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Further Examination of the Children’s Psychological Flexibility Questionnaire (CPFQ): Convergent Validity and Age Appropriateness

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Abstract

Objectives

The present study examines the correspondence between the Children’s Psychological Flexibility Questionnaire (CPFQ) and three commonly used psychological flexibility measures between a sample of neurotypical children and adults.

Methods

One hundred and one children and 106 adults completed the CPFQ, Child and Adolescent Mindfulness Measure (CAMM), Avoidance and Fusion Questionnaire-Youth (AFQ-Y), and the Acceptance and Action Questionnaire-II (AAQ-II), and results were compared within and between age groups.

Results

Correlations between scores on each measure were computed and yielded statistically significant correlations between the CPFQ and the CAMM (r = .553, p < .001), the AFQ-Y (r = − .646, p < .001), and the AAQ-II (r = − .563, p < .001).

Conclusion

The obtained measures of CPFQ suggest that the measure is appropriate for use with children and adult populations. The findings are consistent with patterns observed on established measures, establishing convergent validity among investigated measures. Implications for the age appropriateness of the language used on CPFQ and the CPFQ’s clinical utility are discussed.

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Data Availability

The data that support the findings of this study are available from the second author, JMH (jhinma2@uic.edu), upon reasonable request.

References

  • Bachmann, K., Hinman, J. M., Yi, Z., & Dixon, M. R. (2021). Evaluating the convergent and divergent validity of the Children’s Psychological Flexibility Questionnaire (CPFQ) among children with autism. Advances in Neurodevelopmental Disorders, 1-6. https://doi.org/10.1007/s41252-021-00206-w

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004

    Article  PubMed  Google Scholar 

  • Bernal-Manrique, K. N., García-Martín, M. B., & Ruiz, F. J. (2020). Effect of acceptance and commitment therapy in improving interpersonal skills in adolescents: A randomized waitlist control trial. Journal of Contextual Behavioral Science, 17, 86–94. https://doi.org/10.1016/j.jcbs.2020.06.008

    Article  Google Scholar 

  • Bitsko, R. H., Holbrook, J. R., Ghandour, R. M., Blumberg, S. J., Visser, S. N., Perou, R., & Walkup, J. T. (2018). Epidemiology and impact of health care provider–diagnosed anxiety and depression among US children. Journal of Developmental and Behavioral Pediatrics, 39(5), 395–403. https://doi.org/10.1097/DBP.0000000000000571

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.2011.03.007

    Article  PubMed  Google Scholar 

  • Cashel, M. L. (2002). Child and adolescent psychological assessment: Current clinical practices and the impact of managed care. Professional Psychology: Research and Practice, 33(5), 446. https://doi.org/10.1037/0735-7028.33.5.446

    Article  Google Scholar 

  • Dixon, M. R., & Paliliunas, D. (2018). Accept. Identify. Move: A behavior analytic curriculum for social-emotional development in children. Shawnee Scientific Press. Carbondale, IL

  • Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. J. (2010). Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility. American Journal of Public Health, 100(12), 2372–2372. https://doi.org/10.2105/AJPH.2010.196196)

    Article  PubMed  PubMed Central  Google Scholar 

  • Greco, L. A., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). Psychological Assessment, 23(3), 606. https://doi.org/10.1037/a0022819

    Article  PubMed  Google Scholar 

  • Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the Avoidance and Fusion Questionnaire for Youth. Psychological Assessment, 20(2), 93. https://doi.org/10.1037/1040-3590.20.2.93

    Article  PubMed  Google Scholar 

  • Guerra, J., García-Gómez, M., Turanzas, J., Cordón, J. R., Suárez-Jurado, C., & Mestre, J. M. (2019). A brief Spanish version of the Child and Adolescent Mindfulness Measure (CAMM). A dispositional mindfulness measure. International Journal of Environmental Research and Public Health, 16(8), 1355–1367. https://doi.org/10.3390/ijerph16081355

    Article  PubMed Central  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., & Bergan, J. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578. https://doi.org/10.1007/BF03395492

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press

  • Hays, R. D., Morales, L. S., & Reise, S. P. (2000). Item response theory and health outcomes measurement in the 21st century. Medical Care, 38(28). https://doi.org/10.1097/00005650-200009002-00007

  • Holahan, C. J., & Moos, R. H. (1987). Risk, resistance, and psychological distress: A longitudinal analysis with adults and children. Journal of Abnormal Psychology, 96(1), 3. https://doi.org/10.1037/0021-843X.96.1.3

    Article  PubMed  Google Scholar 

  • Kalmakis, K. A., & Chandler, G. E. (2014). Adverse childhood experiences: Towards a clear conceptual meaning. Journal of Advanced Nursing, 70(7), 1489–1501. https://doi.org/10.1111/jan.12329

    Article  PubMed  Google Scholar 

  • Kamphaus, R., Petoskey, M. D., & Rowe, E. W. (2000). Current trends in psychological testing of children. Professional Psychology: Research and Practice, 31(2), 155. https://doi.org/10.1037/0735-7028.31.2.155

    Article  Google Scholar 

  • Kovacs, M. (2010). Children’s depression inventory 2. Pearson Assessments.

  • Kuby, A. K., McLean, N., & Allen, K. (2015). Validation of the Child and Adolescent Mindfulness Measure (CAMM) with non-clinical adolescents. Mindfulness, 6(6), 1448–1455. https://doi.org/10.1007/s12671-015-0418-3

    Article  Google Scholar 

  • Lappalainen, R., Lappalainen, P., Puolakanaho, A., Hirvonen, R., Eklund, K., Ahonen, T., Muotka, J., & Kiuru, N. (2021). The Youth Compass-The effectiveness of an online acceptance and commitment therapy program to promote adolescent mental health: A randomized controlled trial. Journal of Contextual Behavioral Science, 20, 1–12. https://doi.org/10.1016/j.jcbs.2021.01.007

    Article  Google Scholar 

  • Livheim, F., Tengström, A., Andersson, G., Dahl, J., Björck, C., & Rosendahl, I. (2020). A quasi-experimental, multicenter study of acceptance and commitment therapy for antisocial youth in residential care. Journal of Contextual Behavioral Science, 16, 119–127. https://doi.org/10.1016/j.jcbs.2020.03.008

    Article  Google Scholar 

  • Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017

    Article  Google Scholar 

  • Millon, T., Tringone, R., Grossman, S., & Millon, C. (2020). Millon adolescent clinical inventory-II (MACI-II). Pearson Assessments.

  • Muris, P., Meesters, C., Herings, A., Jansen, M., Vossen, C., & Kersten, P. (2017). Inflexible youngsters: Psychological and psychopathological correlates of the Avoidance and Fusion Questionnaire for youths in nonclinical Dutch adolescents. Mindfulness, 8(5), 1381–1392. https://doi.org/10.1007/s12671-017-0714-1

    Article  PubMed  PubMed Central  Google Scholar 

  • Ong, C. W., Lee, E. B., Levin, M. E., & Twohig, M. P. (2019). A review of AAQ variants and other context-specific measures of psychological flexibility. Journal of Contextual Behavioral Science, 12, 329–346. https://doi.org/10.1016/j.jcbs.2019.02.007

    Article  Google Scholar 

  • Pennato, T., Berrocal, C., Bernini, O., & Rivas, T. (2013). Italian version of the Acceptance and Action Questionnaire-II (AAQ-II): Dimensionality, reliability, convergent and criterion validity. Journal of Psychopathology and Behavioral Assessment, 35(4), 552–563. https://doi.org/10.1007/s10862-013-9355-4

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Prenoveau, J. M., Papadakis, A. A., Schmitz, J., Hirsch, E. L., Dariotis, J. K., & Mendelson, T. (2018). Psychometric properties of the Child and Adolescent Mindfulness Measure (CAMM) in racial minority adolescents from low-income environments. Psychological Assessment, 30(10), 1395. https://doi.org/10.1037/pas0000630

    Article  PubMed  Google Scholar 

  • Punna, M., Lappalainen, R., Kettunen, T., Lappalainen, P., Muotka, J., Kaipainen, K., Villberg, J., & Kasila, K. (2021). Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight? Journal of Contextual Behavioral Science, 21, 1–11. https://doi.org/10.1016/j.jcbs.2021.04.007

    Article  Google Scholar 

  • Reynolds, C. R., & Richmond, B. O. (2008). Revised children’s manifest anxiety scale, second edition (RCMAS-2). Western Psychological Services.

  • Roux, B., Franckx, A.-C., Lahaye, M., Deplus, S., & Philippot, P. (2019). A French validation of the child and adolescent mindfulness measure (CAMM). European Review of Applied Psychology, 69(3), 83–89. https://doi.org/10.1016/j.erap.2019.06.001

    Article  Google Scholar 

  • Saggino, A., Bartoccini, A., Sergi, M. R., Romanelli, R., Macchia, A., & Tommasi, M. (2017). Assessing mindfulness on samples of Italian children and adolescents: The validation of the Italian version of the child and adolescent mindfulness measure. Mindfulness, 8(5), 1364–1372. https://doi.org/10.1007/s12671-017-0712-3

    Article  Google Scholar 

  • Valdivia-Salas, S., Martín-Albo, J., Zaldivar, P., Lombas, A. S., & Jiménez, T. I. (2017). Spanish validation of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y). Assessment, 24(7), 919–931. https://doi.org/10.1177/1073191116632338

    Article  PubMed  Google Scholar 

  • Yavuz, F., Ulusoy, S., Iskin, M., Esen, F. B., Burhan, H. S., Karadere, M. E., & Yavuz, N. (2016). Turkish version of Acceptance and Action Questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 26(4), 397–408. https://doi.org/10.5455/bcp.20160223124107

    Article  Google Scholar 

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Authors and Affiliations

Authors

Contributions

CL: conducted research, recruited participants, and helped analyze the data. JMH: helped develop the methods of the study, analyzed the data, and wrote parts of the paper. ZY: conducted data analysis and wrote parts of the paper. MRD: developed the methods of the study and collaborated in the writing and editing of the final manuscript.

Corresponding author

Correspondence to Mark R. Dixon.

Ethics declarations

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Research was conducted when all authors were afflicted with Southern Illinois University. The Human Subject Committee approved the study at Southern Illinois University (Protocol number 19266).

Informed Consent

Consent was obtained for all participants. Assent was obtained by the parents of all participants under the age of 18.

Conflict of Interest

Mark R. Dixon receives small royalties from the book that the CPFQ originally published. The CPFQ in its entirety is available free online at https://www.acceptidentifymove.com. The remaining authors declare no competing interests.

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Lenoir, C., Hinman, J.M., Yi, Z. et al. Further Examination of the Children’s Psychological Flexibility Questionnaire (CPFQ): Convergent Validity and Age Appropriateness. Adv Neurodev Disord 6, 224–233 (2022). https://doi.org/10.1007/s41252-022-00259-5

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