Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample
Abstract
:1. Introduction
1.1. Scrupulosity
1.2. Religious/Spiritual Struggles and Scrupulosity
1.3. Self-Compassion and Scrupulosity
1.4. Obsessive-Compulsive Symptoms and Scrupulosity
1.5. A Network Analysis Approach
1.6. The Current Study
2. Materials and Methods
2.1. Participants and Procedure
2.2. Measures
- The Self-Compassion Scale (Neff 2003a; Polish version: Kocur et al. 2022) consists of 26 items measuring six aspects of self-compassion: (a) self-kindness (e.g., “I try to be loving toward myself when I’m feeling emotional pain”; 5 items), (b) self-judgement (e.g., “When times are really difficult, I tend to be tough on myself”; 5 items), (c) common humanity (e.g., “When things are going badly for me, I see the difficulties as part of life that everyone goes through”; 4 items), (d) isolation (e.g., “When I’m feeling down, I tend to feel like most other people are probably happier than I am”; 4 items), (e) mindfulness (e.g., “When something upsets me I try to keep my emotions in balance”; 4 items), and (f) over-identification (e.g., “When I’m feeling down I tend to obsess and fixate on everything that’s wrong”; 4 items). Items were assessed on scale ranged from 1 (Almost never) to 5 (Almost always). Higher scores on the self-kindness, common humanity and mindfulness items indicate higher self-compassion. Higher scores on the self-judgement, isolation and over-identification items indicate less self-compassion. The scale has been found to be reliable and valid in previous Polish studies (Kocur et al. 2022).
- The Obsessive-Compulsive Inventory—Revised (Foa et al. 2002; Polish version: Jeśka 2012) consists of 18 items measuring six OCD symptoms: (a) washing (e.g., “I wash my hands more often and longer than necessary”; 3 items), (b) obsessing (e.g., “I find it difficult to control my own thoughts”; 3 items); (c) hoarding (e.g., “I collect things I don’t need”; 3 items); (d) ordering (e.g., “I get upset if objects are not arranged properly”; 3 items), (e) checking (e.g., “I check things more often than necessary”), and (f) neutralizing (e.g., “I feel I have to repeat certain numbers”; 3 items). Participants assess the items on the scale ranging from 0 (Not at all) to 4 (Extremely). The scale has been found to be reliable and valid in previous studies with Polish participants (Brytek-Matera et al. 2022).
- The Religious and Spiritual Struggles Scale (RSS-14; Exline et al. 2022) is a version of the RSS (Exline et al. 2014) abbreviated in order to make it a more useful tool for research and practice. In the present study, we used Polish wordings of items from the full scale (Zarzycka et al. 2018) and created a selection for the abbreviated version (Exline et al. 2022). The RSS-14 measures six types of spiritual and religious struggles: (a) divine (e.g., “felt as though God had abandoned me”; 3 items), (b) demonic (e.g., “felt attacked by the devil or by evil spirits”; 2 items), (c) interpersonal (e.g., “had conflicts with other people about religious/spiritual matters”; 3 items), (d) moral (e.g., “wrestled with attempts to follow my moral principles”; 2 items), (e) doubts (e.g., “felt troubled by doubts or questions about religion or spirituality”; 2 items) and (f) ultimate meaning (e.g., “questioned whether life really matters”; 2 items). In the present study we did not use the ultimate meaning struggle scale due to a lower similarity of its content with religiosity. Participants assessed how frequently in the past month they had experienced a particular struggle using the scale from 1 (Not at all) to 5 (A great deal).
- The Pennsylvania Inventory of Scrupulosity (PIOS; Abramowitz et al. 2002) consists of 19 items and measures two dimensions of scrupulosity: (a) Fear of sin (e.g., “I feel guilty about immoral thoughts I have had”; 12 items) and (b) Fear of God (e.g., “I am afraid my behavior is unacceptable to God”; 7 items). Participants rate each item on the scale ranging from 0 (Never) to 4 (Constantly). Although the PIOS has had some revised versions (e.g., Olatunji et al. 2007), we decided to translate the original version. Thus, we used a back-translation procedure with three Polish psychologists fluent in English who translated the original items into Polish, and one professional English editor who translated a unified Polish version back to English. The internal structure of the PIOS was initially tested with confirmatory factor analysis (CFA). The two correlated factors model fit the data well when four covariances between items were added due to modification indices inspection (χ2 = 428.431; p < 0.001; CFI = 0.933; TLI = 0.922; RMSEA = 0.081; SRMR = 0.043). Our approach, based on covariances addition after modification indices inspection, was similar to the procedure used by Olatunji et al. (2007). However, future studies should investigate the internal structure of the PIOS more in-depth. In the present study, we are focused on the position of symptoms of scrupulosity in the network, thus an investigation of the latent structure of the scrupulosity itself was not a merit of the study. According to previous studies, scores above 1.42 for the total score of the PIOS represent clinically relevant levels of scrupulosity as the manifestation of OCD.
- Religiosity was measured with three items: “I identify strongly with my religious beliefs”, “My religion is an important part of my identity”, and “How frequently do you attend religious ceremonies?” The first two items were assessed on the scale ranged from 1 (Completely disagree) to 5 (Completely agree). They were based on the items used by Siev et al. (2011), which concern the importance of religious beliefs and the role of religion in one’s identity. The last item was assessed on the scale from 0 (Never) to 4 (Very frequent). The last item is frequently used as an indicator of religiosity (Abramowitz et al. 2002; Fincham and May 2019). These three items have high internal consistency (α = 0.902) and were indicators of a single latent variable (χ2 = 0; RMSEA = 0; SRMR < 0.001; CFI = 1.00; GFI = 1.00).
2.3. Statistical Analysis
3. Results
3.1. Descriptive Statistics
3.2. A Network Analysis
3.3. Structural Equation Modeling
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Network | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | Self-Kindness | Self-Judgement | CommonHumanity | Isolation | Mindfulness | OverIdentification | Washing | Obsessing | Hoarding | Ordering | Checking | Neutralizing | Divine | Demonic | Interpersonal | Moral | Doubt | FearSin | FearGod | RelIdentification | RelIdentity | CeremonyFre |
Self-Kindness | 0.000 | −0.209 | 0.141 | −0.003 | 0.547 | 0.000 | 0.000 | −0.028 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | −0.015 | 0.000 | 0.013 | 0.000 | 0.000 |
Self-Judgement | −0.209 | 0.000 | 0.054 | 0.221 | 0.000 | 0.288 | 0.000 | 0.000 | 0.000 | 0.030 | 0.005 | 0.000 | 0.040 | 0.000 | 0.070 | 0.007 | 0.007 | 0.000 | 0.018 | 0.000 | 0.000 | 0.000 |
CommonHumanity | 0.141 | 0.054 | 0.000 | 0.184 | 0.244 | 0.007 | 0.000 | 0.015 | 0.000 | 0.000 | 0.000 | 0.047 | 0.000 | 0.002 | 0.006 | 0.023 | 0.014 | 0.020 | 0.000 | −0.006 | 0.000 | 0.000 |
Isolation | −0.003 | 0.221 | 0.184 | 0.000 | −0.070 | 0.439 | 0.000 | 0.018 | 0.113 | 0.000 | 0.000 | 0.000 | 0.078 | 0.000 | 0.000 | 0.000 | 0.000 | 0.004 | 0.000 | 0.000 | 0.000 | 0.000 |
Mindfulness | 0.547 | 0.000 | 0.244 | −0.070 | 0.000 | −0.097 | 0.000 | 0.000 | −0.007 | 0.000 | 0.000 | 0.018 | 0.000 | 0.025 | 0.000 | 0.000 | 0.000 | −0.023 | −0.021 | 0.000 | 0.000 | 0.000 |
OverIdentification | 0.000 | 0.288 | 0.007 | 0.439 | −0.097 | 0.000 | 0.000 | 0.094 | 0.000 | 0.000 | 0.000 | −0.037 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.015 | 0.005 | 0.040 | 0.000 |
Washing | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.086 | 0.000 | 0.095 | 0.132 | 0.412 | 0.000 | 0.081 | 0.000 | 0.000 | 0.000 | 0.016 | 0.000 | −0.044 | −0.012 | 0.000 |
Obsessing | −0.028 | 0.000 | 0.015 | 0.018 | 0.000 | 0.094 | 0.086 | 0.000 | 0.288 | 0.095 | 0.078 | 0.019 | 0.023 | 0.000 | 0.000 | 0.000 | 0.072 | 0.242 | 0.000 | 0.000 | −0.019 | 0.000 |
Hoarding | 0.000 | 0.000 | 0.000 | 0.113 | −0.007 | 0.000 | 0.000 | 0.288 | 0.000 | 0.077 | 0.127 | 0.094 | 0.000 | 0.000 | 0.000 | 0.000 | 0.023 | 0.045 | 0.054 | 0.000 | 0.000 | 0.000 |
Ordering | 0.000 | 0.030 | 0.000 | 0.000 | 0.000 | 0.000 | 0.095 | 0.095 | 0.077 | 0.000 | 0.157 | 0.153 | 0.001 | 0.037 | 0.000 | 0.000 | 0.000 | 0.012 | 0.018 | 0.000 | −0.013 | 0.000 |
Checking | 0.000 | 0.005 | 0.000 | 0.000 | 0.000 | 0.000 | 0.132 | 0.078 | 0.127 | 0.157 | 0.000 | 0.134 | 0.017 | 0.000 | 0.010 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | −0.012 | 0.000 |
Neutralizing | 0.000 | 0.000 | 0.047 | 0.000 | 0.018 | −0.037 | 0.412 | 0.019 | 0.094 | 0.153 | 0.134 | 0.000 | 0.048 | 0.126 | 0.036 | 0.000 | 0.000 | 0.040 | 0.000 | 0.000 | 0.000 | −0.061 |
Divine | 0.000 | 0.040 | 0.000 | 0.078 | 0.000 | 0.000 | 0.000 | 0.023 | 0.000 | 0.001 | 0.017 | 0.048 | 0.000 | 0.175 | 0.291 | 0.000 | 0.193 | 0.000 | 0.070 | −0.016 | 0.000 | 0.000 |
Demonic | 0.000 | 0.000 | 0.002 | 0.000 | 0.025 | 0.000 | 0.081 | 0.000 | 0.000 | 0.037 | 0.000 | 0.126 | 0.175 | 0.000 | 0.023 | 0.060 | 0.000 | 0.132 | 0.042 | 0.038 | 0.000 | 0.000 |
Interpersonal | 0.000 | 0.070 | 0.006 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.010 | 0.036 | 0.291 | 0.023 | 0.000 | 0.154 | 0.149 | 0.000 | 0.000 | −0.063 | −0.022 | −0.028 |
Moral | 0.000 | 0.007 | 0.023 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.060 | 0.154 | 0.000 | 0.137 | 0.119 | 0.126 | 0.000 | 0.019 | 0.144 |
Doubt | 0.000 | 0.007 | 0.014 | 0.000 | 0.000 | 0.000 | 0.000 | 0.072 | 0.023 | 0.000 | 0.000 | 0.000 | 0.193 | 0.000 | 0.149 | 0.137 | 0.000 | 0.088 | 0.173 | 0.000 | 0.000 | 0.000 |
FearSin | −0.015 | 0.000 | 0.020 | 0.004 | −0.023 | 0.000 | 0.016 | 0.242 | 0.045 | 0.012 | 0.000 | 0.040 | 0.000 | 0.132 | 0.000 | 0.119 | 0.088 | 0.000 | 0.584 | 0.000 | 0.000 | 0.000 |
FearGod | 0.000 | 0.018 | 0.000 | 0.000 | −0.021 | 0.015 | 0.000 | 0.000 | 0.054 | 0.018 | 0.000 | 0.000 | 0.070 | 0.042 | 0.000 | 0.126 | 0.173 | 0.584 | 0.000 | 0.000 | 0.000 | 0.003 |
RelIdentification | 0.013 | 0.000 | −0.006 | 0.000 | 0.000 | 0.005 | −0.044 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | −0.016 | 0.038 | −0.063 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.721 | 0.221 |
RelIdentity | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.040 | −0.012 | −0.019 | 0.000 | −0.013 | −0.012 | 0.000 | 0.000 | 0.000 | −0.022 | 0.019 | 0.000 | 0.000 | 0.000 | 0.721 | 0.000 | 0.303 |
CeremonyFre | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | −0.061 | 0.000 | 0.000 | −0.028 | 0.144 | 0.000 | 0.000 | 0.003 | 0.221 | 0.303 | 0.000 |
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Variable | M | SD | Skewness | Kurtosis | α |
---|---|---|---|---|---|
Self-Compassion | |||||
Self-Kindness | 3.145 | 0.832 | −0.061 | −0.280 | 0.847 |
Self-Judgment | 3.014 | 0.801 | −0.204 | 0.151 | 0.809 |
Common Humanity | 3.040 | 0.707 | −0.158 | 0.045 | 0.731 |
Isolation | 3.149 | 0.886 | −0.127 | −0.431 | 0.785 |
Mindfulness | 3.222 | 0.712 | −0.059 | −0.211 | 0.726 |
Over-Identification | 3.144 | 0.825 | −0.168 | −0.299 | 0.747 |
Obsessive-Compulsive Symptoms | |||||
Washing | 0.911 | 0.882 | 0.736 | −0.417 | 0.669 |
Obsessing | 1.211 | 0.961 | 0.556 | −0.438 | 0.787 |
Hoarding | 1.659 | 0.896 | 0.289 | −0.457 | 0.586 |
Ordering | 1.555 | 0.965 | 0.321 | −0.432 | 0.723 |
Checking | 1.495 | 1.024 | 0.440 | −0.461 | 0.757 |
Neutralizing | 0.689 | 0.900 | 1.199 | 0.373 | 0.810 |
Religious/Spiritual Struggles | |||||
Divine | 1.928 | 0.988 | 0.968 | 0.338 | 0.850 |
Demonic | 1.753 | 0.993 | 1.100 | 0.376 | 0.758 A |
Interpersonal | 2.183 | 1.003 | 0.542 | −0.368 | 0.753 |
Moral | 2.688 | 1.047 | −0.008 | −0.856 | 0.592 A |
Doubt | 2.265 | 1.211 | 0.648 | −0.420 | 0.771 A |
Religiosity | |||||
Religious identification | 3.870 | 1.073 | −0.646 | −0.317 | - |
Religious identity | 4.092 | 1.043 | −1.010 | 0.400 | - |
Religious attendance | 3.705 | 1.082 | −0.523 | −0.766 | - |
Scrupulosity | 1.171 | 0.822 | 0.558 | −0.276 | 0.960 |
Fear of Sin | 1.151 | 0.819 | 0.492 | −0.408 | 0.937 |
Fear of God | 1.206 | 0.901 | 0.637 | −0.212 | 0.915 |
Variable | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Self-Compassion | |||||||||||||||||||||
1. Self-Kindness | |||||||||||||||||||||
2. Self-Judgment | −0.44 | ||||||||||||||||||||
3. Common Humanity | 0.34 | 0.15 | |||||||||||||||||||
4. Isolation | −0.30 | 0.60 | 0.27 | ||||||||||||||||||
5. Mindfulness | 0.72 | −0.29 | 0.39 | −0.30 | |||||||||||||||||
6. Over-Identification | −0.30 | 0.63 | 0.16 | 0.71 | −0.36 | ||||||||||||||||
Obsessive-Compulsive Symptoms | |||||||||||||||||||||
7. Washing | −0.07 | 0.15 | 0.15 | 0.13 | −0.03 | 0.10 | |||||||||||||||
8. Obsessing | −0.24 | 0.31 | 0.17 | 0.40 | −0.22 | 0.39 | 0.46 | ||||||||||||||
9. Hoarding | −0.16 | 0.25 | 0.13 | 0.40 | −0.19 | 0.30 | 0.39 | 0.63 | |||||||||||||
10. Ordering | −0.13 | 0.24 | 0.12 | 0.16 | −0.10 | 0.13 | 0.46 | 0.45 | 0.42 | ||||||||||||
11. Checking | −0.10 | 0.22 | 0.10 | 0.14 | −0.07 | 0.16 | 0.47 | 0.44 | 0.44 | 0.45 | |||||||||||
12. Neutralizing | 0.02 | 0.11 | 0.20 | 0.14 | 0.04 | 0.05 | 0.68 | 0.47 | 0.46 | 0.50 | 0.50 | ||||||||||
Religious/Spiritual Struggles | |||||||||||||||||||||
13. Divine | −0.17 | 0.34 | 0.11 | 0.36 | −0.14 | 0.27 | 0.32 | 0.44 | 0.34 | 0.31 | 0.30 | 0.39 | |||||||||
14. Demonic | −0.03 | 0.18 | 0.16 | 0.18 | 0.02 | 0.19 | 0.40 | 0.41 | 0.32 | 0.34 | 0.20 | 0.45 | 0.48 | ||||||||
15. Interpersonal | −0.11 | 0.31 | 0.15 | 0.24 | −0.07 | 0.17 | 0.30 | 0.33 | 0.27 | 0.27 | 0.27 | 0.35 | 0.57 | 0.35 | |||||||
16. Moral | −0.09 | 0.26 | 0.16 | 0.26 | −0.11 | 0.25 | 0.13 | 0.37 | 0.32 | 0.20 | 0.16 | 0.18 | 0.39 | 0.38 | 0.41 | ||||||
17. Doubt | −0.19 | 0.31 | 0.17 | 0.30 | −0.15 | 0.28 | 0.29 | 0.50 | 0.41 | 0.26 | 0.27 | 0.27 | 0.56 | 0.41 | 0.50 | 0.51 | |||||
Religiosity | |||||||||||||||||||||
18. Religious identification | 0.08 | 0.01 | −0.07 | −0.05 | 0.03 | 0.12 | −0.25 | −0.13 | −0.03 | −0.17 | −0.14 | −0.22 | −0.16 | 0.06 | −0.25 | 0.16 | −0.07 | ||||
19. Religious identity | 0.07 | 0.05 | −0.04 | 0.03 | 0.05 | 0.12 | −0.23 | −0.15 | −0.03 | −0.16 | −0.16 | −0.19 | −0.08 | 0.06 | −0.21 | 0.16 | −0.06 | 0.86 | |||
20. Religious attendance | −0.02 | 0.04 | −0.08 | −0.01 | −0.05 | 0.09 | −0.20 | −0.04 | 0.02 | −0.10 | −0.12 | −0.22 | −0.08 | 0.03 | −0.20 | 0.23 | −0.01 | 0.71 | 0.70 | ||
Scrupulosity | |||||||||||||||||||||
21. Fear of Sin | −0.24 | 0.33 | 0.17 | 0.37 | −0.23 | 0.35 | 0.42 | 0.67 | 0.54 | 0.40 | 0.31 | 0.46 | 0.47 | 0.53 | 0.35 | 0.56 | 0.62 | −0.04 | −0.03 | 0.03 | |
22. Fear of God | −0.21 | 0.34 | 0.16 | 0.36 | −0.23 | 0.34 | 0.37 | 0.60 | 0.50 | 0.37 | 0.31 | 0.41 | 0.52 | 0.50 | 0.34 | 0.56 | 0.64 | 0.01 | 0.05 | 0.09 | 0.87 |
Variable | Betweenness | Closeness | Strengths | Bridge Strength | BEI |
---|---|---|---|---|---|
Self-Compassion | |||||
Self-Kindness | −0.455 | −1.260 | 0.016 | - | - |
Self-Judgment | 0.816 | −0.126 | −0.018 | - | - |
Common Humanity | −0.535 | −0.945 | −1.026 | - | - |
Isolation | 1.531 | 0.468 | 0.962 | - | - |
Mindfulness | −1.091 | −1.477 | 0.543 | - | - |
Over-Identification | 0.498 | 0.399 | 0.380 | - | - |
Obsessive-Compulsive Symptoms | |||||
Washing | −1.250 | −0.327 | −0.406 | 0.097 | 0.290 |
Obsessing | 1.849 | 1.714 | 0.679 | 0.334 | 0.683 |
Hoarding | 0.498 | 1.132 | −0.669 | 0.120 | 0.359 |
Ordering | −1.329 | −0.780 | −1.426 | 0.068 | 0.206 |
Checking | −1.329 | −0.454 | −1.507 | 0.027 | 0.144 |
Neutralizing | 0.578 | 0.283 | 1.467 | 0.251 | 0.473 |
Religious/Spiritual Struggles | |||||
Divine | 0.896 | 0.905 | −0.002 | 0.156 | 0.427 |
Demonic | −0.376 | 0.328 | −1.135 | 0.421 | 0.809 |
Interpersonal | 0.260 | 0.638 | −0.529 | 0.045 | 0.228 |
Moral | 0.737 | 0.223 | −0.872 | 0.243 | 0.517 |
Doubt | −0.693 | 0.496 | −0.518 | 0.353 | 0.692 |
Religiosity | |||||
Religious identification | −1.329 | −1.596 | 0.939 | - | - |
Religious identity | −0.773 | −1.396 | 1.134 | - | - |
Religious attendance | 0.498 | −0.927 | −1.030 | - | - |
Scrupulosity | |||||
Fear of Sin | 1.452 | 1.556 | 2.091 | 0.692 | 1.381 |
Fear of God | −0.455 | 1.147 | 0.925 | 0.478 | 1.146 |
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Moroń, M.; Biolik-Moroń, M.; Matuszewski, K. Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample. Religions 2022, 13, 879. https://doi.org/10.3390/rel13100879
Moroń M, Biolik-Moroń M, Matuszewski K. Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample. Religions. 2022; 13(10):879. https://doi.org/10.3390/rel13100879
Chicago/Turabian StyleMoroń, Marcin, Magdalena Biolik-Moroń, and Krzysztof Matuszewski. 2022. "Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample" Religions 13, no. 10: 879. https://doi.org/10.3390/rel13100879
APA StyleMoroń, M., Biolik-Moroń, M., & Matuszewski, K. (2022). Scrupulosity in the Network of Obsessive-Compulsive Symptoms, Religious Struggles, and Self-Compassion: A Study in a Non-Clinical Sample. Religions, 13(10), 879. https://doi.org/10.3390/rel13100879