Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, UK.
J Psychosom Res. 2010 Mar;68(3):285-92. doi: 10.1016/j.jpsychores.2009.09.014. Epub 2009 Dec 9.
Beliefs about the unacceptability of experiencing or expressing negative emotions have been noted in individuals with a range of problems, including chronic fatigue syndrome (CFS), irritable bowel syndrome, somatization disorder, depression, eating disorders, social phobia, posttraumatic stress disorder, and borderline personality disorder. These beliefs are likely to have implications for emotion regulation and processing, and are addressed explicitly or implicitly within many therapies including cognitive behavior therapy (CBT), mindfulness-based cognitive therapy (MBCT), and Acceptance and Commitment Therapy (ACT). This article describes the development, validation, and internal reliability of the Beliefs about Emotions Scale (BES), a self-report questionnaire to assess such beliefs.
The new scale was completed by people with CFS (n=121) and healthy controls (n=73). Twenty-two individuals with CFS completed the scale before and after CBT.
People with CFS had significantly higher scores on this new questionnaire than healthy controls. Principal components analysis identified one factor, and the scale had high internal consistency (0.91). Scores on the BES were most highly correlated with a measure of negative perfectionism (r=0.59) and also showed significant correlations with measures of dysfunctional attitudes, self-sacrifice, depression, anxiety, and fatigue. When completed before and after CBT for CFS, the questionnaire was sufficiently sensitive to detect a significant reduction in endorsement of unhelpful beliefs about emotions.
The new Beliefs about Emotions Scale showed good internal reliability, validity and sensitivity to change.
在各种问题人群中，包括慢性疲劳综合征（CFS）、肠易激综合征、躯体化障碍、抑郁症、饮食障碍、社交恐惧症、创伤后应激障碍和边缘型人格障碍患者，都注意到存在对经历或表达负面情绪的不可接受性的信念。这些信念可能对情绪调节和处理有影响，并且在包括认知行为疗法（CBT）、正念认知疗法（MBCT）和接纳与承诺疗法（ACT）在内的许多疗法中被明确或隐含地提及。本文描述了情绪信念量表（BES）的开发、验证和内部信度，这是一种评估此类信念的自我报告问卷。
新量表由 CFS 患者（n=121）和健康对照组（n=73）完成。22 名 CFS 患者在接受 CBT 前后完成了该量表。
与健康对照组相比，CFS 患者在这个新问卷上的得分明显更高。主成分分析确定了一个因素，该量表具有较高的内部一致性（0.91）。BES 的得分与负面完美主义的衡量标准高度相关（r=0.59），并且与功能失调态度、自我牺牲、抑郁、焦虑和疲劳的衡量标准也显著相关。当用于评估 CFS 的 CBT 前后时，该问卷足够灵敏，能够检测到对情绪的无益信念的显著减少。
新的情绪信念量表显示出良好的内部可靠性、有效性和对变化的敏感性。
