Los otros como generadores de vergüenza: validación de un instrumento para evaluar vergüenza externa
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Resumen
Introducción. La vergüenza externa se ha vinculado a problemáticas psicosociales diversas y la escala de los otros como generadores de vergüenza (OAS) es un instrumento frecuentemente utilizado para medir este constructo.
Objetivo. Evaluar las propiedades psicométricas de la OAS en una muestra de población general y una muestra de población con síntomas asociados al Trastorno de Estrés Postraumático Complejo (TEPT-C).
Método. 341 participantes respondieron la OAS y el Cuestionario Internacional de Trauma (ITQ). Para obtener evidencia sobre la validez de constructo de la escala, se realizó un análisis factorial confirmatorio (AFC).
Resultados. Se encontró un ajuste adecuado del modelo, así como una validez concurrente y discriminativa adecuada en relación con los puntajes del ITQ.
Discusión y conclusión. Los resultados sugieren que el OAS es un instrumento válido y confiable para medir vergüenza externa y discriminar entre personas con y sin sintomatología postraumática.
Referencias
Bachem, R., Levin, Y., Zerach, G., Cloitre, M., & Solomon, Z. (2021). The interpersonal implications of PTSD and complex PTSD: The role of disturbances in self-organization. Journal of Affective Disorders, 290, 149-156. https://doi.org/10.1016/j.jad.2021.04.075
Balsamo, M., Macchia, A., Carlucci, L., Picconi, L., Tommasi, M., Gilbert, P., & Saggino, A. (2015). Measurement of external shame: an inside view. Journal of Personality Assessment 97(1), 81-89. https://doi.org/10.1080/00223891.2014.947650
Brand, R., Altman, R., Nardelli, C., Raffoul, M., Matos, M., & Bortolon, C. (2022). Echoes of shame: a comparison of the characteristics and psychological sequelae of recalled shame experiences across the voice hearing continuum. Behavioural and Cognitive Psychotherapy, 51(1), 61-73. https://doi.org/10.1017/s1352465822000418
Browne, M. W., & Cudeck, R. (1992). Alternative Ways of Assessing Model Fit. Sociological Methods & Research, 21(2), 230-258. https://doi.org/10.1177/0049124192021002005
Cândea, D., & Szentagotai-Tătar, A. (2018). Shame-proneness, guilt-proneness and anxiety symptoms: A meta-analysis. Journal of Anxiety Disorders, 58, 78-106. https://doi.org/10.1016/j.janxdis.2018.07.005
Carter, A., Gilbert, P., & Kirby, J. N. (2021). Compassion-focused therapy for body weight shame: A mixed methods pilot trial. Clinical Psychology and Psychotherapy, 28(1), 93-108. https://doi.org/10.1002/cpp.2488
Castilho, P., Pinto-Gouveia, J., & Duarte, J. (2017). Two forms of self-criticism mediate differently the shame-psychopathological symptoms link. Psychology and Psychotherapy: Theory, Research and Practice, 90(1), 44-54. https://doi.org/10.1111/papt.12094
Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284-290. https://doi.org/10.1037/1040-3590.6.4.284
Cloitre, M., Shevlin, M., Brewin, C. R., Bisson, J. I., Roberts, N. P., Maercker, A., Karatzias, T., & Hyland, P. (2018). The International Trauma Questionnaire: development of a self‐report measure of ICD‐11 PTSD and complex PTSD. Acta Psychiatrica Scandinavica, 138(6), 536-546. https://doi.org/10.1111/acps.12956
Cook, D. R. (1987). Measuring shame: The Internalized Shame Scale. Alcoholism Treatment Quarterly, 4(2), 197-215. https://doi.org/10.1300/j020v04n02_12
Cunningham, K. C., Davis, J. L., Wilson, S. M., & Resick, P. A. (2018). A relative weights comparison of trauma‐related shame and guilt as predictors of DSM‐5 posttraumatic stress disorder symptom severity among US veterans and military members. British Journal of Clinical Psychology, 57(2), 163-176. https://doi.org/10.1111/bjc.12163
DeLong, L. B., & Kahn, J. H. (2014). Shameful secrets and shame-prone dispositions: How outcome expectations mediate the relation between shame and disclosure. Counselling Psychology Quarterly, 27(3), 290-307. https://doi.org/10.1080/09515070.2014.908272
Dorahy, M. J., Corry, M., Black, R., Matheson, L., Coles, H., Curran, D., Seager, L., Middleton, W., & Dyer, K. F. W. (2017). Shame, Dissociation, and Complex PTSD Symptoms in Traumatized Psychiatric and Control Groups: Direct and Indirect Associations With Relationship Distress. Journal of Clinical Psychology, 73(4), 439-448. https://doi.org/10.1002/jclp.22339
Dorahy, M. J., Corry, M., Shannon, M., MacSherry, A., Hamilton, G., McRobert, G., Elder, R., & Hanna, D. (2009). Complex PTSD, interpersonal trauma and relational consequences: Findings from a treatment-receiving Northern Irish sample. Journal of Affective Disorders, 112(1-3), 71-80. https://doi.org/10.1016/j.jad.2008.04.003
Dorahy, M. J., Middleton, W., Seager, L., Williams, M., & Chambers, R. (2016). Child abuse and neglect in complex dissociative disorder, abuse-related chronic PTSD, and mixed psychiatric samples. Journal of Trauma & Dissociation, 17(2), 223-236. https://doi.org/10.1080/15299732.2015.1077916
Fessler, D. (2004). Shame in Two Cultures: Implications for Evolutionary Approaches. Journal of Cognition and Culture, 4(2), 207-262. https://doi.org/10.1163/1568537041725097
Flora, D. B. (2020). Your Coefficient Alpha Is Probably Wrong, but Which Coefficient Omega Is Right? A Tutorial on Using R to Obtain Better Reliability Estimates. Advances in Methods and Practices in Psychological Science, 3(4), 484-501. https://doi.org/10.1177/2515245920951747
Gilbert, P. (1998). What is shame? Some core issues and controversies. In Shame: Interpersonal behavior, psychopathology, and culture. (pp. 3-38). Oxford University Press.
Gilbert, P. (2007). The evolution of shame as a marker for relationship security. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 283–309). Guilford.
Gilbert, P. (2022). Shame, humiliation, guilt, and social status: The distress and harms of social disconnection. In P. Gilbert & G. Simos (Eds.), Compassion Focused Therapy: Clinical practice and applications (pp. 121-162). Routledge. https://doi.org/10.4324/9781003035879-5
Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures—I: The other as Shamer scale. Personality and Individual Differences, 17(5), 713-717. https://doi.org/10.1016/0191-8869(94)90149-x
Göttlich, M., Westermair, A. L., Beyer, F., Bußmann, M. L., Schweiger, U., & Krämer, U. M. (2020). Neural basis of shame and guilt experience in women with borderline personality disorder. European Archives of Psychiatry and Clinical Neuroscience, 270(8), 979-992. https://doi.org/10.1007/s00406-020-01132-z
Griffin, V. W., Wentz, E., & Meinert, E. (2022). Explaining the Why in #WhyIDidntReport: An Examination of Common Barriers to Formal Disclosure of Sexual Assault in College Students. Journal of Interpersonal Violence, 37(15-16), NP14716-NP14745. https://doi.org/10.1177/08862605211016343
Gull, M., Aqeel, M., Kanwal, A., Khan, K., & Akhtar, T. (2022). Cultural adaptation and validation of the Others as Shamer scale: a barrier to effective health-care assessment. International Journal of Human Rights in Healthcare, 17 247-261. https://doi.org/10.1108/ijhrh-05-2022-0039
Hiramatsu, Y., Asano, K., Kotera, Y., Sensui, T., Endo, A., Shimizu, E., Basran, J., & Goss, K. (2020). Development of the Japanese version of the Other As Shamer Scale using item response theory. BMC Research Notes, 13(1), https://doi.org/10.1186/s13104-020-05027-z
Hu, L.T, & Bentler, P. M. (1998). Fit indices in covariance structure modeling : Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424-453.
Kim, H. (2013). Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics, 38(1), 52. https://doi.org/10.5395/rde.2013.38.1.52
Kollareth, D., Fernandez-Dols, J., & Russell, J. A. (2018). Shame as a Culture-Specific Emotion Concept. Journal of Cognition and Culture, 18(3-4), 274-292. https://doi.org/10.1163/15685373-12340031
La Bash, H., & Papa, A. (2013). Shame and PTSD symptoms.. Psychological Trauma: Theory, Research, Practice, and Policy, 6(2), 159-166. https://doi.org/10.1037/a0032637
Li, C. H. (2021). Statistical estimation of structural equation models with a mixture of continuous and categorical observed variables. Behavior Research Methods, 53(5), 2191-2213. https://doi.org/10.3758/s13428-021-01547-z
Martins, M. J., Macedo, A., Carvalho, C. B., Pereira, A. T., & Castilho, P. (2020). Are shame and self-criticism the path to the pervasive effect of social stress reactivity on social functioning in psychosis? Clinical Psychology & Psychotherapy, 27(1), 52-60. https://doi.org/10.1002/cpp.2406
Matos, M., & Pinto‐Gouveia, J. (2010). Shame as a traumatic memory. Clinical Psychology & Psychotherapy, 17(4), 299-312. https://doi.org/10.1002/cpp.659
Matos, M., Galhardo, A., Moura-Ramos, M., Steindl, S. R., Bortolon, C., Hiramatsu, Y., Baumann, T., Yiu, R. X. Q., & Ferreira, C. (2021). Measuring shame across five countries: dimensionality and measurement invariance of the external and internal shame scale. Current Psychology, 42(9), 7161-7170. https://doi.org/10.1007/s12144-021-02019-5
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2013). Internalizing Early Memories of Shame and Lack of Safeness and Warmth: The Mediating Role of Shame on Depression. Behavioural and Cognitive Psychotherapy, 41(4), 479-493. https://doi.org/10.1017/s1352465812001099
Matos, M., Pinto-Gouveia, J., Gilbert, P., Duarte, C., & Figueiredo, C. (2015). The Other As Shamer Scale – 2: Development and validation of a short version of a measure of external shame. Personality and Individual Differences, 74, 6-11. https://doi.org/10.1016/j.paid.2014.09.037
McElvaney, R., Lateef, R., Collin-Vézina, D., Alaggia, R., & Simpson, M. (2022). Bringing Shame Out of the Shadows: Identifying Shame in Child Sexual Abuse Disclosure Processes and Implications for Psychotherapy. Journal of Interpersonal Violence, 37(19-20), NP18738-NP18760. https://doi.org/10.1177/08862605211037435
Nikolić, M., Hannigan, L. J., Krebs, G., Sterne, A., Gregory, A. M., & Eley, T. C. (2022). Aetiology of shame and its association with adolescent depression and anxiety: results from a prospective twin and sibling study. Journal of Child Psychology and Psychiatry, 63(1), 99-108. https://doi.org/10.1111/jcpp.13465
Organization, W. H. (2019). International classification of diseases 11th ed. https://icd.who.int/en
Puhalla, A., Flynn, A., & Vaught, A. (2021). Shame as a Moderator between Emotion Dysregulation and Posttraumatic Stress Disorder Severity among Combat Veterans Seeking Residential Treatment. Journal of Affective Disorders, 283, 236-242. https://doi.org/10.1016/j.jad.2021.01.079
Rüsch, N., Lieb, K., Göttler, I., Hermann, C., Schramm, E., Richter, H., Jacob, G. A., Corrigan, P. W., & Bohus, M. (2007). Shame and Implicit Self-Concept in Women With Borderline Personality Disorder. American Journal of Psychiatry, 164(3), 500-508. https://doi.org/10.1176/ajp.2007.164.3.500
Rushforth, A., Kotera, Y., & Kaluzeviciute, G. (2022). Theory Paper: Suggesting Compassion-Based Approaches for Treating Complex Post-traumatic Stress Disorder. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-022-00856-4
Saggino, A., Carlucci, L., Sergi, M. R., D’Ambrosio, I., Fairfield, B., Cera, N., & Balsamo, M. (2017). A Validation Study of the Psychometric Properties of the Other As Shamer Scale–2. Sage Open, 7(2), https://doi.org/10.1177/2158244017704241
Salter, M., & Hall, H. (2022). Reducing Shame, Promoting Dignity: A Model for the Primary Prevention of Complex Post-Traumatic Stress Disorder. Trauma, Violence, & Abuse, 23(3), 906-919. https://doi.org/10.1177/1524838020979667
Satici, B., & Deniz, M. (2020). External shame, loneliness, psychological distress, and well-being: insights from the Turkish adaptation of the Other as Shamer Scale-2. Current Issues in Personality Psychology, 8, 154-167. https://doi.org/10.5114/cipp.2020.97421
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. Methods of Psychological Research, 8, 23-74.
Shi, D., & Maydeu-Olivares, A. (2020). The Effect of Estimation Methods on SEM Fit Indices. Educational and Psychological Measurement, 80(3), 421-445. https://doi.org/10.1177/0013164419885164
Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. Guilford Press. https://doi.org/10.4135/9781412950664.n388
Tucker, L. R., & Lewis, C. (1973). A Reliability Coefficient for Maximum Likelihood Factor Analysis. Psychometrika, 38(1), 1-10. https://doi.org/10.1007/bf02291170
Vagos, P., Ribeiro da Silva, D., Brazão, N., Rijo, D., & Gilbert, P. (2016). Dimensionality and measurement invariance of the Other as Shamer Scale across diverse adolescent samples. Personality and Individual Differences, 98, 289-296. https://doi.org/10.1016/j.paid.2016.04.046
