A validation and generality study of the committed action questionnaire in a swedish sample with chronic pain.
Open accessAbstract
Purpose Psychological flexibility is the theoretical model that underpins Acceptance Commitment Therapy (ACT). There is a growing body of evidence indicating that ACT is an effective treatment for chronic pain but one component of the model, committed action, has not been sufficiently researched. The purpose of this study is to validate Swedish-language versions of the full length Committed Action Questionnaire (CAQ; CAQ-18) and the shortened CAQ (CAQ-8), to examine the generality of previous results related to committed action and to further demonstrate the relevance of this construct to the functioning of patients with chronic pain.Method The study includes preliminary analyses of the reliability and validity of the CAQ. Participants were 462 consecutive referrals to the Pain Rehabilitation Unit at Skåne University Hospital.Results The Swedish-language versions of the CAQ (CAQ-18 and CAQ-8) demonstrated high levels of internal consistency and satisfactory relationships with various indices of patient functioning and theoretically related concepts. Confirmatory factor analyses showed that the Swedish versions of the CAQ yielded similar two-factor models as found in the original validation studies. Hierarchical regression analyses identified the measures as significant contributors to explained variance in patient functioning.Conclusion The development, translation and further validation of the CAQ is an important step forward in evaluating the utility of the psychological flexibility model to the treatment of chronic pain. The CAQ can both assist researchers interested in mediators of chronic pain treatment and further enable research on change processes within the psychological flexibility model.
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“The second-order CFA yielded a good model fit (χ2 (1,697) = 3289.”
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- Authors
- Åkerblom, S., Perrin, S., Fischer, M. R., & McCracken, L. M.
- Affiliations
- Lund University (SE)
- King's College London (GB)
- Corresponding author
- Åkerblom, Sophia
- Venue
- International Journal of Behavioral Medicine
- Published
- 2016-02-04
- Volume
- 23
- Issue
- 3
- Pages
- 260-270
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W2236024629
- Cited by
- 26
- References
- 62
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 6 · 2018: 4 · 2017: 4
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- committed action, psychological flexibility, acceptance and commitment therapy, chronic pain, Swedish translation, questionnaire validation, patient functioning, pain rehabilitation
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Factor Analysis, Statistical, Female, Humans, Language, Male, Middle Aged, Models, Psychological, Pain Measurement, Surveys and Questionnaires, Regression Analysis, Sweden, Reproducibility of Results, Young Adult, Chronic Pain, Pain Management
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