Spanish validation of the short-form of the Avoidance and Fusion Questionnaire (AFQ-Y8) with children and adolescents.

García-Rubio, Carlos; Lecuona, Óscar; Blanco‐Donoso, Luis Manuel; Cantero-García, María; Paniagua, David; Rodríguez‐Carvajal, Raquel

doi:10.1037/pas0000801

Cited by 15 publications

(15 citation statements)

References 63 publications

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“…The total score ranges from 0 to 32 with higher scores reflecting a higher degree of avoidance and fusion. Recent studies show that AFQ-Y8 is a reliable and valid measure of these elements of psychological inflexibility in children and adolescents [79,80].…”

Section: Measures Of Treatment Targetsmentioning

confidence: 99%

Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study

et al. 2020

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Background Recurrent and impairing functional somatic syndromes (FSS) are common in adolescents. Despite a high need for care, empirically supported treatments are lacking for youth. The aim of this uncontrolled pilot study was to assess feasibility and treatment potential of a new intervention with group-based Acceptance and Commitment Therapy (ACT) in a generic treatment approach for adolescents with multiple FSS. Methods Twenty-one patients received ‘ACT for Health in Adolescents’ (AHEAD) (30 h), specifically developed for adolescents (aged 15–19 years) with moderate to severe FSS. Close relatives attended an information meeting to facilitate support of the patients throughout treatment. Treatment satisfaction was evaluated by means of self-report and relatives’ impressions. Self-reported physical health at 3 months follow-up (FU) after end of treatment was the primary outcome whereas secondary outcomes included symptom burden, limitation due to symptoms, illness worry, emotional distress and physical and emotional symptoms. Treatment targets were assessed by measures on illness behaviour, illness perception and psychological inflexibility. Results Nineteen patients (90.5%) completed the treatment with a high overall attendance rate of 93%. All would recommend the treatment to a friend with similar problems. Close relatives rated it valuable to participate in an information meeting. Patients’ physical health improved significantly from assessment to FU with a clinically relevant mean change of 8.9 points (95% CI [5.4; 12.4]; SRM 0.91 [0.26;1.57]). Improvement was also seen on all secondary outcome measures, from assessment to FU. Maladaptive illness behaviours and perceptions as well as psychological inflexibility showed a significant decline from assessment to FU. Conclusion AHEAD was feasible and potentially efficacious and warrants testing in a larger clinical trial. Trial registration Clinical Trials gov NCT04464447, registration date July 9th, 2020. Retrospectively registered.

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Section: Measures Of Treatment Targetsmentioning

confidence: 99%

Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study

et al. 2020

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“…A possible explanation for this difference is that our sample was younger than the sample in the original validation study. A recent validation of the brief format version of the questionnaire (the AFQ-Y8) [ 34 ] found that young children score lower than adolescents. This is compatible with the existing evidence that the frequency and intensity of negative emotions increase with age during adolescence.…”

Section: Discussionmentioning

confidence: 99%

“…The very ample research with adult samples has shown that PI strongly predicts emotional distress, psychopathology, and poor mental health and quality of life [ 28 , 29 , 30 , 31 , 32 , 33 ]. Research with children and adolescents is less abundant, but nonetheless, the available evidence shows that PI is associated with both externalizing and internalizing mental health problems, particularly with symptoms of anxiety and mood disorders [ 34 , 35 , 36 , 37 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

The Role of Psychological Inflexibility and Experiential Approach on Mental Health in Children and Adolescents: An Exploratory Study

Torres-Fernández

Valverde

Reyes-Martín

et al. 2022

Behavioral Sciences

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The prevalence of mental health problems during childhood and adolescence is on the rise. There is a growing interest in the examination of personal variables that may function as risk factors and that may be targeted for effective intervention. This study explores the relationships amongst different aspects of psychological inflexibility (one, typically studied, focusing on the individual’s responding to unwanted emotions and cognitions, and another, more recently explored, focusing on the individual’s responding to desired thoughts and affective states), emotional intelligence, and mental health symptoms. A total of 129 school-going children (mean age: 11.16 years old) completed a battery of instruments comprising the Avoidance and Fusion Questionnaire-Youth (AFQ-Y17), the Experiential Approach Scale (EAS), the Emotional Intelligence Quotient Inventory (EQi-YV), and the Revised Child Anxiety and Depression Scale (RCADS-30). Results showed that both the AFQ-Y17 score and an EAS subscale score (Anxious Clinging) were significant independent predictors of mental health symptoms in general. Emotional intelligence was predictive only for depression, and both the AFQ-Y17 and the Anxious Clinging EAS subscale significantly incremented the predictive power of a hierarchical linear regression model including all three variables. These results underscore the relevance of psychological inflexibility for child/adolescent mental health, and the need to further explore a specific aspect of inflexibility regarding positive emotions and other appetitive private events.

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“…Spanish-speaking samples are growing increasingly represented in the psychological testing literature, as reflected by the establishment of the Journal of Latinx Psychology (formerly the Journal of Latina/o Psychology ) in 2012 and special editorial sections related to research on translated instruments in journals like Psychological Assessment (e.g., Lima et al, 2017 ; Silva et al, 2018 ; García-Rubio et al, 2020 ). This increased focus on psychological assessment in Spanish mirrors growing awareness that ethnically and racially diverse samples are essential to generalizable psychometric research.…”

Section: Introductionmentioning

confidence: 99%

Reverse-Coded Items Do Not Work in Spanish: Data From Four Samples Using Established Measures

Venta

Bailey²,

Walker³

et al. 2022

Front. Psychol.

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The potential for suboptimal psychometric performance of reverse-coded items may be particularly pronounced when scales are translated and administered in Spanish with these problems exacerbated in youth respondents. This is a significant concern, given the rapid rise in Hispanic-American and Spanish-speaking individuals in the US and their rightful, growing representation in psychological research and clinical care. The aim of this study was to examine the psychometric performance of reverse-coded items across four Spanish-speaking samples spanning developmental stages including youth, college students, and parents (N = 1,084; Adolescents n = 107; M = 19.79; SD = 2.09; 41.1% female; Caregivers n = 58; M = 40.79; SD = 7.94; 60.3% female; Spanish-speaking adults in the US n = 157; M = 33.4; SD = 9.5; 68.8% female; and College students living in Latin America n = 783; M = 21.04; SD = 3.13; 69.2% female) and four scales (Big Five Inventory; Strengths and Difficulties Questionnaire; Difficulties in Emotion Regulation Scale; Beck Hopelessness Scale); we expected reverse-coded items would demonstrate inadequate item–total correlations and their inclusion would compromise scale internal consistency. Hypotheses were supported with evidence of poor psychometric performance for at least two reverse-coded items on each instrument, such that un-reversing the items improved their item–total correlations. Across every instrument, alpha was either improved by excluding reverse-coded items or by including them in an un-reversed fashion and, overall, there was a moderate, negative effect of reverse-coded items on scale alphas. In growing consensus with previous authors, we recommend that reverse-coded items not be included in Spanish scales.

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Spanish validation of the short-form of the Avoidance and Fusion Questionnaire (AFQ-Y8) with children and adolescents.

Cited by 15 publications

References 63 publications

Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study

Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study

The Role of Psychological Inflexibility and Experiential Approach on Mental Health in Children and Adolescents: An Exploratory Study

Reverse-Coded Items Do Not Work in Spanish: Data From Four Samples Using Established Measures

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