Validation of the Committed Action Questionnaire-8 and Its Mediating Role Between Experiential Avoidance and Life Satisfaction Among Chinese University Students

Overview

Journal Front Psychol

Date 2021 Dec 13

PMID 34899451

Citations 1

Authors

Ya Li

Fei-Long Yang

Chen Pan

Qian-Qian Chu

Qiu-Ping Tang

Affiliations

Soon will be listed here.

Abstract

Committed action is one of the core processes of psychological flexibility derived from acceptance and commitment therapy. It has not been widely investigated in mainland China as appropriate measures are lacking. The current study aimed to validate a Chinese (Mandarin) version of the Committed Action Questionnaire (CAQ-8) in a non-clinical college sample and to explore whether committed action would have a mediating effect in the association between experiential avoidance (EA) and life satisfaction. We translated the CAQ-8 into Chinese (Mandarin). A total of 913 Chinese undergraduates completed a set of questionnaires measuring committed action, EA, mindful awareness, anxiety, depression, stress, and life satisfaction. For test-retest reliability, 167 respondents completed the CAQ-8 again 4 weeks later. The entire scale of CAQ-8 (Mandarin) and two subscales showed adequate internal consistency and acceptable test-retest reliability. Confirmatory factor analyses confirmed the two-factor structure and the convergent and criterion validity were acceptable. Committed action was correlated with less EA, more mindful awareness, less depressive symptoms, less anxiety, less stress, and more life satisfaction. In bootstrap mediation analyses, committed action partially mediated the association between EA and life satisfaction. The results suggest that the CAQ-8 (Mandarin) is a brief, psychometrically sound instrument to investigate committed action in Chinese populations, and the relationship between EA and life satisfaction was partially explained by committed action. This study provides new information about the usefulness of CAQ-8 and supports the assumption that committed action may be considered a promising factors for improving life satisfaction who have involved in EA among an educated non-clinical population.

Citing Articles

Measuring self-as-context in Chinese college students: Validity and reliability of the Chinese version of self-as-context scale (C-SACS).

Fang S, Huang M, Wang Y Front Psychol. 2022; 13:1051661.

PMID: 36562077 PMC: 9764860. DOI: 10.3389/fpsyg.2022.1051661.

References

Kashdan T, Barrios V, Forsyth J, Steger M . Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. Behav Res Ther. 2005; 44(9):1301-20. DOI: 10.1016/j.brat.2005.10.003. View

Bond F, Hayes S, Baer R, Carpenter K, Guenole N, Orcutt H . Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42(4):676-88. DOI: 10.1016/j.beth.2011.03.007. View

Brown K, Ryan R . The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84(4):822-48. DOI: 10.1037/0022-3514.84.4.822. View

Lovibond P, LOVIBOND S . The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43. DOI: 10.1016/0005-7967(94)00075-u. View

Diener E . Subjective well-being. Psychol Bull. 1984; 95(3):542-75. View

Muto T, Hayes S, Jeffcoat T . The effectiveness of acceptance and commitment therapy bibliotherapy for enhancing the psychological health of Japanese college students living abroad. Behav Ther. 2011; 42(2):323-35. DOI: 10.1016/j.beth.2010.08.009. View

Chawla N, Ostafin B . Experiential avoidance as a functional dimensional approach to psychopathology: an empirical review. J Clin Psychol. 2007; 63(9):871-90. DOI: 10.1002/jclp.20400. View

Shrout P, Fleiss J . Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979; 86(2):420-8. DOI: 10.1037//0033-2909.86.2.420. View

Landi G, Pakenham K, Boccolini G, Grandi S, Tossani E . Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility. Front Psychol. 2020; 11:2195. PMC: 7488226. DOI: 10.3389/fpsyg.2020.02195. View

10.

Graham C, Rose M . What explains high life satisfaction in men living with Duchenne muscular dystrophy? A preliminary study to inform psychological intervention. Muscle Nerve. 2016; 56(1):163-166. DOI: 10.1002/mus.25495. View

11.

Kashdan T, Rottenberg J . Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev. 2010; 30(7):865-78. PMC: 2998793. DOI: 10.1016/j.cpr.2010.03.001. View

12.

Hayes S, Luoma J, Bond F, Masuda A, Lillis J . Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2005; 44(1):1-25. DOI: 10.1016/j.brat.2005.06.006. View

13.

Galan S, Roy R, Sole E, Racine M, Vega R, Jensen M . Committed Action, Disability and Perceived Health in Individuals with Fibromyalgia. Behav Med. 2018; 45(1):62-69. DOI: 10.1080/08964289.2018.1467370. View

14.

Bailey R, Vowles K, Witkiewitz K, Sowden G, Ashworth J . Examining Committed Action in Chronic Pain: Further Validation and Clinical Utility of the Committed Action Questionnaire. J Pain. 2016; 17(10):1095-1104. DOI: 10.1016/j.jpain.2016.06.011. View

15.

McCracken L, Yang S . The role of values in a contextual cognitive-behavioral approach to chronic pain. Pain. 2006; 123(1-2):137-45. DOI: 10.1016/j.pain.2006.02.021. View

16.

Juncos D, Heinrichs G, Towle P, Duffy K, Grand S, Morgan M . Acceptance and Commitment Therapy for the Treatment of Music Performance Anxiety: A Pilot Study with Student Vocalists. Front Psychol. 2017; 8:986. PMC: 5475388. DOI: 10.3389/fpsyg.2017.00986. View

17.

Shrout P . Measurement reliability and agreement in psychiatry. Stat Methods Med Res. 1998; 7(3):301-17. DOI: 10.1177/096228029800700306. View

18.

Lin J, Klatt L, McCracken L, Baumeister H . Psychological flexibility mediates the effect of an online-based acceptance and commitment therapy for chronic pain: an investigation of change processes. Pain. 2018; 159(4):663-672. DOI: 10.1097/j.pain.0000000000001134. View

19.

Gregoire S, Lachance L, Bouffard T, Dionne F . The Use of Acceptance and Commitment Therapy to Promote Mental Health and School Engagement in University Students: A Multisite Randomized Controlled Trial. Behav Ther. 2018; 49(3):360-372. DOI: 10.1016/j.beth.2017.10.003. View

20.

McCracken L, Chilcot J, Norton S . Further development in the assessment of psychological flexibility: a shortened Committed Action Questionnaire (CAQ-8). Eur J Pain. 2014; 19(5):677-85. DOI: 10.1002/ejp.589. View