Emotional Suppression and Breast Cancervalidation Research on the Spanish Adaptation of the Courtauld Emotional Control Scale (CECS)

  1. Durá Ferrandis, Estrella 1
  2. Andreu Vaillo, Yolanda 1
  3. Galdón Garrido, María José 1
  4. Ibáñez Guerra, Elena 1
  5. Pérez Rodríguez, Sandra 1
  6. Ferrando García, Maite 1
  7. Murgui Pérez, Sergio 1
  8. Martínez López, Paula 1
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Ano de publicación: 2010

Volume: 13

Número: 1

Páxinas: 406-417

Tipo: Artigo

DOI: 10.1017/S1138741600003966 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: The Spanish Journal of Psychology

Obxectivos de Desenvolvemento Sustentable

Resumo

La supresión emocional ha jugado un papel importante en la investigación de los factores psicosociales relacionados con el cáncer. Se ha discutido que es un importante factor psicológico que predice un peor ajuste psicosocial en las personas que sufren cáncer y que puede mediar los resultados médicos. El instrumento de referencia en la investigación acerca de la supresión emocional es el Courtauld Emotional Control Scale (CECS). El presente estudio analiza la validez de constructo de una nueva adaptación española del CECS en una muestra de 175 pacientes con cáncer de mama. Los resultados confirman la estructura propuesta por Watson y Greer para el instrumento, compuesta de tres subescalas que evalúan distintas dimensiones no independientes, del control emocional. La presente versión española del CECS mostró una elevada consistencia interna de cada una de las subescalas y de la puntuación total. Además la supresión emocional predice el distrés clínico significativo, según criterios de Derogatis (BSI-18). En resumen, nuestros resultados respaldan la fiabilidad, validez y utilidad de la adaptación española del CECS en contextos clínicos y de investigación.

Información de financiamento

This research was funded by the Spanish Ministry of Science and Technology. Correspondence concerning this article should be adressed to Maite Ferrando. Departamento de Personalidad, Evaluación y Tratamientos Psicológicos. Facultad de Psicología. Universidad de Valencia. Avda Blasco Ibañez, 21. 46010 Valencia. (Spain). Phone: +34-963864389. Fax: +34-963864669. E-mail: teresa.ferrando@uv.es

Referencias bibliográficas

  • Anarte, M. T., Esteve, R., Ramírez, M., López, A. E., & Amorós, F. J. (2001). Adaptación al castellano de la Escala Courtauld de control emocional en pacientes con cáncer. Psicothema, 13, 636-842.
  • Andreu, Y. (1998). Personalidad tipo C. Historia y validez del concepto. Boletín de Psicología, 59, 75-104.
  • Carlson, L. E., Angen, M., Cullum, J., Goodey, E. Koopmans, J., Lamont, L., MacRae, J. H., Martin, M., Pelletier, G., Robinson, J., Simpson, J. S., Speca, M., Tillotson, L., & Bultz, B. D. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90, 2297-2304.
  • Classen, C., Koopman, C., Angell, K., & Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychology, 15, 434-437. (Pubitemid 126459104)
  • Contrada, R. J., Leventhal, H., & O'Leary, A. (1990). Personality and health. In L. A. Pervin (Ed.), Handbook of personality. Theory and research (pp. 638-669). New York: The Guilford Press.
  • Cordova, M., Giese-Davis, J., Golant, M., Kronnenwetter, C., Chang, V., McFarlin, S., & Spiegel, D. (2003). Mood disturbance in community cancer support groups. The role of emotional suppression and fighting spirit. Journal of Psychosomatic Research, 55, 461-467. (Pubitemid 38198107)
  • Ho, D. H., & Silberfarb, P. M. (1998). Psychological factors: Do they influence breast cancer? In L. Cooper (Ed.), Stress and breast cancer (pp. 27-62). New York: John Wiley & Sons Ltd.
  • Derogatis, L. R. (2000). BSI-18: Administration, scoring and procedures manual. Minneapolis, MN: NCS Pearson.
  • Fawzy, F. I., Cousins, N., Fawzy, N. W., Kemeny, M. E., Elashoff, R., & Morton, D. (1990). A structured psychiatric intervention for cancer patients, I. Changes over time in methods of coping and affective disturbance. Archives of General Psychiatry, 47, 720-725. (Pubitemid 20229962)
  • Fox, B. (1988). Psychogenic factors in cancer, especially its incidence. In S. Maes, C. D. Spielberger, P. B. Defares, & I. G. Sarason (Eds.), Topics in health psychology (pp. 37-55). New York: John Wiley & Sons Ltd.
  • Fox, B. (1995). The role of psychological factors in cancer incidence and prognosis. Oncology, 9, 245-255.
  • Galdón, M. J., Dura, E., Andreu, Y., Ferrando, M., Murgui, S., Pérez, S., & Ibáñez, E. (2008). Psychometric properties of the Brief Symptoms Inventory 18 (BSI-18) in a Spanish breast cancer sample. Journal of Psychosomatic Research, 65, 533-539.
  • Garssen, B. (2004). Psychological factors and cancer development: Evidence after 30 years of research. Clinical Psychology Review, 24, 315-338.
  • Giese-Davis, J., & Spiegel, D. (2001). Suppression, repressive-defensiveness, restraint, and distress in metastasic breast cancer: Separable or inseparable constructs?, Journal of Personality, 69, 417-449.
  • Grassi, L., Watson, M., & Greer, S. (1985). La Courtauld Emotional Control Scale (CECS) di Watson. Bollettino di Psicologia Applicata, 176, 3-10.
  • Grassi, L., & Molinari, S. (1988). Pattern of emotional control and psychological reactions to breast cancer: A preliminary report. Psychological Reports, 62, 727-732.
  • Greer, S., & Morris, T. (1975). Psychological attributes of women who develop breast cancer: A controlled study. Journal of Psychosomatic Research, 19, 147-153.
  • Greer, S., & Watson, M. (1985). Towards a psychobiological model of cancer Psychological considerations. Social Science & Medicine, 20, 773-777. (Pubitemid 15229036)
  • Gross, J. (1989). Emotional expression in cancer onset and progression. Social Science & Medicine, 28, 1239-1248.
  • Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W.C.(1999). Análisis multivariante (5th ed.). Madrid: Prentice Hall Iberia.
  • Ho, R., Chan, C., & Ho, S. (2004). Emotional control in Chinese female cancer survivors. Psycho-Oncology, 13, 808-817. (Pubitemid 39549580)
  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria in fix indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
  • Ibáñez, E., Romero, R., & Andreu, Y. (1992). Personalidad tipo C. Una revisión crítica. Boletín de Psicología, 35, 49-79.
  • Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., & Okawa, M. (2002). The relationship between suppression of negative emotion in breast cancer patients and emotional distress after diagnosis. Japanese Journal of General Hospital Psychiatry, 14, 9-16.
  • Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Kodama, M., & Okawa, M. (2003). Differences in emotional distress between breast tumour patients with emotional inhibition and those with emotional expression. Psychiatry and Clinical Neurosciences, 57, 289-294. (Pubitemid 36644415)
  • Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Okawa, M., & Buck, R. (2005a). The relation between negative emotional suppression and emotional distress in breast cancer diagnosis and treatment. Health Communication, 18, 201-215. (Pubitemid 43104482)
  • Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Okawa, M., & Buck, R. (2005b). Anxiety, emotional suppression, and psychological distress before and after breast cancer diagnosis. Psychosomatics, 46, 19-24. (Pubitemid 40076306)
  • Kennedy-Moore, E., & Watson, J. C. (2001). How and when does emotional expression help? Review of General Psychology, 5, 187-212. (Pubitemid 33679304)
  • Levi, S. M. (1983). Host differences in neoplastic risk: Behavioral and social contributors to disease. Health Psychology, 2, 21-44.
  • Low, C. A., Stanton, A. L., & Danoff-Burg, S. (2006). Expressive disclosure and benefit finding among breast cancer patients: Mechanisms for positive health effects. Health Psychology, 25, 181-189.
  • McKenna, M. C., Zevon, M. A., Com, B., & Rounds, J. (1999). Psychosocial factors and the development of breast cancer: A meta-analysis. Health Psychology, 18, 520-531.
  • Messick S. (1995). Standards of validity and the validity of standards in performance assessment. Educational Measurement: Issues and Practice, 14(4), 5-8.
  • Morris, T., & Greer, S. (1980). A "Type C" for cancer? Low trait anxiety in the pathogenesis of breast cancer. Cancer Detection and Prevention, 3, 102.
  • Morris, T., Greer, S., Pettingale, K. W., & Watson, M. (1981). Patterns of expression of anger and their psychological correlates in women with breast cancer. Journal of Psychosomatic Research, 25, 111-117.
  • Pennebaker, J. W. (1980). Opening up. The healing power of confiding in others. New York: William Morrow.
  • Pennebaker, J. W. (1999). The effects of traumatic disclosure on physical and mental health: The values of writing and talking about upsetting events. International Journal of Emergency Mental Health, 1, 9-18.
  • Pennebaker, J. W., Mayne, T. J., & Francis, M. E. (1997). Linguistic predictors of adaptative bereavement. Journal of Personality and Social Psychology, 72, 864-871.
  • Schmitt F. F. (1995). Truth: A primer. In K. Lehrer, & N. Daniels (Eds.), Series: Focus (pp: xi-251). Boulder, CO: Westview Press.
  • Sellick, S. M., & Crooks, D. L. (1999). Depression and cancer: an appraisal of the literature for prevalence, detection, and practice guideline development for psychological interventions. Psycho-Oncology, 8, 315-333.
  • Spiegel, D., Bloom, J. R., & Yalom, I. (1981). Group support for patients with metastatic cancer. A randomized outcome study. Archives of General Psychiatry, 38, 527-533.
  • Spiegel, D., Morrow, G. R., & Classen, C. (1999). Group psychotherapy for recently diagnosed breast cancer patients: A multicenter feasibility study. Psycho-Oncology, 8, 482-493.
  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L. Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., & Twillman, R. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875-882.
  • Stanton, A. L., Danoff-Burg, S., & Huggins, M. E. (2002). The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology, 11, 93-102.
  • Stefanek, M. E., Shaw, A., DeGeorge, D., & Tsottles, N. (1989). Illness-related worry among cancer patients: Prevalence, severity, and content. Cancer Investigation, 7, 365-371. (Pubitemid 20063535)
  • Temoshok, L. (1987). Personality, coping style, emotion and cancer. Towards and integrative model. Cancer Surveys, 6, 545-567.
  • Temoshok, L., & Fox, B. H. (1984). Coping styles and other psychosocial factors related to medical status and to prognosis in patients with cutaneous malignant melanoma. In B. H. Fox, & B. H. Newberry (Eds.), Impact of psychoendocrine systems in cancer and immunity (pp.258-287). Toronto: C. J. Hogrefe.
  • Temoshok, L., & Heller, B. (1984). On comparing apples, oranges and fruit salad: A methodological overview of medical outcome studies in psychosocial oncology. In C. M. Cooper (Ed.), Psychosocial stress and cancer (pp. 231-260). New York: John Wiley & Sons Ltd.
  • Watson, M., & Greer, S. (1983). Development of a questionnaire measure of emotional control. Journal of Psychosomatic Research, 27, 299-305.
  • Watson, M., Greer, S., Rowden, L., Gorman, C., Robertson, B., Bliss, J. M., & Tunmore, R. (1991). Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients. Psychological Medicine, 21, 51-57.
  • Zabora, J. (1998). Screening procedures for psychosocial distress. In J. C. Holland (Ed.), The handbook of psycho-oncology (pp. 653-661). New York: Oxford University Press.