Cognitive fusion among hispanic college students: Further validation of the Cognitive Fusion Questionnaire

Flynn, Maureen; Hernandez, Jovan; Hebert, Emmie R.; James, Karley K.; Kusick, Mitchell K.

doi:10.1016/j.jcbs.2017.11.003

Cited by 12 publications

(18 citation statements)

References 32 publications

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“…The CFQ has good test-retest reliability and excellent internal consistency. The CFQ is positively correlated with frequency of depressive thoughts, depressed mood, burnout, rumination, use PSYCHOLOGICAL FLEXIBILITY IN APPEARANCE ANXIETY of thought control strategies and negatively associated with valued living, life satisfaction, mindfulness and psychological flexibility [44][45]. The measure asks responders to rate statements (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Each participant's CAQ-8 score was calculated by summing the scores of the individual items where the minimum total score is 0 and the maximum total score is 48, with lower scores suggesting less committed action. Internal consistency of the CAQ-8 has been demonstrated to range from .70 to .87 [46,[48][49] and good construct validity of the CAQ-8 is demonstrated by strong and positive correlations with the original 18 item CAQ [45]. [51], the 'Observing' facet relates to "noticing or attending to internal and external experiences, such as sensations, cognitions, emotions, sights, sounds, and smells" (e.g.…”

Section: Methodsmentioning

confidence: 99%

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The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury

Shepherd

Reynolds

Turner

et al. 2019

Burns

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Background: Individuals with visible differences can experience appearance anxiety that is distressing and disruptive to daily functioning. Understanding psychological factors that maintain appearance anxiety related to scarring is important in developing theoretical understanding of adjustment to injury, and in identifying targets for psychological therapies. This study aimed to investigate whether psychological flexibility, a key element underpinning acceptance and commitment therapy (ACT), was associated with appearance anxiety. It was hypothesised that reduced psychological flexibility (lower acceptance, cognitive defusion, mindfulness, and committed action) would be related to increased appearance anxiety. The role of psychological flexibility in the maintenance of appearance anxiety was investigated using a cross-sectional quantitative questionnaire study. Method: Seventy-eight burns patients (47 female, 31 male; M age = 45.2 years) completed the Derriford Appearance Scale (DAS-24), the Acceptance and Action Questionnaire (AAQ-II), the Cognitive Fusion Questionnaire (CFQ), the Five Facet Mindfulness Questionnaire (FFMQ), and the Committed Action Questionnaire (CAQ-8). Results: As hypothesised, increased appearance anxiety was related to reduced acceptance (rs (76)=0.80, p<0.001, onetailed) and cognitive defusion (rs(76)=0.76, p<0.001). Reduced levels of mindfully describing (r(72)=-0.39, p<0.001), acting with awareness (r(72)=-0.57, p<0.001), non-judging (r(72)=-0.61, p<0.001) and non-reactivity (r(72)=-0.28, p<0.01) as well as reduced committed action (r(72)=-0.57, p<0.001) were also related to increased appearance anxiety. Conclusions: Individuals experiencing appearance anxiety associated with a burn injury may struggle with accepting difficult emotions, stepping back from distressing thoughts, being mindful and engaging in valued action. These findings suggest that ACT may be useful in treating appearance related anxiety and concerns associated with conditions causing a visible difference.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury

Shepherd

Reynolds

Turner

et al. 2019

Burns

View full text Add to dashboard Cite

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“…The location and size of the physical lesions is the second most important factor that contributes to explaining psoriasis disease severity perception [47], suggesting a relationship between disease severity perception and body image that is negatively affected in patients with psoriasis [44]. In addition, body image-related cognitive fusion is positively associated with anxiety and depression [31,48].…”

Section: Discussionmentioning

confidence: 99%

The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability

Almeida

Leite

Constante

et al. 2020

Behavioral Sciences

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Psoriasis is a long-term skin disorder without a cure, whose patients are particularly susceptible to mental health diseases. Using a sample of patients diagnosed with psoriasis, this study aimed to: (1) identify the clinical and positive psychological variables that contribute the most to psoriasis disability and (2) assess the mediator role of body image-related cognitive fusion in the relation between disease severity perception and acceptance and self-compassion, on one hand, and psoriasis disability on the other. This is an initial cross-sectional exploratory study, with 75 patients diagnosed with psoriasis (males 52%; mean age 54.99 ± 13.72) answering a sociodemographic and a clinical questionnaire, the Psoriasis Disability Index (PDI), the Cognitive Fusion Questionnaire—Body Image (CFQ-BI), the Acceptance and Action Questionnaire—II (AAQ-II), and the Self-Compassion Scale (SCS). Descriptive and inferential statistics were used to characterize and assess the measures and the final model used. Through path analysis and a hierarchical multiple linear regression, it was found that the variables that significantly contributed to psoriasis disability were years of education, impact on social life and body image, explaining 70% of the variance. Body image-related cognitive fusion was a significant mediator in the relationship between disease severity and acceptance, and psoriasis disability. The implications of this study are considered to be extremely relevant, since it will allow additional information to be provided to psoriasis patients, appropriated to their educational level, aiming to reduce distorted perceptions of disease severity and intervene in the ability to accept this specific and important chronic health condition.

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“…The psychometric properties of the CFQ-7 have been studied predominantly in non-clinical samples [ 10 , 12 , 18 , 21 ]. Overall, the CFQ-7 has shown a one-factor structure [ 10 , 12 , 15 , 18 , 21 , 22 ], very high internal consistency [ 12 , 18 , 21 , 22 ] and adequate test-retest stability [ 10 ]. Additionally, the CFQ-7 has been shown to feature good criterion, convergent and incremental validity.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the CFQ-7 has been shown to feature good criterion, convergent and incremental validity. Concerning criterion validity, moderate negative correlations have been found with PF [ 10 , 12 , 23 ], mindfulness [ 12 , 15 ], committed action [ 12 ], quality of life and life satisfaction [ 12 , 18 , 21 , 22 ], while significant positive relationships have been detected with both anxiety and depression [ 12 , 15 , 18 , 21 , 22 ]. As for convergent and incremental validity, previous research proved that the CFQ-7 strongly and positively correlates with psychological inflexibility [ 10 , 15 , 21 ], and that it significantly improves the predictive power of models for explaining psychological distress, above and beyond psychological inflexibility and thought suppression [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Measuring cognitive fusion through the Cognitive Fusion Questionnaire-7: Measurement invariance across non-clinical and clinical psychological samples

et al. 2021

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Cognitive fusion (CF) occurs when people are entangled in their private experiences. Rigid patterns of CF are a risk factor for various forms of psychopathology. The most widely used self-report instrument for assessing CF is the Cognitive Fusion Questionnaire–7 (CFQ-7), a unidimensional scale with good reliability and validity. However, its psychometric properties have been studied mainly in non-clinical samples and by applying Classical Test Theory. The goal of this study was to use Item Response Theory to investigate the adequacy of the scale in a non-clinical sample and to test measurement invariance across non-clinical and clinical psychological samples. The non-clinical sample consisted of 258 undergraduate students (68.2% females, Mage = 24.3), while the clinical sample consisted of 105 undergraduate students with psychological distress (60.7% females, Mage = 23.8). The results showed that CFQ-7 assesses a wide range of CF severity among non-clinical subjects and that it is useful to discriminate different levels of CF. Moreover, the results showed the scale was sufficiently informative for a broad range of the trait. The relationships of CFQ-7 scores with theoretically related constructs provided further support to the validity of the scale. The Differential Item Functioning analysis showed that CFQ-7 is invariant across different types of population. Overall, findings in this study provide support for the adequacy of the CFQ-7 both in non-clinical and clinical contexts.

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Cognitive fusion among hispanic college students: Further validation of the Cognitive Fusion Questionnaire

Cited by 12 publications

References 32 publications

The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury

The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury

The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability

Measuring cognitive fusion through the Cognitive Fusion Questionnaire-7: Measurement invariance across non-clinical and clinical psychological samples

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