PMID- 34487472 OWN - NLM STAT- MEDLINE DCOM- 20211011 LR - 20240118 IS - 1362-301X (Electronic) IS - 0269-9052 (Print) IS - 0269-9052 (Linking) VI - 35 IP - 10 DP - 2021 Aug 24 TI - Measuring psychological flexibility and cognitive defusion in individuals with acquired brain injury. PG - 1301-1307 LID - 10.1080/02699052.2021.1972155 [doi] AB - PURPOSE: Acceptance and Commitment Therapy (ACT) is used increasingly for individuals with psychological distress following acquired brain injury (ABI) in different countries. However, questionnaires measuring ACT-processes are often not validated for this patient group and need cross-cultural validation. This study investigated the psychometric properties of the Acceptance and Action Questionnaire for Acquired Brain Injury (AAQ-ABI; measuring psychological flexibility related to thoughts and feelings about ABI) and the Cognitive Fusion Questionnaire (CFQ-7; measuring cognitive defusion). MATERIALS AND METHODS: Score distribution, reliability, and convergent validity of the AAQ-ABI and the CFQ-7 were examined in Dutch individuals with ABI. RESULTS: Seventy-three patients with ABI were included. The AAQ-ABI showed good reliability (Cronbach's alpha = 0.87) and the CFQ-7 excellent reliability (Cronbach's alpha = 0.97). Both did not show a floor or ceiling effect, nor a skewed distribution. There were strong to moderate correlations between the questionnaires and measures of psychological flexibility, mood, quality of life, and value-driven behavior (AAQ-ABI: r = -0.70-0.81; CFQ-7 = -0.67-0.84). Inter-item total correlations indicate that the questions within each questionnaire measured the same construct (AAQ-ABI: r = 0.40-0.78; CFQ-7: r = 0.84-0.93). CONCLUSIONS: The current study shows that the Dutch AAQ-ABI and CFQ-7 have acceptable to good psychometric properties when measuring psychological flexibility and cognitive defusion in patients with ABI. FAU - Rauwenhoff, Johanne AU - Rauwenhoff J AUID- ORCID: 0000-0002-0064-6560 AD - Limburg Brain Injury Centre, Maastricht, The Netherlands. AD - Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. FAU - Peeters, Frenk AU - Peeters F AD - Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. FAU - Bol, Yvonne AU - Bol Y AD - Department of Clinical and Medical Psychology, Zuyderland Medical Centre, Sittard-Geleen/Heerlen, The Netherlands. FAU - Van Heugten, Caroline AU - Van Heugten C AUID- ORCID: 0000-0003-4272-7315 AD - Limburg Brain Injury Centre, Maastricht, The Netherlands. AD - Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. AD - School for Mental Health and Neuroscience, Department of Psychiatry and Psychology, Maastricht University, Maastricht University Medical Centre, Maastricht, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210906 PL - England TA - Brain Inj JT - Brain injury JID - 8710358 SB - IM MH - *Acceptance and Commitment Therapy MH - *Brain Injuries/complications MH - Cognition MH - Humans MH - Psychometrics MH - Quality of Life MH - Reproducibility of Results MH - Surveys and Questionnaires PMC - PMC10791065 OTO - NOTNLM OT - acceptance and commitment therapy OT - acquired brain injury OT - cognitive defusion OT - psychological flexibility COIS- No authors declare a conflict of interest. EDAT- 2021/09/07 06:00 MHDA- 2021/10/12 06:00 PMCR- 2021/09/06 CRDT- 2021/09/06 17:06 PHST- 2021/09/07 06:00 [pubmed] PHST- 2021/10/12 06:00 [medline] PHST- 2021/09/06 17:06 [entrez] PHST- 2021/09/06 00:00 [pmc-release] AID - 1972155 [pii] AID - 10.1080/02699052.2021.1972155 [doi] PST - ppublish SO - Brain Inj. 2021 Aug 24;35(10):1301-1307. doi: 10.1080/02699052.2021.1972155. Epub 2021 Sep 6.