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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

24-01-2023

Validating an Adapted Version of the Brief Experiential Avoidance Questionnaire in Hong Kong Chinese

Auteurs: Herman Hay Ming Lo, Candice Ling Yuet Man Powell, Sunny Ho Wan Chan, Bobby Fook Hin Leung, Eileen Yuk Ha Tsang, Samuel Sze Ming Leung

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2023

Abstract

There is growing research interest in experiential avoidance and psychological inflexibility across cultures. The original Multidimensional Experiential Avoidance Questionnaire (MEAQ) has strong construct validity, but its length has greatly restricted its application in research and clinical practice. In this study, we validated a 15-item version of the MEAQ in Hong Kong Chinese using student (n = 349) and clinical (n = 200) samples. This short version showed good internal consistency, convergence, and discriminant validity with measures of avoidance, psychopathology, and well-being. Implications for research and clinical practice were discussed.

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Akbari, M., Seydavi, M., Hosseini, Z. S., Krafft, J., & Levin, M. E. (2022). Experiential avoidance in depression, anxiety, obsessive-compulsive related, and posttraumatic stress disorders: A comprehensive systematic review and meta-analysis. Journal of Contextual Behavioral Science.

Allen, M. T. (2021). An exploration of the relationships of experiential avoidance (as measured by the AAQ-II and MEAQ) with negative affect, perceived stress, and avoidant coping styles. PeerJ, 9, e11033. https://doi.org/10.7717/peerj.11033CrossRefPubMedPubMedCentral

Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of applied psychology, 88(6), 1057.

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire—II: A Revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007CrossRefPubMed

Boulanger, J. L., Hayes, S. C., & Pistorello, J. (2009). Experiential Avoidance as a Functional Contextual Concept. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology (pp. 107–136). Guilford Press.

Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the penn state worry questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30(1), 33–37. https://doi.org/10.1016/0005-7967(92)90093-VCrossRefPubMed

Byllesby, B. M., Stayton Coe, L. E., Dickstein, B. D., & Chard, K. M. (2020). Psychometric evaluation of the Brief Experiential Avoidance Questionnaire among treatment-seeking veterans with posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 12(7), 785.

Cao, H., Mak, Y. W., Li, H. Y., & Leung, D. Y. (2021). Chinese validation of the brief experiential avoidance questionnaire (BEAQ) in college students. Journal of Contextual Behavioral Science, 19, 79–85. https://doi.org/10.1016/j.jcbs.2021.01.004CrossRef

Chan, D. W. (2009). Orientations to happiness and subjective well‐being among Chinese prospective and in-service teachers in Hong Kong. Educational Psychology, 29(2), 139–151.

Chawkla, N., & Ostafin, B. (2018). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63(9), 871–890.

Cherry, K. M., Vander Hoeven, E., Patterson, T. S., & Lumley, M. N. (2021). Defining and measuring “psychological flexibility”: A narrative scoping review of diverse flexibility and rigidity constructs and perspectives. Clinical Psychology Review, 84, 101973.

Cheung, K. W., & Mak, Y. W. (2016). Association between psychological flexibility and health beliefs in the uptake of influenza vaccination among people with chronic respiratory diseases in Hong Kong. International Journal of Environmental Research and Public Health, 13(2), 155.

Cheung, R. Y., & Park, I. J. (2010). Anger suppression, interdependent self-construal, and depression among Asian American and European American college students. Cultural Diversity and Ethnic Minority Psychology, 16(4), 517.

Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7(3), 309–319. https://doi.org/10.1037/1040-3590.7.3.309CrossRef

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.

Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: The Multidimensional Experiential Avoidance Questionnaire. Psychological Assessment, 23(3), 692–713. https://doi.org/10.1037/a0023242CrossRefPubMed

Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., Suzuki, N., & Watson, D. (2014). The Brief Experiential Avoidance Questionnaire: Development and Initial Validation. Psychological Assessment, 26(1), 35–45. https://doi.org/10.1037/a0034473CrossRefPubMed

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2^nd ed.). Guilford Press.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152CrossRefPubMed

Henry, J. D., & Crawford, J. R. (2005). The 21-item version of the Depression Anxiety Stress Scales (DASS–21): Normative data and psychometric evaluation in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239. https://doi.org/10.1348/014466505X29657CrossRefPubMed

Hosmer, DW, Lemeshow, S. (2000). Interpretation of the fitted logistic regression model. Applied logistic regression (2nd ed.), pp. 47–90. https://doi.org/10.1002/0471722146

Hou, J., Wong, S. Y. S., Lo, H. H. M., Mak, W. W. S., & Ma, H. S. W. (2014). Validation of a Chinese version of the Five Facet Mindfulness Questionnaire in Hong Kong and development of a short form. Assessment, 21(3), 363–371. https://doi.org/10.1177/1073191113485121CrossRefPubMed

Jung, J. H. (2018). A Study on the reliability and validity of a Korean translated multidimensional experiential avoidance questionnaire. J Korea Contents Assoc, 18(1), 517–526. https://doi.org/10.5392/JKCA.2018.18.01.517CrossRef

Kaiser, H. F. (1974). An index of factorial simplicity. Psychometrika, 39(1), 31–36.

Kirk, A., Meyer, J. M., Whisman, M. A., Deacon, B. J., & Arch, J. J. (2019). Safety behaviors, experiential avoidance, and anxiety: A path analysis approach. Journal of Anxiety Disorders, 64, 9-15.

Kong, C. L., Lee, C. C., Ip, Y. C., Chow, L. P., Leung, C. H., & Lam, Y. C. (2016). Validation of the Hong Kong Cantonese version of World Health Organization five well-being index for people with severe mental illness. East Asian Archives of Psychiatry, 26(1), 18–21.

Linehan, M. M. (1993). Cognitive–behavioral treatment of borderline personality disorder. Guilford Press.

Lo, H. H., Au, A., Cho, W. V., Lau, E. N., Wong, J. Y., Wong, S., & Yeung, J. W. (2022). Mindfulness-based intervention for caregivers of frail older Chinese adults: A study protocol. International Journal of Environmental Research and Public Health, 19(9), 5447.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.

Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. Norton.

Matsumoto, D., Yoo, S. H., & Nakagawa, S. (2008). Culture, emotion regulation, and adjustment. Journal of Personality and Social Psychology, 94(6), 925.

Mayorga, N. A., Manning, K. F., Derrick, J. L., Viana, A. G., Garey, L., Nizio, P., ... & Zvolensky, M. J. (2022). Evaluating Experiential Avoidance in terms of COVID-19 Fear and Pandemic Emotional Distress Symptoms Among Latinx Adults. Cognitive Therapy and Research, 46(2), 358–366.

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn state worry questionnaire. Behaviour Research and Therapy, 28(6), 487–495. https://doi.org/10.1016/0005-7967(90)90135-6CrossRefPubMed

Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002). The Work and Social Adjustment Scale: A simple measure of impairment in functioning. British Journal of Psychiatry, 180(5), 461–464. https://doi.org/10.1192/bjp.180.5.461CrossRef

Ng, S. M., Yau, J. K., Chan, C. L., Chan, C. H., & Ho, D. Y. (2005). The measurement of body-mind-spirit well-being: Toward multidimensionality and transcultural applicability. Social Work Health Care, 41(1), 33–52. https://doi.org/10.1300/J010v41n01_03CrossRef

O’connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instruments, & Computers, 32(3), 396–402.

Ong, C. W., Pierce, B. G., Petersen, J. M., Barney, J. L., Fruge, J. E., Levin, M. E., & Twohig, M. P. (2020). A psychometric comparison of psychological inflexibility measures: Discriminant validity and item performance. Journal of Contextual Behavioral Science, 18, 34–47.

Pinto-Gouveia, J., Gregório, S., Dinis, A., & Xavier, A. (2012). Experiential avoidance in clinical and non-clinical samples: AAQ-II Portuguese version. International Journal of Psychology and Psychological Therapy, 12(2), 139–156.

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879CrossRefPubMed

Powell, C. L., Farchione, T. J., Barlow, D. H., & Leung, P. W. (2021). A pilot trial of a transdiagnostic treatment for emotional disorders—a locally adapted variant of group Unified Protocol (UP) for Chinese adults. Translational Behavioral Medicine, 11(5), 1142–1150.

Rochefort, C., Baldwin, A. S., & Chmielewski, M. (2018). Experiential avoidance: An examination of the construct validity of the AAQ-II and MEAQ. Behavior Therapy, 49(3), 435–449. https://doi.org/10.1016/j.beth.2017.08.008CrossRefPubMed

Schaeuffele, C., Knaevelsrud, C., Renneberg, B., & Boettcher, J. (2021). Psychometric properties of the german brief experiential avoidance questionnaire (BEAQ). Assessment, 29(7), 1406–1421. https://doi.org/10.1177/10731911211010955CrossRefPubMed

Soto, J. A., Perez, C. R., Kim, Y. H., Lee, E. A., & Minnick, M. R. (2011). Is expressive suppression always associated with poorer psychological functioning? A cross-cultural comparison between European Americans and Hong Kong Chinese. Emotion, 11(6), 1450.

Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Boston, MA: Pearson.

Tsai, J. L. (2007). Ideal affect: Cultural causes and behavioral consequences. Perspectives on Psychological Science, 2(3), 242–259.

Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Dawson, D. L. (2019). The Acceptance and Action Questionnaire-II (AAQ-II) as a measure of experiential avoidance: Concerns over discriminant validity. Journal of Contextual Behavioral Science, 12, 278–284.

Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176. https://doi.org/10.1159/000376585CrossRefPubMed

Vázquez-Morejón Jiménez, R., León Rubio, J. M., Martín Rodríguez, A., & Vázquez Morejón, A. J. (2019). Validation of a Spanish version of the Brief Experiential Avoidance Questionnaire (BEAQ) in clinical population. Psicothema, 31(3), 335–340. https://doi.org/10.7334/psicothema2019.60CrossRef

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063CrossRefPubMed

Wolgast, M. (2014). What does the Acceptance and Action Questionnaire (AAQ-II) really measure?. Behavior Therapy, 45(6), 831–839.

Wong, J. G., Cheung, E. P., Chan, K. K., Ma, K. K., & Wa Tang, S. (2006). Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Australian & New Zealand Journal of Psychiatry, 40(9), 777–782.

Wong, S. Y. S., Yip, B. H. K., Mak, W. W. S., Mercer, S., Cheung, E. Y. L., Ling, C. Y. M., ... & Ma, H. S. W. (2016). Mindfulness-based cognitive therapy v. group psychoeducation for people with generalised anxiety disorder: randomised controlled trial. The British Journal of Psychiatry, 209(1), 68–75.

Titel: Validating an Adapted Version of the Brief Experiential Avoidance Questionnaire in Hong Kong Chinese
Auteurs: Herman Hay Ming Lo
Candice Ling Yuet Man Powell
Sunny Ho Wan Chan
Bobby Fook Hin Leung
Eileen Yuk Ha Tsang
Samuel Sze Ming Leung
Publicatiedatum: 24-01-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2023
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-022-10020-w

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Validating an Adapted Version of the Brief Experiential Avoidance Questionnaire in Hong Kong Chinese

Abstract

Andere artikelen Uitgave 1/2023

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The Dynamic Interplay of Anxious and Depressive Symptoms in a Sample of Undergraduate Students

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Repetitive Negative Thinking Explains the Relationship Between Perceived Attentional Control and Generalized Anxiety Symptoms

The Dynamic Interplay of Anxious and Depressive Symptoms in a Sample of Undergraduate Students

Digital and In-Person Interpersonal Emotion Regulation: The Role of Anxiety, Depression, and Stress

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