Psychological inflexibility in university students: the european portuguese version of the acceptance and action questionnaire—university students
Open accessAbstract
Psychological inflexibility is defined as a transdiagnostic mechanism characterized by rigid efforts to control psychological reactions to painful, undesirable, unpleasant internal experiences. The Acceptance and Action Questionnaire-University Students (AAQ-US) was designed to assess students’ academic context-related psychological inflexibility. This study adapted the AAQ-US to Portuguese and examined its factor structure, validity, and reliability in a college student sample (sample 1: N = 262). Exploratory factor analysis and parallel analysis suggested a two-factor structure. A confirmatory factor analysis was conducted in a second sample to cross-validate the AAQ-US factor structure (sample 2: N = 260). One higher-order factor (psychological inflexibility) with two lower-order factors (cognitive fusion and experiential avoidance) revealed a very good fit to the data. The AAQ-US total and dimensions showed good reliability, convergent and incremental validity. Overall, the Portuguese version of the AAQ-US is a reliable and valid instrument for assessing context-specific psychological inflexibility in university students.
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Written from the paper’s full text.
TL;DR
This study adapted the Acceptance and Action Questionnaire–University Students (AAQ-US) to European Portuguese and examined its psychometric properties in two Portuguese university student samples. The Portuguese AAQ-US was best represented by one higher-order psychological inflexibility factor with two lower-order factors, cognitive fusion and experiential avoidance, and showed good reliability and validity.
Key findings
- EFA in sample 1 (N = 262) suggested a two-factor solution explaining 61.7% of total variance: cognitive fusion explained 37.9% and experiential avoidance explained 23.8%; parallel analysis supported retaining two factors.
- CFA in sample 2 (N = 260) found the one higher-order factor with two lower-order factors model fit very well: χ²(52) = 66.30, p = .088, CFI = 1.00, TLI = 1.00, RMSEA = 0.03 [0.00–0.05], SRMR = 0.06; this model was preferred over a single-factor structure.
- Reliability was good: total Cronbach’s α = 0.94, factor αs = 0.92 and 0.87; composite reliability = 0.93 total, 0.91 and 0.83 for factors; 4-week test-retest in 60 participants showed r = .83 total, r = .81 cognitive fusion, r = .77 experiential avoidance.
- Validity evidence included correlations with AAQ-II (r = .71), DASS-21 depression (r = .64), anxiety (r = .48), stress (r = .52), and test anxiety RTT (r = .66); partial correlations controlling for AAQ-II remained significant for depression (r = .30), anxiety (r = .18), stress (r = .20), and RTT (r = .44). No significant gender differences were found, t(260) = 0.52, p = .607.
Methods
- The AAQ-US was translated and back-translated into European Portuguese, reviewed by experts, and pilot-tested with 15 undergraduate students; the study used two convenience samples of Portuguese university students: sample 1 (N = 262; 225 female, 85.9%; mean age 21.75, SD = 3.17) and sample 2 (N = 260; 203 female, 78.1%; mean age 21.20, SD = 5.83).
- Participants completed the AAQ-US, AAQ-II, DASS-21, and Reactions to Tests questionnaire; data were collected March–April 2020 and April–May 2021.
- Analyses used JASP 0.16.4: exploratory factor analysis with principal axis factoring and direct oblimin rotation plus parallel analysis in sample 1; confirmatory factor analysis with DWLS testing three models in sample 2; Cronbach’s alpha, composite reliability, Pearson and partial correlations, t-tests, and 4-week test-retest reliability.
Limitations
- The authors state that online survey recruitment may introduce sampling bias, self-selection concerns, and under-representation; data collection occurred during the Covid-19 pandemic, and it is unclear whether this influenced results; future research should examine measurement and structural invariance in larger, size-equivalent gender samples and replicate findings in a different timeline.
- Evident from the text: both samples were convenience samples and predominantly female (85.9% and 78.1%), limiting generalizability to male and more gender-balanced student populations; test-retest reliability was based on only 60 participants from sample 1.
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Claims the paper makes
3 of 37 cited sources checked · 3 supported · 0 flagged
- Interpretationown data
The strong correlation between the two factors corroborates the theoretical model of psychological inflexibility.
“which corroborates the theoretical model of psychological inflexibility (Levin et al., 2014)”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Levin et al., 2014 source
- Findingown data
One higher-order factor (psychological inflexibility) with two lower-order factors (cognitive fusion and experiential avoidance) revealed a very good fit to the data.
“One higher-order factor (psychological inflexibility) with two lower-order factors (cognitive fusion and experiential avoidance) revealed a very good fit to the data.”
Quote in the paperSubstantial claim - Findingown data
In the present study, the AAQ-II revealed a Cronbach's alpha of 0.95.
“In the present study, the AAQ-II revealed a Cronbach’s alpha of 0.95.”
Quote in the paperNot a substantial claim - Findingown data
The AAQ-US total score had a 4-week test-retest correlation of r = .83 in a subsample of 60 participants.
“strong correlations were found (r = .83; p < .001) for the AAQ-US total score”
Quote in the paperSubstantial claim - Findingown data
There were no arguments for removing item 3 based on item-total correlations and Cronbach alpha if item deleted.
“Nevertheless, when considering psychometric criteria such as item-total correlations and Cronbach alpha if item deleted, there were no arguments for removing this item.”
Quote in the paperNot a substantial claim
- Findingown data
All AAQ-US items presented communalities above 0.51 in the exploratory factor analysis.
“All items presented communalities above 0.51.”
Quote in the paperNot a substantial claim - Findingown data
The AAQ-US total and dimensions showed convergent validity.
“The AAQ-US total and dimensions showed good reliability, convergent and incremental validity.”
Quote in the paperSubstantial claim - Findingown data
In this study, a Cronbach alfa of 0.96 was found for the RTT.
“In this study, a Cronbach alfa of 0.96 was found for the RTT.”
Quote in the paperNot a substantial claim - Findingown data
Zero-order correlations between the AAQ-US and other measures were moderate to strong.
“Zero-order correlation results showed moderate to strong correlations.”
Quote in the paperSubstantial claim - Findingown data
The two AAQ-US factors showed a correlation of 0.77.
“The two factors showed a correlation of 0.77.”
Quote in the paperNot a substantial claim - Findingown data
AAQ-US items' factor loadings in the confirmatory factor analysis ranged between 0.59 (item 1) and 0.84 (item 9).
“Factor loadings ranged between 0.59 (item 1) and 0.84 (item 9).”
Quote in the paperSubstantial claim - Findingown data
The highest correlation was between the AAQ-US score and the AAQ-II, r = .71, p < .001.
“The highest value was found between the AAQ-US score and the AAQ-II (r = .71, p < .001)”
Quote in the paperSubstantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Findingown data
The AAQ-US total and dimensions showed incremental validity.
“The AAQ-US total and dimensions showed good reliability, convergent and incremental validity.”
Quote in the paperSubstantial claim - Findingown data
Parallel analysis indicated two factors with eigenvalues exceeding the corresponding values for a randomly generated data matrix of the same size.
“Parallel analysis results indicated two factors with eigenvalues exceeding the corresponding values for a randomly generated data matrix of the same size were found (12 variables x 262 participants).”
Quote in the paperSubstantial claim - Findingown data
AAQ-US factor loadings in the exploratory factor analysis ranged from 0.39 (item 3) to 0.95 (item 8).
“Factor loadings ranged from 0.39 (item 3 – “I struggle with my thoughts about school”) to 0.95 (item 8 - “Worries get in the way of my success at school”).”
Quote in the paperSubstantial claim - Findingown data
Factor 2 of the AAQ-US had a Cronbach alpha of 0.87.
“Factor 1 and Factor 2 presented Cronbach alpha values of 0.92 and 0.87, respectively.”
Quote in the paperNot a substantial claim - Findingown data
The AAQ-US total and dimensions showed good reliability.
“The AAQ-US total and dimensions showed good reliability, convergent and incremental validity.”
Quote in the paperSubstantial claim - Findingown data
Factor 1 of the AAQ-US had a Cronbach alpha of 0.92.
“Factor 1 and Factor 2 presented Cronbach alpha values of 0.92 and 0.87, respectively.”
Quote in the paperNot a substantial claim - Findingown data
Item 3 equally loaded in both factors in the exploratory factor analysis.
“Item 3 equally loaded in both factors.”
Quote in the paperNot a substantial claim - Findingown data
There were no significant differences in AAQ-US mean scores between men and women, t(260) = 0.52, p = .607.
“The AAQ-US mean scores were compared between men and women, and no significant differences were found: t(260) = 0.52, p = .607.”
Quote in the paperNot a substantial claim - Findingown data
The Portuguese AAQ-US confirmatory factor analysis in sample 2 suggested that a two-factor model or one higher-order factor with two lower-order factors solution were more suitable than a single-factor structure.
“The Portuguese AAQ-US confirmatory factor analysis, conducted in sample 2, suggested that a two-factor model or one higher-order factor with two lower-order factors solution were more suitable than a single-factor structure.”
Quote in the paperSubstantial claim - Findingown data
Factor one encompassed six items associated with cognitive fusion.
“factor one encompassed six items associated with cognitive fusion”
Quote in the paperSubstantial claim - Findingown data
Factor two comprised six items related to experiential avoidance.
“factor two comprised six items related to experiential avoidance”
Quote in the paperSubstantial claim - Findingown data
When controlled for general psychological inflexibility (AAQ-II), partial correlations showed that the AAQ-US was still significantly associated with psychopathological symptoms and test anxiety.
“When controlled for the general psychological inflexibility (AAQ-II) effect, partial correlations results showed that the AAQ-US was still significantly associated with psychopathological symptoms and test anxiety”
Quote in the paperSubstantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
- Findingown data
The lower correlation was between the AAQ-US and the DASS-21 Anxiety scale, r = .48, p < .001.
“the lower value was found between the AAQ-US and the DASS-21 Anxiety scale (r = .48, p < .001)”
Quote in the paperNot a substantial claim- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Findingown data
Exploratory factor analysis and parallel analysis of the Portuguese AAQ-US in sample 1 indicated a two-factor solution.
“Exploratory factor analysis of the Portuguese version of the AAQ-US, conducted in sample 1, indicated a two-factor solution, and a parallel analysis also pointed to the retention of two factors.”
Quote in the paperSubstantial claim - Findingown data
A similar pattern was also found for the cognitive fusion and experiential avoidance subscales.
“A similar pattern was also found for the cognitive fusion and experiential avoidance subscales.”
Quote in the paperNot a substantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
- Findingown data
Overall, correlation results between the AAQ-US total score and subscales and measures of general psychological inflexibility, psychopathological symptoms, and test anxiety revealed these measures were positively associated.
“Overall, correlation results between the AAQ-US total score and cognitive fusion and experiential avoidance subscales, and measures of general psychological inflexibility, psychopathological symptoms, and test anxiety revealed these measures were positively associated.”
Quote in the paperSubstantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
- Findingown data
Item-total correlations further confirmed the adequacy of the items.
“Regarding reliability, the item-total correlations further confirmed the adequacy of the items.”
Quote in the paperSubstantial claim - Findingown data
AAQ-US scores had a significant negative correlation with years of education, r = −.21, p < .001.
“significant negative correlations were found regarding age (r = − .16; p = .010) and years of education (r = − .21; p < .001).”
Quote in the paperNot a substantial claim - Findingown data
The two factors showed a strong correlation.
“These two factors showed a strong correlation”
Quote in the paperSubstantial claim - Findingown data
AAQ-US scores had a significant negative correlation with age, r = −.16, p = .010.
“significant negative correlations were found regarding age (r = − .16; p = .010)”
Quote in the paperNot a substantial claim - Study design and conductown data
The data were adequate for exploratory factor analysis, as confirmed by KMO = 0.93 and Bartlett's sphericity test χ2(66) = 2132.96; p < .001.
“Kaiser-Meyer-Olkin test (KMO = 0.93) and Bartlett’s sphericity test (χ2(66) = 2132.96; p < .001) results confirmed the adequacy of the data to conduct an EFA.”
Quote in the paperSubstantial claim - Study design and conductcitation
Skewness and kurtosis values of the items were not suggestive of severe violations to a normal distribution.
“Skewness and kurtosis values of the items were not suggestive of severe violations to a normal distribution (Sk < |3| and Ku < |10|; Kline, 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kline, 2005 source
- Study design and conductown data
In a pilot study, 15 undergraduate students did not report difficulties or inconsistencies with the Portuguese version's instructions and items.
“In a subsequent pilot study, the Portuguese version was completed by 15 undergraduate students who were invited to comment on the instructions and the items’ intelligibility and comprehensibility. These students did not report difficulties or inconsistencies.”
Quote in the paperNot a substantial claim - Interpretationown data
Test-retest reliability analysis in a subsample of 60 students suggested that the AAQ-US total score and subscales Portuguese version revealed temporal stability.
“Test-retest reliability analysis in a subsample of 60 students suggested that the AAQ-US total score and subscales Portuguese version revealed temporal stability.”
Quote in the paperSubstantial claim - Interpretationown data
The current study findings are not in line with the AAQ-US Turkish version that pointed to a single-factor structure.
“The current study findings are not in line with the AAQ-US Turkish version that pointed to a single-factor structure (Kuru et al., 2021).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kuru et al., 2021 source
- Interpretationown data
This corroborates the AAQ-US incremental validity.
“corroborating the AAQ-US incremental validity.”
Quote in the paperSubstantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
- Study design and conductcitation
The participants' recruitment process (online survey) encompasses limitations, such as sampling bias, self-selection concerns, or under-representation of the population.
“The participants’ recruitment process (online survey) encompasses some limitations, such as sampling bias, self-selection concerns, or under-representation of the population (Wright, 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Wright, 2005
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisereasoning
Avoiding situations that may trigger painful thoughts and feelings limits the chances of adjusting these painful private events throughout direct experience.
“Moreover, avoiding situations (e.g., going to classes, giving up academic assignments) that may trigger painful thoughts and feelings, limits the chances of adjusting these painful private events throughout the direct experience (e.g., exposure).”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 19
- May combine two claims. 23
- The quote only partly states this claim. 4
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe AAQ-II discriminant validity is questionable, given it may capture psychological distress more than experiential avoidance.
“Although the discriminant validity of the AAQ-II is questionable, given it may capture psychological distress more than being a measure of experiential avoidance (Tyndall et al., 2019; Rochefort et al., 2018; Wolgast, 2014)”
Quote in the paperNot a substantial claim1 of 3 sources checkedClassified as probably not a substantial claim.
PremisecitationPsychological inflexibility is a relevant transdiagnostic process linked to the onset and maintenance of an extensive variety of psychological problems.
“Psychological inflexibility has been described as a relevant transdiagnostic process linked to the onset and maintenance of an extensive variety of psychological problems (Levin et al., 2014; Masuda et al., 2014.”
Quote in the paperSubstantial claim1 of 2 sources checkedMay combine two claims.
Findingown dataComposite reliability was 0.93 for the AAQ-US total score, 0.91 for factor 1, and 0.83 for factor 2.
“The AAQ-US reliability was further confirmed by calculating CR, showing a value of 0.93 for the total score and of 0.91 and 0.83 for factors 1 and 2, respectively.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe tested models showed a very good fit to the data, with models 2 and 3 showing slightly better results than model 1.
“The models showed a very good fit to the data, with models 2 and 3 showing slightly better results than model 1.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataThe AAQ-US total score had a Cronbach alpha of 0.94 in the Portuguese sample.
“The AAQ-US total revealed good internal consistency, presenting a Cronbach alpha of 0.94.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe AAQ-US exploratory factor analysis in sample 1 showed a two-factor solution, explaining 61.7% of the total variance, with factor 1 (cognitive fusion) explaining 37.9% and factor 2 (experiential avoidance) explaining 23.8% of the variance.
“The AAQ-US EFA conducted in sample 1 showed a two-factor solution, explaining 61.7% of the total variance, with factor 1 (cognitive fusion) explaining 37.9% and factor 2 (experiential avoidance) explaining 23.8% of the variance.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn this study, Cronbach alpha values were 0.91 for the depression scale, 0.88 for the anxiety scale, and 0.92 for the stress scale (sample 1).
“In this study, a Cronbach alpha value of 0.91 was found for the depression scale, 0.88 for the anxiety scale, and 92 for the stress scale (sample 1).”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataCronbach coefficient alpha would not improve with the exclusion of any AAQ-US item.
“Cronbach coefficient alpha would not improve with the exclusion of any item.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataItem-total correlations for the AAQ-US items varied between 0.64 (item 1) and 0.79 (item 8).
“Item-total correlations varied between 0.64 (item 1) and 0.79 (item 8).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataHigher levels of university-context psychological inflexibility, as measured by the AAQ-US Portuguese version, were related to higher levels of general psychological inflexibility, higher depression, anxiety, and stress symptoms, and higher anxiety in tests.
“Higher levels of university-context psychological inflexibility, as measured by the AAQ-US Portuguese version, were related to higher levels of general psychological inflexibility, higher depression, anxiety, and stress symptoms, and higher anxiety in tests.”
Quote in the paperSubstantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
May combine two claims. The quote only partly states this claim.
Findingown dataPartial correlations controlling for AAQ-II were still significant, although weaker than zero-order correlations.
“Partial correlations results were still significant, although weaker than the zero-order correlations.”
Quote in the paperNot a substantial claim- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
Classified as probably not a substantial claim.
Study design and conductcitationThe translation and adaptation procedures followed Hambleton et al. (2005) and International Test Commission (2017) recommendations.
“The described procedures followed Hambleton et al. (2005) and the International Test Commission (2017) recommendations.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Hambleton et al. (2005)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites International Test Commission (2017)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
Study design and conductnone givenContent validity prior to the pilot study was established by the research team, including doctoral-level researchers in clinical psychology and health sciences, a master student, and a doctoral student in clinical psychology.
“Content validity prior to the pilot study was established by the research team [four doctoral-level researchers within the area of clinical psychology (contextual cognitive behavioral therapies) and health sciences, one master student, and one doctoral student in clinical psychology].”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe AAQ-US authors state that the nonspecific AAQ may lack sensitivity to reveal ACT treatment therapeutic gains in university students.
“The AAQ-US authors provide the rationale for developing this questionnaire, stating that the nonspecific AAQ may lack sensitivity to reveal ACT treatment therapeutic gains in university students.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Levin et al., 2019 source
Classified as probably not a substantial claim.
PremisecitationPsychological inflexibility has been pointed out as a relevant focus in interventions aiming to improve university students' mental health.
“Given these mental health issues in this population, psychological inflexibility has been pointed out as a relevant focus in interventions aiming to improve university students’ mental health (Levin et al., 2019).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Levin et al., 2019 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study was approved by the Ethical Board.
“The study was approved by the Ethical Board of the (blind for review) (reference CE-P02-20).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationThe Acceptance and Action Questionnaire-University Students (AAQ-US) was designed to assess students' academic context-related psychological inflexibility.
“The Acceptance and Action Questionnaire-University Students (AAQ-US) was designed to assess students’ academic context-related psychological inflexibility.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Levin et al., 2019 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationSample 1 and Sample 2 sizes were determined based on recommendations that any N > 200 offers adequate statistical power for data analysis.
“Sample 1 and Sample 2 sizes were determined based on the recommendations of Singh et al. (2016), suggesting that any N > 200 offers adequate statistical power for data analysis.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Singh et al. (2016) source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe original 12-item AAQ-US version has a single-factor structure, accounting for 51.38% of the variance, and good internal consistency (Cronbach alpha = 0.91).
“The final 12-items AAQ-US version revealed a single-factor solution, accounting for 51.38% of the variance, and showed good internal consistency (Cronbach alpha = 0.91) (Levin et al., 2019).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Levin et al., 2019 source
May combine two claims.
PremisecitationThe Turkish and Spanish versions of the AAQ-US revealed a single-factor structure and good psychometric properties, similar to the original version.
“Besides the AAQ-US original version (Levin et al., 2019), a Turkish (Kuru et al., 2021) and a Spanish version (Barbosa-Güiza, 2020) are also available, revealing, similarly to the original version, a single factor structure, and good psychometric properties.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Kuru et al., 2021 source
- cites Barbosa-Güiza, 2020
May combine two claims.
Interpretationown dataOverall, the Portuguese version of the AAQ-US is a reliable and valid instrument for assessing context-specific psychological inflexibility in university students.
“Overall, the Portuguese version of the AAQ-US is a reliable and valid instrument for assessing context-specific psychological inflexibility in university students.”
Quote in the paperSubstantial claim- Rests on an assumption: The two convenience samples are representative of Portuguese university students, so the psychometric findings generalize to that population.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenPermission to translate and use the AAQ-US original version was obtained from the authors.
“Permission to translate and use the AAQ-US original version was obtained from the authors.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe period for data collection was set during March and May to control for potential bias related to mid-term and final exams.
“The period for data collection was set during March and May to control for potential bias related to mid-term and final exams.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThese findings suggest that university-context psychological inflexibility (AAQ-US) is related but is not redundant regarding the other considered variables.
“As the Turkish AAQ-US (Kuru et al., 2021) mentioned, these findings suggest that university-context psychological inflexibility (AAQ-US) is related but is not redundant regarding the other considered variables.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kuru et al., 2021 source
- Rests on an assumption: The AAQ-II measures general psychological inflexibility.
- Rests on an assumption: The DASS-21 measures depression, anxiety, and stress.
- Rests on an assumption: The RTT measures test anxiety.
May combine two claims.
Interpretationown dataThe AAQ-US as a global measure and its cognitive fusion and experiential avoidance dimensions presented good internal consistencies, similar to the original, Spanish, and Turkish versions.
“Additionally, the AAQ-US as a global measure of psychological inflexibility, as well as the cognitive fusion and the experiential avoidance dimensions presented good internal consistencies, similar to that found for the original (Levin et al., 2019), the Spanish (Barbosa-Güiza, 2020) and the Turkish (Kuru et al., 2021) versions.”
Quote in the paperSubstantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe Psychological Inflexibility in Pain Scale revealed an avoidance of pain factor and a cognitive fusion with pain factor.
“the Psychological Inflexibility in Pain Scale (Wicksell et al., 2010) revealed an avoidance of pain factor and a cognitive fusion with pain factor.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Wicksell et al., 2010 source
May combine two claims.
PremisecitationBeing unwilling to remain in contact with painful private experiences can paradoxically intensify their manifestation and strengthen potential occurrences of cognitive fusion.
“Being unwilling to remain in contact with painful private experiences can paradoxically intensify their manifestation (Wenzlaff & Wegner, 2000) and therefore strengthen potential occurrences of cognitive fusion (Berghoff et al., 2018).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationPrincipal component analyses in the original and Spanish AAQ-US versions revealed a single-factor solution, but these studies did not include a confirmatory factor analysis.
“Although principal component analyses revealed a single-factor solution in the AAQ-US original study (Levin et al., 2019) and in the Spanish (Colombia) AAQ-US version (Barbosa-Güiza, 2020), these studies did not include a confirmatory factor analysis.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Levin et al., 2019 source
- cites Barbosa-Güiza, 2020
May combine two claims.
Interpretationown dataAlthough test-retest reliability has not been examined in the original or Spanish versions, the current results were in line with the Turkish version regarding the AAQ-US total score.
“Although the test-retest reliability has not been examined in the original version (Levin et al., 2019) or the Spanish (Barbosa-Güiza, 2020), the current results were in line with the ones found in the Turkish version (Kuru et al., 2021), regarding the AAQ-US total score.”
Quote in the paperNot a substantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLevin et al. (2019) defined six content categories based on the ACT hexaflex model, generated four to 11 items for these school-related categories, but scale refinement was based on psychometric criteria, and there is no mention of which category belongs each of the 12 final items.
“Levin et al. (2019) defined six content categories based on the ACT hexaflex model, having generated four to 11 items for these school-related categories, but scale refinement was based on psychometric criteria, and there is no mention to which category belongs each of the 12 final items.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Levin et al., 2019 source
May combine two claims.
PremisecitationCognitive fusion and experiential avoidance are frequently interconnected and seem to influence each other.
“These two processes (cognitive fusion and experiential avoidance) are frequently interconnected and seem to influence each other.”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
Interpretationown dataThe Portuguese version of the AAQ-US seems to be a valid and reliable measure of students' psychological inflexibility.
“Despite the limitations mentioned, the Portuguese version of the AAQ-US seems to be a valid and reliable measure of students’ psychological inflexibility.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe Acceptance and Action Questionnaire - Substance Abuse showed a defused acceptance factor and a values commitment factor.
“the Acceptance and Action Questionnaire – Substance Abuse (Luoma et al., 2011) showed a defused acceptance factor and a values commitment factor.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Luoma et al., 2011 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenData collection took place during the Covid-19 pandemic, and it is unclear whether this condition may have influenced the results.
“Furthermore, data collection took place during the Covid-19 pandemic, and it is unclear whether this condition may have influenced the results.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe one higher-order factor with two lower-order factors structure was chosen as preferable to represent the theoretical model where psychological inflexibility integrates both cognitive fusion and experiential avoidance as relevant interdependent constructs but also as part of a global sense of psychological inflexibility.
“The one higher-order factor with two lower-order factors structure was chosen as preferable to represent the theoretical model where psychological inflexibility integrates both cognitive fusion and experiential avoidance as relevant interdependent constructs but also as part of a global sense of psychological inflexibility.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationBy perceiving one's thoughts as literal truths, students may develop a reluctance to stay in contact with these thoughts or other internal events by trying to avoid them, which corresponds to experiential avoidance.
“By perceiving one’s thoughts as literal truths, students may not only experience distress, but they can also develop a reluctance to stay in contact with these thoughts or other internal events by trying to avoid them or the circumstances that prompt them, which corresponds to experiential avoidance (Hayes et al., 1996).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hayes et al., 1996 source
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
PremisecitationCognitive fusion may be conceptualized as a process in which one gets entangled with difficult thoughts, which impacts emotional and behavioral regulation.
“Cognitive fusion may be conceptualized as a process in which one gets entangled with difficult thoughts (sometimes judgmental and self-descriptive), which impacts emotional and behavioral regulation (Hayes et al., 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hayes et al., 2011
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
PremisecitationOng et al. (2019) suggested that context-specific validated measures of psychological inflexibility may capture more precise manifestations of this mechanism.
“with Ong et al. (2019) suggesting that context-specific validated measures of psychological inflexibility may capture more precise manifestations of this mechanism.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Ong et al., 2019 source
The paper relies on this without support.
The two convenience samples are representative of Portuguese university students, so the psychometric findings generalize to that population.
“This study was conducted in two distinct convenience samples collected from several higher education institutions in Portugal.”
The paper relies on this without support.
The AAQ-II measures general psychological inflexibility.
“Partial correlations controlling for the effect of psychological inflexibility (measured by the AAQ-II) were used to address incremental validity.”
The paper relies on this without support.
The DASS-21 measures depression, anxiety, and stress.
“other measures tapping other constructs (psychological inflexibility, depression, anxiety and stress, test anxiety)”
The paper relies on this without support.
The RTT measures test anxiety.
“other measures tapping other constructs (psychological inflexibility, depression, anxiety and stress, test anxiety)”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(260) = 0.52reported p = .607 · recomputed p = .604
“t(260) = 0.52, p = .607”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Sample 1 partner percentage is incorrect
MinorTwo of 262 participants are 0.76%, not 5.4%.
Reported 5.4 · recomputed 0.763359
“followed by living with a partner (n = 2; 5.4%), and divorced (n = 1; 0.8%)”
Sample 1 divorced percentage is incorrect
MinorOne of 262 participants is 0.38%, not 0.8%.
Reported 0.8 · recomputed 0.381679
“divorced (n = 1; 0.8%)”
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“…term, psychological inflexibility may provide a sense of relief, being a slightly non-threatening way of regulating emotions (Hayes et al., 1996; Kashdan et al., 2006), in the medium or long term, it becomes a mal-adaptive process, acting as a risk factor for psychological difficulties (Kashdan…”
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BackgroundResultPredictors of Stress in College Students
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MethodPsychological flexibility as a malleable public health target: Evidence from a representative sample
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ResultMeasuring avoidance and inflexibility in weight related problems.
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Cited by
Still being checked.
- Authors
- Galhardo, A., Neto, M., Monteiro, B., Massano-Cardoso, I., Ferreira, C., & Cunha, M.
- Affiliations
- Instituto Superior Miguel Torga (PT)
- University of Coimbra (PT)
- Corresponding author
- Galhardo, Ana
- Venue
- Current Psychology
- Published
- 2022-12-28
- Volume
- 42
- Issue
- 36
- Pages
- 31713-31723
- ISSN
- 1046-1310 (ISSN-L)
- 1936-4733
- PMC
- PMC9795437
- OpenAlex
- W4313421279
- Semantic Scholar
- 5f5228de77a62a09ed534b8f1d92ae9f649132cd
- Cited by
- 7
- References
- 51
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Current Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Estudo Geral (Universidad de Coimbra) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- psychological inflexibility, cognitive fusion, experiential avoidance, Portuguese adaptation, university students, academic stress, transdiagnostic mechanisms, psychometric validation, factor structure
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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