Abstract
BackgroundPsychological flexibility is considered a fundamental aspect of health. It includes six interrelated facets: 1) cognitive defusion, 2) acceptance, 3) contact with the present moment, 4) self-as-context, 5) values, and 6) committed action. To gain further insight into psychological flexibility and its effects on health, reliable and valid instruments to assess all facets are needed. Committed action is one facet that is understudied. A long and short version of a validated measure (CAQ and CAQ-8) have been developed in English. Currently, there are no German versions of the CAQ. Aim of this study is to validate German-language versions of these in a chronic pain population.MethodsThe CAQ instructions and items were translated and evaluated in a chronic pain population (N = 181). Confirmatory factor analysis and Mokken scale analysis were conducted to evaluate the German questionnaires. Correlations with health outcomes, including quality of life (SF-12), physical and emotional functioning (MPI, BPI, PHQ-9, GAD-7), pain intensity, and with other facets of psychological flexibility (CPAQ, FAH-II) were investigated for convergent validity purposes. Scale reliability was assessed by the alpha, MS, lambda-2, LCRC, and omega coefficient.ResultsA bifactor model consisting of one general factor and two methodological factors emerged from the analysis. Criteria for reliability and validity were met. Medium to strong correlations to health outcomes and other facets of psychological flexibility were found. Results were similar to the original English version.ConclusionsThe present study presents a valid and reliable instrument to investigate committed action in German populations. Future studies could expand the present findings by evaluating the German CAQ versions in non-pain populations. The role of committed action and the wider psychological flexibility model in pain and other conditions deserves further investigation.
Highlights
Psychological flexibility is considered a fundamental aspect of health
Psychological flexibility consists of six interrelated facets: cognitive defusion, acceptance, contact with the present moment, self-as-context, values, and committed action [2]
Sample The present sample consists of a subsample of individuals with chronic pain who participated in a threearmed randomized controlled trial (RCT) on the effectiveness of an online ACT based intervention called ACTonPain [33, 34]
Summary
Psychological flexibility is considered a fundamental aspect of health It includes six interrelated facets: 1) cognitive defusion, 2) acceptance, 3) contact with the present moment, 4) self-as-context, 5) values, and 6) committed action. Psychological flexibility consists of six interrelated facets: cognitive defusion, acceptance, contact with the present moment, self-as-context, values, and committed action [2]. Measures have been developed or adopted to reflect psychological flexibility and its facets, including acceptance [15], present-focused awareness [16], cognitive defusion [17], self as context [18, 19] and values [20]. The facet committed actions has not been investigated extensively [25]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
