Adaptación al español y validación de la Escala de Continuidad de Vínculos (ECV) con el ser querido fallecido

  1. Carlos Enrique Martínez Alberto
  2. Daniel Martínez Esquivel
  3. Alfonso Miguel García Hernández
  4. Pedro Ruymán Brito Brito
  5. Martín Rodríguez Alvaro
  6. Domingo Ángel Gutiérrez Fernández
  7. Cristo Manuel Marrero González
Cultura de los cuidados: Revista de Enfermería y Humanidades

ISSN: 1699-6003

Year of publication: 2021

Issue: 60

Pages: 266-290

Type: Article

Export: RIS


This study presents the Spanish validation of the Continuituing Bonds Scale (CBS) composed of two dimensions: Internalised (10 items) and externalised (6 items). First, translation-retro translation was carried out. A total of 255 mourners from the Canary Islands (Spain) participated in the test and responded through a survey (FebruaryMarch 2021). Profile: women, middle-aged, higher education, active at work, time since loss 2-5 years and most common relationship, parents. Internal consistency yielded a Cronbach's α=0.914 and good item-total score correlations, ranging 0.478-0.720. In testretest reliability, agreement scores were excellent (ICC=0.889; 0.795-0.940). In convergent validation, a correlation with the Inclusion of the Other in the Self (IOS) scale of rs=-0.402 (p<0.001) was adequate. For concurrent construct validity total scores correlated with summative variables of Prigerson prolonged grief and NANDA-I nursing diagnoses: rs=0.568, rs=0.391, rs=0.408, and rs=0.446 (p<0.001). Factor analysis confirmed two dimensions, and the total variance explained was 57.153%. Finally, known-group validity showed differences according to sex, kinship and cause of death. The CBS adapted and validated to the Spanish context, ECoVin, is a valid, reliable and easy-to-use instrument to assess the continuity of bonds with deceased loved ones.

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