Psychometric validity of the Compassionate Engagement and Action Scale for Adolescents: a Swedish version

Eva Henje, Frida Carlberg Rindestig, Paul Gilbert, Inga Dennhag, Eva Henje, Frida Carlberg Rindestig, Paul Gilbert, Inga Dennhag

Abstract

Background: There is increasing evidence that compassion is linked to mental health and well-being while difficulties in receiving and expressing compassion to self and others is associated with mental health and social difficulties. For the most part the self-report scales that measure these processes have been developed for adults and little is known how they function in adolescents. This study investigates a Swedish adaption for adolescents of the Compassionate Engagement and Action Scales (CEAS), developed by Gilbert et al. (2017) for adults. This assesses different competencies associated with being compassionate to others, the experience receiving compassion from others, and being compassionate with one-self.

Objective: To evaluate the psychometric properties and gender differences of CEAS for Youths - Swedish version (CEASY-SE), in a school-sample of adolescents (n = 316) aged 15-20 years.

Method: The Compassionate Engagement and Action Scales were translated into Swedish. A back-translation method was used. It was then adapted for adolescents with age-appropriate language. Adolescents were recruited by research assistants at two public high schools.

Results: After removing one item of each subscale, the dimensionalities of the three scales were good. Confirmatory factor analysis showed that engagement and action constituted different dimensions in each scale. Internal consistency was good to excellent in all three sub-scales (α from 0.74 to 0.92). Intra Class Correlations demonstrated good to excellent test-retest reliability over a period of three weeks (0.67 to 0.85). Convergent and divergent validity were as expected, except for Compassion for others, which did not correlate with anxiety and depression symptoms as expected. Girls showed less self-compassion compared to boys and more compassion for others.

Conclusions: Present study suggests that CEASY-SE has good to excellent psychometric properties and further study is needed for more definite establishment of the psychometric properties. Girls and boys have different patterns of compassion.

Keywords: Compassion; adolescents; confirmatory factor analysis; reliability; scale development; validity.

Conflict of interest statement

Conflicts of interest All authors declare no conflicts of interest.

© 2020 Authors.

Figures

FIGURE 1.
FIGURE 1.
Principal Component Analyses of 1) Compassion for Others, 2) Compassion from Others, 3) Self-compassion. WHO5tot = WHO-5 Well-being Index; SCSpositive = self-compassion positive scale; BYI-D = Beck Youth Inventories of Emotional and Social Impairment Depression; BYI-A = Beck Youth Inventories of Emotional and Social Impairment Anger

References

    1. Gilbert P, Catarino F, Duarte C, Matos M, Kolts R, Stubbs J, et al. . The development of compassionate engagement and action scales for self and others. J Compassionate Health Care 2017;4(1).
    1. Hermanto N, Zuroff DC, Kopala-Sibley DC, Kelly AC, Matos M, Gilbert P, et al. . Ability to receive compassion from others buffers the depressogenic effect of self-criticism: A cross-cultural multi-study analysis. Pers Individ Diff 2016;98:324-32.
    1. Tian L, Tian Q, Huebner ES. School-related social support and adolescents’ school-related subjective well-being: The mediating role of basic psychological needs satisfaction at school. Soc Indicat Res 2016;128(1):105-29.
    1. Bluth K, Blanton PW. Mindfulness and self-compassion: Exploring pathways to adolescent emotional well-being. J Child Fam Stud 2014;23(7):1298-309.
    1. Bluth K, Campo RA, Futch WS, Gaylord SA. Age and gender differences in the associations of self-compassion and emotional well-being in a large adolescent sample. J Youth Adolesc 2017;46(4):840-53.
    1. Bluth K, Gaylord S, Campo R, Mullarkey M, Hobbs L. Making friends with yourself: A mixed methods pilot study of a mindful self-compassion program for adolescents. Mindfulness 2016;7(2):479-92.
    1. Bluth K, Mullarkey M, Lathren C. Self-compassion: A potential path to adolescent resilience and positive exploration. J Child Fam Stud 2018;27(9):3037-47.
    1. Bluth K, Roberson P, Gaylord S, Faurot K, Grewen K, Arzon S, et al. . Does self-compassion protect adolescents from stress? J Child Fam Stud. 2016;25(4):1098-109.
    1. Neff KD, McGehee P. Self-compassion and psychological resilience among adolescents and young adults. Self Identity 2010;9(3):225-40.
    1. Leary MR, Tate EB, Adams CE, Allen AB, Hancock J. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. J Pers Soc Psychol 2007;92(5):887-904.
    1. Liu W, Mei J, Tian L, Huebner ES. Age and gender differences in the relation between school-related social support and subjective well-being in school among students. Soc Indicat Res 2015;125(3):1065-83.
    1. Stewart T, Suldo S. Relationships between social support sources and early adolescents' mental health: The moderating effect of student achievement level. Psychol Sch 2011;48(10):1016-33.
    1. Kirby JN, Gilbert P. Commentary regarding Wilson et al. (2018) “effectiveness of ‘self-compassion’ related therapies: A systematic review and meta-analysis.” all is not as it seems. Mindfulness 2019;10(6):1006-16.
    1. Goetz JL, Keltner D, Simon-Thomas E. Compassion: An evolutionary analysis and empirical review. Psychol Bull 2010;136(3):351-74.
    1. Strauss C, Lever Taylor B, Gu J, Kuyken W, Baer R, Jones F, et al. . What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev 2016;47:15-27.
    1. Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self Identity 2003;2(2):85-101.
    1. Neff KD. The development and validation of a scale to measure self-compassion. Self Identity 2003;2(3):223-50.
    1. Cunha M, Rodrigues C, Matos M, Galhardo A, Couto M. Compassionate Attributes and Action Scale for adolescents: Adaptation and validation. Eur Psychiatry 2017;41:434.
    1. Castilho P, Carvalho SA, Marques S, Pinto-Gouveia J. Self-compassion and emotional intelligence in adolescence: A multigroup mediational study of the impact of shame memories on depressive symptoms. J Child Fam Stud 2016;26(3):759-68.
    1. Zeller M, Yuval K, Nitzan-Assayag Y, Bernstein A. Self-compassion in recovery following potentially traumatic stress: longitudinal study of at-risk youth. J Abnorm Child Psychol 2015;43(4):645-53.
    1. Muris P, Meesters C, Pierik A, de Kock B. Good for the self: Self-compassion and other self-related constructs in relation to symptoms of anxiety and depression in non-clinical youths. J Child Fam Stud 2016;25:607-17.
    1. Bluth K, Blanton PW. The influence of self-compassion on emotional well-being among early and older adolescent males and females. J Posit Psychol 2015;10(3):219-30.
    1. Muris P, Petrocchi N. Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clin Psychol Psychother 2017;24(2):373-83.
    1. Gilbert P. Psychotherapy and counselling for depression. 3rd ed. Gilbert P. (ed). Los Angeles: SAGE; 2007.
    1. Gilbert P. Human nature and suffering. London: Taylor and Francis; 2016. 1-403 p.
    1. Carter SC, Bartel IBA, Porges EC. The roots of compassion: an evolutionary and neurobiological perspective. In: E. Seppala E, Simon-Thomas S, Brown M, Worline CD, Cameron JD (eds). Oxford handbook of compassion science. New York: Oxford University Press; 2017. p. 173-88.
    1. Yarnell LM, Stafford RE, Neff KD, Reilly ED, Knox MC, Mullarkey M. Meta-analysis of gender differences in self-compassion. Self Identity 2015;14(5):499-520.
    1. Neff KD, Beretvas SN. The role of self-compassion in romantic relationships. Self Identity 2013;12(1):78-98.
    1. Neff KD, Pommier E. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self Identity 2013;12(2):160-76.
    1. Yarnell LM, Neff KD. Self-compassion, interpersonal conflict resolutions, and well-being. Self Identity 2013;12(2):146-59.
    1. Iskender M. The relationship between self-compassion, self-efficacy, and control belief about learning in Turkish university students. Soc Behav Person 2009;37(5):711-20.
    1. Statistiska Centralbyrån SEI yrkesförteckning version 2019-02-21. ; 2019.
    1. Muris P, van den Broek M, Otgaar H, Oudenhoven I, Lennartz J. Good and bad sides of self-compassion: A face validity check of the self-compassion scale and an investigation of its relations to coping and emotional symptoms in non-clinical adolescents. J Child Fam Stud 2018;27(8):2411-21.
    1. Blom EH, Bech P, Hogberg G, Larsson JO, Serlachius E. Screening for depressed mood in an adolescent psychiatric context by brief self-assessment scales - testing psychometric validity of WHO-5 and BDI-6 indices by latent trait analyses. Health Qual Life Outcomes 2012;10(1):149.
    1. Beck JS, Beck AT, Jolly J. Manual for the Beck Youth Inventories of Emotional and Social Impairment: San Antonio, TX: The Psychological Corporation; 2001.
    1. Chorpita BF, Moffitt CE, Gray J. Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behav Res Ther 2005;43(3):309-22.
    1. Piqueras JA, Martin-Vivar M, Sandin B, San Luis C, Pineda D. The Revised Child Anxiety and Depression Scale: A systematic review and reliability generalization meta-analysis. J Affect Disord 2017;218:153-69.
    1. Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 2001;40(11):1337-45.
    1. Cella D, Gershon R, Lai JS, Choi S. The future of outcomes measurement: item banking, tailored short-forms, and computerized adaptive assessment. Qual Life Res 2007;16(1):133-41.
    1. Field AP. Discovering statistics using IBM SPSS statistics. 5. ed. London: Sage Publications; 2018.
    1. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1994.
    1. Fleiss JL. The design and analysis of clinical experiments. New York: Wiley; 1986.
    1. Rossell Y. Latent Variable Analysis, version 0.6-3 2018.
    1. Li C-H. Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behav Res Methods 2016;48(3):936-49.
    1. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale: L. Erlbaum Associates; 1988.
    1. Abdi H, Williams LJ. Principal component analysis. WIREs Computat Stat 2010;2(4):433-59.
    1. Tian L, Tian Q, Huebner ES. School-related social support and adolescents’ school-related subjective well-being: The mediating role of basic psychological needs satisfaction at school. Soc Indicat Res 2015;128(1):105-29.
    1. WHO Depression and other common mental disorders: Global health estimates. Geneva: World Health Organization; 2017.

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