which basic dispositions of personality contribute to wellbeing. These findings can be used to develop interventions that target the promotion of greater Subjective Wellbeing through Optimism, and thereby improve adolescents' adjustment.

Psychometric Properties of Spanish Version Student Utrecht Work Engagement Scale (UWES-S-9) in High-school Students.

The Utrecht Work Engagement Scale (UWES) is a self-report instrument widely used, both in the original and its abbreviated version of nine items, to assess the work -UWES, UWES-9- and academic engagement -UWES-S, UWES-S-9-. The present study examines factor structure of the UWES-S-9 using confirmatory factor analysis (CFA), its convergent validity and invariance across sex and age groups in a sample of 626 Spanish high school students. The results support an unidimensional conceptualization of engagement (S-Bχ2/df = 5.29; CFI = .96; NNFI = .94; RMSEA = .083; IFI = .96; AIC = 82.21; BIC = 267.38), revealed an essentially invariant structure of the UWES-S-9 across the sex, ΔS-Bχ2(Δ6) = 10.67; p ≤ .05, and age, ΔS-Bχ2(Δ7) = 9.67; p ≤ .05, and confirmed the positive association between academic engagement and achievement (r = .30; p ≤ .001), dispositional optimism (r = .21; p ≤ .001), and subjective well-being (r = .16; p ≤ .001), and the negative association with perceived stress (r =. -13; p ≤ .001). In short, the Spanish version of UWES-S-9 is presented as a brief, reliable and valid tool to measure academic engagement in high school students (α = .91, AVE = .52, Ω = .911).

Parenting Style and Reactive and Proactive Adolescent Violence: Evidence from Spain.

The aim of the present study was to analyze the relationship between the parenting styles-authoritative, indulgent, authoritarian, and neglectful-and reactive and proactive school violence among peers. These analyses were also performed by sex and age groups. The sample consisted of 2399 Spanish adolescents (50.2% male), aged between 12 and 18 years, mean (M) = 14.69, standard deviation (SD) = 1.82. A multivariate analisys of variance (MANOVA, 4 × 2 × 2) was applied, considering parenting style, sex, and age group (12⁻14 and 15⁻18 years) as independent variables to analyze the possible effects of interaction. Reactive, proactive, and pure violence were the dependent variables. The results showed the main effects of parenting styles, sex, and age, as well as an interaction between sex, age, and parenting styles. The interpretation of the findings suggested that the authoritarian parenting style was related to greater engagement in proactive and reactive violent behaviors. In relation to the effect of the interaction between sex, age, and parenting styles, it was observed that adolescents from indulgent families, of both sexes and in any of the studied age groups, obtained lower scores in proactive violence. The discussion highlights the importance of affection and warmth for well-adjusted children's behavior.

English Validation of the Parental Socialization Scale-ESPA29.

Parenting styles have traditionally been studied following the classical two-dimensional orthogonal model of parental socialization. The Parental Socialization Scale ESPA29 is used to measure the four styles of parental socialization through the acceptance/involvement and strictness/imposition dimensions. The ESPA29 scale is a developmentally appropriate measure of parenting styles, which has been validated in several languages including Spanish, Italian, and Brazilian Portuguese. In this study, the English translation of the ESPA29 was evaluated. The objective of the work is to test the ESPA29's structure of parenting practices with a United States sample measuring parenting practices using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The scores of fathers' and mothers' behavioral practices toward their children were obtained for a sample of 911 United States adolescents between 14 and 18 years of age. First, the total sample was split and a principal components analysis with varimax rotation was carried out with one of the two halves. EFA showed a two-factor structure fully congruent with the theoretical model for mothers' and fathers' scores. Next, a CFA was calculated on the second half by using the factor structure obtained in the previous EFA. The CFA replicated the two-factor structure with appropriate fit index. The seven parenting practices that were measured loaded appropriately on the acceptance/involvement and strictness/imposition dimensions. Then, the multigroup analysis between girls and boys showed equal loading in the factors and equal covariation between the acceptance/involvement and the strictness/imposition dimensions. Additionally, the two dimensions of the ESPA29 scale were related to self-esteem in order to obtain an external validity index. The findings confirm the invariant structure of the ESPA29 was in the United States and their equivalence in both fathers' and mothers' scores. These findings validate the instrument and confirm its applicability in cross-cultural research on parenting practices and child adjustment.

A longitudinal study of psychosocial distress in breast cancer: prevalence and risk factors.

This longitudinal study was conducted among 102 women with non-metastasic breast cancer to identify the time evolution and prevalence of distress at specific times through diagnosis and treatment of disease: preliminary diagnosis, surgery, definitive diagnosis and chemotherapy. Additionally, the study aimed to examine the role of demographic, medical and psychosocial factors on distress. The results indicated that prevalence of distress was higher at initial diagnosis (25%) than the following time points (approximately 17%). The differences inter-individuals in the levels of distress were observed over the four assessments. No relation between distress and demographic and medical factors was found. However, psychosocial aspects were significant risk factors. Patterns of emotional suppression and specific coping responses like helplessness/hopelessness, anxious preoccupation, cognitive avoidance and fatalism were positively related to distress, whereas fighting spirit and perceived social support showed a protective role. Moreover, helplessness/hopelessness and anxious preoccupation jointly predicted 75% of cases and 98% non-cases of distress. Finally, a mediational model between emotional suppression and distress through helplessness/hopelessness was tested. Results support the necessity of routine distress screening all through the illness. Implications of data for psychosocial interventions with breast cancer patients are highlighted.

The relationships of family and classroom environments with peer relational victimization: an analysis of their gender differences.

This study analyzes the relationships of adolescents' perceptions of their family and classroom environments with peer relational victimization, taking into account that these relationships could be mediated by adolescents' self-esteem, feelings of loneliness, and sociometric status. These relationships, and their possible gender differences, were analyzed in a sample of 1319 Spanish adolescents (48% boys and 52% girls), ages 11 to 16 years (M = 13.7, SD = 1.5). A structural equation modeling was calculated for boys and girls separately. The findings suggested that the adolescents' self-esteem, loneliness, and sociometric status had a significant direct effect on peer relational victimization for boys, and adolescents' loneliness and sociometric status for girls. Their perceptions of family and classroom environments had a significant indirect effect on peer relational victimization for boys and girls, but the paths were different. Overall, findings suggested that a negative classroom environment had a more relevant effect in relational victimization for boys.

Emotional suppression and breast cancer: validation research on the Spanish Adaptation of the Courtauld Emotional Control Scale (CECS).

Emotional suppression has played an important role in the research on psychosocial factors related to cancer. It has been argued to be an important psychological factor predicting worse psychosocial adjustment in people with cancer and it may mediate health outcomes. The reference instrument in the research on emotional suppression is the Courtauld Emotional Control Scale (CECS). The present study analysed construct validity of a new Spanish adaptation of the CECS in a sample of 175 breast cancer patients. The results confirmed the proposal by Watson and Greer claiming that the CECS is composed of three subscales that measure different dimensions, but not independent, from emotional control. The present Spanish version of the CECS showed high internal consistency in each subseale as well as the total score. According to Derogatis (BSI-18) criteria, emotional suppression predicts clinically significant distress. In short, our results support the reliability, validity and utility of this Spanish adaptation of the CECS in clinical and research settings.

Psychometric properties of the Brief Symptom Inventory-18 in a Spanish breast cancer sample.

OBJECTIVE: The objective of this work was to study the psychometric and structural properties of the Brief Symptom Inventory-18 (BSI-18) in a sample of breast cancer patients (N=175). METHODS: Confirmatory factor analyses were conducted. Two models were tested: the theoretical model with the original structure (three-dimensional), and the empirical model (a four-factor structure) obtained through exploratory factor analysis initially performed by the authors of the BSI-18. RESULTS: The eligible structure was the original proposal consisting of three dimensions: somatization, depression, and anxiety scores. These measures also showed good internal consistency. CONCLUSION: The results of this study support the reliability and structural validity of the BSI-18 as a standardized instrument for screening purposes in breast cancer patients, with the added benefits of simplicity and ease of application.

Psychometric properties of the Brief Symptoms Inventory-18 (Bsi-18) in a Spanish sample of outpatients with psychiatric disorders.

This study analyzes the psychometric and structural properties of the BSI-18 in a sample of Spanish outpatients with psychiatric disorders (N = 200), with three basic objectives: (a) to study the structural validity of the instrument; (b) to analyse reliability (internal consistency and test-retest stability) and validity (convergent and discriminant) of the instrument, and (c) to evaluate sensitivity to change in a therapeutic context. Using confirmatory factor analysis, two models were tested: the three-dimensional theoretical model proposed by its authors, and the empirical four-factor model obtained by the same authors through exploratory factor analysis. Our results showed that the best structure was a four-dimensional model, with the General Distress index and Somatization, Depression, General Anxiety and Panic scores. These four scales showed good internal consistency, test-retest reliability, validity and sensitivity to therapeutic change. The BSI-18 has been shown to be a reliable and useful tool for psychiatric assessment of patients, with the added advantage provided by its simplicity and ease of application.

[Design and power analysis: n and confidence intervals of means]. / Diseño y análisis de la potencia: n y los intervalos de confianza de las medias.

In this study, we analyzed the validity of the conventional 80% power. The minimal sample size and power needed to guarantee non-overlapping (1-alpha)% confidence intervals for population means were calculated. Several simulations indicate that the minimal power for two means (m = 2) to have non-overlapping CIs is .80, for (1-alpha) set to 95%. The minimal power becomes .86 for 99% CIs and .75 for 90% CIs. When multiple means are considered, the required minimal power increases considerably. This increase is even higher when the population means do not increase monotonically. Therefore, the often adopted criterion of a minimal power equal to .80 is not always adequate. Hence, to guarantee that the limits of the CIs do not overlap, most situations require a direct calculation of the minimum number of observations that should enter in a study.

[Differences in protective factors of substance use in early and middle adolescence]. / Diferencias en factores de protección del consumo de sustancias en la adolescencia temprana y media.

This study focuses on possible differences in protective factors of substance use in early and middle adolescence. These possible differences are analysed by means of the same structural equation model applied to two different samples of adolescents: the first sample is made up of 450 adolescents, ages 12 to 14 years, and second of 203 adolescents, ages 15 to 17 years. The results indicate that adequate family communication is a protective factor in both samples, whereas high social self-esteem is proposed as a risk factor in middle adolescence. The adolescent's family self-esteem and attitudes towards authority are also relevant factors in both samples. These results may have important implications in the development of future intervention programmes.

Reputation, loneliness, satisfaction with life and aggressive behavior in adolescence.

The present study analyses the relationship between adolescents' perception of reputation and aggressive behavior among peers. The sample is made up of 1319 adolescents aged 11 to 16-years-old. Statistical analyses with structural equation modeling were carried out to examine the direct and indirect effect of perception of reputation (real and ideal) on aggressive behavior. Results indicate that adolescents' real and ideal reputations are related both directly and indirectly to aggressive behavior. The indirect effects suggest that loneliness and life satisfaction mediate the relationship between adolescents' reputation and their aggressive behavior. These findings and their implications are discussed.

Comunicación familiar y comportamientos delictivos en adolescentes españoles: el doble rol mediador de la autoestima / Family communication and delinquent behavior among spanish adolescents: the mediating role of self-esteem

This research analyses the relationship among family communication (open communication versus communication problems), multidimensional self-esteem (family, academic, social and physical self-esteem) and behavioural problems in adolescence. Two independent samples were used in the study: Sample 1 was composed of 414 adolescents ranging in age from 12 to 17 years old, and Sample 2 was composed of 625 adolescents aged from 11 to 20 years old. Results showed an indirect effect of family communication on delinquent behavior through the mediation of self-esteem. We found a protection effect of family and academic self-esteem and a risk effect of social and physical self-esteem on delinquent behavior.

El presente estudio analiza las relaciones entre la comunicación familiar (comunicación abierta o problemática), la autoestima considerada desde una perspectiva multidimensional (autoestima familiar, escolar, social y física) y los comportamientos delictivos en adolescentes. Se utilizan dos muestras independientes: la primera está constituida por 414 chicas y chicos de 12 a 17 años y la segunda por 625 chicas y chicos de 11 a 20 años. Se observa, en las dos muestras, una influencia indirecta de la comunicación familiar en el comportamiento delictivo a través de una mediación de la autoestima. Además, se observa, tanto un efecto protector de las autoestimas familiar y escolar frente a la implicación en comportamientos delictivos, como un efecto de riesgo de las autoestimas social y física.

Individual and social risk factors related to overt victimization in a sample of Spanish adolescents.

This study analyzes the role of adolescents' self-esteem, loneliness, sociometric status, and perceptions of family and classroom environment on overt vicitimization by peers in a sample of 1319 Spanish adolescents (48% boys and 52% girls), ages 11 to 16 years (M=13.7, SD=1.5). The findings from structural equation modeling suggest that adolescents' self-esteem, loneliness, and sociometric status had a significant direct effect on overt victimization by peers, and adolescents' perceptions of family and classroom environment had a significant indirect effect on peer overt victimization mediated by self-esteem, loneliness, and sociometric status. The findings are discussed with the consideration of these variables as individual and social risk factors for overt victimization by peers.

[Family functioning, self-esteem and substance use in adolescents: a mediational model]. / Funcionamiento familiar, autoestima y consumo de sustancias en adolescentes: un modelo de mediación.

OBJECTIVE: This research analyzes the direct and indirect relationships among family functioning, multidimensional self-esteem (family, academic, social, and physical self-esteem) and substance use. MATERIALS AND METHODS: The study participants were composed of two independent samples of Spanish adolescents who provided information during the 2003-2004 academic year (n1 = 414, Castilla and León; n2 = 625, Comunidad Valenciana). The statistical analyses were carried out using structural equation modelling and the procedure of mediation effects analysis (Holmbeck, 1997). RESULTS: Results showed a significant mediational effect of self-esteem on the relation between family functioning and adolescent substance use. Moreover, results showed, on the one hand, a protection effect of family and academic self-esteem in the face of substance use and, on the other hand, a risk effect of social and physical self-esteem. CONCLUSIONS: It is necessary to adopt a multidimensional perspective when analyzing the self-esteem of adolescents with substance use and to prevent the over-valuation of social and physical dimensions.

Funcionamiento familiar, autoestima y consumo de sustancias en adolescentes: un modelo de mediación / Family functioning, self-esteem and substance use in adolescents: a mediational model

OBJETIVO: Analizar las relaciones directas e indirectas entre el funcionamiento familiar, la autoestima considerada desde una perspectiva multidimensional (autoestima familiar, escolar, social y física) y el consumo de sustancias. MATERIAL Y MÉTODOS: Los datos se recogieron durante el año escolar 2003-2004 y corresponden a dos muestras independientes de adolescentes españoles (n1= 414, Castilla y León; n2= 625, Comunidad Valenciana). Para el análisis de datos se utilizó la técnica estadística de ecuaciones estructurales y se siguió el procedimiento de análisis de efectos mediadores de Holmbeck (1997). RESULTADOS: La autoestima media significativamente la influencia del funcionamiento familiar en el consumo de sustancias de los adolescentes. Además, se observa, por un lado, un efecto protector de las autoestimas familiar y escolar frente a la implicación en el consumo de sustancias y, por otro, un efecto de riesgo de las autoestimas social y física. CONCLUSIONES: Parece necesario adoptar una perspectiva multidimensional en el estudio de la autoestima de adolescentes consumidores y prevenir la sobrevaloración en las dimensiones social y física.

OBJECTIVE: This research analyzes the direct and indirect relationships among family functioning, multidimensional self-esteem (family, academic, social, and physical self-esteem) and substance use. MATERIALS AND METHODS: The study participants were composed of two independent samples of Spanish adolescents who provided information during the 2003-2004 academic year (n1= 414, Castilla & León; n2= 625, Comunidad Valenciana). The statistical analyses were carried out using structural equation modelling and the procedure of mediation effects analysis (Holmbeck, 1997). RESULTS: Results showed a significant mediational effect of self-esteem on the relation between family functioning and adolescent substance use. Moreover, results showed, on the one hand, a protection effect of family and academic self-esteem in the face of substance use and, on the other hand, a risk effect of social and physical self-esteem. CONCLUSIONS: It is necessary to adopt a multidimensional perspective when analyzing the self-esteem of adolescents with substance use and to prevent the over-valuation of social and physical dimensions.

Psychological assessment of patients with temporomandibular disorders: confirmatory analysis of the dimensional structure of the Brief Symptoms Inventory 18.

OBJECTIVE: This article analyzes the psychometric and structural properties of the Brief Symptoms Inventory 18 in a sample of patients with temporomandibular disorders (TMDs), given the convenience of a brief evaluation of distress in these patients. METHODS: Confirmatory factor analysis was carried out in a sample of 114 patients with TMDs. Two models were tested: the theoretical model with the original structure proposed--which considers three dimensions--and the empirical model obtained through the exploratory factor analysis initially carried out by Leonard R. Derogatis--which consists of the four-factor structure. RESULTS: Both models reached satisfactory indexes in confirmatory factor analysis. Empirical and theoretical reasons led us to prefer the original proposal of three dimensions: somatization, depression and anxiety, and general distress. CONCLUSION: The Brief Symptoms Inventory 18 has been demonstrated to be a reliable and valid tool for the assessment of distress in patients with TMDs, with the advantage of its simplicity and ease of application.

[Family and school violence: the mediator role of self-esteem and attitudes towards institutional authority]. / Familia y violencia escolar: el rol mediador de la autoestima y la actitud hacia la autoridad institucional.

This study analyses the influence of family communication and parental valuation of school on adolescent violent behaviour at school. By means of a structural equation model, both its direct and indirect influence through school and family self-esteem of the adolescent and his attitude towards school authority are analysed. The sample is composed of 665 adolescents whose ages range from 12 to 16 years old. The results confirm the existence of an indirect relationship but not direct influence of the family on school violence. The attitude of the adolescent towards school authority is the mediator variable which shows the strongest direct effect on school violence. Also, the two dimensions of self-esteem considered are significant intermediate variables. These results and their implications are analysed.