Volume 10, Issue 4 (2022)                   Health Educ Health Promot 2022, 10(4): 779-789 | Back to browse issues page

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Dahmardeh H, Sadooghiasl A, Mohammadi E, Kazemnejad A. Design and Evaluation of Self-Compassion Scale in Iranian Patients with Multiple Sclerosis. Health Educ Health Promot 2022; 10 (4) :779-789
URL: http://hehp.modares.ac.ir/article-5-64172-en.html
1- Department of Nursing, Faculty of Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran
2- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3- Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Abstract:   (502 Views)
Aims: How people react to stressful and painful situations, such as suffering from a chronic disease like multiple sclerosis, is influenced by various factors, one of which is self-compassion. Self-compassion has a psychological nature and significant efficiency in the care and treatment of chronic patients. Existing tools have not paid attention to the characteristics of people suffering from chronic diseases such as MS in using self-compassion for managing the disease. Therefore, the present study aimed to design a questionnaire to measure self-compassion in patients with MS.
Instrument & Methods: The present study is methodological research that was conducted in qualitative and quantitative parts. The items were designed based on the qualitative part of the study and review of texts. The validation characteristics of the questionnaire were performed using face validity, content, and structure. The reliability was assessed by internal consistency and stability methods.
Findings: In the qualitative phase, 78 initial items were extracted. After calculating the item impact score index with values higher than 1.5, content validity ratio higher than 0.51, and content validity index higher than 0.79, 73 items were selected. Confirmatory and then exploratory factor analysis was performed. The internal consistency of the questionnaire was 0.813, and the stability of the questionnaire was 0.778.
Conclusion: Self-compassion scale in patients with MS is a valid and reliable tool in Iranian society. Since Neff theory was used as a guiding framework in this study, the tool can also be used for non-Iranian patients to understand their perception and experiences.
 
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Article Type: Descriptive & Survey | Subject: Spiritual Health
Received: 2022/09/13 | Accepted: 2022/11/13 | Published: 2022/12/20
* Corresponding Author Address: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Jalal Al-Ahmed Highway, Tehran, Iran. Postal Code: 14115-331 (a.sadooghi@modares.ac.ir)

References
1. Abedini E, Ghanbari Hashem-Abadi BA, Talebian-Sharif J. Effectiveness of group therapy based on hope approach on hope and depression in women with multiple sclerosis. J Clin Psychol. 2016;8(2):1-11. [Persian] [Link]
2. Dahmardeh H, Vagharseyyedin SA, Amiri Fard H, Sharif-zadeh GR, Rakhshani-Zabol F. Effect of self-care educational program based on Orem's theory on hope in patients with multiple sclerosis. Medical - Surgical Nursing Journal. 2015;4(2):57-63. [Persian] [Link]
3. Correale J, Gaita'n MI, Ysrraelit MC, Fiol MP. Progressive multiple sclerosis: from pathogenic mechanisms to treatment. Brain. 2017;140(30):527-46. [Link]
4. Karussis D. The diagnosis of multiple sclerosis and the various related demyelinating syndromes: A critical review. J Autoimmun. 2014;48-49:134-42. [Link] [DOI:10.1016/j.jaut.2014.01.022]
5. Browne P, Chandraratna D, Angood C, Tremlett H, Baker C, Taylor BV, et al. Atlas of multiple sclerosis 2013: A growing global problem with widespread inequity. Neurology 2014;83(11):1022-4. [Link] [DOI:10.1212/WNL.0000000000000768]
6. Walton C, King R, Rechtman L, Kaye W, Leray E, Marrie R, et al. Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS, third edition. Mult Scler. 2020;26(14):1816-21. [Link] [DOI:10.1177/1352458520970841]
7. Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: a literature update. Curr Heart Fail Rep. 2017;14(2):71-7. [Link] [DOI:10.1007/s11897-017-0324-1]
8. Wilkinson A, Whitehead L. Evolution of the concept of self-care and implications for nurses: A literature review. Int J Nurs Stud. 2009;46(8):1143-7. [Link] [DOI:10.1016/j.ijnurstu.2008.12.011]
9. Sinclair S, Kondejewski J, Raffin-Bouchal S, King-Shier KM, Singh P. Can self-compassion promote healthcare provider well-being and compassionate care to others? Results of a systematic review. Appl Psychol Health Well Being. 2017:9(2):168-206. [Link] [DOI:10.1111/aphw.12086]
10. Ferrari M, Dal Cin M, Steele M. Educational and psychological aspects Self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabet Med. 2017;34(11):1546-53. [Link] [DOI:10.1111/dme.13451]
11. Mills J, Wand T, Fraser JA. Examining self-care, self-compassion and compassion for others: a cross-sectional survey of palliative care nurses and doctors. Int J Palliat Nurs. 2018;24(1):4-11. [Link] [DOI:10.12968/ijpn.2018.24.1.4]
12. Nery-Hurwit M, Yun J, Ebbeck V. Examining the roles of self-compassion and resilience on health-related quality of life for individuals with multiple sclerosis. Disabil Health J. 2018;11(2):256-61. [Link] [DOI:10.1016/j.dhjo.2017.10.010]
13. Moszadeh S. Effectiveness of self-directed group training on reducing the stress of parenting and increasing parental self-efficacy and resilience of mothers of children with autism spectrum disorder [Dissertation]. Mashhad: Mashhad Ferdowsi University; 2017. [Link]
14. Pinto-Gouveia J, Duarte C, Matos M, Fráguas S. The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clin Psychol Psychother. 2014; 21(4):311-23. [Link] [DOI:10.1002/cpp.1838]
15. Neff KD. The development and validation of a scale to measure self-compassion. Self Ident. 2003;2(3):223-50. [Link] [DOI:10.1080/15298860309027]
16. Wren AA, Somers TJ, Wright MA, Goetz MC, Leary MR, Fras AM, et al. Self-compassion in patients with persistent musculoskeletal pain: Relationship of self-compassion to adjustment to persistent pain. J Pain Symptom Manag. 2012;43(4):759-70. [Link] [DOI:10.1016/j.jpainsymman.2011.04.014]
17. Kachooei M, Hasani J, Moradi A, Fathi-Ashtiani A. Comparison of dispositional mindfulness and self-compassion among women with normal and high body-mass-index. Community Health. 2018;5(2):103-12. [Persian] [Link]
18. Rickers S. The lived experience of self-compassion in social workers [Dissertation]. Minneapolis: The University of Minnesota; 2012. [Link]
19. Klingle KE, Van Vliet KJ. Self-compassion from the adolescent perspective: A qualitative study. J Adolesc Res. 2017:34(3):1-24. [Link] [DOI:10.1177/0743558417722768]
20. Freeman S. Emotions in teaching: Self-compassion [Dissertation]. Provo, Utah, United States: Brigham Young University; 2016. [Link]
21. López A, Sanderman R, Smink A, Zhang Y, van Sonderen E, Ranchor A, et al. A reconsideration of the self-compassion scale's total score: Self-compassion versus self-criticism. PLoS One. 2015;10(7):e0132940. [Link] [DOI:10.1371/journal.pone.0132940]
22. Costa J, Marôco J, Pinto-Gouveia J, Ferreira C, Castilho P. Validation of the Psychometric Properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clin Psychol Psychother. 2016;23(5):460-8. [Link] [DOI:10.1002/cpp.1974]
23. Hupfeld J, Ruffieux N. Validierung einer deutschen version der self-compassion scale (SCS-D). Zeitschrift für Klinische Psychol und Psychother. 2011;40(2):115-23. [German] [Link] [DOI:10.1026/1616-3443/a000088]
24. Halamová J, Kanovský M, Pacúchová M. Self-compassion scale: IRT psychometric analysis, validation, and factor structure - Slovak translation. Psychol Belg. 2018;57(4):190-209. [Link] [DOI:10.5334/pb.398]
25. Eirini K, Christos P, Michael G, Anastasios S. Validity, reliability and factorial structure of the self-compassion scale in the Greek population. J Psychol Psychother. 2017;7(4):1-6. [Link] [DOI:10.4172/2161-0487.1000313]
26. Tanenbaum ML, Adams RN, Gonzalez JS, Hanes SJ, Hood KK. Adapting and validating a measure of diabetes-specific self-compassion. J Diabetes Complications. 2018;32(2):196-202. [Link] [DOI:10.1016/j.jdiacomp.2017.10.009]
27. Elices M, Carmona C, Pascual JC, Feliu-Soler A, Martin-Blanco A, Soler J. Compassion and self-compassion: Construct and measurement. Mindful Compass. 2017;2(1):34-40. [Link] [DOI:10.1016/j.mincom.2016.11.003]
28. McGehee P, Germer C, Neff K. Core values in mindful self-compassion. In Monteiro LM, Compson JF, Musten F, editors. Practitioner's guide to ethics and mindfulness-based interventions. Springer; 2017. p. 279-93. [Link] [DOI:10.1007/978-3-319-64924-5_11]
29. Shahhosseini ZSM, Ramezankhani A, Majd HA. Designing and psychometric properties of a questionnaire for assessing female adolescents' health needs. J Sch Public Health. 2011;9(1):11-22. [Persian] [Link]
30. Kline P. An easy guide to factor analysis. London: Routledge; 2014. [Link] [DOI:10.4324/9781315788135]
31. Hsieh HF, Shannon SE. Three approach to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. [Link] [DOI:10.1177/1049732305276687]
32. Ebadi A, Zarshenas L, Rakhshan M, Zareiyan A, Sharifinia H, Mjahedi M. Priniciples of scale development in health science. 1st Edition. Tehran: Jameenegar; 2017. [Persian] [Link]
33. Waltz CF. Nursing research: design statistics and computer analysis. Philadelphia: Davis FA; 1981. [Link]
34. Neff K. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Ident. 2003;2(2):85-101. [Link] [DOI:10.1080/15298860309032]
35. Schreiber JB, Nora A, Stage FK, Barlow EA, King J. Reporting structural equation modeling and confirmatory factor analysis results: A review. J Educ Res. 2006;99(6):323-38. [Link] [DOI:10.3200/JOER.99.6.323-338]
36. Polit DF, Yang FM. Measurement and the measurement of change: A primer for the health professions. Wolters Kluwer, 2016. [Link]
37. Haynes CA, Miles J, Clements K. A confirmatory factor analysis of two models of sensation seeking. Person Indiv Differ. 2000;29(5):823-39. [Link] [DOI:10.1016/S0191-8869(99)00235-4]
38. Klein P. Easy guide to factor analysis. Sadrissadat J, Minaei A, translators. 1st Edition. Tehran: Samat; 2001. [Persian] [Link]
39. Sirois FM, Hirsch JK. Self-compassion and adherence in five medical samples: the role of stress. Mindfulness. 2019;10(1):46-54. [Link] [DOI:10.1007/s12671-018-0945-9]
40. Jones JB, Walsh S, Isaac C. The relational impact of multiple sclerosis: An integrative review of the literature using a cognitive analytic framework. J Clin Psychol Med Settings. 2017;34(3-4):316-40. [Link] [DOI:10.1007/s10880-017-9506-y]
41. Güner MC, Yazar MS, Meterelliyoz KS. Cognitive predictors of depression and anxiety in individuals with newly diagnosed multiple sclerosis. Eur J Psychiatry. 2020;34(4):202-10. [Link] [DOI:10.1016/j.ejpsy.2020.06.004]
42. Amanelahi A, Tardast K, Aslani K. Prediction of depression based on components of self- compassion in girl students with emotional breakdown experience in Ahvaz Universities. J Clin Psychol. 2016;8(2):77-87. [Persian] [Link]
43. Rokach A. Loneliness in cancer and multiple sclerosis patients. Psychol Rep. 2004;94(2):637-48. [Link] [DOI:10.2466/pr0.94.2.637-648]
44. Kalina JT, Hinojosa J. A protocol for improving loneliness in people with multiple sclerosis. Occup Ther Mental Health. 2016;32(2):130-45. [Link] [DOI:10.1080/0164212X.2015.1130106]
45. Beal CC, Stuifbergen A. Loneliness in women with multiple sclerosis. Rehabil Nurs. 2007;32(4):165-71. [Link] [DOI:10.1002/j.2048-7940.2007.tb00171.x]
46. Ghafari S, Fallahi-Khoshknab M, Nourozi K, Mohammadi E. Patients' experiences of adapting to multiple sclerosis: a qualitative study. Contemp Nurse. 2015;50(1):36-49. [Link] [DOI:10.1080/10376178.2015.1010252]
47. Nielsen J, Saliger J, Montag C, Markett S, Nöhring C, Karbe H. Facing the Unknown: Fear of progression could be a relevant psychological risk factor for depressive mood states among patients with multiple sclerosis. Psychother Psychosom. 2018;87(3):190-2. [] [DOI:10.1159/000487329]
48. Büssing A, Koenig HG. Spiritual needs of patients with chronic diseases. Religions. 2010;1(1):18-27. [Link] [DOI:10.3390/rel1010018]
49. Khaledian M, Arjmand Kermani R, Amini P. The effectiveness of spirituality education with emphasis on the teachings of Islam on resilience and social adjustment in drug addicts. Soc Health Addict. 2018;5(18):57-74. [Persian] [Link]
50. Baljani E, Khashabi J, Amanpour E, Azimi N. Relationship between spiritual well-being, religion, and hope among patients with cancer. Hayat. 2011;17(3):27-37. [Persian] [Link]
51. Ebrahimi H, Hasankhani H, Namdar H, Khodadadi E, Fooladi M. Dealing with chronic illness: Experiences of Iranian families of persons with multiple sclerosis- A qualitative study. Mult Scler Int. 2017;2017:9243161. [Link] [DOI:10.1155/2017/9243161]
52. Earnshaw VA, Quinn DM, Park CL. Anticipated stigma and quality of life among people living with chronic illnesses. Chronic Illn. 2012;8(2):79-88. [Link] [DOI:10.1177/1742395311429393]
53. Vaghee S, Salarhaji A. Stigma in family caregivers of patients with Schizophrenia Hospitalized in Ibn-Sina Psychiatric Hospital of Mashhad in 2014-2015. J Torbat Heydariyeh University Med Sci. 2015;3(3):23-30. [Persian] [Link]
54. Joachim G, Acorn S. Stigma of visible and invisible chronic conditions. J Adv Nurs. 2000;32(1):243-8. [Link] [DOI:10.1046/j.1365-2648.2000.01466.x]
55. Keykhaei A, Imani M, Faghihi H, Alikhah F. Marital quality in the spouses of men with multiple sclerosis: A descriptive comparative study. Int J Med Res Health Sci. 2016;5(11):415-23. [Link]
56. Azimpoor A, Papinejad F. Strategies to combat white marriage from the perspective of the Qur'an and narratives. J Women Strateg Stud. 2019;21(84):69-93. [Persian] [Link]
57. Ng L, Amatya B, Khan F. Outcomes of a peer support program in multiple sclerosis in an Australian community cohort: A prospective study. J Neurodegener Dis. 2013;2013:429171. [Link] [DOI:10.1155/2013/429171]

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