The Chinese version of the 8-item committed action questionnaire (ChCAQ-8): A preliminary analysis of the factorial and criterion validity
Open accessAbstract
Committed action is a key component of the psychological flexibility model that recently has been applied in chronic pain settings. Developed within the Western context, the 8-item Committed Action Questionnaire (CAQ-8) demonstrated good psychometric properties. This study aimed to translate the original English version of the CAQ-8 into Chinese (ChCAQ-8) and to assess its reliability, factor structure and concurrent criterion validity. A total of 210 Chinese patients with chronic pain completed the ChCAQ-8, the Chronic Pain Grade, the Pain Catastrophizing Scale, and the depression subscale of the Hospital Anxiety and Depression Scale. Results of confirmatory factor analysis showed both the 2-factor correlated (CFI = .99) and hierarchical (CFI = .98) models met the minimum acceptable fit criterion. The 2 subscales and the entire scale of ChCAQ-8 demonstrated good internal consistency (Cronbach's αs ranging .70-.86). The ChCAQ-8 negative subscale score was significantly correlated with pain intensity, disability, pain catastrophizing, and depression in the expected direction. The ChCAQ-8 positive subscale was significantly correlated with pain castastrophizing and depression. Results of multivariate regression modeling showed the ChCAQ-8 negative subscale predicted depression (std β = .19, p < .01) and disability (std β = .14, p < .05), after adjusting for pain intensity, pain duration and pain catastrophizing. Our findings offer preliminary data for the reliability, factorial and concurrent criterion validity of the ChCAQ-8 in the Chinese population. (PsycINFO Database Record
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“Currently, the six processes of psychological flexibility have corresponding measurement tools in China except for self-ascontext (Cao et al., 2013; Zhang et al., 2014; Wong et al., 2016; Bi et al., 2021; Cao et al., 2021; Li et al., 2021).”
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“The CAQ8 is psychometrically sound in various languages including Swedish (Åkerblom et al., 2016), French (Gagnon et al., 2017), German (Terhorst et al., 2020), Portuguese (Trindade et al., 2018), and Chinese (Cantonese) (Wong et al., 2016).”
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- Authors
- Wong, W.-S., McCracken, L., Wong, S., Chen, P.-P., Chow, Y.-F., & Fielding, R.
- Affiliations
- Education University of Hong Kong (HK)
- King's College London (GB)
- Queen Elizabeth Hospital (GB)
- Alice Ho Miu Ling Nethersole Hospital (CN)
- University of Hong Kong (HK)
- Venue
- Psychological Assessment
- Published
- 2016-06
- Volume
- 28
- Issue
- 6
- Pages
- e111-e118
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W1803093187
- Cited by
- 14
- References
- 45
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- other-oa
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- The HKU Scholars Hub (University of Hong Kong) (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, chronic pain, Chinese translation, cross-cultural adaptation, factor structure, criterion validity, pain catastrophizing, depression, pain-related disability, pain intensity
- MeSH terms
- Adult, Aged, Factor Analysis, Statistical, Female, Hong Kong, Humans, Male, Middle Aged, Pain Measurement, Psychometrics, Translating, Reproducibility of Results, Chronic Pain
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