Psychometric properties of acceptance measures: A systematic review

McAndrews, Zoe; Richardson, Jessica; Stopa, Lusia

doi:10.1016/j.jcbs.2018.08.006

Cited by 13 publications

(9 citation statements)

References 41 publications

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“…The authors concluded that individuals with psychosis may struggle to implement or benefit from emotional acceptance. Acceptance is a nuanced concept and further research is needed to clarify which aspects of it are most useful to target in clinical practice and the tools that are most suited to this (see McAndrews et al, for a recent review).…”

Section: Discussionmentioning

confidence: 99%

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

Lawlor

Hepworth

Smallwood

et al. 2020

Clin Psychology and Psychoth

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Emotions play a key role in the development and experience of psychosis, yet there are important gaps in our understanding of how individuals with psychosis understand and respond to their emotions. This systematic review investigated self‐reported emotion regulation difficulties in individuals with psychosis compared with non‐clinical controls. An electronic database search was conducted in Medline, PsychINFO, and Embase and supplemented by searches of reference lists and citations. Seventeen studies were included. A narrative synthesis was conducted because contextual diversity was present across the studies and outcomes. Individuals with psychosis reported greater difficulties in (i) emotional clarity (specifically with identifying, describing, and understanding their emotions), (ii) emotional acceptance, (iii) engaging in goal‐directed behaviours when experiencing negative emotions, and (iv) willingness to experience emotional distress in the pursuit of meaningful activities in life. Evidence pertaining to other self‐reported emotion regulation difficulties was less clear. Effect sizes were generally large in magnitude but there were few studies on some self‐reported emotion regulation difficulties, and all studies were at moderate to high risk of bias. Further research is needed to clarify the nature of emotion regulation difficulties in individuals with psychosis to inform the provision of targeted clinical interventions.

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Section: Discussionmentioning

confidence: 99%

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

Lawlor

Hepworth

Smallwood

et al. 2020

Clin Psychology and Psychoth

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“…The results are consistent across treatment settings and populations, indicating that some limitations of the AAQ-II, a widely-used PF assessment tool in ACT research, should be acknowledged. Nevertheless, and despite mentioned lacks in construct validity of the AAQ-II (Tyndall et al, 2018;Wolgast, 2014), no measure for PF can be recommended as having superior psychometric properties so far (McAndrews et al, 2018) and the AAQ-II still plays a major role in research and development of ACT. It is by design broad and widely applicable, which unified and stimulated necessary research in ACT.…”

Section: Discussionmentioning

confidence: 99%

“…The AAQ-II has demonstrated good psychometric properties, proving its factorial validity with a unitary-factor model and its construct validity with correlations and relations to similar constructs (i.e., emotional distress, life functioning, levels of depression, anxiety), and showing high internal consistency and good test-retest reliability across various samples (Bond et al, 2011;Fledderus, Oude Voshaar, ten Klooster, & Bohlmeijer, 2012;Gloster et al, 2011). At the same time, the studies validating the AAQ-II have been criticized on methodological grounds (McAndrews, Richardson, & Stopa, 2018) and the construct validity of the AAQ-II is discussed as being insufficient (Gámez, Chmielewski, Kotov, Ruggero, & Watson, 2011;Tyndall et al, 2018;Wolgast, 2014). Even though PF and ACT are transdiagnostic approaches (Benoy, Bader, & Schumann, 2015), some authors consider the AAQ-II not being specific enough for certain clinical subgroups and diagnosis-specific versions, such as the AAQ-OC for obsessions and compulsions, have been developed (Jacoby, Abramowitz, Buchholz, Reuman, & Blakey, 2018).…”

Section: Introductionmentioning

confidence: 99%

Treatment sensitivity: Its importance in the measurement of psychological flexibility

Benoy

Knitter

Schumann

et al. 2019

Journal of Contextual Behavioral Science

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Background: Psychological flexibility (PF) is a central construct in Acceptance and Commitment Therapy (ACT). Many studies have operationalized PF using the self-report Acceptance and Actions Questionnaire (AAQ-II). Information on the treatment sensitivity of self-report assessments of PF is lacking, however. We investigated differences in the treatment sensitivity of the AAQ-II compared to other measures of PF across various samples.Methods: Using three different clinical samples (N=164), we compared the pretreatmentposttreatment change scores of the AAQ-II to those of three alternative self-report questionnaires measuring PF in a within-subject design. Sensitivity to change was assessed with effect sizes and Reliable Change Index (RC).Results: Without exception, effect sizes and rates of clinically significant change were larger in all three alternative questionnaires and across three populations compared to the standard formulation of the AAQ-II. Conclusions:The results of the present study show greater treatment sensitivity of three alternative questionnaires measuring PF compared to the AAQ-II. The results suggest that treatment effects concerning PF may have been underestimated depending on the wording and measure used. Implications for research on PF and ACT processes and outcomes are discussed.

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“…Different approaches may be utilized to evaluate the need for and impact of ACT interventions. Behavioral providers may examine validated self-report measures to track ACT processes and well-being among health care professionals (see McAndrews et al, 2019, for discussions of widely used ACT measures; Ong et al, 2020; Reilly et al, 2019). Although self-report measures have a number of potential pitfalls, such as challenges with accurate recall and social desirability bias, this approach may be more practical to implement with large groups of health care professionals.…”

Section: Working With Health Care Professionalsmentioning

confidence: 99%

Facing pandemic challenges: Helping health care professionals cope.

Berkout¹,

Clair²

2022

Behavior Analysis: Research and Practice

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Health care professionals experience stress and burnout at elevated rates. Pandemics, such as the novel coronavirus disease (COVID-19), bring additional concerns, including fears of infection, increased workplace demands, and uncertainty due to limited information. The manner in which health care workers respond to the unpleasant thoughts and feelings that arise in this context may be important to their ability to cope with stressors. Acceptance and commitment therapy/training (ACT) offers a promising approach for supporting health care professionals. ACT has been used to address a number of behavioral concerns, including promoting better workplace function, reducing stress, and targeting difficulties termed psychopathology, and has received support within health care populations. Behavioral providers can help health care employees choose to engage in behavior that is consistent with their values and avoid unhelpful responses to private events. Concerns relevant to this population and adaptations of ACT exercises are discussed.

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Psychometric properties of acceptance measures: A systematic review

Cited by 13 publications

References 41 publications

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

Treatment sensitivity: Its importance in the measurement of psychological flexibility

Facing pandemic challenges: Helping health care professionals cope.

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