Measuring psychological flexibility and cognitive defusion in individuals with acquired brain injury.
Johanne Rauwenhoff, Frenk Peeters, Yvonne Bol and 1 others
PMID 34487472WHAT IT FOUND
Dutch questionnaires for acquired brain injury in 73 adults gave consistent scores and showed links with mood, valued living and being stuck in thoughts.
They may help therapists monitor injury-related thoughts and being stuck in thoughts during ACT, not prove ACT works.
Key findings
01In 73 adults with acquired brain injury, the Dutch AAQ-ABI and CFQ-7 produced scores that were consistent across items and did not pile up at the top of the scale.
02The AAQ-ABI and CFQ-7 correlated strongly with each other and with the AAQ-II, and showed links with mood, mental health-related quality of life and valued living.
03The study did not examine test-retest reliability, discriminant validity, or whether the questionnaires detect change during treatment.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study did not test whether the same person would get a similar score on a second occasion. The study did not examine whether the questionnaires distinguish psychological flexibility from general distress, and the AAQ-II has been questioned for this reason. The study did not show that the questionnaires can detect change during treatment. Only 33 participants completed the mood, quality of life and valued living measures, so those links rest on a smaller group than the questionnaire validation. People were excluded if a psychologist judged they could not complete the questionnaire because of cognitive or communication impairment. The sample may overrepresent people with computer access and skills because most data were collected online.
Declared interests
Funded by ZonMw (project number 63631 0003). The funder had no role in study design, data collection, analysis, interpretation, or writing.
The easy way to misread this
Do not conclude that ACT works for acquired brain injury from this paper. It tested how well two Dutch questionnaires measured thoughts and psychological flexibility in 73 adults with acquired brain injury, and it did not compare treated and untreated outcomes.