St. Paul's Hospital Eating Disorders Program, Vancouver, Canada; University of British Columbia, Department of Psychiatry, Vancouver, Canada.
St. Paul's Hospital Eating Disorders Program, Vancouver, Canada; University of British Columbia, Department of Psychology, Kelowna, Canada.
Eat Behav. 2019 Dec;35:101334. doi: 10.1016/j.eatbeh.2019.101334. Epub 2019 Aug 24.
Individuals with eating disorders (EDs) endorse fears of being self-compassionate, as assessed by the Fears of Compassion for Self scale (FCSelf; Gilbert, McEwan, Matos, & Rivis, 2011), and higher fears predict poorer treatment outcomes. Previous research using the FCSelf demonstrated a single factor solution in a non-clinical sample.
This research sought to explore the factor structure of the FCSelf in a clinical population and to examine correlations with associated constructs. The factor structure obtained was compared with its structure in a student sample.
Individuals with EDs (n = 251) completed the FCSelf, and measures of readiness to change, self-compassion, quality of life, as well as psychiatric and ED symptom severity. A female student sample (n = 314) completed the FCSelf.
In the clinical sample a two-factor solution exhibited best fit. Factor 1, labeled "Meeting Standards," contained items expressing concern about showing flaws and losing achievements and relationships. Factor 2, labeled "Emotional Vulnerability," contained items focusing on difficult emotions such as grief, unworthiness, and vulnerability. The two subscales exhibited acceptable internal consistencies and were significantly correlated with clinical outcome variables. In the student sample, the two factor model was superior to a single factor model but given that the latent correlation was so high (r = 0.89) a single summary score is recommended.
Future research is needed to determine the value of addressing barriers related to meeting standards versus emotional vulnerability in helping individuals with EDs develop self-compassion and recover from their illness.
个体的饮食失调（ED）者对自我同情持恐惧态度，如自我同情恐惧量表（FCSelf；Gilbert、McEwan、Matos 和 Rivis，2011）评估的那样，且更高的恐惧预示着更差的治疗效果。先前使用 FCSelf 的研究在非临床样本中显示了单一因素解决方案。
本研究旨在探索 FCSelf 在临床人群中的因素结构，并检查与相关结构的相关性。获得的因素结构与学生样本中的结构进行了比较。
ED 个体（n=251）完成了 FCSelf，以及改变意愿、自我同情、生活质量的测量，以及精神病和 ED 症状严重程度的测量。女性学生样本（n=314）完成了 FCSelf。
在临床样本中，双因素解决方案表现出最佳拟合。第一个因素，称为“达到标准”，包含表达对表现出缺陷和失去成就和关系的担忧的项目。第二个因素，称为“情绪脆弱性”，包含了关注悲伤、不值得和脆弱等困难情绪的项目。这两个分量表表现出可接受的内部一致性，并与临床结果变量显著相关。在学生样本中，双因素模型优于单因素模型，但由于潜在相关性如此之高（r=0.89），建议使用单一综合评分。
需要进一步研究以确定在帮助 ED 个体发展自我同情和从疾病中恢复时，解决与达到标准和情绪脆弱性相关的障碍的价值。
