AAQ II, 7 item, with scoring.  Courtsey of Belal Mustafa.

References:

Hemaid, Fairouz & El-Astal, Sofián & Cangas, Adolfo & Navarro, Noelia & Aguilar-Parra, Jose & Alsaqqa, Ayah & Saqer, Ayah. (2017). PSYCHOMETRIC PROPERTIES OF THE PALESTINIAN VERSION OF THE ACCEPTANCE AND ACTION QUESTIONNAIRE-II (AAQ-II) APPLIED IN THE GAZA STRIP. International Journal of Psycho-Educational Sciences, 5(3), 52-59. 

Bougueffa, I. (2020) فعالية العلاج بالتقبل والإلتزام في التخفيف من أعراض الوسواس القهري [The effectiveness of acceptance and commitment therapy in relieving OCD symptoms]. Dissertation, University of Batna. The AAQ-II Arabic version is in the appendix. Retrieved from http://dspace.univ-batna.dz/handle/123456789/1210

王小龙, 曹静, 安静, 丁万兵, 索玉兰, 苏华, 李燕, 祝卓宏, 汤永隆 (2015). 中文接纳与行动问卷第二版(AAQ-II)与认知融合问卷(CFQ)在回族和哈萨克族青少年中的信效度检验. 心理学进展, 5(11), 695-701. [Wang Xiaolong, Cao Jing, Jing Jing, Ding Wanbing, Suo Yulan, Su Hua, Li Yan, Zhu Zhuohong, Tang Yonglong (2015). Chinese Acceptance and Action Questionnaire Second Edition (AAQ-II) and Cognitive Fusion Questionnaire (CFQ ) in Hui and Kazak adolescents. Advances in Psychology, 5(11) , 695-701.] http://dx.doi.org/10.12677/AP.2015.511090

Chun-Qing Zhang, Pak-Kwong Chung, Gangyan Si & Jing Dong Liu (2014). Psychometric Properties of the Acceptance and Action Questionnaire–II for Chinese College Students and Elite Chinese Athletes. Measurement and Evaluation in Counseling and Development, 47(4), 256-270. DOI: 10.1177/0748175614538064

CAO Jing, JI Yang, & ZHU Zhuo-Hong (2013). Reliability and validity of the Chinese version of the Acceptance and Action Questionnaire-Second Edition（AAQ-Ⅱ）in college students. Chinese Mental Health Journal, 11, 873-877.

Chang, W.H., Chi, L., Lin, SH. et al. (2017). Psychometric Properties of the Acceptance and Action Questionnaire – II for Taiwanese College Students and Elite Athletes. Curr Psychol 36, 147–156. https://doi.org/10.1007/s12144-015-9395-x

Šego, A. (2022). Mentalno zdravlje zdravstvenih djelatnika u vrijeme pandemije COVID–19. [Mental health of healthcare workers in the COVID-19 pandemic]. Thesis: Sveučilište u Splitu, Medicinski fakultet [University of Split, School of Medicine]. https://urn.nsk.hr/urn:nbn:hr:171:198025
 

Ptáček, Martin. (2022). Assessing Effectiveness of the Mindfulness-Acceptance-Commitment Approach in Sport. Thesis: Masarykova Univerzita. Retrieved from https://is.muni.cz/th/qyx1b/ The Czech version of AAQ-II is in the Appendix.

Hoffmann, D. Halsboe, L., Eilenberg, T., Jensen, J.S., & Frostholm, L. (2014) A pilot study of processes of change in group-based acceptance and commitment therapy for health anxiety. Journal of Contextual Behavioral Science, 3(3), 189-195. https://doi.org/10.1016/j.jcbs.2014.04.004

AAQ-II in Danish. Updated, 31/8/2015. Login to see attachment

AAQ-II translated in Dutch. Login to see the attachments.

References:

Fledderus, M., Oude Voshaar, M. A. H., ten Klooster, P. M., & Bohlmeijer, E. T. (2012). Further evaluation of the psychometric properties of the Acceptance and Action Questionnaire–II. Psychological Assessment, 24(4), 925–936. https://doi.org/10.1037/a0028200

Jacobs N, Kleen M, De Groot F, A-Tjak J. (2008) Measuring experiential avoidance. Dutch translation of the Acceptance and Action Questionnaire-II (AAQ-II) [in Dutch]. Gedragstherapie, 41, 349–361.

Lappalainen, P., Keinonen, K., Pakkala, I., Lappalainen, R., & Nikander, R. (2021). The role of thought suppression and psychological inflexibility in older family caregivers’ psychological symptoms and quality of life. Journal of Contextual Behavioral Science, 20, 129-136. https://doi.org/10.1016/j.jcbs.2021.04.005

(Login to your ACBS account to see the attachment)

Version française de l'AAQ-II dans la Revue Européenne de Psychologie Appliquée.

Monestès, JL., Villatte, M., Mouras, H., Loas, G., & Bond, F. (2009). Traduction et validation française du questionnaire d'acceptation et d'action (AAQ-II). European Review of Applied Psychology, 59, 301-308.

Les résultats indiquent que la version française du questionnaire d'acceptation et d'action-II est fiable et valide. Elle peut donc être utilisée en recherche comme en clinique. [French version of AAQ-II in European Review of Applied Psychology; Abstract below)]

Résumé: L'évitement d'expériences psychologiques douloureuses a été choisi comme cible privilégiée par plusieurs nouvelles approches thérapeutiques issues des thérapies comportementales et cognitives. La tentative de suppression des événements psychologiques désagréables conduit à une perte de la flexibilité psychologique fortement corrélée avec un nombre important et varié de troubles psychologiques. Ces nouvelles approches thérapeutiques tentent d'accroître l'acceptation afin de lutter contre cette rigidité psychologique. Parmi ces approches, la thérapie d'acceptation et d'engagement (ACT) évalue la flexibilité psychologique au moyen du questionnaire d'acceptation et d'action (AAQ-II), qui présente de bonnes propriétés psychométriques. Une version française de l'AAQ-II est ici évaluée sur un groupe de 210 sujets témoins et de 118 patients souffrant de troubles anxieux ou dépressifs. La version française de l'AAQ-II présente une bonne consistance interne. Sa validité concourante comme sa validité de construit semblent solides. Le questionnaire est fiable dans une évaluation en test-retest. La structure factorielle à un facteur de la version francophone de l'AAQ-II est la même que celle de la version originale. Ces résultats assurent une utilisation de la version française de l'AAQ-II en recherche comme en pratique clinique.

[FRENCH TRANSLATION AND VALIDATION OF THE ACCEPTANCE & ACTION QUESTIONNAIRE (AAQ-II)

Keywords: Acceptance & action questionnaire (AAQ-II), Acceptance and commitment therapy, Psychological flexibility

Abstract: Avoidance of painful psychological experience has been chosen as the prime target by several new therapeutic approaches derived from cognitive and behavioral therapies. Attempts to suppress unpleasant emotional events lead to a loss of psychological flexibility strongly correlated with a significant number and variety of psychological disorders. These new therapeutic approaches attempt to increase acceptance in order to decrease this psychological rigidity. Among these approaches, Acceptance and Commitment Therapy (ACT) measures psychological flexibility by mean of Acceptance and Action Questionnaire (AAQ-II), which presents good psychometric properties. A French version of the AAQ-II was evaluated in a group of 210 control subjects and 118 patients with anxiety disorders or depression. The French version of the AAQ-II presents good internal consistency (Cronbach's alpha: 0.76-0.82). Its concurrent validity and construct validity appear strong. The questionnaire is reliable in test-retest evaluation. The one-factor structure of the French version of the AAQ-II reproduces the structure of the original version. These results ensure the use of the French version of the AAQ-II in research as well as in clinical practice.]

Nino Gogichadze, Teona Lodia, Nata Meparishvili, & Jodi Polaha (2017) The AAQ-II Translation to Georgian: A Preliminary Validation Study. Poster presented at ACBS Annual World Conference 15

Hoyer, J. & Gloster, A.T. (2013) Psychologische Flexibilität messen: Der Fragebogen zu Akzeptanz und Handeln II. Verhaltenstherapie, 23, 42–44.

Gloster, A., Klotsche, J., Chaker, S., Hummel, K.V., & Hoyer, J. (2011). Assessing psychological flexibility: what does it add above and beyond existing constructs? Psychological assessment, 23(4), 970-82 .

Karekla, M. & Michaelides, M.P. (2017) Validation and invariance testing of the Greek adaptation of the Acceptance and Action Questionnaire -II across clinical vs. nonclinical samples and sexes. Journal of Contextual Behavioral Science, 6(1), 119-124. https://doi.org/10.1016/j.jcbs.2016.11.006

Tyagi, A. & Agarwal, A. (2021). Validation of the Factor Structure of Acceptance and Action Questionnaire-II (AAQ-II) in the Indian Context. Turkish Online Journal of Qualitative Inquiry, 12(7), 10033-10043.

See attachment for translation by Sayma Jameel & Dr M Manjula, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India

Hebrew translations of the AAQ II is below.

AAQ II
Rabbi Dov Ben-Yaacov BA. LLB.PgD-Psychiatry
MSc Psychiatry candidate, Cardiff Medical School
Cardiff University, Cardiff, Wales, UK

Balazsi, R., Pentek, I., Vargha, J., & Szabo, K. (2019). The investigation of the factor structure, construct validity and gender related differences of the Hungarian version of the Acceptance and Action Questionnaire-II: A latent mean difference approach. Journal of Evidence-Based Psychotherapies, 19(1), 73-89. DOI: 10.24193/jebp.2019.1.5

Eisenbeck, N., & Szabó-Bartha, A. (2018). Validation of the Hungarian version of the Acceptance and Action Questionnaire-II (AAQ-II). Journal of Contextual Behavioral Science, 9, 80-87. https://doi.org/10.1016/j.jcbs.2018.07.007

See attachments for AAQ-II in Hungarian.

Please contact Krizstina-Gabriella Szabo (krisztinagabriella.szabo@gmail.com) for additional information.

Nurmalita Sari, Margaretha Sih Setija Utami, Esthy Rahayu (2022). The Effectiveness of Acceptance and Commitment Therapy (ACT) for Reducing Depression in Post-Stroke Patients. Philanthropy: Journal of Psychology, 6(1), 13 – 31. Retrieved from https://journals.usm.ac.id/index.php/philanthropy/article/view/4681
 

Pennato, T., Berrocal, C., Bernini, O. et al. (2013) Italian Version of the Acceptance and Action Questionnaire-II (AAQ-II): Dimensionality, Reliability, Convergent and Criterion Validity. J Psychopathol Behav Assess, 35, 552–563 (2013). https://doi.org/10.1007/s10862-013-9355-4 The Italian AAQ-II items are in the Appendix Table 8.

AAQ-II translated in Japanese. Naoko Kishita, Tetsuya Yamamoto, & Hironori Shimada Author contact information: Naoko Kishita Graduate School of Human Sciences, Waseda University, Japan sun_village@suou.waseda.jp

Citations

7 items AAQ-II: Daiki Shima, Mika Yanagihara, Satoshi Kawai, Hiroaki Kumano (2013) Japanese version of Acceptance and Action Questionnaire-II 7-item version. Proceedings of the 77th Annual Meeting of the Japanese Psychological Association.

10 items AAQ-II: Naoko Kinoshita, Tetsuya Yamamoto, Hironori Shimada (2008). Attempt to create Japanese version of Acceptance and Action Questionnaire-II Proceedings of the 21st Annual Meeting of the Japanese Society of Health Psychology, 46.

Heo, J.H., Choi, M.S., & Jin, H.J. (2009). Study on the reliability and validity of Korean translated Acceptance-Action Questionnaire-II. Journal of the Korean Psychological Association: Counseling and Psychotherapy, 21(4), 861–878. www.kci.go.kr

Sadauska, I. & Koļesovs, A. (2021). Validity and Reliability of the Acceptance and Action Questionnaire-II: Latvian Version. Cilvēks, tehnoloģijas un izglītības kvalitāte, 2021[Human, Technologies and Quality of Education, 2021], 71-82. https://doi.org/10.22364/htqe.2021

References:

Mohd Bahar, F. H., Mohd Kassim, M. A., Pang, N. T. P., Koh, E. B. Y., Kamu, A., & Ho, C. M. (2022). Malay Version of Acceptance and Action Questionnaire-II (AAQ-II): A Reliability and Validity Analysis in Non-Clinical Samples. IIUM Medical Journal Malaysia, 21(3). https://doi.org/10.31436/imjm.v21i3.1888

Shari, N. I., Zainal, N. Z., Guan, N. C., Ahmad Sabki, Z., & Yahaya, N. A. (2019). Psychometric properties of the acceptance and action questionnaire (AAQ II) Malay version in cancer patients. PloS one, 14(2), e0212788. https://doi.org/10.1371/journal.pone.0212788 The Malay Translation is in Appendix 1.

Translated AAQ-II in Norwegian. Norsk konsensusversjon (backtranslated), mars 2009 - og revidert i2011  henhold til engelskspråklig validering. Forhåpentligvis vil det gjøres en valideringsstudie av den i nærmeste fremtid. Denne versjonen er utarbeidet av (i alfabetisk rekkefølge): Roar Fosse PhD Børge Holden dr.philos. Didrik Heggdal Psykologspesialist Steffen Holthe Psykolog Trym Nordstrand Jacobsen MA. Ayna B. Johansen PhD Lars Mariero Med.Stud. (for spørsmål kan Trym Nordstrand Jacobsen nåes på trym_n_jacobsen@yahoo.no)

Tom Østergaard, Tobias Lundgren, Robert D. Zettle, Nils Inge Landrø, Vegard Øksendal Haaland (2020) Norwegian Acceptance and Action Questionnaire (NAAQ): A psychometric evaluation. Journal of Contextual Behavioral Science, 15, 103-109. DOI: 10.1016/j.jcbs.2019.12.002

The Acceptance and Action Questionnaire (AAQ-II) aims to measure psychological flexibility (PF), described as the ability to act according to chosen values while consciously being in contact with present moment experiences that might function as obstacles. To date, the psychometric properties of a Norwegian translated version of the AAQ-II (NAAQ) have not been published, thus limiting the confidence of findings based on its use with Norwegian samples. The current study sought to address this omission by evaluating the psychometric properties of the NAAQ in a clinical sample (N = 163) with a history of major depressive disorder and residual symptoms of depression. A confirmatory factor analysis supported a unidimensional structure of the scale with good internal (α = 0.87) and satisfactory levels of concurrent and convergent validity. Incremental validity beyond two measures of value-based living was found in predicting depression, anxiety, and three of four domains reflective of quality of life. The overall results support the use of the NAAQ in both research and clinical practice with Norwegian samples.

Børge Strømgren, Stian Orm Jon A. Løkke (2021) Psychometric Properties of the Norwegian Acceptance and Action Questionnaire in a Non-clinical Sample. International journal of psychology and psychological therapy, 21(2), 199-206.

Abasi, E., Fti, L., Molodi, R., Zarabi, H. (2013). Psychometric properties of Persian Version of Acceptance and Action Questionnaire –II. Journal of Psychological Models and Methods, 3(10), 65-80.

Nezamaddin Ghasemi, Mehrdad Kalantari, Karim Asghari, Hossaein Molavi (2014)  Factor Structure, Validity and Reliability of the Persian version of the Acceptance and Action Questionnaire (AAQ-II-7). International Journal of Education and Research, 2(9), 85-96.
 

AAQ-II translated into Farsi courtesy of Dr. Ali Sahebi. Please contact asahebi@gmail.com for more information. See attached file.

Kleszcz, Bartosz & Dudek, Joanna & Białaszek, Wojciech & Ostaszewski, Pawel & Bond, Frank. (2018). Właściwości psychometryczne polskiej wersji Kwestionariusza Akceptacji i Działania (AAQ-II). Studia Psychologiczne, 1, 1-20. 

Polski. Oto strona zawierająca Acceptance and Action Questionnaire-II, mierzący elastyczność psychologiczną. Dostępne są dwie wersje - męska i żeńska. Pełne dane dostępne będą po opublikowaniu wyników. Test jest darmowy do użytku w ramach interwencji psychologicznych i badań naukowych. W razie pytań wyślij maila do bkleszcz@gmail.com

English. This is the page containing the Acceptance and Action Questionnaire-II, measuring psychological flexibility. Two versions are available - male and female. Full data will be available after publishing. The test is free for use in psychological intervetions and research. Should you have any questions please send a mail to bkleszcz@gmail.com

AAQ-II translated in Portuguese. (login to your ACBS account to see attachment)

References:

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.

Barbosa, L.Martins. & Murta, S. G. (2015). Propriedades psicométricas iniciais do Acceptance and Action Questionnaire - II - versão brasileira. Psico-USF,  20(1), 75-85. https://doi.org/10.1590/1413-82712015200107

Berta-Otero, T., Barceló-Soler, A., Montero-Marin, J., Maloney, S., Pérez-Aranda, A., López-Montoyo, A., Salvo, V., Sussumu, M., García-Campayo, J., & Demarzo, M. (2023). Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress. International Journal of Environmental Research and Public Health, 20(1), 225. https://doi.org/10.3390/ijerph20010225

Szabó, K.G., Vargha, J.L., Balazsi, R., Bartalus, J., & Bogdan, V. (2011) MEASURING PSYCHOLOGICAL FLEXIBILITY: PRELIMINARY DATA ON THE PSYCHOMETRIC PROPERTIES OF THE ROMANIAN VERSION OF THE ACCEPTANCE AND ACTION QUESTIONNAIRE (AAQ-II).  Journal of Cognitive and Behavioral Psychotherapies, Cluj-Napoca, 11, (1), 67-82.

Preliminary data regarding the psychometric properties of the Romanian AAQ-II:

The calculated Cronbach’s Alpha’s value was .80 for the 10-item AAQ-II, and .84 for the 7-item AAQ-II (n = 350, 145 males).

A full description of the psychometric properties is described in the attached documents in English and Romanian. Please contact Krizstina-Gabriella Szabo (krisztinagabriella.szabo@gmail.com) for additional information.

AAQ-II
Опросник Принятия И Дейcтвий -II

References:

Yasin, M.I. (2022). Русскоязычная адаптация методик для диагностики принятия и избегания опыта [Russian-language adaptation of methods for diagnosing acceptance and avoidance of experience]. Современная зарубежная психология [Journal of Modern Foreign Psychology], 11(2), 113–121. https://doi.org/10.17759/jmfp.2022110210

Dragan Žuljević, Nikolija Rakočević, & Igor Krnetić (2020). Testing the Model of Psychological Flexibility in the Serbian Cultural Context: The Psychometric Properties of the Acceptance and Action Questionnaire. Psihologija, 53 (2), 161-181.  https://doi.org/10.2298/PSI191015006Z
 

Translated to Serbian by Dr Dragan Zuljevic, Dr Igor Krnetic and Nikolija Rakocevic.
Please contact drzuljevic@gmail.com for more information

References

• Patrón Espinosa, F. (2010). La evitacion experiencial y su medicion por medio del AAQ-II. Enseñanza e Investigación en Psicología, 15(1), 5-19. At the end of the article is the measure
• Ruiz, F.J., Langer Herrera, A.I., Luciano, C., Cangas, A.J. & Beltrán, I. (2013). Measuring experiential avoidance and psychological infl exibility: The Spanish version of the Acceptance and Action Questionnaire - II. Psicothema, 25, 123-129. DOI: 10.7334/psicothema2011.239
• Paladines-Costa, B., López-Guerra, V., Ruisoto, P., Vaca-Gallegos, S., & Cacho, R. (2021). Psychometric Properties and Factor Structure of the Spanish Version of the Acceptance and Action Questionnaire-II (AAQ-II) in Ecuador. International journal of environmental research and public health, 18(6), 2944. https://doi.org/10.3390/ijerph18062944
• Arias, P. R., Barraca, J., & García, F. E. (2023). Propiedades psicométricas del Cuestionario de Aceptación y Acción-II en adultos ecuatorianos. Actualidades En Psicología, 37(134), 99–116. DOI: 10.15517/ap.v37i134.48374

AAQ-II Adaptación Luciano, Ruiz, 2007 (Login to your ACBS account to see attachments)

Hayes et al utvecklade den första versionen av AAQ med 10 frågor. Den har senare översatts till svenska och förkortat till 6 frågor av Tobias Lundgren och Thomas Parling vid Uppsala Universitet. Du hittar instrumentet här.

Referenser:

[1] Nilsson, P. (2021) Psykologisk Inflexibilitet och Kognitiv Fusion hos Vuxna med Autism: En Studie om Acceptance and Commitment Therapy. Mituniversitetet, thesis. Swedish 7 item AAQ-II is in Bilaga 3.1. Retrieved from https://www.diva-portal.org/smash/get/diva2:1566478/FULLTEXT01.pdf
[2] Thorsell Cederberg, J., Sandra Weineland, S., Dahl,J., & Ljungman, G. (2018). Validation of the Swedish Acceptance and Action Questionnaire (SAAQ) for parents of children with cancer. Journal of Contextual Behavioral Science, 10, 50-54. https://doi.org/10.1016/j.jcbs.2018.08.008
[3] Tobias Lundgren & Thomas Parling (2017): Swedish Acceptance and Action Questionnaire (SAAQ): a psychometric evaluation, Cognitive Behaviour Therapy. Du kan läsa artikeln i fullängd här: http://dx.doi.org/10.1080/16506073.2016.1250228
[4] Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. C., Guenole, N., Orcutt, H. K., Waltz, T. and Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire – II: A revised measure of psychological flexibility and acceptance. Behavior Therapy, 42, 676-688.
[5] Hayes S.C., Strosahl K.D., Wilson K.G., Bissett R.T., Pistorello J., Toarmino D., Polusny M.A., Dykstra T.A., Batten S.V., Bergan J., Stewart S.H., Zvolensky M.J., Eifert G.H., Bond F.W., Forsyth J.P., Karekla M, McCurry SM. Measuring experiential avoidance: a preliminary test of a working model. The Psychological Record 2004;54:553–78.
[6] Otto, N. (2010). Den svenska versionen av Acceptance and Action Questionnaire. En psykometrisk utvärdering. Opublicerad psykologexamensuppsats, Institutionen för psykologi, Uppsala universitet, Uppsala. 

Dr. Veera Balaji Kumar has shared his Tamil translation of AAQ-II. Therapists working with Tamil speaking clients can utilize this measure.

Proviso: Although this translation was cross-checked by a language expert and found workable in Veera's practice, it has not been psychometrically tested for accuracy.

Sumalrot, T., Phannajit, N., & Phattharayuttawat, S. (2022). Psychometric Properties of Scales for Assessing Experiential Avoidance. Siriraj Medical Journal, 74(11), 760–768. https://doi.org/10.33192/Smj.2022.90

Sucheera Phattrayuttrawat, Thanayot Sumalrot & Naphol Phannajit (2019) A STUDY OF PSYCHOMETRIC PROPERTIES OF SELF-RATING SCALES FOR ASSESSING EXPERIENTIAL AVOIDANCE. Proceeding of Graduate Research Forum 2019 An Academic Conference for Graduate Student.

Pimpanit Condee, Nattasuda Taephant Kullaya Pisitsungkagarn (2017) Development of a Thai version of the Acceptance Scale and Preliminary Psychological Properties for Individuals after Leukemia Treatment. Journal of the Royal Thai Army Nurses, 18 (suppl.1),174-80. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article /view/90119 The Thai translation of the AAQ-II items is in the table 1. 

Fatih Yavuz, Sevinc Ulusoy, Mehtap Iskin, Fatma Betul Esen, Huseyin Sehid Burhan, Mehmet Emrah Karadere & Nuran Yavuz (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, http://doi.org/10.5455/bcp.20160223124107

Meunier, B., Atmaca, S., Ayranci, E., Gökdemir, B. P., Uyar, T., & Bastug, G. (2014). Psychometric properties of the Turkish version of the acceptance and action questionnaire-II (AAQ-II). Journal of Evidence-Based Psychotherapies, 14(2), 179. 

Fatih Yavuz, M.D., Mehtap Iskin, Psyc, Sevinc Ulusoy, M.D., Betul Esen, M.D., Huseyin Sehid Burhan, M.D. (2014) Turkish Version of AAQ-II: Preliminary Analysis of Reliability and Validity. Poster presented at the ACBS Annual World Conference 12.

KABUL VE EYLEM FORMU-2 (See attachment)

Shiroka, A.A. & Mykolaychuk, M.I. (2021). АДАПТАЦІЯ УКРАЇНОМОВНОЇ ВЕРСІЇ ОПИТУВАЛЬНИКА ПРИЙНЯТТЯ ТА ДІЇ (AAQ-II) НА НОРМАТИВНІЙ ТА СУБКЛІНІЧНІЙ ГРУПАХ ДОСЛІДЖУВАНИХ [ADAPTATION OF THE UKRAINIAN-VERSION VERSION OF THE QUESTIONNAIRE OF ACCEPTANCE AND ACTION (AAQ-II) ON NORMATIVE AND SUBCLINICAL GROUPS OF RESEARCHES]. Scientific Bulletin of KSU Series Psychological Sciences, 2021(No. 3), 101-112. https://doi.org/10.32999/ksu2312-3206/2021-3-14  The AAQ-II Items Ukraianian translation is in Table 4.

AAQ-II in Urdu Translated by Sumayya Sajjad <sumayyasajjad75@yahoo.com>

Centre for Clinical Psychology
University of the Punjab, Lahore, Pakistan

Acceptance and Action Questionnaire II-Urdu Translated by Rabia Khawar, Ph.D - rabiakhawar@gcuf.edu.pk

Associate Professor
Chairperson Department of Applied Psychology
GC University Faisalabad

Gregg, J.A., Callaghan. G.M., Hayes, S.C., & Glenn-Lawson, J.L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 75(2), 336-343.

Lundgren, T., Dahl, J., Melin, L., & Kies, B. (2006). Evaluation of acceptance and commitment therapy for drug refractory epilepsy: a randomized controlled trial in South Africa—a pilot study. Epilepsia, 47(12), 2173-2179.

Lundgren, L., Dahl, J., & Hayes, S.C. (2008). Evaluation of mediators of change in the treatment of epilepsy with acceptance and commitment therapy. Journal of Behavioral Medicine, 31(3), 225,235.

AAQ for use with cancer patients.

Arch, J.J. & Mitchell, J. L. (2016). An acceptance and commitment therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-Oncology, 25(5), 610-615.

The AAQ-ABI is a 9 item scale assessing both acceptance and avoidance of thoughts that may arise as a result of brain injury. It uses a 5-point Likert scale (0=’not at all true’ to 4=’very true’) with scores ranging from 0 to 36. Higher scores indicate greater psychological inflexibility. The AAQ-ABI correlates highly with the Acceptance and Action Questionnaire-II (AAQ-II) (rs= .70, N= 75, p< .01) (Whiting et al., in press).

Citations:

Faulkner, J.W., Snell, D.L., Theadom, A., Mahon, S., Barker-Collo, S. & Skirrow, P. (2021) Psychological flexibility in mild traumatic brain injury: an evaluation of measures. Brain Injury, 35(9), 1103-1111, DOI: 10.1080/02699052.2021.1959062

Whiting, D. L., Deane, F. P., Ciarrochi, J., McLeod, H. J., & Simpson, G. K. (2015). Validating measures of psychological flexibility in a population with acquired brain injury. Psychological Assessment, 27(2), 415–423. https://doi.org/10.1037/pas0000050
 

Ong, C.W., Whicker, J.J., Muñoz, K., & Twohig, M.P. (2019). Measuring psychological inflexibility in adult and child hearing loss. International Journal of Audiology, 58(10), 643-650. DOI: 10.1080/14992027.2019.1630759

Yang, Y., Liu, Y., Xiao, Y., Zhang, L., Li, Y., Zhu, H., & Bian, J. (2022). Cross-cultural adaptation, reliability, and validity of the Chinese version of the Acceptance and Action Questionnaire-Adult Hearing Loss. International Journal of Audiology, 61 (10), 876-881. DOI: 10.1080/14992027.2021.2002954

San Miguel, G.G., Muñoz, K., Barrett,T.S. & Twohig, M.P. (in press) Acceptance and Action Questionnaire-Adult Hearing Loss (AAQ-AHL): validation with hearing aid users. International Journal of Audiology. DOI: 10.1080/14992027.2022.2142161

Cooper, E. A. (2009) Acceptance and commitment therapy and depression: the development of a depression specific process measure.  DPsyc (Clin) dissertation, University of
Wollongong. http://ro.uow.edu.au/theses/795 The AAQ-D is in the appendix.
 

Staats, S. B., & Zettle, R. D. (2011, November). The Acceptance and Action Questionnaire for Exercise (AAQ-Ex). Poster session presented at the meeting of the Association for Behavioral and Cognitive Therapies, Toronto.

Staats, S. B., & Zettle, R. D. (2012, July). Exercise behavior and the Acceptance and Action Questionnaire for Exercise (AAQ-Ex). Poster session presented at the meeting of the Association for Contextual Behavioral Science, Washington, DC.

Staats, S. B. (2014). Development and Validation of the Acceptance and Action Questionnaire for Exercise(Unpublished master's thesis). Wichita State University, Wichita, Kansas.

Staats, S. B. (2014, June).  Development and validation of the Acceptance and Action Questionnaire for Exercise.  In R. D. Zettle, Relevance of ACT processes in promoting health behaviors: Assessment and intervention: Contextual Medicine SIG sponsored.  Symposium conducted at the world conference of the Association for Contextual Behavioral Science, Minneapolis, Minnesota.

***NOTE*** THE 15-ITEM VERSION IS PREFERRED. Please use this one if possible. See attached thesis for normative information on both 15- and 11-item versions (Table 26; p. 89). Thanks! :D

Reneman MF, Kleen M, Trompetter HR, Schiphorst Preuper HR, Köke A, van Baalen B, Schreurs KM. (2014) Measuring avoidance of pain: validation of the Acceptance and Action Questionnaire II-pain version. Int J Rehabil Res, 37(2), 125-129. doi: 10.1097/MRR.0000000000000044

The AAQ for Obsessions and Compulsions (AAQ-OC) is a 13-item self-report measure of experiential avoidance in response to unwanted intrusive thoughts.

The original paper describing its psychometric properties is published here:

Jacoby, R. J., Abramowitz, J. A., Buchholz, J. L., Reuman, L., & Blakey S. M. (2018). Experiential avoidance in the context of obsessions: Development and validation of the Acceptance and Action Questionnaire for Obsessions and Compulsions. Journal of Obsessive Compulsive and Related Disorders, 19, 34-43. doi: 10.1016/j.jocrd.2018.07.003.

Abstract: The unwillingness to remain in contact with obsessions and anxiety (i.e., experiential avoidance, EA) may explain how normally occurring unwanted intrusive thoughts develop into clinical obsessions as seen in obsessive compulsive disorder (OCD). Studies examining the relationship between EA and OC symptoms are mixed, potentially because the existing self-report measure of EA (i.e., the Acceptance and Action Questionnaire, AAQ-II) is a general measure that does not adequately capture EA specific to obsessions and compulsions. Thus, we aimed to develop and evaluate an OC-specific version of the AAQ-II. First, we used exploratory factor analysis to empirically reduce an initial pool of 49 items (adapted from original AAQ-II items to reference “intrusive thoughts”) to 13 items. A two-factor solution (Valued Action and Willingness) provided the best fit to the data, accounting for 60.57% of the variance. Second, the reduced AAQ-OC was administered, along with other self-report measures, to an independent sample of adults. The AAQ-OC subscales evidenced good internal consistency as well as convergent, discriminant, and incremental validity. Future work examining the psychometric properties of the AAQ-OC in a clinical sample, as well as the measure's treatment sensitivity are needed.

The AAQ-OC is linked below in PDF format and is downloadable for members. All 13-items are summed to yield a total score of experiential avoidance in response to unwanted intrusive thoughts. There are also two subscales representing impairments in: Valued Action (sum of items 1, 3, 4, 6, 8, 9, 10, and 12) and Willingness (sum of items 2, 5, 7, 11, and 13).

Contact Dr. Ryan Jane Jacoby with questions or comments: rjjacoby@mgh.harvard.edu

References:

Barrett, K., O’Connor, M. & McHugh, L. A. (2019). Systematic Review of Values-Based Psychometric Tools Within Acceptance and Commitment Therapy (ACT). The Psychological Record, 69, 457–485. https://doi.org/10.1007/s40732-019-00352-7

Jacoby, R. J., Abramowitz, J. A., Buchholz, J. L., Reuman, L., & Blakey S. M. (2018). Experiential avoidance in the context of obsessions: Development and validation of the Acceptance and Action Questionnaire for Obsessions and Compulsions. Journal of Obsessive Compulsive and Related Disorders, 19, 34-43. doi: 10.1016/j.jocrd.2018.07.003.

The AAQ-S is a 21 item measure of psychological flexibility/inflexibility with stigmatizing thoughts. The measure includes two subscales (psychological flexibility and psychological inflexibility), which can be analyzed separately or combined into a total score.

The AAQ-S can be downloaded from the Utah State University ACT Research Group.

The citation for the measurement development/validation paper is:

Trigueros, R., Navarro-Gómez, N., Aguilar-Parra, J. M., & Cangas, A. J. (2020). Factorial Structure and Measurement Invariance of the Acceptance and Action Questionnaire-Stigma (AAQ-S) in Spain. International Journal of Environmental Research and Public Health, 17(2), 658.  https://doi.org/10.3390/ijerph17020658

Levin, M.E., Luoma, J.B., Lillis, J., Hayes, S.C. & Vilardaga, R. (2014). Developing a measure of psychological flexibility with stigmatizing thoughts. Journal of Contextual Behavioral Science, 3, 21-26.

The AAQ for Substance Abuse (AAQ-SA) is a measure of psychological flexibility in relation to substance misuse.

The original paper describing it pscychometric properties is:

Luoma, J. B., Drake, C., Hayes, S. C., Kohlenberg, B. (2011). Substance Abuse and Psychological Flexibility: The Development of a New Measure. Addiction Research and Theory, 19(1), 3-13.

The paper can be downloaded here: http://contextualscience.org/node/5681

Below is the abstract of that study

Psychological flexibility is a relatively new clinical construct targeted by Acceptance and Commitment Therapy, a behavior analytic treatment incorporating mindfulness and values interventions, among other processes. Poor psychological flexibility has been shown to relate to clinical problems as well as normative life challenges, and efforts to increase psychological flexibility have correlated with improvements for a variety of psychological difficulties, including substance abuse. The Acceptance and Action Questionnaire (AAQ) is currently the standard measure of psychological flexibility, but in substance misusing samples, has not shown adequate psychometric properties. Content-specific variants of the AAQ have been effective in other treatment domains, suggesting that a substance abuse focused version of the AAQ may be useful. This paper details the construction and initial validation of such a measure, the AAQ-SA, which demonstrated good internal consistency, factor structure, and construct validity. In addition, the AAQ-SA appeared to be empirically distinguishable from the AAQ. Future researchers are advised to address limitations of the current work and encouraged to expand the empirical database on substance abuse treatment with this new measure.

The measure is attached to this webpage along with scoring instructions.

Boffa, J.W., Tock, J.L., Morabito, D.M. et al. Measuring Psychological Inflexibility of Suicidal Thoughts: The Acceptance and Action Questionnaire for Suicidal Ideation (AAQ-SI). Cogn Ther Res (2022). https://doi.org/10.1007/s10608-022-10309-w

Bisagni, D., Bisagni, M., & Vaccaro, M. (2018). Mindfulness e flessibilità psicologica nella pratica sportiva: validazione della versione italiana della State Mindfulness Scale for Physical Activity (SMS-PA) e della versione per lo sport dell’Acceptance and Action Questionnaire (AAQ-II) [Mindfulness and psychological flexibility in sport practice: Validation of the italian version of the SMS-PA and the sports version of the AAQ-II]. Psicoterapia cognitiva e comportamentale, 24(2), 153-173.

Pinto-Gouveia, J., Carvalho, T., Cunha, M., Duarte, J., Walser, R.D. (2015). Psychometric properties of the Portuguese version of the Acceptance and Action Questionnaire-Trauma Specific (AAQ-TS): A study with Portuguese Colonial War Veterans. J Affect Disord., 185, 81-89. DOI: 10.1016/j.jad.2015.06.023

Houghton DC, Compton SN, Twohig MP, et al. (2014). Measuring the role of psychological inflexibility in Trichotillomania. Psychiatry Research, 220(1-2):356-361. http://doi.org/10.1016/j.psychres.2014.08.003.

Levin, M.E., Krafft, J., Pistorello, J., & Seeley, J.R. (2019) Assessing psychological inflexibility in university students: Development and validation of the acceptance and action questionnaire for university students (AAQ-US). Journal of Contextual Behavioral Science, 12, 199-206. https://doi.org/10.1016/j.jcbs.2018.03.004 The AAQ-US can be downloaded from the Utah State University ACT Research Group.

Acceptance and Action Questionnaire for Weight-Related Difficulties. The scale and additional information (scoring instructions and a brief summary of psychometric properties) are attached below.

The AAQ-W can also be found on stevenchayes.com

References:

Lillis, J., & Hayes, S.C. (2008). Measuring avoidance and inflexibility in weight related problems. International Journal of Behavioral Consultation and Therapy, 4(4), 348-354.

Weineland, S., Lillis, J., & Dahl, J. (2013). Measuring experiential avoidance in a bariatric surgery population--psychometric properties of AAQ-W. Obesity research & clinical practice, 7(6), e464–e475. 

Manwaring, J., Hilbert, A., Walden, K., Bishop, E. R., & Johnson, C. (2018). Validation of the acceptance and action questionnaire for weight-related difficulties in an eating disorder population. Journal of Contextual Behavioral Science, 7, 1-7

References for AAQ-W Revised Versions:

Palmeira, L., Cunha, M., Pinto-Gouveia, J., Carvalho, S., & Lillis, J. (2016) New developments in the assessment of weight-related experiential avoidance (AAQW-Revised). Journal of Contextual Behavioral Science, 5(3), 193-200. https://doi.org/10.1016/j.jcbs.2016.06.001

Dochat, C., Afari, N., Wooldridge, J.S., Herbert, M.S., Gasperi, M.,  & Lillis, J. (2020) Confirmatory factor analysis of the Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R) in a United States sample of adults with overweight and obesity. Journal of Contextual Behavioral Science, 15, 189-196. https://doi.org/10.1016/j.jcbs.2020.01.006

Krafft, J., Ong, C.W., Twohig, M.P., Levin, M.E. (2019) Assessing psychological inflexibility in hoarding: The Acceptance and Action Questionnaire for Hoarding (AAQH). Journal of Contextual Behavioral Science, 12, 234-242.  https://doi.org/10.1016/j.jcbs.2018.08.003 The AAQH is in the Appendix. The AAQH can be downloaded from the Utah State University ACT Research Group.

Ong, C.W., Krafft, J., Levin, M.E., & Michael P. Twohig, M.P. (2021). A systematic review and psychometric evaluation of self-report measures for hoarding disorder. Journal of Affective Disorders, 290, 136-148. https://doi.org/10.1016/j.jad.2021.04.082

The Avoidance and Inflexibility Scale (AIS) assesses ACT processes in the context of cigarette smoking. Reference: Gifford, E. V., Antonuccio, D.O, Kohlenberg, B.S., Hayes, S.C., & Piasecki, M.M. (2002). Combining Bupropion SR with acceptance and commitment-based behavioral therapy for smoking cessation: Preliminary results from a randomized controlled trial. Paper presented at the annual meeting of the Association for Advancement of Behavioral Therapy, Reno, NV.

Gifford, E.V., Kohlenberg, B.S., Hayes, S.C., Antonuccio, D.O., Piasecki, M.M., Rasmussen-Hall, M.L., & Palm, K.M. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35(4):689–705.

Farris, S.G., Zvolensky, M.J., DiBello, A.M., & Schmidt, N.B. (2015). Validation of the Avoidance and Inflexibility Scale (AIS) among treatment-seeking smokers. Psychological Assessment, 27(2), 467-477. http://doi.org/10.1037/pas0000059

Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. (2013). Assessment of body image flexibility: The Body Image – Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science, 2(1–2), 39-48. http://dx.doi.org/10.1016/j.jcbs.2013.03.002

Acceptance and mindfulness components are increasingly incorporated into treatment for eating disorders with promising results. The development of measures of proposed change processes would facilitate ongoing scientific progress. The current series of studies evaluated one such instrument, the Body Image – Acceptance and Action Questionnaire (BI-AAQ), which was designed to measure body image flexibility. Study one focused on the generation and reduction of items for the BI-AAQ and a demonstration of construct validity. Body image flexibility was associated with increased psychological flexibility, decreased body image dissatisfaction, and less disordered eating. Study two demonstrated adequate internal consistency and test-retest reliability of BI-AAQ. Study three extended findings related to structural and construct validity, and demonstrated an indirect effect of body image dissatisfaction on disordered eating via body image flexibility. Research and clinical utility of the BI-AAQ are discussed. The BI-AAQ is proposed as a measure of body image flexibility, a potential change process in acceptance-oriented treatments of eating disorders.

The BI-AAQ is attached below in .pdf format below and is downloadable for members. All items are summed to yield a score for body image inflexibility or reverse-scored to yield a score for body image flexibility.

Also attached below is a modified version of the BI-AAQ that does not refer specifically to weight and shape.

Contact Emily Sandoz with questions or comments: emilysandoz@louisiana.edu

References: 

Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. (2013). Assessment of body image flexibility: The Body Image – Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science, 2(1–2), 39-48. http://dx.doi.org/10.1016/j.jcbs.2013.03.002

Lee, E.B., Smith, B.M., Twohig, M.P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. (2017). Assessment of the body Image-Acceptance and Action Questionnaire in a female residential eating disorder treatment facility. Journal of Contextual Behavioral Science, 6(1), 21-28. https://doi.org/10.1016/j.jcbs.2016.11.004

Soulliard, Z.A. & Vander Wal, J. (2022).  Measurement invariance and psychometric properties of three positive body image measures among cisgender sexual minority and heterosexual women. Body Image, 40, 146-157. https://doi.org/10.1016/j.bodyim.2021.12.002

BI-AAQ-5 Short Form

References:

Basarkod, G. Sahdra, B., & Ciarrochi, J. (2018). Body Image–Acceptance and Action Questionnaire–5: An Abbreviation Using Genetic Algorithms. Behavior Therapy, 49(3), 388-402. https://doi.org/10.1016/j.beth.2017.09.006

Soulliard, Z.A. & Vander Wal, J.S. (2022). Measurement invariance and psychometric properties of three positive body image measures among cisgender sexual minority and heterosexual women. Body Image, 40, 146-157. https://doi.org/10.1016/j.bodyim.2021.12.002

Beacham, A.O.,  Linfield, K., Kinman, C.R., Payne-Murphy, J. (2015). The chronic illness acceptance questionnaire: Confirmatory factor analysis and prediction of perceived disability in an online chronic illness support group sample. Journal of Contextual Behavioral Science, 4 (2), 96-102. https://doi.org/10.1016/j.jcbs.2015.03.001

Spatola, C.A., Cappella, E.A., Goodwin, C.L., Baruffi, M., Malfatto, G., Facchini, M., et al. (2014) Development and initial validation of the Cardiovascular Disease Acceptance and Action Questionnaire (CVD-AAQ) in an  Italian sample of cardiac patients. Front
Psychol, 5, 1284. https://doi.org/10.3389/fpsyg.2014.01284

This page hosts the adaptation that David Gillanders and Estelle Barker made of the Diabetes Acceptance and Action Questionnre: The DAAS-R. The measure is freely available to members of ACBS for clinical and research purposes (non commercial), with appropriate acknowledgements and citations of the work. The article describing the DAAS-R is available online at JCBS. The citation is:

Gillanders, D. T. & Barker, E. (2019). Development and initial validation of a short form of the Diabetes Acceptance and Action Scale: The DAAS-Revised (DAAS-R). Journal of Contextual Behavioral Science, 14, 20-28. https://doi.org/10.1016/j.jcbs.2019.08.005
 

Attached is the author's copy of the manuscript and the final questionnaire.

Losada, A., Márquez-González, M., Romero-Moreno, R., & López, J. (2014). Development and validation of the Experiential Avoidance in Caregiving Questionnaire (EACQ). Aging & mental health, 18(7), 897–904. https://doi.org/10.1080/13607863.2014.896868

FAAQ

Adrienne Juarascio, Evan Forman, C. Alix Timko, Meghan Butryn, Christina Goodwin (2011). The development and validation of the food craving acceptance and action questionnaire (FAAQ). Eating Behaviors, 12(3), 182-187. https://doi.org/10.1016/j.eatbeh.2011.04.008

Murray, H. B., Zhang, F., Manasse, S. M., Forman, E. M., Butryn, M. L., & Juarascio, A. S. (2022). Validation of the food craving Acceptance and action questionnaire (FAAQ) in a weight loss-seeking sample. Appetite, 168, 105680. https://doi.org/10.1016/j.appet.2021.105680 (Revised 7-item FAAQ.)
 

Brazilian Portuguese version

Corresponding author: Paola Lucena-Santos. E-mail: paolabc2.lucena@gmail.com WhatsApp: +55 (51) 998055874

Affiliation: CINEICC - Cognitive Behavioral Research Center (Faculty of Psychology and Education Sciences, University of Coimbra) 

AAQ version targetting difficulties in interpersonal interactions

The Irritable Bowel Syndrome Acceptance and Action Questionnaire. The scale and additional information (scoring instructions and a brief summary of psychometric properties) are attached below.

Please contact Nuno Ferreira for further information.

nuno.ferreira@ed.ac.uk

Pakenham, K.I., & Fleming, M. (2011). Relations between acceptance of multiple sclerosis and positive and negative adjustments. Psychology & Health, 26: 1292-1309.  https://doi.org/10.1080/08870446.2010.517838

Cheron DM, Ehrenreich JT, Pincus DB. (2009) Assessment of parental experiential avoidance in a clinical sample of children with anxiety disorders. Child Psychiatry Hum Dev, 40(3):383-403.

Click here for translations of the PAAQ: https://contextualscience.org/parental_acceptance_and_action_questionnaire_paaq

Johles, L., Gustafsson, H., Jansson-Fröjmark, M., Classon, C., Hasselqvist, J. & Lundgren, T. (2020) Psychological Flexibility Among Competitive Athletes: A Psychometric Investigation of a New Scale. Frontiers in Sports and Active Living, 2, 110. https://doi.org/10.3389/fspor.2020.0011  The PFSS was inspired by the AAQ-II and adapted to the sport context to measure the construct of psychological flexibility and the degree to which a person avoids distressing thoughts, emotions, behaviors, or memories. PFSS items are rated on a Likert-type scale ranging from 1 (never true) to 7 (always true).

Social Anxiety specific AAQ

MacKenzie, M. B. & Kocovski, N. L. (2010). Self-reported acceptance of social anxiety symptoms: Development and validation of the Social Anxiety - Acceptance and Action Questionnaire. International Journal of Behavioral Consultation and Therapy, 6, 214 – 232.

The original article and measure/scoring instructions are attached below. 

Bothelius, K., Jernelöv, S., Fredrikson, M., McCracken, L. M., & Kaldo, V. (2015). Measuring Acceptance of Sleep Difficulties: The Development of the Sleep Problem Acceptance Questionnaire. Sleep, 38(11), 1815–1822. https://doi.org/10.5665/sleep.5170
 

Pires, C. P., Putwain, D. W., Hofmann, S. G., Martins, D. S., MacKenzie, M. B., Kocovski, N. L., & Salvador, M. C. (2020). Assessing psychological flexibility in test situations: The Test Anxiety Acceptance and Action Questionnaire for Adolescents [Monograph Innovaciones en la Evaluación de los Problemas Emocionales en Niños y Adolescentes]. Journal of Psychopathology and Clinical Psychology/Revista de Psicopatología y Psicología Clínica, 25(3), 147-159. https://doi.org/10.5944/rppc.29014

Galhardo, A., Carvalho, B., Massano-Cardoso, I., Cunha, M. (2020). Assessing teacher-related experiential avoidance: Factor structure and psychometric properties of the Teachers Acceptance and Action Questionnaire (TAAQ-PT). International Journal of School & Educational Psychology,1-10. https://doi.org/10.1080/21683603.2020.1760978

Hinds, E., Jones, L. B., Gau, J. M., Forrester, K. K., & Biglan, A. (2015). Teacher distress and the role of experiential avoidance. Psychology in the Schools, 52(3), 284–297. https://doi.org/10.1002/pits.21821

Tinnitus specific AAQ.

References:

Weise, C., Kleinstäuber, M., Hesser, H., Zetterqvist Westin, V. & Andersson, G. (2013). Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire. Cognitive Behaviour Therapy, 42(2), 100-115. DOI: 10.1080/16506073.2013.781670

Westin, V., Hayes, S. C., & Andersson, G. (2008). Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behaviour Research and Therapy, 46, 1259-1265. .

The Voices Acceptance and Action Questionnaire.

Reference: Shawyer, F., Ratcliff, K., Mackinnon, A., Farhall, J., Hayes, S.C. & Copolov, D. (2007). The voices acceptance and action scale (VAAS): Pilot data. Journal of Clinical Psychology, 63(6), 593–606.

Bond, F. W., Lloyd, J., & Guenole, N. (2012). The work-related acceptance and action questionnaire (WAAQ): Initial psychometric findings and their implications for measuring psychological flexibility in specific contexts. Journal of Occupational and Organizational Psychology, 1-25. 

For the full text of the article, follow this link: http://contextualscience.org/WAAQ_Bond_Lloyd_Guenola

Use of the WAAQ: Permission is hereby given to use the WAAQ for IRB/ethics-required research projects that occur in university and non-profit research institutions; in such cases, further author permission is not required. If, however, the WAAQ is to be used in any part of a money making enterprise (e.g., consultancy to organizations), the authors require that you seek their permission before using the measure. —Professor Frank Bond, Dr. Jo Lloyd, Goldsmiths College, University of London, 9, June 2020

Kim J-C. (2019) 신체상에 대한 심리적 경직성이 신체변형장애 증상에 미치는 영향 [The effect of psychological rigidity on body image on the symptoms of body dysmorphic disorder].  Thesis. The Korean BIPIS is in Table 3.

Amiri, S. & Yaghoubi, A.. (2017) Psychometric Properties of Body Image Psychological Inflexibility Scale. Iranian Journal of Psychiatry and Clinical Psychology, 23 (1), 94-107. https://doi.org/10.18869/NIRP.IJPCP.23.1.94

Al-Arfaj, S.K., Abdallah A.F., & Abdulla, F.A. (2023 in press). Psychometric properties of an Arabic translation of the chronic pain acceptance questionnaire (CPAQ) in a sample of patients with chronic pain. Disability and Rehabilitation. https://doi.org/10.1080/09638288.2023.2293987

Cheung MN, Wong TC, Yap JC, Chen PP. (2009) Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Cantonese-speaking Chinese patients. J Pain, 9(9):823-32. https://doi.org/10.1016/j.jpain.2008.04.005

Liu, Y., Wang, L., Wei, Y., Wang, X., Xu, T., & Sun, J. (2016). Validation of a Chinese version of the Chronic Pain Acceptance Questionnaire (CAPQ) and CPAQ-8 in chronic pain patients. Medicine, 95(33), e4339. https://doi.org/10.1097/MD.0000000000004339

Klocek, A., Řiháček, T., & Cígler, H. (2023). Measuring symptom acceptance: Psychometric evaluation of ‘chronic pain acceptance questionnaire – symptoms’ in a Czech clinical sample. Československá Psychologie, 67(1), 50-62. https://doi.org/10.51561/cspsych.67.1.50

la Cour, P., & Højsted, J. (2015). Validation of the Danish-language chronic pain acceptance questionnaire. Acta anaesthesiologica Scandinavica, 59(10), 1377–1386. https://doi.org/10.1111/aas.12567

Ojala, T., Piirainen, A., Sipilä, K., Suutama, T., & Häkkinen, A. (2013). Reliability and validity study of the Finnish version of the Chronic Pain Acceptance Questionnaire (CPAQ). Disability and rehabilitation, 35(4), 306–314. https://doi.org/10.3109/09638288.2012.694572  The Finnish Translation of the CPAQ is in Appendix 1.

Nilges, P., Köster, B. & Schmidt, C.O. (2007) Schmerzakzeptanz – Konzept und Überprüfung einer deutschen Fassung des Chronic Pain Acceptance Questionnaire. Schmerz, 21, 57–67. https://doi.org/10.1007/s00482-006-0508-1

Vasiliou, V. S., Karekla, M., Michaelides, M. P., & Kasinopoulos, O. (2018). Construct validity of the G-CPAQ and its mediating role in pain interference and adjustment. Psychological Assessment, 30(2), 220–230. https://doi.org/10.1037/pas0000467

References:

Bernini, O., Rivas, T., & Berrocal, C. (2014). The Chronic Pain Acceptance Questionnaire: Preliminary evidence for the predictive validity of patients’ subgroups. Journal of Evidence-Based Psychotherapies, 14(1), 3–20.

Monticone M, Ferrante S, Rocca B, Nava T, Parini C, Cerri C. (2013). Chronic pain acceptance questionnaire: confirmatory factor analysis, reliability, and validity in Italian subjects with chronic low back pain. Spine, 38(13):E824-31. http://doi.org/10.1097/BRS.0b013e3182917299

Bernini, O., Pennato, T., Cosci, F., &Berrocal, C. (2010). The Psychometric Properties of the Chronic Pain Acceptance Questionnaire in Italian Patients with Chronic Pain. Journal of Health Psychology, 15(8):1236-1245. http://doi.org/10.1177/1359105310365576

Takaki Fukumori, Kengo Fujishima, Kazunori Iwasa, Yumiko Takao, Yukino Kobayashi, & Hiroyuki Nishie (2023). Validation of the Japanese version of the 8-item Chronic Pain Acceptance Questionnaire (CPAQ-8). The Journal of Medical Investigation, 70, 88-93. The Japanese version of the CPAQ-8 is in Table 1.

Kengo Fujishima, Takaki Fukumori, Stevetoshihisa Fukuda (2017) Development of the Japanese version of Chronic Pain Acceptance Questionnaire-8 (CPAQ-8J): In a sample of university students with chronic pain. The Proceedings of the Annual Convention of the Japanese Psychological Association, 2017, Volume 81, The 81st Annual Convention of the Japanese Psychological Association, Session ID 1B-033, Pages 1B-033. https://doi.org/10.4992/pacjpa.81.0_1B-033

Cho, S., Heiby, E. M., McCracken, L. M., Moon, D. E., & Lee, J. H. (2012). Psychometric properties of a Korean version of the Chronic Pain Acceptance Questionnaire in chronic pain patients. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 21(6), 1059–1064. https://doi.org/10.1007/s11136-011-0010-9

Eide, H., Leren, L., & Sørebø, Ø. (2017). The Norwegian versions of the Chronic Pain Acceptance Questionnaire CPAQ-20 and CPAQ-8 - validation and reliability studies. Disability and rehabilitation, 39(14), 1441–1448. https://doi.org/10.1080/09638288.2016.1198427

Mesgarian, F; Asghari, A; Shaeiri, MR; Broumand, A. (2012). The Persian Version of the Chronic Pain Acceptance Questionnaire. Clinical Psychology and Psychotherapy. https://doi.org/10.1002/cpp.1769

Ebrahimi, A., Afshar-Zanjani, H., Goli, F., Rohafza, H. R., & Nasiri Dehsorkh, H. (2022). Psychometric Properties of the Persian Version of the Chronic Pain Acceptance Questionnaire in Patients with Chronic Pain in Isfahan, Tehran, and Yazd, Iran. International Journal of Body, Mind and Culture, 8(1), 65-74. Retrieved from https://ijbmc.org/index.php/ijbmc/article/view/251

Costa, J. & Pinto Gouveia, J. (2009). Aceitação da dor. Abordagem do Chronic Pain Accepatnce Questionnaire (McCracken, Vowles & Eccleston, 2004) na população portuguesa com dor. Revista Psicologia, 23(1), 103-126.

Опросник принятия хронической боли пересмотренный (CPAQ-R)

Rodero, B., García-Campayo, J., Casanueva, B., del Hoyo, Y. L., Serrano-Blanco, A., & Luciano, J. V. (2010). Validation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health and quality of life outcomes, 8, 37. https://doi.org/10.1186/1477-7525-8-37

Sánchez-Rodríguez, E., de la Vega, R., Racine, M., Roy, R., Jensen, M. P., & Miró, J. (2019). Support for the Spanish version of the CPAQ-8 as a measure of chronic pain acceptance. Journal of evaluation in clinical practice, 25(5), 881–888. https://doi.org/10.1111/jep.13092

Hazel Ekin Akmaz, Meltem Uyar, Yasemin Kuzeyli Yıldırım, Esra Akın Korhan (2018). Validity and Reliability of the Turkish Chronic Pain Acceptance Questionnaire. Balkan Medical Journal, 35(3), 238-244. DOI: 10.4274/balkanmedj.2016.1998

Zure, M., Menekşeoğlu, A.K., & Ketenci, A. (2023). Validation of the Turkish Chronic Pain Acceptance Questionnaire-8. Turkish Journal of Physical Medicine & Rehabilitation, 69(x), i-vi. DOI: 10.5606/tftrd.2023.10857

I created this simple little excel file to automate the scoring of the CPAQ.  Just input the raw ratings & it take care of the reverse scoring & summing.

I hope you find it useful.

~Scott Rower

References:

Riedl, D., Rumpold, G., Schmidt, A., Zorowka, P. G., Bliem, H. R., & Moschen, R. (2015). The influence of tinnitus acceptance on the quality of life and psychological distress in patients with chronic tinnitus. Noise & health, 17(78), 374–381. https://doi.org/10.4103/1463-1741.165068

Moschen, R., et al (2019). Validation of the Chronic Tinnitus Acceptance Questionnaire (CTAQ-I): the Italian version. ACTA Otorhinolaryngologica Italica, 39(2). DOI: 10.14639/0392-100X-2144

Molander, P., Andersson, G., & Hesser, H. (2022). Psychological Acceptance in Adults With Hearing Loss—Psychometric Evaluation and Validation of the Hearing Acceptance Questionnaire. Ear and Hearing, 43(6), 1752-1760. DOI: 10.1097/AUD.0000000000001245

Davoudi, M., Lundgren, T., Jansson-Fröjmark, M., Saeedipour, Z., & Badinlou, F. (2022). The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version. Epilepsy & Behavior, 130, 108672. https://doi.org/10.1016/j.yebeh.2022.108672

Galhardo, A., Cunha, M., Monteiro, B, & Pinto-Gouveia, J. (2020). Assessing psychological inflexibility in infertility: The development and validation study of the Psychological Inflexibility Scale – Infertility (PIS-I). Journal of Contextual Behavioral Science, 18, 239-246. https://doi.org/10.1016/j.jcbs.2020.09.006 

Xie CJ, Xu XH, Ou MJ, & Chen YY (2021). Chinese Version of the Psychological Inflexibility in Pain Scale for Cancer Patients Reporting Chronic Pain. Cancer Nursing, 44(3):180-189. https://doi.org/10.1097/ncc.0000000000000772
The Chinese Translation of the PIPS scale is at the end of the article.

Bufink, Shanna (2009) A qualitative analysis of three pain scales translated into Dutch: The Psychological Inflexibility Pain Inventory, The Brief Pain Coping Inventory-2, The Brief Pain Response Inventory. Thesis: University of Twente. The Dutch PIPS translation final version is in the Attachments.  Retrieved from http://essay.utwente.nl/59350/1/scriptie_S_Bufink.pdf 

Martel, M.E., Dionne, F., Gauchet, A. et al (2015) Psychological inflexibility for pain: Translation and validation for a French-speaking population. Poster presented at ACBS Annual World Conference 13. The PIPS items are translated to French.

Barke, A., Riecke, J., Rief, W. et al. (2015). The Psychological Inflexibility in Pain Scale (PIPS) – validation, factor structure and comparison to the Chronic Pain Acceptance Questionnaire (CPAQ) and other validated measures in German chronic back pain patients. BMC Musculoskelet Disord, 16, 171. https://doi.org/10.1186/s12891-015-0641-z The German version of the PIPS is in the article's "Additional File."

Vasiliou, V. S., Michaelides, M. P., Kasinopoulos, O., & Karekla, M. (2019). Psychological Inflexibility in Pain Scale: Greek adaptation, psychometric properties, and invariance testing across three pain samples. Psychological Assessment, 31(7), 895–904. https://doi.org/10.1037/pas0000705

Vasiliou, V. S. (2017). Acceptance and commitment therapy for primary headache sufferers : a randomized controlled trial. Dissertation: University of Cyprus. Retrieved from https://gnosis.library.ucy.ac.cy/handle/7/39514 The Greek PIPS-II is in Appendix B.

Psychological Inflexibility in Pain Scale (PIPS)

Wicksell, R. K., Renöfält, J., Olsson, G. L., Bond, F.W. & Melin, L. (2008). Avoidance and cognitive fusion - central components in pain related disability? Development and preliminary validation of the Psychological Inflexibility in Pain Scale (PIPS). European Journal of Pain, 12, 491-500.

Versione Italiana (1.0) a cura di Ristè, N., Lijoi, E., Rossi, E., Violini, P., Melchiorri, E., (2014) AISCC, Gruppo Ricerca ACT.

Referenza bibliografica: Lijoi, E., Ristè, N. Melchiorri, E., Rossi, E., Violini, P., Panzera, A.,(2014). Avoidance and cognitive fusion in mental suffering: Adaptation and validation study of an Italian version of the Psychological Inflexibility in Pain Scale (PIPS) in Italian adolescents with psychological distress (2014). Poster presented at ACBS World Conference 12 Poster Session - Minneapolis, Minnesota, USA - June 17-22, 2014.

Per informazioni: segreteria@aiscc.it – www.aiscc.it 

Nagasawa, Y., Shibata, A., Fukamachi, H., et al. (2021). The Psychological Inflexibility in Pain Scale (PIPS): Validity and Reliability of the Japanese Version for Chronic Low Back Pain and Knee Pain. Journal of Pain Research, 14, 325-332. http://doi.org/10.2147/jpr.s287549

Abdollah Omidi, Zahra Zanjani, Mohammad Hosein Fadavi Kashani, Reza Daneshvar Kakhki (2018) The Evaluation of the Construct and Convergent Validity and Reliability of Psychological Inflexibility in Pain Scale in Individuals With Migraine Headache.  Iranian Journal of Psychiatry and Behavioral Sciences, 12(3), e63132.   DOI : 10.5812/ijpbs.63132

Ghomian S, Shairi MR, Masumian S, et al. (2017). Psychometric feature of the child and parent versions of Psychological Inflexibility in Pain Scale (PIPS) in children with chronic pain and their parents. Caspian J Pediatr, 3(2), 241-7.
 

Ferreirinha, C. & Galhardo, A. (2018) Estudo da Versão Portuguesa da Psychological Inflexibility in Pain Scale em Mulheres com Diagnóstico de Endometriose.  ISMT, Dissertation. The Portuguese PIPS is in Appendix D.

Rodero, B., Pereira, J. P., Pérez-Yus, M. C., Casanueva, B., Serrano-Blanco, A., Rodrigues da Cunha Ribeiro, M. J., Luciano, J. V., & Garcia-Campayo, J. (2013). Validation of a Spanish version of the psychological inflexibility in pain scale (PIPS) and an evaluation of its relation with acceptance of pain and mindfulness in sample of persons with fibromyalgia. Health and quality of life outcomes, 11, 62. https://doi.org/10.1186/1477-7525-11-62

Instrumentet mäter psykologisk inflexibilitet vid smärttillstånd och är utvecklat av Rikard Wiksell och medarbetare vid Sektionen för Beteendemedicinsk Smärtbehandling, Smärtcentrum, Karolinska Universitetssjukhuset. Du hittar instrumentet här.

Referenser:

Wicksell, R. K., Renöfält, J., Olsson, G. L., Bond, F. W., & Melin, L. (2008). Avoidance and cognitive fusion--central components in pain related disability? Development and preliminary validation of the Psychological Inflexibility in Pain Scale (PIPS). European journal of pain (London, England), 12(4), 491–500. https://doi.org/10.1016/j.ejpain.2007.08.003

Wicksell, R.K., Ahlqvist, J., Bring, A., Melin, L., & Olsson, G.L. (2008). Can exposure and acceptance strategies improve functioning and life satisfaction in people with chronic pain and whiplash-associated disorders (WAD)? A randomized controlled trial. Cognitive Behavior Therapy, 37(3):169- 182. Se artikeln här.

Wicksell, R.K., Lekander, M., Sorjonen, K., & Olsson, G.L. (2010). The Psychological Inflexibility in Pain Scale (PIPS) – statistical properties and model fit of an instrument to assess change processes in pain related disability. European Journal of Pain, 14, e1-e14. Se artikeln här.

Wicksell, R.K., Olsson, G.L., & Hayes, S.C. (2010). Psychological flexibility as a mediator of improvement in Acceptance and Commitment Therapy for patients with chronic pain following whiplash. European Journal of Pain, 41, 1059.e1-1059.e11. Se artikeln här.

Wicksell, R.K., Renofalt, J., Olsson, G.L., Bond, F.W., & Melin, L. (2008). Avoidance and cognitive fusion-central components in pain related disability? Development and preliminary validation of the Psychological Inflexibility in Pain Scale (PIPS). European Journal of Pain, 12(4):491-500. Se artikeln här.