Scale to measure dialectical thinking from dialectical behavior therapy perspective.

IF 1.5 4区医学 Q2 PSYCHIATRY

European Journal of Psychiatry Pub Date : 2025-03-21 DOI:10.1016/j.ejpsy.2025.100305

Joaquim Soler , Maria Arqueros , Carlos Schmidt , Daniela Otero , Anna Soria-Madrid , María José Campins , Anna Catalan , Elisabet Casellas , Rocío Espeso , Juan Carlos Pascual

{"title":"Scale to measure dialectical thinking from dialectical behavior therapy perspective.","authors":"Joaquim Soler , Maria Arqueros , Carlos Schmidt , Daniela Otero , Anna Soria-Madrid , María José Campins , Anna Catalan , Elisabet Casellas , Rocío Espeso , Juan Carlos Pascual","doi":"10.1016/j.ejpsy.2025.100305","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Dialectical thinking is a core component of dialectical behavior therapy (DBT), characterized by the synthesis of seemingly opposing ideas to develop a more comprehensive perspective. This study aimed to create a reliable and valid instrument for measuring dialectical thinking.</div></div><div><h3>Method</h3><div>We analyzed the psychometric properties of the Dialectical Thinking Scale in a mixed sample of 205 participants. Factor structure with both exploratory and confirmatory factor analyses, reliability, test-retest stability, sensitivity to change, and convergent validity were evaluated.</div></div><div><h3>Results</h3><div>The final resulting questionnaire consisted of a 5-item self-reported scale. The analyses revealed a distinct two-factor structure: \"Both Sides\" (the capacity to recognize and accept opposing perspectives as simultaneously valid, thereby fostering cognitive flexibility and reducing polarized thinking) and \"Both Sides in Me\" (the ability to integrate and accept internal contradictions). The scale exhibited high internal consistency (Cronbach's alpha = 0.81), and robust test-retest reliability (ICC = 0.82 for \"Both Sides\" and 0.64 for \"Both Sides in Me\"). The scale demonstrated satisfactory sensitivity to change after psychotherapeutic intervention and showed significant negative correlations with psychopathological symptoms.</div></div><div><h3>Conclusions</h3><div>This scale addresses a critical gap in clinical assessment tools for DBT and it holds promise for applications across mental disorders and social studies.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100305"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0213616325000163","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background and Objectives

Dialectical thinking is a core component of dialectical behavior therapy (DBT), characterized by the synthesis of seemingly opposing ideas to develop a more comprehensive perspective. This study aimed to create a reliable and valid instrument for measuring dialectical thinking.

Method

We analyzed the psychometric properties of the Dialectical Thinking Scale in a mixed sample of 205 participants. Factor structure with both exploratory and confirmatory factor analyses, reliability, test-retest stability, sensitivity to change, and convergent validity were evaluated.

Results

The final resulting questionnaire consisted of a 5-item self-reported scale. The analyses revealed a distinct two-factor structure: "Both Sides" (the capacity to recognize and accept opposing perspectives as simultaneously valid, thereby fostering cognitive flexibility and reducing polarized thinking) and "Both Sides in Me" (the ability to integrate and accept internal contradictions). The scale exhibited high internal consistency (Cronbach's alpha = 0.81), and robust test-retest reliability (ICC = 0.82 for "Both Sides" and 0.64 for "Both Sides in Me"). The scale demonstrated satisfactory sensitivity to change after psychotherapeutic intervention and showed significant negative correlations with psychopathological symptoms.

Conclusions

This scale addresses a critical gap in clinical assessment tools for DBT and it holds promise for applications across mental disorders and social studies.

查看原文本刊更多论文

从辩证行为治疗的角度衡量辩证思维的量表。

背景与目的辩证思维是辩证行为疗法（DBT）的核心组成部分，其特点是将看似对立的观点综合起来，形成更全面的视角。本研究旨在建立一种可靠有效的辩证思维测量工具。方法采用205人的混合样本，对辩证思维量表的心理测量特征进行分析。采用探索性和验证性因子分析评估因子结构、信度、重测稳定性、变化敏感性和收敛效度。结果最终问卷由5项自述量表组成。分析揭示了一个明显的双因素结构：“两面”（认识和接受对立观点同时有效的能力，从而促进认知灵活性和减少两极分化的思维）和“两面在我”（整合和接受内部矛盾的能力）。量表具有较高的内部一致性（Cronbach's alpha = 0.81）和稳健的重测信度（“双方”的ICC = 0.82，“我的双方”的ICC = 0.64）。该量表对心理治疗干预后的变化具有满意的敏感性，且与精神病理症状呈显著负相关。结论：该量表填补了DBT临床评估工具的一个关键空白，并有望在精神障碍和社会研究领域得到应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.