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Leite, Range Et Al. Adaptacion Cultural Escala CC
Leite, Range Et Al. Adaptacion Cultural Escala CC
2013;35:038-043
ORIGINAL ARTICLE
1
Institute of Psychology, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Brazil
2
Universidade Federal do Rio de Janeiro, Graduate Program in Psychology
3
University of Richmond, United States
4
Institute of Psychology, Universidade Federal do Rio de Janeiro, Brazil
5
Institute of Psychology, Pontifícia Universidade Católica do Rio de Janeiro, Brazil
6
Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Brazil
7
Laboratory of Panic and Respiration, Universidade Federal do Rio de Janeiro; Universidade Federal Fluminense, Brazil.
DESCRIPTORS: Abstract
Compulsive Behavior; Objective: To present the process of transcultural adaptation of the Richmond Compulsive
Psychometrics; Buying Scale to Brazilian Portuguese. Methods: For the semantic adaptation step, the scale was
Psychiatric Status Rating translated to Portuguese and then back-translated to English by two professional translators
Scales; and one psychologist, without any communication between them. The scale was then applied
Diagnosis. to 20 participants from the general population for language adjustments. For the construct
validation step, an exploratory factor analysis was performed, using the scree plot test, principal
component analysis for factor extraction, and Varimax rotation. For convergent validity, the
correlation matrix was analyzed through Pearson’s coefficient. Results: The scale showed easy
applicability, satisfactory internal consistency (Cronbach’s alpha=.87), and a high correlation
with other rating scales for compulsive buying disorder, indicating that it is suitable to be used
in the assessment and diagnosis of compulsive buying disorder, as it presents psychometric
validity. Conclusion: The Brazilian Portuguese version of the Richmond Compulsive Buying Scale
has good validity and reliability
© 2013 Associação Brasileira de Psiquiatria. Published by Elsevier Editora Ltda. All rights reserved.
Corresponding author: Priscilla Leite. Universidade Federal do Rio de Janeiro, Instituto de Psicologia, Av. Pasteur, 250, Praia Vermelha,
Rio de Janeiro, RJ, CEP 22290-902, Brazil.
E-mail: priscilla.ufrj@gmail.com;
© 2013 Associação Brasileira de Psiquiatria. Published by Elsevier Editora Ltda. All rights reserved.
doi: 10.1016/j.rbp.2012.10.004
Adaptation and validation of the Richmond Scale 39
of compulsive buying, with or without comorbid disorders, Escala Richmond para Compras Compulsivas
such as depression and anxiety, confirmed by clinical inter- Nome: _____________________ Estado Civil:__________________
view with the Mini International Neuropsychiatric Interview Idade:_______ Sexo: _____Ocupação: ________________________
(MINI), version 5.0. The exclusion criteria included the di- Escolaridade: _____________________________________________
agnosis of any personality disorder, bipolar disorder, severe Discordo Concordo
depression with suicidal ideation, schizophrenia, reading Plenamente Plenamente
difficulty, age less than 18 years, and disagreement with the 1.Há sacolas de compras 1 2 3 4 5 6 7
informed consent. fechadas em meu armário.
Participants were divided into four groups. The non- 2.Os outros consideram que 1 2 3 4 5 6 7
clinical (NC) group included 202 participants, and the three compro em excesso
other groups comprised the remaining 52 participants. These 3.Boa parte da minha vida se 1 2 3 4 5 6 7
baseia em comprar.
52 participants were referred to participate in this study by
4.Considero-me um 1 2 3 4 5 6 7
clinical psychologists or call centers and were screened as comprador impulsivo (não
positive for the following mental disorders: OCD (15), Impulse penso nas conseqüências).
Control Disorder (ICD) (15), and CBD (22). Nunca Com muita
frequencia
Instruments 5.Compro coisas que não 1 2 3 4 5 6 7
preciso.
Consent forms and the socio-demographic questionnaire
6.Compro coisas que não 1 2 3 4 5 6 7
were distributed beforehand to assess age, gender, marital
planejei comprar.
status, occupation, and education level. The following scales
were used: MINI21 5.0, YBOCS-SV,17 adapted to Portuguese Appendix I Final version translated and adapted into
by Tavares22 to diagnose CBD, the Compulsive Buying Scale Portuguese.
(CBS)11,18 adapted to Portuguese by Leite,23 and the RCBS.9
To evaluate levels of depression and anxiety, the Beck Participants were invited via e-mail and all subjects who
Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), signed the consent, were summoned to answer the online
originally created by Beck24,25 and colleagues and adapted to version of the questionnaire. Participants were requested
Portuguese by Cunha,26 were used. to access the website that was hosting the questionnaire.
Each participant could accept or deny participation; in
Adaptation order to participate, they had to fill out a protocol with
The semantic adaptation process for the RCBS was primarily seven instruments used in this research. Participants re-
composed of five steps, which were based on suggestions sponded to questions regarding their consumption habits
made by Skevington.27 A translator, two psychologists and and completed Y-BOCS-SV, CBS, RCBS, BDI, and BAI.
one bilingual mental health expert performed the initial Characteristics of the study sample were descriptively
translation from the scale’s source language to Portuguese. presented with mean and standard deviation. Chi-square
The Portuguese version was retranslated into English (i.e., test and analysis of variance (ANOVA) were performed to
back-translated) by two translators and a psychologist. This assess differences between the groups. Values of p < .05
version was then sent to the authors of the original scale were considered significant. The scales’ reliability was
to evaluate and approve the adjustments that had been assessed using Cronbach’s alpha.30 An exploratory factor
made to translate the instrument into Portuguese. Then, analysis (EFA) with Varimax rotation was performed to de-
five psychology experts assessed the clarity of language, its fine the construct validity.31 The index of adequacy of the
theoretical relevance, and the dimensions evaluated by the Kaiser-Meyer-Olkin test of sphericity and Bartlett’s were
scale.28,29 As a pre-test, the instrument was administered to used to evaluate the factored data. A number of factors
20 participants from the general population who had differ- with high-value ≥ 1 was estimated. For criterion-related
ent education levels. The final version was translated and validity31,32 Pearson’s correlation matrix is presented. We
adapted into Portuguese and is shown in Appendix I. compared the results of the RCBS with those obtained in
the Y-BOCS-SV and in the CBS. To quantify and discriminate
Procedure the cutoff for the scale, a ROC curve33,34 was computed.
For differentiating non-clinical, compulsive buying,
All participants signed the consent forms after being in- OCD and ICD groups, a one-way ANOVA with post-hoc test
formed of the goals and procedures of the study, issues of least significant difference was performed, using p <
related to confidentiality and the voluntary nature of their .05 as the criterion for statistical significance.
participation. Procedures were adopted to administer the
questionnaires online, over the Internet, in accordance Results
with application specific needs. Thus, patients were as-
sessed through the MINI 5.0 and diagnosed by mental health Table 1 presents the characteristics of the study sample. The
professionals, who also recruited clinical subjects to par- mean age of participants was 32.0 years (SD = 11.8). Significant
ticipate in the study. NC subjects volunteered after a wide- differences were found between groups with regard to age,
spread dissemination of the research, performed directly BDI and BAI. A post-hoc analysis (Bonferroni) revealed that the
by the main researcher among groups of mental health group with OCD was significantly older than the NC group (p <
professionals and support groups for mental disorders .0001). Groups with OCD and ICD had higher BAI and BDI scores
that were part of the composition of our clinical sample. than the non-patients (p < .001 and p < .0002, respectively).
Adaptation and validation of the Richmond Scale 41
NC: Non-clinical patients; CBD: Compulsive Buying Disorder; OCD: Obsessive-Compulsive Disorder; ICD: Impulse Control Disorder; BAI: Beck Anxiety
Inventory; BDI: Beck Depression Inventory.
There were no significant differences with regard to gender, Table 2 Exploratory Factor Analysis of the Richmond
marital status and education level. The differences observed in Compulsive Buying Scale – Varimax Rotation Method.
the BAI and the BDI scores are compatible with the literature.
Load Factor
Internal consistency of the scales Item Factor 1 Factor 2
The scales’ reliability (i.e., internal consistency) was assessed RC1 .80 .14
using Cronbach’s alpha. The original version of the RCBS re- RC2 .84 .27
ported an alpha of .89, and the alpha of our version of the scale RC3 .85 .22
was .87. This result is satisfactory and demonstrates that this RC4 .84 .27
RC5 .20 .90
short scale has good reliability.
RC6 .26 .89
The alphas of the clinical group indicate how much the scale
was able to differentiate CBD patients (.59) from individuals
with OCD (.90) and ICD (.78).
To verify data adequacy to perform the factor analysis, the
Kaiser-Meyer-Olkin (KMO) index and Bartlett’s sphericity were Table 3 Pearson’s correlations between investigated
used. The results were satisfactory: KMO = .87 and Bartlett = variables.
781.94, p < .01. An analysis of the factorial structure of the
Item 1 2 3 4
Portuguese version of the RCBS was conducted with EFA, Varimax
rotation, and numerical and graphical methods (screenplot) as 1. Y-BOCS-SV - -.78** .47** .49**
2. CBS -.78** - -.43** -.50**
criteria for extracting factors. Figure 1 presents the scree plot
3. BAI .47** -.43** - .56**
method as a criterion for extraction of factors and Varimax
4. BDI .48** -.50** .56** -
rotation method. Corroborating previous literature, the results
5. RCBS .76** -.75** .36** .41**
clearly indicated the presence of two main factors. The first
1. Y-BOCS-SV: Yale-Brown Obsessive-Compulsive Scale; 2. CBS: Compulsive
Buying Scale; 3. BAI: Beck Anxiety Inventory; 4. BDI: Beck Depression
Inventory; 5. RCBS: Richmond Compulsive Buying Scale.
consistency of the instrument, and has not investigated its 9. Ridgway NM, Kukar-Kinney M, Monroe KB. An expanded
temporal stability. Thus, future studies are needed to evaluate, conceptualization and a new measure of compulsive buying. J
Consum Res. 2008;35:622-39.
through test-retest reliability, this particular question.
10. American Psychiatric Association.Diagnostic and Statistical Manual
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Disclosures
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