The Difficulties in Emotion Regulation Scale Short Form: a pilot study of the Czech version
Abstract
The purpose of this study was to develop and validate the Czech Version of the Difficulties in Emotion Regulation Scale Short Form (DERS-SF-CZ) and to examine its psychometric properties. The DERS-SF was translated into Czech with a back-translation procedure and then administered through an on-line survey. 364 participants (70 men, 294 women) completed the SCS-CZ, GAD-2 and PHQ-2. The confirmatory factor analysis confirmed the six-factor structure of the DERS-SF-CZ (χ2/df=1,84, SRMR=0.050, RMSEA=0.048, CFI=0.963, TLI=0.953, GFI=0.935). A single higher-order factor model was also confirmed (χ2/df=2,06, SRMR=0.064, RMSEA=0.054, CFI=0.951, TLI=0.942, GFI=0.923). Nevertheless, the awareness factor did not have any effect on the second order factor in this hierarchical model (βaw=0,03 R2aw=0,001). The Cronbach’s alpha coefficients for total DERS-SF-CZ and subscales were as follows: DERS-SF-CZ (α=0,86), awareness (α=0,65), clarity (α=0,72), non-acceptance (α=0,83), goals (α=0,84), impulse (α=0,88), strategies (α=0,80). As expected, the DERS-SF-CZ demonstrated a significant positive correlation with anxiety and depressive symptoms questionnaires. The results support further use of the DERS-SF-CZ in clinical practice and research.
(Fulltext in Czech)
Keywords
emotion regulation, acceptance, transdiagnostic approach, questionnaire, psychometric propertiesLiterature
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237.
Aldao, A., & Tull, M. T. (2015). Putting emotion regulation in context. Current Opinion in Psychology, 3, 100–107. Auszra, L., Greenberg, L. S., & Herrmann, I. R. (2010). Client Emotional Productivity Scale – Revised. Unpublished manuscript. Toronto: York University.
Baer, R. (Ed.). (2010). Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change. Oakland: New Harbinger Publications.
Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23–32.
Bagby, R. M., Taylor, G. J., & Parker, J. D. (1994). The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38(1), 33–40.
Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392.
Bardeen, J. R., Fergus, T. A., Hannan, S. M., & Orcutt, H. K. (2016). Addressing psychometric limitations of the Difficulties in Emotion Regulation Scale through item modification. Journal of Personality Assessment, 98(3), 298–309.
Barlow, D. H., Farchione, T. J., Fairholme, Ch. P., Ellard, K. K., Boisseau, Ch. L., Allen, L. B., & Ehrenreich May, J. T. (2011). The unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press.
Berking, M., & Whitley, B. (2014). Affect regulation training: A practitioners' manual. New York: Springer.
Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25(2), 128–134.
Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., … & Gratz, K. L. (2015). Development and validation of a Brief Version of The Difficulties in Emotion Regulation Scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296.
Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Deconstructing mindfulness and constructing mental health: Understanding mindfulness and its mechanisms of action. Mindfulness, 1(4), 235–253.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale: Erlbaum.
Côté, G., Gosselin, P., & Dagenais, I. (2013). Évaluation multidimensionnelle de la régulation des émotions: propriétés psychométriques d’une version francophone du Difficulties in Emotion Regulation Scale. Journal de Thérapie Comportementale et Cognitive, 23(2), 63–72.
Coutinho, J., Ribeiro, E., Ferreirinha, R., & Dias, P. (2009). The Portuguese version of the Difficulties in Emotion Regulation Scale and its relationship with psychopathological symptoms. Revista de Psiquiatría Clínica, 37(4), 145–151.
Dan-Glauser, E. S., & Scherer, K. R. (2013). The Difficulties in Emotion Regulation Scale (DERS): Factor structure and consistency of a French translation. Swiss Journal of Psychology, 72(1), 5–11.
Ehring, T., Fischer, S., Schnülle, J., Bösterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44(7), 1574–1584.
Etkin, A., Büchel, C., & Gross, J. J. (2015). The neural bases of emotion regulation. Nature Reviews Neuroscience, 16(11), 693–700.
Finlay-Jones, A., Kane, R., & Rees, C. (2016). Self-compassion online: A pilot study of an internet-based self-compassion cultivation program for psychology trainees. Journal of Clinical Psychology. doi:10.1002/jclp.22375.
Finlay-Jones, A. L., Rees, C. S., & Kane, R. T. (2015). Self-compassion, emotion regulation and stress among Australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling. PloS one, 10(7), e0133481.
Fowler, J. C., Charak, R., Elhai, J. D., Allen, J. G., Frueh, B. C., & Oldham, J. M. (2014). Construct validity and factor structure of the Difficulties in Emotion Regulation Sscale among adults with severe mental illness. Journal of Psychiatric Research, 58, 175–180.
Freudová, A. (2006). Já a obranné mechanismy. Praha: Portál.
Gendlin, E. T. (2003). Focusing: Tělesné prožívání jako terapeutický zdroj. Praha: Portál.
George, D., & Mallery, M. (2013). SPSS for Windows Step by Step: A Simple Guide and Reference 21.0. New York: Pearson.
Giromini, L., Velotti, P., de Campora, G., Bonalume, L., & Cesare Zavattini, G. (2012). Cultural adaptation of the Difficulties in Emotion Regulation Scale: Reliability and validity of an Italian version. Journal of Clinical Psychology, 68(9), 989–1007.
Gómez-Simón, I. G., Penelo, E., & de la Osa, N. (2014). Factor structure and measurement invariance of the Difficulties Emotion Regulation Scale (DERS) in Spanish adolescents. Psicothema, 26(3), 401–408.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.
Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006). An experimental investigation of emotion dysregulation in borderline personality disorder. Journal of Abnormal Psychology, 115(4), 850.
Gratz, K. L., Weiss, N. H., & Tull, M. T. (2015). Examining emotion regulation as an outcome, mechanism, or target of psychological treatments. Current Opinion in Psychology, 3, 85–90.
Greenberg, L. S. (2015). Emotion-focused therapy: Coaching clients to work through their feelings. Washington, D.C.: American Psychological Association.
Gross, J. J. (2015a). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1–26.
Gross, J. J. (2015b). The extended process model of emotion regulation: Elaborations, applications, and future directions. Psychological Inquiry, 26(1), 130–137.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348.
Hambleton, R. K., Merenda, P., & Spielberger, C. (2004). Adapting educational and psychological tests for cross-cultural assessment. Hillsdale: Erlbaum.
Harrison, A., Sullivan, S., Tchanturia, K., & Treasure, J. (2010). Emotional functioning in eating disorders: Attentional bias, emotion recognition and emotion regulation. Psychological Medicine, 40(11), 1887–1897.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. New York: Guilford Press.
Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional. Clínica y Salud, 19(2), 139–156.
Hofmann, S. G. (2016). Emotion in therapy: From science to practice. New York: Guilford Press.
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560–572.
Cho, Y. (2007). Assessing emotion dysregulation: Psychometric properties of the Korean version of the Difficulties in Emotion Regulation Scale. Korean Journal of Clinical Psychology, 26, 1015–1038.
Cho, Y., & Hong, S. (2013). The new factor structure of the Korean version of the Difficulties in Emotion Regulation Scale (K-DERS) incorporating method factor. Measurement and Evaluation in Counseling and Development, 46, 192–201.
Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., & Crowell, S. E. (2015). The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): Validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment, 38(3) 1–13.
Klein, M. H., Matthieu, P. L., Gendlin, E. T., Kiesler, D. J. (1969). The experiencing scale. Madison: Wisconsin Psychiatric Institute.
Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325.
Lane, R. D., Quinlan, D. M., Schwartz, G. E., Walker, P. A., & Zeitlin, S. B. (1990). The Levels of Emotional Awareness Scale: A cognitive-developmental measure of emotion. Journal of Personality Assessment, 55(1–2), 124–134.
Laňková, J. (2007). Screening deprese v primární péči: První výsledky studie SCREEDEP. Practicus, 10, 16–18.
Lee, D. J., Witte, T. K., Bardeen, J. R., Davis, M. T., & Weathers, F. W. (2016). A factor analytic evaluation of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 72(9), 933–946.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Linehan, M. M. (2015a). DBT skills training handouts and worksheets. New York: Guilford Press.
Linehan, M. M. (2015b). DBT skills training manual. New York: Guilford Press.
Löwe, B., Kroenke, K., & Gräfe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58(2), 163–171.
Mazaheri, M. (2015). Psychometric properties of the Persian version of the Difficulties in Emotion Regulation Scale (DERS-6 & DERS- 5– Revised) in an Iranian clinical sample. Iranian Journal of Psychiatry, 10(2), 115–122.
Mennin, D. S., & Fresco, D. M. (2014). Emotion regulation therapy. In: Gross, J. J. (Ed.). Handbook of emotion regulation. New York: Guilford Press.
Mennin, D. S., & Fresco, D. M. (2015). Advancing emotion regulation perspectives on psychopathology: The challenge of distress disorders. Psychological Inquiry, 26(1), 80–92.
Mitsopoulou, E., Kafetsios, K., Karademas, E., Papastefanakis, E., & Simos, P. G. (2013). The Greek version of the Difficulties in Emotion Regulation Scale: Testing the factor structure, reliability and validity in an adult community sample. Journal of Psychopathology and Behavioral Assessment, 35(1), 123–131.
Neumann, A., Van Lier, P., Gratz, K., & Koot, H. (2010). Multidimensional assessment of emotion regulation difficulties in adolescents using the Difficulties in Emotion Regulation Scale. Assessment, 17(1), 138–149.
Orgeta, V. (2009). Specificity of age differences in emotion regulation. Aging and Mental Health, 13(6), 818–826.
Orsillo, S. M., Roemer, L. (2011). The mindful way through anxiety: Break free from chronic worry and reclaim your life. New York: Guilford Press.
Orsillo, S. M., Roemer, L. (2016). Worry less, live more: The mindful way through anxiety workbook. New York: Guilford Press.
Osborne, T. L., Michonski, J., Sayrs, J., Welch, S. S., & Anderson, L. K. (2017). Factor structure of the Difficulties in Emotion Regulation Scale (DERS) in adult outpatients receiving dialectical behavior therapy (DBT). Journal of Psychopathology and Behavioral Assessment, 1–17.
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154.
Roemer, L., & Orsillo, S. M. (2009). Mindfulness and acceptance-based behavioral therapies in practice. New York: Guilford Press.
Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52–57.
Rugancı, R. N., & Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 66(4), 442–455.
Salters-Pedneault, K., Roemer, L., Tull, M. T., Rucker, L., & Mennin, D. S. (2006). Evidence of broad deficits in emotion regulation associated with chronic worry and generalized anxiety disorder. Cognitive Therapy and Research, 30(4), 469–480.
Sayers ,W., Creswell, J., & Taren, A. (2015). The emerging neurobiology of mindfulness and emotion processing. In B. D. Ostafin, M. D. Robinson, & B. F. Meier (Eds.), Handbook of mindfulness and self-regulation. New York: Springer.
Scoglio, A. A., Rudat, D. A., Garvert, D., Jarmolowski, M., Jackson, C., & Herman, J. L. (2015). Self-compassion and responses to trauma: The role of emotion regulation. Journal of Interpersonal Violence, doi:10.1177/0886260515622296.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.
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(8), 23–74.
Sighinolfi, C., Pala, A. N., Chiri, L. R., Marchetti, I., & Sica, C. (2010). Difficulties in Emotion Regulation Scale (DERS): Traduzione e adattamento Italiano. Psicoterapia Cognitiva e Comportamentale, 16(2), 141–170.
Snow, N. L., Ward, R. M., Becker, S. P., & Raval, V. V. (2013). Measurement invariance of the Difficulties in Emotion Regulation Scale in India and the United States. Journal of Educational and Developmental Psychology, 3(1), 147–157.
Světlák, M., Bernátová, T., Pavlíková, E., & Winklerová, L. (2015). Měření úrovně emočního uvědomění – pilotní studie ověřující základní psychometrické vlastnosti české verze Škály úrovně emočního uvědomění LEAS. Česká a slovenská neurologie a neurochirurgie, 78(6), 680–686.
Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: How mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science, 22(6), 449–454.
Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38(3), 303–313.
Victor, S. E., & Klonsky, E. D. (2016). Validation of a Brief Version of the Difficulties in Emotion Regulation Scale in five samples. Journal of Psychopathology and Behavioral Assessment, 38(4), 582–589.
Wang, L., Liu, H., Du, W., & et al. (2007). Test of Difficulties in Emotion Regulation Scale in Chinese people. China Journal of Health Psychology, 2007(4).
Williams, J. M. (2010). Mindfulness and psychological process. Emotion, 10(1), 1–7.