This study introduces the Spanish Differentiation of Self Inventory(S-DSI) version, a 26 item measure, consisting of 2 subscales-Emotional Reactivity and Emotional Cutoff-focusing on adults (ages 25+) and their significant relationships, including current relations with family of origin. Translation of DSI into Spanish was conducted using a back translation method, with two independent teams for translation into Spanish and back-translation into English. A sample of 1047 adult men and women (living in Spain, native Spanish speakers) completed the Spanish-DSI scale and a socio-demographic questionnaire. Exploratory factor analysis was conducted on a randomly selected half of the sample, and results yielded a two subscale-solution that closely conformed with the original DSI's Emotional Reactivity and Emotional Cutoff scales. Results of a confirmatory factor analysis cross-validated the measure's factor structure in the remaining sample. Implications for cross-cultural research and culturally-informed study of Bowen theory in Spanish populations are further discussed.

This study analyzes the psychometric properties of the Differentiation of Self Scale-Revised (DSS-R), an instrument assessing the differentiation of the self of Spanish adults through the dimensions I Position, Emotional Reactivity, Fusion with Others and Emotional Cutoff, and of a new dimension, Dominance over Others. In Study 1, carried out with 1445 subjects, exploratory factor analysis was performed with one half of the participants, and confirmatory factor analysis with the other, comparing the five-factor and bifactor models. In Study 2, examining convergent validity, 180 subjects participated and completed the revised scale and the Differentiation of Self Inventory-Revised. Studies 3 and 4 verified concurrent validity, with 401 subjects completing the DSS-R and the State-Trait Anxiety Inventory in Study 3, and 170 subjects completing the DSS-R and the Couple Assertion Questionnaire in Study 4. Adequate internal consistency indices and evidence of construct, convergent and concurrent validity were found. The use of the DSS-R is recommended for assessing the differentiation of the self in the Spanish population.

Background: There is increasing concern regarding the quality of palliative nursing care. However, despite the growing number of studies identifying related variables, there is still a paucity of studies analyzing models of how these variables interrelate.Objective: The study aimed to identify the role played in the quality of palliative care of nursing professionals by the variables meaning and death anxiety and to investigate the mediating role of psychological well-being and engagement.Method: 176 palliative nursing professionals participated, selected by non-probabilistic convenience sampling using the snowball method. A simple mediation analysis and a multiple mediator model were performed in parallel, and data were collected using a paper and online questionnaire between January and May 2018.Results: Well-being mediated the impact of meaning (indirect effect = 0.096, SE = 0.044, 95% confidence interval (CI): 0.028, 0.213) and death anxiety (indirect effect = −0.032, SE = 0.013, 95% CI: −0.064, −0.010) on the quality of care. Engagement, on the other hand, only mediated the impact of meaning (indirect effect = 0.185, SE = 0.085, 95% CI: 0.035, 0.372), while the indirect effect of death anxiety with the quality of care through engagement was not statistically significant (indirect effect = 0.008, SE = 0.009, 95% CI: −0.004, 0.032).Significance of results: Death anxiety is not directly related to the quality of care, but rather has an effect through psychological well-being, a variable acting as a mediator between the two. The effect of meaning on the quality of care is explained by the mediation of both engagement and psychological well-being, and its impact on the quality of care is thereby mediated by more variables than death anxiety.

To cross-culturally adapt and psychometrically test the Spanish version of the EPICC Spiritual Care Competency Tool for student nurses and midwives (EPICC_ spa) BACKGROUND: Spiritual care is an essential component of holistic nursing and specific training on its competencies and their evaluation should be mandatory in nursing degree studies. However, assessment instruments of spiritual care competencies among student nurses in Spanish contexts are presently insufficient. This was a multicentre, descriptive, cross-sectional study in two phases. Phase 1 involved the translation and linguistic adaptation of the scale through a panel of experts and a pilot test. Phase 2 involved the evaluation of structural content, internal reliability and construct validity. Data were collected between January and June 2024. Twelve of thirteen nursing schools in Madrid, Spain participated, with 642 first- or fourth-year nursing students as the final sample population. In the content validity analysis based on an expert panel, 28 items showed good or excellent validity indices. Exploratory and confirmatory factor analyses revealed a bifactor model of the EPICC_ spa, with two dimensions and 16 items: attitudes towards spiritual care (ten items) and knowledge and skills to provide spiritual care (six items). Very good reliability and evidence of construct validity (convergent and differentiation in known groups) were also shown. The EPICC_spa can be a reliable and valid self-assessment tool for spiritual-care competence among nursing students in Spain and Spanish-speaking countries.

Objectives: The present research was intended to validate a new psychometric instrument—the Meditative State Scale (MSS)—designed from a novel approach that integrates knowledge from the foundational pillars in which meditation practices were grounded with recent neuroscientific and psychological findings. Methods: The research was divided into two studies. Study 1 (n = 241) comprised the development and validation of the MSS. Its factor structure was evaluated through the conduction of exploratory and confirmatory factor analyses. Measurement invariance of the MSS across groups of naïve and experienced meditators was also tested. A selection of additional instruments were used to further assess its convergent and discriminant validity. In study 2, additional validity of the MSS was investigated with an experimental design (n = 12) in which the electroencephalographic (EEG) signal was recorded while the participants were meditating. Next, the correlations between EEG activity and reported MSS scores were explored. Results: Study 1 established psychometric reliability and validity of the MSS, supporting a three-factor structure encompassing a first factor of “transcendence,” a second factor of “difficulties,” and a third factor of “mental quietening.” The MSS also shows configural, metric, and partial scalar invariance across beginners and experienced meditators. In study 2, we found associations between reported MSS scores and changes in EEG gamma activity in parietal and occipital areas while engaging in meditation practice. Conclusions: We expect that the MSS can contribute to synergistically explore meditative states, combining reliable psychometric measures of the meditative state with neurophysiological data. Thus, it may be possible to reach a better understanding of the complex mechanisms that are involved in meditation practice and a more grounded and rigorous application of meditation-based programs in research, educational, and clinical contexts.