Assessing the factorial invariance of the Ego Integrity Scale in older adults: A comparative study across cultures and genders between Ecuador and Spain

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DOI:

https://doi.org/10.24310/escpsi.19.1.2026.22042

Keywords:

ego integrity, factorial invariance, aging, cross-cultural comparison, older adults, NEIS

Abstract

This study examined the factorial invariance of the Ego Integrity Scale (NEIS) in older adults from Spain and Ecuador, and across genders. Ego integrity, a core concept in Erikson’s theory of psychosocial development, reflects the ability to reconcile past experiences and achieve a coherent life narrative in later adulthood. Two samples of older adults were included: 401 participants from Spain and 394 from Ecuador. Assessments included the NEIS, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Mini-Mental State Examination (MMSE). Using R software (version 4.5.0), factorial invariance of the NEIS was evaluated through configural, metric, and scalar models across countries and genders. Findings demonstrated strong factorial invariance across both national samples and between men and women. Model fit indices were acceptable for metric, scalar, and strict invariance, indicating that ego integrity is understood in a similar way across these different cultural and gender groups. This study offers solid evidence of the cross-cultural and gender validity of the NEIS, supporting its use in diverse populations. It also reinforces the universal role of ego integrity in psychological well-being during aging. Future research should include more heterogeneous samples and explore the scale’s longitudinal stability.

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References

Bueno-Pacheco, A., Satorres, E., Delhom, I., & Meléndez, J. C. (2023). Ego-integrity and its relationship with sense of coherence, satisfaction, self-efficacy, and depression. Current Psychology, 42(8), 6439-6446. https://doi.org/10.1007/s12144-021-01978-z

Butler, R. N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26(1), 65-76. https://doi.org/10.1080/00332747.1963.11023339

Chen, C. C., Lan, Y. L., & Yan, Y. H. (2023). Empirical study on the factors influencing the successful aging of the middle-aged and older adult community volunteers. Frontiers in Public Health, 11, 1140965. https://doi.org/10.3389/fpubh.2023.1140965

Chrz, V., Dubovská, E., & Poláčková Šolcová, I. (2021). Nadir experiences and ego-integrity: types of narrative enactment. Ageing and Society, 41(9), 2006–2025. https://doi.org/10.1017/S0144686X20000197

Erikson, E. H. (1956). The problem of ego identity. Journal of the American Psychoanalytic Association, 4(1), 56-121. https://doi.org/10.1177/000306515600400104

Erikson, E. H. (1982). The life cycle completed. W. W. Norton.

Fallon, I. P., Tanner, M. K., Greenwood, B. N., & Baratta, M. V. (2020). Sex differences in resilience: Experiential factors and their mechanisms. European Journal of Neuroscience, 52(1), 2530–2547. https://doi.org/10.1111/ejn.14639

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.

Hajek, A., Forstmeier, S., Brettschneider, C., Lühmann, D., Döhring, J., Wiese, B., Oey, A., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Röhr, S., Conrad, I., Weeg, D., Mösch, E., Heser, K., Wagner, M., Scherer, M., Maier, W., Riedel-Heller, S. G., … König, H. H. (2021). Health-related quality of life and ego integrity among the oldest old - Evidence from the multicenter AgeCoDe-AgeQualiDe study. Archives of Gerontology and Geriatrics, 95, 104408. https://doi.org/10.1016/j.archger.2021.104408

Han, S., Zhou, J., Ji, M., Zhang, Y., Li, K., Chai, X., Guo, J., Gao, S., & Wang, Z. (2023). Psychometric properties of measurement tools of active aging: A systematic review. International Journal of Nursing Studies, 137, 104388. https://doi.org/10.1016/j.ijnurstu.2022.104388

Janis, L., Canak, T., Machado, M. A., Green, R. M., & McAdams, D. P. (2011). Development and validation of the northwestern Ego Integrity Scale. Northwestern University.

Kleijn, G., Post, L., Witte, B. I., Bohlmeijer, E. T., Westerhof, G. J., Cuijpers, P., & Verdonck-de Leeuw, I. M. (2016). Psychometric characteristics of a patient reported outcome measure on ego-integrity and despair among cancer patients. PLoS One, 11(5), e0156003. https://doi.org/10.1371/journal.pone.0156003

Krause, N., & Rainville, G. (2020). Age differences in meaning in life: Exploring the mediating role of social support. Archives of Gerontology and Geriatrics, 88, 104008. https://doi.org/10.1016/j.archger.2020.104008

Lane, T. D., & Munday, C. C. (2020). Ego Integrity Versus Despair. In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of personality and individual differences (pp. 1257-1260). Springer. https://doi.org/10.1007/978-3-319-24612-3_582

Liu, M., Wang, Y., Du, Y., & Chi, I. (2023). Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis. Frontiers in Psychiatry, 14, 1077665. https://doi.org/10.3389/fpsyt.2023.1077665

Meléndez, J. C., Delhom, I., Satorres, E., & Bueno-Pacheco, A. (2024). Psychological dimensions that explain integrity in older adults: Examination of a structural model. Clinical Gerontologist, 47(2), 307-315. https://doi.org/10.1080/07317115.2023.2226643

Meléndez, J. C., Delhom, I., Bueno-Pacheco, A., Reyes, M. F., & Satorres, E. (2023). Emotional intelligence predicting ego integrity in healthy older adults. Aging & Mental Health, 27(4), 838-843. https://doi.org/10.1080/13607863.2022.2068125

Mitchell, L. L., Lodi-Smith, J., Baranski, E. N., & Whitbourne, S. K. (2021). Implications of identity resolution in emerging adulthood for intimacy, generativity, and integrity across the adult lifespan. Psychology and Aging, 36(5), 545–556. https://doi.org/10.1037/pag0000537

Paz, C., Hermosa-Bosano, C., & Evans, C. (2021). What happens when individuals answer questionnaires in two different languages. Frontiers in Psychology, 12, 688397. https://doi.org/10.3389/fpsyg.2021.688397

Qiu, Y., Han, Z., Tang, L., Lin, Y., & Ma, X. (2025). Intervention strategies for ego-integrity among older adults: A scoping review. Geriatric Nursing, 66(Pt B), 103702. https://doi.org/10.1016/j.gerinurse.2025.103702

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306

Ros, L., Latorre, J. M., Aguilar, M. J., Serrano, J. P., Navarro, B., & Ricarte, J. J. (2011). Factor structure and psychometric properties of the center for epidemiologic studies depression scale (CES-D) in older populations with and without cognitive impairment. The International Journal of Aging and Human Development, 72(2), 83-110. https://doi.org/10.2190/AG.72.2.a

Šolcová, I., Děchtěrenko, F., Poláčková Šolcová, I., Hofer, J., Busch, H., & Au, A. (2021). Cross-Cultural Examination of University Education and Ego Integrity in Late Adulthood: Implications for Policy and Practice. Journal of Aging & Social Policy, 33(6), 585–599. https://doi.org/10.1080/08959420.2020.1722897

Talu, E. (2026). Life satisfaction, regret, and death reflection among older adults in Turkey: A qualitative study within Erikson’s framework of ego integrity. Frontiers in Psychology, 17. https://doi.org/10.3389/fpsyg.2026.1745222

van de Goor, J., Sools, A. M., & Westerhof, G. J. (2020). The emergence of meaning from meaningful moments in life. Journal of Humanistic Psychology. https://doi.org/10.1177/0022167820967779

Van Hiel, A., & Vansteenkiste, M. (2009). Ambitions fulfilled? The effects of intrinsic and extrinsic goal attainment on older adults’ ego-integrity and death attitudes. The International Journal of Aging and Human Development, 68(1), 27–51. https://doi.org/10.2190/AG.68.1.b

van der Kaap-Deeder, J., Soenens, B., Van Petegem, S., Neyrinck, B., De Pauw, S., Raemdonck, E., & Vansteenkiste, M. (2020). Live well and die with inner peace: The importance of retrospective need-based experiences, ego integrity and despair for late adults' death attitudes. Archives of Gerontology and Geriatrics, 91, 104184. https://doi.org/10.1016/j.archger.2020.104184

van der Kaap-Deeder, J., Vansteenkiste, M., & Lens, W. (2022). The role of ego integrity in the psychological well-being of older adults. Aging & Mental Health, 26(3), 445-453. https://doi.org/10.1007/s10433-021-00610-0

Westerhof, G. J., Bohlmeijer, E. T., & McAdams, D. P. (2017). The relation of Ego Integrity and Despair to personality traits and mental health. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 72(3), 400-407. https://doi.org/10.1093/geronb/gbv062

Woo, J. H., & Bae, S. M. (2025). The Association Between Depression and Death Anxiety Among Older Adults: Moderating Effect of Ego-Integrity. Omega, 90(3), 1025–1042. https://doi.org/10.1177/00302228221115586

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

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2026-06-29

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How to Cite

Bueno-Pacheco, A., Elizalde Socola, J., Rodas Toral, E., Satorre, E., Delhom, I., & Meléndez, J. C. (2026). Assessing the factorial invariance of the Ego Integrity Scale in older adults: A comparative study across cultures and genders between Ecuador and Spain. Escritos De Psicología - Psychological Writings, 19(1), 31-38. https://doi.org/10.24310/escpsi.19.1.2026.22042