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Article 13
Article 13
DOI: 10.1111/ppc.12424
ORIGINAL ARTICLE
Correspondence
Sahar Obeid, Psychiatric Hospital of the Cross, Abstract
PO Box 60096, Jall‐Eddib, Lebanon. Purpose: To describe the generation and validation of the Lebanese fear of
Email: saharobeid23@hotmail.com
relationship commitment scale (LFRC) and factors associated with FRC in a
Souheil Hallit, Building 560, Street 8, representative sample of the Lebanese population.
1st floor, Biakout, Lebanon.
Email: souheilhallit@hotmail.com Design and Methods: This cross‐sectional study, conducted between January and
May 2018, enrolled 568 single community dwelling participants.
Results: The scale items converged over a solution of four factors, explaining
50.46% of the variance (Cronbach’s α = 0.789). Higher social phobia (β = 0.073) and
higher general trust score (β = 0.393) were associated with higher FRC, whereas
higher self‐esteem (β = −0.275) was associated with lower FRC.
Practice Implications: The LFRC‐17 is a valid and reliable measure of fear of
relationship commitment and a highly efficient tool both for research and clinical
practice. It gathers social, physical, and psychological aspects related to gamophobia.
KEYWORDS
commitment, fear, gamophobia, relationship, scale, single
2.1.4 | Questionnaire details D to the dismissing attachment 25. Each paragraph is rated on a
7‐point scale (1 = strongly disagree to 7 = strongly agree).
The questionnaire used was in Arabic, the native language of the
country. The first part assessed the sociodemographic characteristics
of the participants, including age, sex, marital status, education level, 2.1.10 | Liebowitz social anxiety scale
and monthly income. The second part of the questionnaire included
the following scales: It is a small survey developed in 1987,25 to help identify a social
anxiety disorder in a person. The scale features 24 items graded in
a Likert scale from 0 to 3, which are divided into two subcategories
2.1.5 | Fear of commitment scale (13 questions relate to performance anxiety and 11 concern social
situations). The overall score is calculated by summing up the total
This scale was created based on previous questions from tests and
scores for the fear and avoidance parts. The maximum score is
articles that were found on the internet.10,17,18 The scale was
144 points indicating a very severe social phobia. The Liebowitz
composed of a total of 17 questions that followed a Likert scale as
social anxiety scale has been validated as a self‐report scale.26 In this
follows: 1 for strongly disagree and 4 for strongly agree. Items 1, 3,
study, the Cronbach’s α for the total score was 0.887.
and 4 were reversed. Higher scores indicated higher gamophobia
(higher fear of commitment).
2.1.11 | Young schema questionnaire‐S3
2.1.6 | Rosenberg self‐esteem scale The questionnaire consists of 90 items with 18 subscales grouped
into five schema domains as follows: rejection, impaired autonomy
This 10‐item scale measures both positive and negative feelings
and performance, impaired limits, other‐directedness, overvigilance,
about the self to evaluate self‐worth.19 The answers were rated 1
and inhibition.
(strongly agree), 2 (agree), 3 (disagree), and 4 (strongly disagree). Five
The subscales are consecutively: abandonment/instability, mis-
questions (3, 5, 8, 9, and 10) were reversed while doing the score
trust/abuse, emotional deprivation, defectiveness/shame, social iso-
calculation. Higher scores indicated higher self‐esteem. In our study,
lation/alienation, dependence/incompetence, vulnerability to harm
the Cronbach’s α was 0.733.
and illness, enmeshment/undeveloped self, failure, entitlement/
grandiosity, insufficient self‐control/self‐discipline, subjugation,
self‐sacrifice, approval‐seeking/recognition seeking, negativity/pessi-
2.1.7 | Hamilton depression rating scale
mism, emotional inhibition, unrelenting standards/hypercriticalness,
The validated Arabic version of the Hamilton depression rating scale and punitiveness.
(HDRS) was used in this study.20 The first 17 items of the HDRS are The questions are rated on a 6‐point Likert‐type scale (1 = en-
scored and measure the severity of depressive symptoms.21 The total tirely untrue of me, 6 = describes me perfectly). As each subscale
depression score was calculated by summing the answers of these 17 consists of five items, the score obtained on the subscales varies
items. The total HDRS score ranged from 0 to a maximum of 52 between 5 and 30. Cronbach’s α for the YSQ‐S3 scale was 0.956.
points. Higher scores indicated higher depression. In this study, the
Cronbach’s α was 0.864.
2.1.12 | Composite abuse scale
The composite abuse scale (CAS), initially developed in Australia, is
2.1.8 | Hamilton anxiety scale
considered a preferred measure of intimate partner violence that has
The Hamilton anxiety scale,22 recently validated in Lebanon,23 is a been used as a criterion standard for assessing one’s self‐reported
commonly used scale to measure anxiety in medical and research experiences of abuse. The short form of the CAS (25 items) was used
sites. It consists of 14 items, rated as follows: 0 (symptoms not in this study.27 The CAS total score should be created by summing all
present), 1 (mild symptoms), 2 (moderate symptoms), 3 (severe answers to all questions. Higher scores indicate greater physical
symptoms), and 4 (very severe symptoms). The total score was abuse. Cronbach’s α was 0.972.
calculated by summation of the 14 items. Higher scores indicated
higher anxiety. In this study, the Cronbach’s α was 0.883.
2.1.13 | General trust scale
It is a six‐item questionnaire that uses general statements to measure
2.1.9 | The relationship questionnaire
participants’ beliefs about honesty and trustworthiness of others,
The relationship questionnaire consists of four short paragraphs, in general. The score for each item ranges between 1 (strongly
each paragraph describes one of the four adult attachment style.24 disagree) and 5 (strongly agree). The score for each item is averaged
Style A corresponds to the secure attachment, Style B to the together to form a continuous measure of generalized trust.28 Higher
preoccupied attachment, Style C to the fearful attachment, and Style scores indicate higher trust.
4 | OBEID ET AL.
2.1.14 | Test–retest reliability of the fear mean square error of approximation (RMSEA), the goodness‐of‐fit
of commitment scale index (GFI), and the adjusted goodness‐of‐fit index (AGFI). The value
of χ2 divided by the degrees of freedom (χ2/df) has a low sensitivity to
To assess test–retest reliability of the scale, 100 individuals of the
sample size and may be used as an index of goodness‐of‐fit (cut‐off
first sample answered the questionnaire twice. The time between
values: <2‐5). The RMSEA tests the fit of the model to the covariance
test and retest reproducibility examination averaged approximately
matrix. As a guideline, values less than 0.05 indicate a close fit, and
10 days.
values below 0.11, an acceptable fit. The GFI and AGFI are χ2‐based
calculations, independent of degrees of freedom. The recommended
To ensure the validity of the results, the score that was created in
sample 1 was tested on another sample (sample 2), independent from 3 | RESULTS
the first one. We thus conducted another cross‐sectional study in
September 2018 on a sample of Lebanese participants different from 3.1 | Sociodemographic characteristics
sample 1. The latter were recruited from the same villages where
Sample 1 was recruited from. Patients filled out a questionnaire The sociodemographic and other characteristics of the participants
through a face‐to‐face interview with a professional psychologist; are summarized in Table 1. The mean age of the participants was
here, we were able to compare the score of each patient with a 23.03 ± 4.99 years, with 51.3% females, 70.4% with a university level
healthcare professional assessment of the fear of commitment in the of education, and 70.3% with a low monthly income.
bach’s α was recorded for reliability analysis for all the scales. Higher education 33 (5.9)
Intraclass correlation coefficient (ICC) were also used for reliability Monthly income
analysis between the anxiety scales and that of the test–retest. A Low (<1000 USD) 365 (70.3)
good reproducibility was noted when ICC was more than 0.7.29 Intermediate (1000‐2000 USD) 141 (27.2)
Second, a confirmatory factor analysis was carried out in sample High (>2000 USD) 13 (2.5)
2 using the maximum likelihood method for discrepancy function to
Mean ± SD
assess the structure of the instrument. We also reported several
Age, y 23.03 ± 4.99
goodness‐of‐fit indicators: the relative chi square (χ2/df), the root
OBEID ET AL. | 5
T A B L E 2 Promax rotated matrix of the Lebanese fear of relationship commitment scale items
Factor Items Factor 1 Factor 2 Factor 3 Factor 4
I have a low self‐confidence and a low self‐esteem 13 0.710
I do not trust my partner and I am afraid to leave or be left 16 0.665
I’m afraid that I’m not good enough for my partner 12 0.568
I hate the idea of spending the rest of my life with only one person 17 0.552
I am afraid to lose someone better while I am committed to a relationship with a 15 0.501
particular partner
I am afraid that my emotional relationship will end with divorce and I am therefore 11 0.468
afraid that I will suffer as a result
I am afraid that my emotional commitment contradicts my freedom and my privacy 8 0.691
I am afraid that my partner will depend on me financially and emotionally 9 0.644
I am afraid of being financially and emotionally dependent on my partner 10 0.642
I fear the responsibilities of being emotionally committed 7 0.619
I am afraid of attachment 14 0.459
I feel uncomfortable at a wedding and when I see others get married 6 0.718
I feel uneasy, and even feel panic attacks when talking about marriage 5 0.688
I put my relationship as a priority 1 0.728
I am looking forward to marriage 4 0.680
I consider my partner as part of my future plans 3 0.661
I put myself and my family and friends as a priority before my partner 2 0.468
Cronbach’s α 0.749 0.704 0.570 0.523
Percentage of variances explained 25.68 10.48 7.44 6.86
Note: Factor 1: Negative perception of self, partner, and relationship; Factor 2: Fear of emotional commitment and financial dependence; Factor 3:
Tension related to the idea of marriage; Factor 4: Prioritization of personal (family/friends) life. Cronbach’s α for the LFRC‐17 scale =0.789.
(P < .001). According to the promax rotated matrix, the components to the idea of marriage. However, higher self‐esteem (β = −0.043) and
are summarized in Table 2. Moreover, a high Cronbach’s α was found university level of education (β = −0.395) were significantly asso-
for the full scale (0.789). ciated with a decrease in tension related to the idea of marriage.
A four linear regression, taking factor 4 (prioritization of personal
[family/friends] life) as the dependent variable, showed that higher
3.3 | Multivariable analysis general trust score (β = 0.040), higher attachment secure style
(β = 0.091), and higher attachment preoccupied style (β = 0.080)
Five stepwise linear regression models were developed taking the
were significantly associated with an increase in prioritization of
four factor components of the LFRC‐17 and the total score as
personal (family/friends) life (factor 4). However, the composite
dependent variables.
abuse scale (β = −0.008) was significantly associated with a decrease
The results of a first linear regression, taking factor 1 (negative
in prioritization of personal (family/friends) life.
perception of self, partner, and relationship) as the dependent
A fifth linear regression taking the fear of relationship commit-
variable, showed that higher defectiveness schema (β = 0.089),
ment scale as the dependent variable, showed that higher social
lower self‐esteem (β = −0.064), and higher composite abuse scale
phobia (β = 0.073) and higher general trust score (β = 0.393) were
(β = 0.037) were significantly associated with higher negative
significantly associated with higher fear of relationship commitment,
perception of self, partner, and relationship (factor 1).
whereas higher self‐esteem (β = −0.275) was associated with lower
A second linear regression, taking factor 2 (fear of emotional
fear of relationship commitment scale (Table 3).
commitment and financial dependence) as the dependent variable,
showed that higher depression (β = 0.033), lower age (β = ‐0.056), and
higher general trust (β = 0.050) were significantly associated with
3.4 | Stratification analysis
higher fear of emotional commitment and financial dependence
level (factor 2). In the comparison between males and females, higher social phobia
A third linear regression, taking factor 3 (tension related to the and higher general trust score were associated with an increase in
idea of marriage) as the dependent variable, showed that higher fear the LFRC‐17 among both men and women. However, lower self‐
of intimacy (β = 0.014) and higher attachment dismissing style esteem (β = −0.23) was significantly associated with a higher fear of
(β = 0.066) were significantly associated with higher tension related commitment among men only while higher negativity pessimism
6 | OBEID ET AL.
T A B L E 3 Multivariable analysis
Model 1: Linear regression taking factor 1 (negative perception of self, partner, and relationship) as the dependent variable
Confidence interval
Confidence interval
Confidence interval
Variable(s) entered: anxiety scale (HAMA), depression scale (HAMD), social phobia score, general trust score, fear of intimacy score, emotional
deprivation schema, abandonment schema, mistrust abuse schema, defectiveness schema, failure schema, dependence schema, social isolation
schema, vulnerability schema, enmeshment schema, subjugation schema, emotional inhibition schema, composite abuse scale, education level,
self‐esteem score (Rosenberg) adult attachment style.
Model 4: Linear regression taking factor 4 (prioritization of personal (family/friends) life) as the dependent variable
Confidence interval
Confidence interval
T A B L E 4 Multivariable analysis: linear regression taking the fear of commitment scale (LFRC‐17) as the dependent variable with a
stratification over sex
Men Women
Predictor factors β (95% CI) P‐value β (95% CI) P‐value
Social phobia score 0.08 (0.03‐0.12) .001 0.07 (0.03‐0.10) <.001
General trust score 0.43 (0.19‐0.67) <.001 0.31 (0.12‐0.50) .001
Self‐esteem score (Rosenberg) −0.23 (−0.45 to −0.02) .030 ‐ ‐
Negativity pessimism schema ‐ ‐ 0.14 (0.001‐0.28) .048
schema (β = 0.14) was associated with higher fear of commitment this was reflected in the scale’s second component (ie, fear of emotional
among women only (Table 4). commitment and financial dependence). Furthermore, Lebanese wed-
ding traditions are particularly stressful for couples and this could be
linked to the scale’s components 2 and 3, namely financial dependence
3.5 | Test–retest reliability
and tension related to the idea of marriage. In fact, Lebanese weddings
The results of the test–retest reliability assessment demonstrated are money and time‐consuming, requiring great location and food,
strong reproducibility of the fear of commitment scale (intraclass plenty of partying and parades, and expensive gowns. Family, neighbors,
correlation [95% CI]: ICC =0.92 (0.83‐0.96), P < .001). colleagues, and friends are usually invited to the wedding ceremony,
which further increase the social stress felt by the couple. However,
wedding traditions significantly differ between countries probably
3.6 | Sample 2
affecting the level and extent of gamophobia. Prioritization of family
A confirmatory factor analysis was run on sample 2, using the was found to be a significant component (factor 4) of the LFRC‐17 and
structure obtained in sample 1. The mean age of the participants was this as well might be a particular feature of gamophobia in Lebanon. In
26.74 ± 3.28 years, with 56.7% females; 66.9% with a university level fact, familial bonds are still strong in the country and adults live with
of education and 65.2% with a low monthly income. The following their families until they get married. Close relationships between
results was obtained: the maximum likelihood χ = 64.69 and degrees
2
children and parents throughout adolescence and adulthood affect as
of freedom =34, which gave an χ /df =1.82. For noncentrality fit
2
well the financial dependence among the family members, probably
indices, the Steiger‐Lind RMSEA was 0.077 (0.040‐0.101). Moreover, adding to gamophobia.
the Joreskog GFI equaled 0.92 and AGFI equaled 0.9. In addition to socioeconomic factors, some personality disorders
(PDs) and schemas have been found to correlate with decreased
marriage such as avoidance.35 The current definition of an early
4 | D IS C U S S IO N maladaptive schema is “a broad, pervasive theme or pattern,
comprised of memories, emotions, cognitions, and bodily sensations,
The LFRC‐17 is a comprehensive brief instrument developed using regarding oneself and one’s relationships with others, developed
the principal component analysis approach; it mainly captures during childhood or adolescence, elaborated throughout one’s
negative perception of self and relationship, and fear of emotional lifetime and dysfunctional to a significant degree.”36,37 Early
and financial commitment. Items have been chosen based on maladaptive schemas operate on the deepest level of cognition,
previous tests and studies,31,32 and after considering the opinion of usually outside of awareness, and make the individual psychologically
experts in the field. However, relevant literature is still scarce and vulnerable to develop depression, anxiety, dysfunctional relation-
few papers addressed fear of relationship commitment not any fear ships, addiction, and psychosomatic disorders.37,38 When a schema is
of commitment (ie, work). The scale is composed of 17 items divided triggered, the individual may respond to it with a maladaptive coping
over four components, with an average time for completion and style (eg, overcompensation, avoidance, surrender) that perpetuates
evaluation of less than 10 minutes and an acceptable reliability the schema.39 In this study, the abandonment schema was associated
measured by a Cronbach’s α of 0.789. with higher fear of relationship commitment. The perceived
The LFRC‐17 contributes to the measurement of the complex instability or unreliability of significant others for emotional support
concept of gamophobia and helps identify its etiology. The scale has and connection during childhood might be reflected as a fear of
been developed to answer the increasing trend in the percentage of relationship commitment in later stages of life. Ambivalence about
single adults and the age of marriage, all of which giving the low rates of involvement for young adults from divorced families might result
fertility seen in many parts of the world.33 Dyadic stress related to from two opposing forces experienced when parents’ divorce. A need
financial issues and responsibilities held by the couple is one major for attention and affection, combined with a fear of betrayal or
34
factor related to gamophobia and delayed marriage. Financial abandonment, can occur when parents become less available during
problems are particularly challenging for Lebanese young adults and the divorce process.40
8 | OBEID ET AL.
Our results showed that higher social phobia was associated with than women.49,50 For their part, several researchers believe that low
41
higher fear of commitment, in line with previous findings. In self‐esteem among men increases the chances of being single and not
addition, higher trust and higher self‐esteem was associated with to participate in serious meetings (McClure et al).48,51
lower fear of commitment. People monitor the degree to which they In addition, multivariate analysis showed that the schema of
are valued and accepted by significant others and that one important negative pessimism was associated with fear of commitment in
output of this monitoring is the sense of self‐esteem. Specifically, women only. Regarding this correlation, there are no previous studies
high self‐esteem connotes a feeling of being accepted and valued by that have focused on the association between these two variables.
others, whereas low self‐esteem is derived from social rejection and Practically, as women express their feelings, positive or negative,
the failure to maintain close bonds. In support of this view, research more freely than men, studies showed that women had higher death
has shown that self‐esteem was significantly reduced when partici- anxiety scores than men.52-54 This significant difference corroborates
42
pants were socially excluded on the basis of a meaningful reason. a number of previous reports that showed that fear of death was
The four most important concepts in a relationship are trust, more expressed by women than by men. This study also pointed out
assurance, commitment and social uncertainty.43 When there is very that loneliness, fear of commitment in a relationship, and death
little social uncertainty, partners do not need to infer each other’s anxiety were positively correlated in women.
intentions to be assured of the partner’s benign behavior. In other Finally, the association between attachment styles (secure,
words, trust is needed less to the degree that commitment reduces preoccupied, and dismissing) with factors 3 (tension related to the
social uncertainty. Knowledge alone can never cause us to trust and idea of marriage) and 4 (prioritization of personal (family/friends) life)
trust begins where simple prediction ends.44,45 has not been studied in previous research. But we can analyze that
People with avoidant PD exhibit a low self‐esteem along with people with an insecure attachment style (preoccupied and dismiss-
social inhibition and self‐isolation. Low self‐esteem and social phobia ing) generally fear rejection and loneliness in romantic relation-
have been both found to increase the LFRC‐17, particularly ships.55-57 Likewise, lack of self‐confidence in stressful situations
components 1 and 3, that is, negative perception of self, partner, would be able to create psychological stress for insecure individuals,
and relationship and tension related to the idea of marriage. The and as a result, they may feel inferior compared to others, humbled
aforementioned PDs in addition to antisocial, schizoid, paranoid, and and anxious.58,59 They also have low expectations for their future.
obsessive‐compulsive disorders have been also associated with These problems create a fear of engaging in a romantic relationship, a
increased early marriage and marital disruption7. Fear of intimacy, tension related to the idea of marriage and an attitude of priority
a particular type of social phobia, has not been included in the final given to family and friends as a means to distance oneself from loving
model explaining the LFRC‐17. However, it was associated with affects.55,60 Moreover, extreme attachment or detachment (physical
components 2 and 3, namely fear of emotional commitment and and mental) and adverse reactions in case of crisis and failure are
tension related to the idea of marriage. Intimacy problems and sexual considered characteristics of insecure individuals. These individuals
disorders such as vaginal penetration phobia are common in Middle may feel restless or anxious when they experience intimacy. They
Eastern Arab countries and neighboring Muslim or partly Muslim may not respond or be slightly sensitive to meeting the needs of
countries due to cultural taboos and inherited beliefs regarding sex others, preferring loneliness and nonengagement in a romantic
education and practices.46 Other traits such as age, education, and relationship.
intimate partner violence further correlated with gamophobia and
causal imputations are a priority for future research.
Moreover, higher self‐esteem was associated with lower fear of
4.1 | Limitations
commitment, showing that person’s self‐esteem is linked to the
quality of his or her romantic relationship. In a study conducted by We conducted the research in a middle‐income country of the Middle
Murray et al (2000), authors suggested that people with low self‐ Eastern Arab region, and the generalizability of this measure for
esteem thought their partners saw them as negatively as they adults living in different areas is unknown. Additional testing is
presented themselves; and as a result, they tend to distance needed to evaluate the reliability and validity of the LFRC‐17 in other
themselves in order to avoid disappointment, which reduces the contexts and cultures. If used in other countries, especially where
relational satisfaction of the two partners and generates in return a cultural understandings of commitment, family, financial dependence,
fear of commitment in a romantic relationship. In return, this and wedding habits differ from those in Lebanon, it will be important
negative correlation between these two factors emphasizes that to reconsider wording of items and a careful cultural or linguistic
low self‐esteem contributes to avoidance of attachment, people with translations as needed. Causal sequential relationships with gamo-
low self‐esteem may tend to reduce interpersonal proximity with the phobia need to be investigated in prospective studies while
partner in order to protect themselves from rejection experi- considering other confounding factors. Furthermore, as with all
ments.47,48 In addition, several studies found an association between observational studies, there are possibilities of a selection and an
fear of commitment and men’s sex, speculating that it was the result information biases, since the study was conducted on a sample and
of traditional gender roles in which men are supposed to initiate relied on participants’ answers. Larger scale studies would be
relationships and therefore run an increased risk of rejection more necessary to confirm our findings.
OBEID ET AL. | 9
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