Y treatment 23. I did not always MS-275 site understand my therapist 24. I did not have confidence in my treatment 25. I did not have confidence in my therapist 26. I felt that the treatment did not produce any results 27. I felt that my expectations for the treatment were not fulfilled 28. I felt that my expectations for the therapist were not fulfilled 29. I felt that the quality of the treatment was poor 30. I felt that the treatment did not suit me 31. I felt that I did not form a closer relationship with my therapist 32. I felt that the treatment was not motivating doi:10.1371/journal.pone.0157503.t002 -.516 .820 Factor 1: Symptoms Factor 2: Quality Factor 3: Dependency Factor 4: Stigma Factor 5: U0126 web Hopelessness -.626 Factor 6: Failure.-.-.-.-.-.-.-.-.-.-.reasonable to retain. Hence, none of the six factors were below the mean eigenvalues or 95 CI of the random of the randomly generated datasets. For a visual inspection please refer to Fig 1. Further, as a measure of validity across samples, a stability analysis was conducted by making SPSS randomly select half of the cases and retesting the factor solution. The results indicated that the same six-factor solution could be retained, albeit with slightly different eigenvalues, implying stability. A review of the stability analysis can be obtained in Table 3.PLOS ONE | DOI:10.1371/journal.pone.0157503 June 22,10 /The Negative Effects QuestionnaireFig 1. Parallel analysis of the factor solution. doi:10.1371/journal.pone.0157503.gFactor solutionThe final factor solution consisted of six factors, which included 32 items. A closer inspection of the results revealed one factor related to “symptoms”, e.g., “I felt more worried” (Item 4), with ten items reflecting different types of symptomatology, e.g., stress and anxiety. Another factor was linked to “quality”, e.g., “I did not always understand my treatment” (Item 23), with eleven items characterized by deficiencies in the psychological treatment, e.g., difficulty understanding the treatment content. A third factor was associated with “dependency”, e.g., “I think that I have developed a dependency on my treatment” (Item 20), with two items indicative of becoming overly reliant on the treatment or therapist. A fourth factor was related to “stigma”, e.g., “I became afraid that other people would find out about my treatment” (Item 14), with two items reflecting the fear of being perceived negatively by others because of undergoing treatment. A fifth factor was characterized by “hopelessness”, e.g., “I started thinking that the issue I was seeking help for could not be made any better” (Item 18), with four items distinguished by a lack of hope. Lastly, a sixth factor was linked to “failure”, e.g., “I lost faith in myself” (Item 8), with three items connected to feelings of incompetence and lowered selfesteem.Table 3. Stability analysis of the six-factor solution using a randomly selected sample. Original sample (N = 653) Eigen value 1 2 3 4 5 6 Symptoms Quality Dependency Stigma Hopelessness Failure 11.71 2.79 1.32 1.01 0.94 0.68 Variance 36.58 8.71 4.13 3.16 2.94 2.11 Cumulative 36.58 45.29 49.42 52.59 55.53 57.64 Random sample (N = 326) Eigen value 12.45 2.85 1.50 1.10 0.93 0.59 Variance 38.91 8.90 4.68 3.43 2.89 1.84 Cumulative 38.91 47.81 52.49 55.92 58.81 60.doi:10.1371/journal.pone.0157503.tPLOS ONE | DOI:10.1371/journal.pone.0157503 June 22,11 /The Negative Effects QuestionnaireTable 4. Means, standard deviations, internal consistencies, and.Y treatment 23. I did not always understand my therapist 24. I did not have confidence in my treatment 25. I did not have confidence in my therapist 26. I felt that the treatment did not produce any results 27. I felt that my expectations for the treatment were not fulfilled 28. I felt that my expectations for the therapist were not fulfilled 29. I felt that the quality of the treatment was poor 30. I felt that the treatment did not suit me 31. I felt that I did not form a closer relationship with my therapist 32. I felt that the treatment was not motivating doi:10.1371/journal.pone.0157503.t002 -.516 .820 Factor 1: Symptoms Factor 2: Quality Factor 3: Dependency Factor 4: Stigma Factor 5: Hopelessness -.626 Factor 6: Failure.-.-.-.-.-.-.-.-.-.-.reasonable to retain. Hence, none of the six factors were below the mean eigenvalues or 95 CI of the random of the randomly generated datasets. For a visual inspection please refer to Fig 1. Further, as a measure of validity across samples, a stability analysis was conducted by making SPSS randomly select half of the cases and retesting the factor solution. The results indicated that the same six-factor solution could be retained, albeit with slightly different eigenvalues, implying stability. A review of the stability analysis can be obtained in Table 3.PLOS ONE | DOI:10.1371/journal.pone.0157503 June 22,10 /The Negative Effects QuestionnaireFig 1. Parallel analysis of the factor solution. doi:10.1371/journal.pone.0157503.gFactor solutionThe final factor solution consisted of six factors, which included 32 items. A closer inspection of the results revealed one factor related to “symptoms”, e.g., “I felt more worried” (Item 4), with ten items reflecting different types of symptomatology, e.g., stress and anxiety. Another factor was linked to “quality”, e.g., “I did not always understand my treatment” (Item 23), with eleven items characterized by deficiencies in the psychological treatment, e.g., difficulty understanding the treatment content. A third factor was associated with “dependency”, e.g., “I think that I have developed a dependency on my treatment” (Item 20), with two items indicative of becoming overly reliant on the treatment or therapist. A fourth factor was related to “stigma”, e.g., “I became afraid that other people would find out about my treatment” (Item 14), with two items reflecting the fear of being perceived negatively by others because of undergoing treatment. A fifth factor was characterized by “hopelessness”, e.g., “I started thinking that the issue I was seeking help for could not be made any better” (Item 18), with four items distinguished by a lack of hope. Lastly, a sixth factor was linked to “failure”, e.g., “I lost faith in myself” (Item 8), with three items connected to feelings of incompetence and lowered selfesteem.Table 3. Stability analysis of the six-factor solution using a randomly selected sample. Original sample (N = 653) Eigen value 1 2 3 4 5 6 Symptoms Quality Dependency Stigma Hopelessness Failure 11.71 2.79 1.32 1.01 0.94 0.68 Variance 36.58 8.71 4.13 3.16 2.94 2.11 Cumulative 36.58 45.29 49.42 52.59 55.53 57.64 Random sample (N = 326) Eigen value 12.45 2.85 1.50 1.10 0.93 0.59 Variance 38.91 8.90 4.68 3.43 2.89 1.84 Cumulative 38.91 47.81 52.49 55.92 58.81 60.doi:10.1371/journal.pone.0157503.tPLOS ONE | DOI:10.1371/journal.pone.0157503 June 22,11 /The Negative Effects QuestionnaireTable 4. Means, standard deviations, internal consistencies, and.
