key: cord-0077402-0y99uhs4 authors: Fernández-Martín, Francisco D; Flores-Carmona, Lorena; Arco-Tirado, José L title: Coping Strategies Among Undergraduates: Spanish Adaptation and Validation of the Brief-COPE Inventory date: 2022-04-20 journal: Psychol Res Behav Manag DOI: 10.2147/prbm.s356288 sha: e56bf3e8e8956c9626642a14146ad41afeb1f4fa doc_id: 77402 cord_uid: 0y99uhs4 PURPOSE: Different studies have highlighted the importance of coping strategies in stressful situations. The Coping Orientation to Problem Experienced (COPE) by Carver et al is one of the instruments that is frequently used for measuring this aspect. The aim of this study was to carry out the cross-cultural adaptation and validation of the Brief-COPE inventory to measure coping strategies in Spanish populations. METHODS: The linguistic and cultural adaptation of the Brief-COPE was carried out using the back-translation method and, after considering the results of the pilot test, the Spanish version of the instrument was configured, and subsequently administered to a convenient sample of 2135 undergraduates. A confirmatory factor analysis was carried out to examine construct validity of the Spanish adaptation of the brief-COPE; likewise, reliability was analyzed from two approaches, internal consistency and composite reliability. Concurrent validity was also tested. RESULTS: The results showed that the Spanish version of Brief-COPE has adequate reliability values, as well as satisfactory fit indexes for the proposed 14-factor first-order structural model. Likewise, external evidence of the validity of the inventory with the variables perceived stress, level of satisfaction with life, and academic performance is provided. CONCLUSION: The results suggest that this instrument presents a satisfactory metric quality and, therefore, it could be useful to evaluate coping strategies, which would allow further research on its incidence and consequences on health and psychological functioning. Coping is a variable pattern of thinking, feeling, and behavior through which a person attempts to manage specific external and/or internal demands, generated by a stressful situation, that exceed his or her resources. [1] [2] [3] This noncognitive ability allows regulating the potential repercussions of stress at the somatic, psychological, and behavioral levels, thus facilitating the adjustment and adaptation of the person to situations of uncertainty, preserving his or her own physical and psychological integrity, mainly through the use of different strategies. 1, 4 Coping strategies refer to specific actions aimed at modifying the stimulus that generates stress, as well as controlling the emotions that derive from it. 1, 5 Traditionally, these strategies have been grouped into two categories: (a) problemcentered, ie, actions aimed at eliminating or reducing the impact of the stressor (active coping, planning, positive reframing, and acceptance); and (b) emotion-centered, ie, actions aimed at preventing or reducing the emotional distress or discomfort caused by a stressful situation (instrumental support, emotional support, self-blaming, venting, and religion). 2, 3 However, Endler and Parker 6 suggested a third category, called avoidance-centered coping strategies, which encompasses actions aimed at avoiding stressful situations through distraction techniques (behavioral disengagement, denial, substance use, self-distraction, and humor). The sample was made up of 2135 students enrolled in different bachelor's degree programs (44.9% from primary education, 31.5% from early childhood education, 17.3% from education, 6.3% from social education) at the University of Granada (Spain): 820 students in the first year, 541 in the second year, 460 students in the third year and 314 in the fourth year. The participants' mean age was 21.03 (SD = 3.3), with an age range between 18 and 41, while their distribution by sex was 410 males (19.2%) and 1725 females (80.8%). A non-probabilistic purposive sampling was used. 31 The sample size included more than 200 cases, 32 and it exceeded the ratio of 10 cases per item, 33 above the minimum established in different simulation studies for relatively simple structural models. 34 However, for greater security, the minimum sample size needed for the structural complexity of the specified model was calculated (n = 400) considering the number of observed variables (28) and latent variables (14) , the expected effect size (0.10), the associated probability (0.05) and the desired levels of statistical power (0.80). 35 Instruments Spanish adaptation of the Brief-COPE is a Likert-type scale made up of 28 items estimated between 1 (Never) and 5 (Very often) that evaluate 14 coping strategies for stressful situations: 28 (a) active coping; (b) planning; (c) instrumental support; (d) emotional support; (e) self-distraction; (f) venting; (g) behavioral disengagement; (h) positive reframing; (i) denial; (j) acceptance; (k) religion; (l) substance use; (m) humor; and (n) self-blaming. In its original version, this inventory revealed adequate levels of internal consistency, in addition to showing proof of validity of its factor structure. 28 Spanish adaptation of the Perceived Stress Scale presents 13 Likert-type items, which are rated between 0 (Never) and 4 (Very often). A higher score indicates a lower degree of perceived stress. 36 This scale was used because it is one of the tests commonly used to evaluate perceived stress in Spanish young adults due to its adequate psychometric properties in its original version. 36 In this research, the scale showed a Cronbach's alpha (α) of 0.88 and a McDonald's omega (ω) of 0.89. Moreover, a one-factor confirmatory factor analysis (CFA) was estimated, with adequate fit indexes: Satorra-Bentler Chi-squared (S-Bχ 2 ) (198) = 903.19, p-value (p) < 0.001, S-Bχ 2 /degree of freedom (df) = 4.56, comparative fit index (CFI) = 0.96, goodness-of-fit index (GFI) = 0.98, standardized root mean squared residual (SRMR) = 0.08, root mean squared error of approximation (RMSEA) = 0.08 (90% confidence interval [CI] = 0.07-0.08). Spanish adaptation of the Satisfaction with Life Scale is a five-point Likert scale from 1 (Strongly disagree) to 5 (Strongly agree). 37 A higher score indicates a higher degree of satisfaction with life. This scale comprises five indicators of overall satisfaction with one's life, and its use is justified because of the need to measure this variable and of its high reliability index and acceptable validity indexes in its original version and Spanish adaptation. 37 In this study, it yielded adequate levels of internal consistency (α = 0.81, ω = 0.82), and a one-factor CFA was estimated, with excellent fit indexes: S-Bχ 2 (12) = 31.77, p < 0.001, S-Bχ 2 /df = 2.65, CFI = 0.95, GFI = 0.98 SRMR = 0.03, RMSEA = 0.05 (90% CI = 0.03-0.07). Sociodemographic and academic information self-report. It consisted of five items with multiple-choice or openended responses aimed at gathering information from the participants on the following dimensions: (a) sociodemographic (ie, age and gender); (b) academic information (ie, bachelor's degree program and course); and (c) grade point average (GPA), in a scale from 0 to 10 points. The methodological design adopted was instrumental, 38 and the process of adapting cross-cultural and review of the psychometric properties of the Brief-COPE was determined by the Guidelines of the International Test Commission. 39, 40 In this sense, in the first phase, the permission needed from the author of the inventory was secured for the purpose of the adaptation, and then a systematic review on the construct was conducted to provide evidence that coping strategies can be generalized across cultures, and they are relevant to the target population. The second phase consisted of performing the linguistic and cultural adaptation of Brief-COPE, following the backtranslation method 40 : (a) two qualified professional translator generated independently their own Spanish version of the Brief-COPE (ie, parallel translation); (b) the linguistic and cultural equivalency of these translations were reviewed and analyzed by three specialists (ie, experts in the construct to be measured, in test construction, and in the Spanish culture, who kindly agreed to collaborate on the study); after making some adjustments, they proposed a consensual translation, on which a reverse translation into English was made by a third professional translator; (c) a committee of three specialists reviewed and analyzed the linguistic and cultural equivalency of Spanish version of the Brief-COPE and previous adaptations of Brief-COPE into Spanish languages (ie, Chilean, Mexican, Uruguayan); and (d) this committee specialists calculated Aiken's V = 0.76 to measure the degree of comprehensibility of the items in Spanish, which should be at least 0.7. 41 In the third phase, a pilot test was conducted with a sample of undergraduates (n = 403). This pilot test allowed to confirm the direction and meaning of the psychometric properties of the inventory, its adequate online format, the approximate time needed to fill it out, and the appropriate content and format of its items. 42 Finally, in the fourth phase, after obtaining permission from the institutional authorities, the research team used computer-assisted web interviewing technique 43 to recruit a sample of undergraduates enrolled in different bachelor's degree programs in educational sciences, in which future education professionals were being trained. Participants (n = 4951) were sent an online invitation (ie, an email was sent to undergraduates through PRADO, the University of Granada's official platform based on Moodle to support teaching) and given 2 weeks to respond. This invitation provided information on the objective of the study, the voluntary nature of their participation, and the confidentiality of their responses. Undergraduates who decided to participate were provided with a respondentspecific link to access all measures and the instructions on how to fill them out through an e-mail. Participants completed all measures simultaneously: Sociodemographic and academic information self-report, Spanish version of the Brief-COPE, Spanish adaptation of the Perceived Stress Scale, 36 and Spanish adaptation of the Satisfaction with Life Scale. 37 Responses were collected in January 2021. Response rate was 43.12%. The study was carried out in accordance with the Ethical Committee of the University of Granada (1400/CEIH/2020). The initial analysis consisted of calculating the descriptive statistic and checking data distribution (ie, skewness, kurtosis, Shapiro-Wilk statistic, and Mardia's coefficients of multivariate skewness and kurtosis), linearity and atypical, missing, and influential cases, after reversing the items with negative formulation. Subsequently, according to the structural model of the original version of the Brief-COPE, 28 a 14-factor CFA was estimated using the weighted least squares (WLS) method. The goodness-of-fit of the structural model proposed was evaluated using different indexes: (a) the S-Bχ 2 , which should not be statistically significant to indicate a good fit, 44 although the ratio S-Bχ 2 /df can also be considered (lower than 5 to be interpreted as acceptable) 45 ; (b) the CFI, of more than 0.9 and, ideally, greater than 0.95 46 ; (c) the GFI with values of more than 0.9 46 ; and (d) the SRMR and RMSEA of 0.08 or less (ideally, less than 0.05). 46 The reliability was analyzed from two approaches 47,48 : (a) internal consistency: α and ω, which should be greater than 0.7 49, 50 and (b) composite reliability: composite reliability index (CRI), and average variance extracted (AVE), which should be greater than 0.7 and 0.5, respectively. 51, 52 The structures of the Spanish adaptation of the Perceived Stress Scale, 36 and Spanish adaptation of the Satisfaction with Life Scale 37 were also examined by means of one-factor CFAs using WLS estimation, and to determine their reliability, α, ω, CRI, and AVE were also estimated. Finally, following the criteria proposed by Hair et al 52 concurrent validity was tested by the Pearson correlation coefficient (r) between scores on the Spanish adaptation of the Brief-COPE factors, the Spanish adaptation of the Perceived Stress Scale, 36 the Spanish adaptation of the Satisfaction with Life Scale, 37 and academic performance (ie, GPA). Moreover, in order to establish differences in the factors of the inventory according to gender variable, Mann-Whitney (U) tests were performed, including Cohen's d. Statistical No missing values were detected, and the atypical cases identified through the Mahalanobis distance were processed using robust estimators. Likewise, the descriptive analysis of the items reveals mean scores ranging between 1.29 (SD = 0.66) on item 4 (substance use factor) and 3.13 (SD = 0.67) on item 20 (acceptance factor) ( Table 1 ). The results of the models of the different studies performed with the Brief-COPE in Spanish population are shown in Table 2 . Among them, the ones worth highlighting are the goodness-of-fit indexes and statistics from this research: S-Bχ 2 (259, n = 2135) = 1198.57, p < 0.001, S-Bχ 2 /df = 4.63, CFI = 0.96, GFI = 0.98, SRMR = 0.04, RMSEA = 0.04 (90% CI = 0.04-0.05). All items showed factor loadings greater than 0.40, and they were all statistically significant (p < 0.001) ( Table 1 ). The correlations between the different factors of the Spanish adaptation of the Brief-COPE ranged between −0.34 (planning-venting factors) and 0.78 (instrumental support-emotional support factors) ( Table 3 ). The internal consistency for the overall score on the Spanish adaptation of the Brief-COPE was α = 0.75 and ω = 0.77, ranging between 0.65 on denial factor and 0.86 on self-blaming factor (Table 3) . However, the elimination of items 3, 19 and 21 would increase the internal consistency of the inventory to 0.76 (α) and 0.78 (ω), as they show a corrected item-total correlation under 0.30. As expected, there was significant correlation between the factors of the Spanish adaptation of the Brief-COPE and other variables that comprise this study (perceived stress, satisfaction with life, and GPA), showing evidence of convergent validity (see Table 3 ). Likewise, CRI and AVE are shown in Table 3 . The purpose of this research was to undertake the transcultural adaptation and validation of the Brief-COPE inventory, 28 given the absence of instruments validated with young Spanish adults that allow the identification and analysis of the coping strategies in stress situations. In this sense, the results obtained confirm satisfactory levels of validity and reliability for the evaluation of the coping strategies that are proposed in the Lazarus and Folkman 24 model, which is structured in eight strategies (ie, cognitive restructuring, social support, problem solving, problem-avoidance, social withdrawal, emotional expression, self-criticism, and illusions). The factor structure of the model in the Spanish version of the Brief-COPE coincides with the 14-factor first-order CFA model achieved in the studies carried out with the original version 28 and the Chilean one, 17 including the distribution of items among factors. In fact, the results of the present study reveal higher fit indices than those achieved in the previous instrumental studies. As shown in Table 2 , a simple comparison between some of the indices used to evaluate the goodness-of-fit of the structural model proposed in this study with the Spanish version and the previous psychometric studies reveals that the model of the Spanish version shows outstanding fit compared to the fit of the rest of the Spanish versions. 46 Therefore, the first hypothesis of this research can be confirmed, which implies providing new evidence in favor of the use of this instrument for the evaluation of the coping strategies with young Spanish adults, as well as with regard to the measurement of the underlying theoretical construct. Nonetheless, this result presents differences with previous instrumental studies, although that variability of the structure is possible due to the differences in the procedures applied in factor analysis (ie, EFA). Morán et al. 29 Table 3 Correlations and Reliabilities Factor/Variable 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 previous instrumental studies with the present one. Morán et al. 29 Ornelas et al 30 and Reich et al 13 removed 2, 11 and 4 items, respectively, because they presented a low factor loading. Moreover, another aspect to take into account when comparing the results of the factorial analyzes is the size of the sample and the characteristics of the participants. The sizes of the samples used in the studies by Morán et al. 29 Ornelas et al 30 and Reich et al 13 ranged from 203 to 260 evaluated, although the minimum sample size needed for the structural complexity of the specified model is 400. 35 In turn, the reliability results of the Spanish version of the Brief-COPE show a fairly acceptable level of internal consistency (α = 0.75, ω = 0.77), and composite reliability (CRI = 0.85, AVE = 0.64), although not all of its factors have reached values above 0.70 (ie, denial factor), as it is recommended for research work, 50 so the second hypothesis of this research is partially accepted. The level of internal consistency of the denial factor could be related to the acquiescence bias described by Tomás et al 54 although it seems that to a greater extent this can be attributed to the presence of inverse items, which can cause bias in the response. However, further research on this factor is necessary because this problem has been found also in different populations and languages. Previous studies have also evaluated the internal consistency of the scale (ie, α), finding values that range from 0.50 to 0.86, 13, 17, 29, 30 although most of the factors have not reached values above 0.70. In this sense, the reliability results of the Spanish version of the Brief-COPE are higher than those achieved in the previous instrumental studies. With regard to the third hypothesis on the external evidence of validity of the Spanish version of the Brief-COPE, as established in the specialized literature, 17-21 the adaptive coping strategies (ie, active coping, planning, instrumental support, emotional support, positive reframing, and acceptance) turned out to be linked to a lower degree of perceived stress, a higher degree of satisfaction with life and a higher academic performance, in the same terms as the maladaptive coping strategies (ie, denial, behavioral disengagement, self-blaming, self-distraction, venting, religion, and substance use) were linked to a higher degree of perceived stress, a lower degree of satisfaction with life and a lower academic performance. These results allow confirming the third hypothesis of the study, although the coping strategy factors showed a moderate-weak correlation with perceived stress, satisfaction with life and academic performance. In this sense, the idea that perceived stress, satisfaction with life and academic performance are related to coping strategies needs be considered in future studies. 1 In relation to gender differences in coping strategies, according to previous studies, 55 our results showed that females used more often than males instrumental support, emotional support, self-distraction, acceptance, and self-blaming, while males used more often than females venting, denial, substance use and humor. One potential explanation to this finding could be that women are more likely to amplify their moods because they have a greater tendency to be attentive to moods. 56 However, it should be taken into account that the use of some coping strategies or others is subject to the characteristics and the valuation and perception processes of each individual towards the stressor. 19 Regarding the limits of the study, it is necessary to mention the use of a non-probabilistic sampling that can affect the ability to generalize the results to the population. Moreover, the recruitment and participation were made online and levels of homogeneity of this study's sample may have affected the results. It would be interesting to use a random sampling method for generalizing our outcomes. However, considering the larger sample size compared to previous studies, it is considered that the results provide important evidence on the psychometric properties in the Spanish undergraduates, an aspect that may imply certain limitations in its use with other populations. Another limitation could be the instrument's stability over time was not analyzed due to the study was cross-sectional. Therefore, it would be useful to carry out longitudinal research. In this sense, it is important to emphasize the need for future research to validate this instrument with different non-university samples and therefore populations. Despite these limitations, this research contributes to the literature in several ways. First, the Spanish adaptation of the Brief-COPE should permit researchers to go in depth in the study of emotion regulation in undergraduates and its relationship with well-being and quality of life. Second, practitioners of university counseling services could assess and analyze the coping strategies used by this specific population to manage stressful situations, and their consequences. Third, practitioners of university counseling services could train undergraduates in adaptive coping strategies and emotion regulation. In summary, as a conclusion, it can be stated that the Spanish adaptation of the Brief-COPE presents a satisfactory metric quality according to the empirical evidence provided in this study, which supports its use with the Spanish population to measure coping strategies in stress situations. The original 14-factor structure had excellent fit indices, the reliability results were acceptable, and external evidence of the validity of the inventory is provided. Finally, it is important to highlight that this research represents a step forward in the adaptation of the original version of Carver's Brief-COPE 28 to different linguistic and cultural contexts, especially considering that in Spain the only precedent to it was the work of Morán et al. 29 Abbreviations COPE, Coping Orientation to Problem Experienced; SD, standard deviation; α, Cronbach's alpha coefficient; ω, McDonald's omega coefficient; CFA, confirmatory factor analysis; S-Bχ 2 , Satorra-Bentler Chi-squared; p, p-value; df, degree of freedom; CFI, comparative fit index; GFI, goodness-of-fit index; SRMR, standardized root mean squared residual; RMSEA, root mean squared error of approximation; CI, confidence interval; GPA, grade point average; CEIH, Comité de ética en Investigación Humana; WLS, weighted least squares; CRI, composite reliability index; AVE, average variance extracted; r, Pearson correlation coefficient; U, Mann-Whitney test; d, Cohen's d; M, mean; SK, skewness; KU, kurtosis; S-W, Shapiro-Wilk statistic; FL, factor loading; SE, standard error; EFA, exploratory factor analysis; KMO, Kaiser-Meyer-Olkin; NE, not estimated. The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. This study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for medical research involving human subjects and was approved by the Ethical Committee of the University of Granada (1400/CEIH/2020). Informed consent was obtained from all individual participants included in the study. The participant has consented to the submission of the case report to the journal. Coping: pitfalls and promise Coping theory and research: past, present, and future Perceived emotional intelligence and stress coping strategies in primary school teachers: proposal for an explanatory model with structural equation modelling (SEM) Stress: an analysis based on the role of social factors Multidimensional assessment of coping: a critical evaluation CSI-SF: psychometric properties of Spanish version of the coping strategies inventory-short form Handbook of the Social Psychology of Health. Madrid: Síntesis Individual and family copying strategies when facing psychological stress situations Coping strategies for academic stress in undergraduate students: early childhood and primary education Coping assessment from the perspective of the person-situation interaction: development and validation of the Situated Coping Questionnaire for Adults (SCQA) Personality and coping Psychometric properties of the brief COPE in a sample of Uruguayan women Stress coping strategies and interpersonal behavior styles Personality and coping. What traits predict adaptive strategies? Ann Psychol Emotional intelligence and coping styles with stress Psychometric properties of the Brief-COPE for the evaluation of coping strategies in the Chilean population Frequently used coping scales: a meta-analysis Coping strategies as mediators within the relationship between emotion-regulation and perceived stress in teachers Coping styles and strategies and academic performance: an empirical review Stress, coping strategies and academic achievement in teacher education students The role of coping in the wellbeing and work-related quality of life of UK health and social care workers during COVID-19 Coping with the invisible enemy: the role of emotion regulation and awareness in quality of life during the COVID-19 pandemic Adolescent coping orientation for problem experiences The hierarchical factor structure of the coping strategies inventory Assessing coping strategies: a theoretically based approach You want to measure coping but your protocol' too long. Consider the Brief Cope COPE-28: A Psychometric analysis of the Spanish version of the brief COPE Coping in breast cancer patients undergoing radiotherapy: the Brief COPE Scale Qualitative Research and Evaluation Methods Sample size in factor analysis Effects of variable and subject sampling on factor pattern recovery Structural equation modeling: strengths, limitations, and misconceptions A-priori sample size calculator for structural equation models Psychometric properties of the Spanish version of the perceived stress scale Satisfaction with life scale: analysis of factorial invariance across sexes A classification system for research designs in Psychology International test commission guidelines for test adaptation: a criterion checklist International test commission guidelines for test translation and adaptation: second edition A breakdown of reliability coefficients by test type and reliability method, and the clinical implications of low reliability Ten steps for test development Internet surveys Principles and Practice of Structural Equation Modeling Comparative fit indexes in structural models Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives From alpha to omega: a practical solution to the pervasive problem of internal consistency estimation Point and Interval estimation of reliability for multiple-component measuring instruments via linear constraint covariance structure modeling Evaluation of dimensionality in the assessment of internal consistency reliability: coefficient alpha and omega coefficients Psychometric Theory Composite reliability in structural equations modeling Upper Saddle River: Pearson International Edition Exploratory factor analysis in validation studies: uses and recommendations Accumulated evidence on method effects associated with inverted items Coping strategies: gender differences and development throughout life span A review of trait meta-mood research Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: Neuroscience, memory and decision making; Behavior modification and management; Clinical applications; Business and sports performance management; Social and developmental studies; Animal studies. The manuscript management system is completely online and includes a very quick and fair peer-review system, which is all easy to use The authors are grateful to the participants. Finally, we want to express our gratitude to Faculty of Education (University of Granada) for their continuous support. All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work. The authors report no conflicts of interest in this work.