psychological flexibility questionnaire pdf

Google Scholar. The future is an uncertain situation, Problems of Psychology in the 21st Century, When talking about human well-being, Unconditional Self-acceptance represents one of the cores. Nevertheless, we are intrigued by the question of whether a person can ever have too much of this good thing (Kashdan & Rottenberg, 2010). (1995). which are the general mental functions that help us to cordinate This series of studies operationalized the concept of rhetorical sensitivity first discussed by Hart and Burks in 1972. Hollenstein, T., Lichtwarck-Aschoff, A., & Potworowski, G. (2013). Journal of Cognitive Psychotherapy, 30(1), 6072. Examination of the prevalence, familial concordance, and correlates of diagnostic uncertainty in children and their parents presenting to a multidisciplinary pain clinic in the United States found that parents who believed that something else was going on with their childs pain had children with higher avoidance of pain-related activities and lower pain willingness. Work & Stress, 26, 272288. A scoping review was conducted in two databases (PsycNET and SCOPUS). Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review. Recent contextual behavioral research also concludes that context-sensitive measurement methods are better suited to detect treatment-related changes (better treatment sensitivity). What is acceptance and commitment therapy? The survey comprised a demographic questionnaire and measures of psychological flexibility, professional quality of life and workplace factors. Journal of Neural Transmission, 117(1), 105122. Morris, S. E., & Cuthbert, B. N. (2012). Exploring the nature of cognitive flexibility. It has been cited over 2000 times in scientific publications, and we generally know what it's scores mean. %PDF-1.3 - 103.30.145.169. Assessing psychological flexibility: What does it add above and beyond existing constructs? Journal of Abnormal Psychology, 109(3), 504511. The authors declare no competing interests. My Flexibility Scores The Acceptance and Action Questionnaire (AAQ-2) This is perhaps the most commonly used measure of psychological flexibility that you can find. A copy of the information handout in PDF format. Trends in Psychol. To this end, recommendations and next steps for researchers and practitioners are outlined. A sample of 82 undergraduate students at the University of North Texas completed self- Further, the. Shawnee Scientific Press, 2018. 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 A. Barke, Jenny Riecke, W. Rief, J. Glombiewski Psychology, Medicine BMC Musculoskeletal Disorders 2015 TLDR Guse, B., Falkai, P., & Wobrock, T. (2010). (Download here). Journal of Contextual Behavioral Science, 12, 106118. Martin, M. M. & Rubin, R.B. Doorley, J. D., Goodman, F. R., Kelso, K. C., & Kashdan, T. B. Journal of Anxiety Disorders, 24(1), 109113. Psychological Bulletin, 126(2), 247259. Polk, K. L., & Schoendorff, B. This page lists different questionnaires for you to assess your psychological flexibility across a range of different areas. Although researchers have focused on various predictors of Acceptance, there is not a clear, International Journal of Applied Positive Psychology, We examined mediators of a multi-component positive psychology intervention for healthy employees. https://doi.org/10.1016/j.brat.2005.06.006. Behavior Therapy, 44, 180198. Disclaimer. Can be completed by family members, educators, therapists, etc. Article Reliability was demonstrated by a Cronbach alpha coefficient of 0.918. Psy-Flex: A contextually sensitive measure of psychological flexibility. Behavior Therapy, 42(4), 676688. https://doi.org/10.1371/journal.pone.0028331. interventions (A-Tjak et al. Reliability was demonstrated by a Cronbach alpha coefficient of 0.918. Listed below are all validation studies of which we are aware. The https:// ensures that you are connecting to the Perceptual and Motor Skills, 8(3), 271276. (2010). To move towards definitional consensus and improved measurement, we surveyed the literature to map PF and related-terms, examine definitional overlaps, and assessthe psychometric quality of prominent flexibility measures. Neuroscience and biobehavioral reviews, 37(9 Pt B), 22332242. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. ACT teaches mindfulness skills to help individuals contact the present moment, Attachment to the conceptualized self describes how we can see ourself as our thoughts. JOMSIGN: Journal of Multicultural Studies in Guidance and Counseling, 3(1), 6474. Heart rate variability as a transdiagnostic biomarker of psychopathology. ]m`RwOQczHZ#"u[[*M)IP'k)uvSg6zB@jBK=&A-G=Vvy]@zAXLZ+#6+a|HdrD. and transmitted securely. In pediatric chronic pain, research indicates a positive relation between parental psychological flexibility (i.e., the parents willingness to experience distress related to the childs pain in the service of valued behavior) and level of functioning in the child. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. ACT teaches cognitive defusion techniques to aidunhooking from problematic thoughts, Dominance of the conceptualized past and feared future describes the propensity we have for our minds to timetravel to the past (rumination) and future (worry). Gabrys, R. L., Tabri, N., Anisman, H., & Matheson, K. (2018). An editable Microsoft PowerPoint version of the resource. Edited by Dorwin Cartwright. Acceptance and mindfulness-based treatments for chronic pain attempts to alter the impact of pain-related thoughts and feelings on behavior without necessarily changing the thoughts and. https://doi.org/10.1037/pas0000050. https://doi.org/10.1016/j.jcbs.2019.03.003. 2015 Jun;27(2):415-23. doi: 10.1037/pas0000050. Previous research produced two factors, social, Communication flexibility has long been recognized as an essential component of communication competence. The journal of pain : official journal of the American Pain Society, View 10 excerpts, references methods, background and results, View 7 excerpts, references background and methods. Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., & McKnight, P. E. (2020). Journal of Abnormal Psychology, 100(4), 569582. Genetic, Social, and General Psychology Monographs, 128, 165207. Yet, much of what we know, or think we know, about psychological flexibility hinges on a single measurement approach using the Acceptance and Action Questionnaire (AAQ and AAQ-II). There is a wealth of measures available, with adequate reliability overall but a lack of psychometrics on temporal stability, and each of the cognitive, affective, and behavioral parent constructs examined was significantly associated with pain-related functional disability. MeSH Behavioral Ecology, 28(4), 943947. https://doi.org/10.1007/s00702-009-0333-7. << /Length 5 0 R /Filter /FlateDecode >> Trends in Psychology Exploring virtual reality for the assessment and rehabilitation of executive functions. A lack of psychological, This paper focuses on pinpointing the existence of a relationship between the variables family resilience, cognitive flexibility and parents transformative learning experiences. Given the role of psychological flexibility, researchers have been, Journal of educational evaluation for health professions. Nolen-Hoeksema, S. (2000). The second study refined this measure and tested the relationships between parental psychological flexibility, parent and adolescent outcomes. Psychological flexibility research trends. Prevalence and predictors of mental health outcomes in UK doctors and final year medical students during the COVID-19 pandemic. We specifically wanted to create the first scale to comprehensively assess the 6 key dimensions of flexibility and 6 key dimensions of inflexibility from the Hexaflex model. The AIM Curriculum includes two measures of adaptive, flexible behavior: Childrens Psychological Flexibility Questionnaire.pdf, Childrens Psychological Flexibility Questionnaire-Caregiver Report.pdf. Psychological flexibility is often measured with the Acceptance and Action Questionnaire-2 (AAQ-2; Bond et alii, 2011), which is a single-factor instrument inspecting the whole of experiential avoidance and its counterpart, psychological flexibility. Eating Behaviors, 23, 150155. Trends in Neurosciences, 38(9), 571578. The future is an uncertain situation, Problems of Psychology in the 21st Century, When talking about human well-being, Unconditional Self-acceptance represents one of the cores. De Houwer, J. Parents who reported lower confidence in their child's ability to cope with the pain engaged in significantly more protective, monitoring and distracting behaviours, even when controlling for the child's recent level of functioning. The Psy-Flex is a self-report questionnaire designed to measure all six facets of psychological flexibility. Additional translations are available in a variety of languages. Sant Mentale Au Qubec, 38(2), 111130. https://doi.org/10.1037/0022-3514.86.2.320. HHS Vulnerability Disclosure, Help The Psychological Flexibility Questionnaire (PFQ): Development, Reliability and Validity. Shortcuts using static measurement approaches are perilous, and likely to lead to misunderstandings of flexibilitys antecedents, correlates, and consequences (Kashdan & Rottenberg, 2010). A growing body of research demonstrates that psychological flexibility leads to psychological benefits and adaptive behavior change. Whiting DL, Deane FP, Ciarrochi J, McLeod HJ, Simpson GK. Please take a few moments to think of an important goal that you are working on. Welcome to "My Flexibility Scores". due to its brevity. Acceptance and commitment therapy: Model, processes and outcomes. 4 0 obj PubMed (2006). 141173). This research project identified and assess parental and child factors of importance for functioning and treatment effects in pediatric chronic pain and assessed the indirect effects of insomnia and psychological inflexibility on the relationships between ASD-traits or ADHD-symptoms as predictors and functioning and HRQoL as dependents. measure of psychological flexibility, by developing a second version, which we will term the AAQ-II. The Personalized Psychological Flexibility Index (PPFI; Kashdan, Disabato, Goodman, Doorley, & McKnight, 2020) appears to be the best measure available to assess PF. The Psychological Flexibility Questionnaire (PFQ): Development, Reliability and Validity M. Maor, B. Gurion, +1 author I. Bluvstein Published 21 April 2014 Psychology, Medicine The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. Psy-Flex: A contextually sensitive measure of psychological flexibility (Journal of Contextual Behavioral Science, 2021). In this context, psychological flexibility can also be understood as a common factor of the six core competencies of ACT: Psychological flexibility is increasingly being studied in different contexts. McCracken, L. M., Gutirrez-Martnez, O., & Smyth, C. (2013). Beyond objectivity and subjectivity: The intersubjective foundations of psychological science. 2023 Feb 10;11:1084467. doi: 10.3389/fpubh.2023.1084467. Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Coates, L. M., Dawson, D. R., & Channon, S. (2006). Ionescu, T. (2012). Whiting, D., Deane, F., Ciarrochi, J., McLeod, H., & Simpson, G. (2014). 2015). Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review. Psychological flexibility is a multidimensional trait that plays an important role in many areas of life, including mental health. M. Maor, B. Gurion, S. Ben-Itzhak, I. Bluvstein. Gentili, C., Rickardsson, J., Zetterqvist, V., Simons, L. E., Lekander, M., & Wicksell, R. K. (2019). Dionne, F., Ng, T.-L., & Blais, M.-C. (2013). (Martin & Rubin, 1995), or the Psychological Flexibility Questionnaire (Ben-Itzhak et al., 2014), the question of ecology, and the intersection of these measures, may lack convergence, although claiming to measure "psychological exibility" or some aspect of it (Burgess et al., 2006; Whiting et al., 2014, 2015a, 2015b). A hesitant defense of introspection. Validating measures of psychological flexibility in a population with acquired brain injury. Abstract The Parental Acceptance Questionnaire assesses Acceptance and Commitment Therapy outcomes. Psychological flexibility refers to the ability to be aware of and open to internal and external stimuli as they occur while choosing to act in ways that are consistent with what a person deeply cares about ( Hayes, Strohsahl & Wilson, 2012a ). Being chronically low in PF could lead to greater DIDF and thereby worse mental health and having more PF promotes the ability to identify and differentiate the nuances of pleasant and unpleasant emotions, which enhances an individual's mental health. The evolution of inhibition mechanisms and their role in human cognition and behavior. Article Selfreport questionnaires. Flexibly and/or inflexibly embracing life: Identifying fundamental approaches to life with latent profile analyses on the dimensions of the Hexaflex model. (2022)Cite this article. Rochefort, C., Baldwin, A. S., & Chmielewski, M. (2018). The paradox of cognitive flexibility in autism. Copyright 2021 Elsevier Ltd. All rights reserved. Emotion, 13, 302. https://doi.org/10.1037/a0029980. Recent meta-analyses investigating the relationship between personality and job performance have found that openness to experience is the least predictive of the Big Five factors. Martin, M. M., & Rubin, R. B. New Ideas in Psychology, 30, 190200. Psychological flexibility (PF) is a popular construct in clinical psychology. Associations between psychological inflexibility and mental health problems during the COVID-19 pandemic: A three-level meta-analytic review. Unlike other, Health psychology : official journal of the Division of Health Psychology, American Psychological Association, OBJECTIVE This novel measure, the Eating Disorder Flexibility Index (EDFLIX) questionnaire, was found to be reliable and valid in the assessment of cognitive and behavioral flexibility, with results offering support for the conceptual distinction between general and ED related flexibility. Google Scholar. like the disexecutive questionnaire (DEX), which is best suited for Striatal dysfunction during reversal learning in unmedicated schizophrenia patients. Cattell, R. B. In: Stolerman I., Price L. (eds) Encyclopedia of Psychopharmacology. Psychological flexibility as a resilience factor in individuals with chronic pain. ACT teaches acceptance, allowing, andwillingness, Cognitive fusion whereby an individual becomes hooked in thoughts. measure of executive functions, but one can argue that it matches the Weight Self-Stigma Questionnaire If you are obese or overweight and are finding it difficult to manage feelings of shame . We analyzed data from a randomized controlled trial involving 158 participants who were assigned to, The complexities of everyday life reinforce the need to be cognitively flexible. What is normal? PLoS ONE, 7(1), e28331. Academic Press. Please enable it to take advantage of the complete set of features! Anodal tDCS over the right dorsolateral prefrontal cortex modulates cognitive processing of emotional information as a function of trait rumination in healthy volunteers. Children's Psychological Flexibility Questionnaire.pdf CPFQ Calculator Template.xltx Children's Psychological Flexibility Questionnaire-Caregiver Report.pdf (2014). Johnco, C., Wuthrich, V. M., & Rapee, R. M. (2014). sharing sensitive information, make sure youre on a federal The ecological validity of neuropsychological tests: A review of the literature on everyday cognitive skills. [PDF] Assessing psychological flexibility in test situations: The Test Anxiety Acceptance and Action Questionnaire for Adolescents | Semantic Scholar DOI: 10.5944/RPPC.29014 Corpus ID: 234466614 Assessing psychological flexibility in test situations: The Test Anxiety Acceptance and Action Questionnaire for Adolescents Cludia Pires, D. Putwain, Cherry, K. M., Vander Hoeven, E., Patterson, T. S., & Lumley, M. N. (2021). 9|;"Y dPg/%9pTmWxbs_]RDb[Au1{VZ0i;)5H/wDu,.&pNT ! https://doi.org/10.1016/j.jaac.2016.02.002. Clarifying and then behaving in ways that are consistent with our values is a fundamental feature of ACT, Inaction, impulsivity, or avoidance persistence (rigidity) describe how problems can stem from doing too little overall, ornot do enough of what matters to us. Its main features include: The Psy-Flex Questionnaire is based on the assumption that there are natural variations in the need and importance of applying psychological flexibility in everyday life. The role of psychological inflexibility and mindfulness in somatization, depression, and anxiety among Asian Americans in the United States. https://doi.org/10.1037/0033-2909.126.2.247. If you are planning to conduct a validation study, please let us know. Hayes, S., Luoma, J., Bond, F., Masuda, A., & Lillis, J. They are not just seen as ways of counterbalancing psychological dysfunction, but as positive psychological skills suitable for anyone wishing to live a balanced life. PubMed Central Being chronically low in PF could lead to greater DIDF and thereby worse mental health and having more PF promotes the ability to identify and differentiate the nuances of pleasant and unpleasant emotions, which enhances an individual's mental health. Kriegel, U. Rigidity is not solely characterized by decreased flexibility in an individuals behaviors and views. and women on this scale. Chawla, N., & Ostafin, B. https://doi.org/10.1037/a0024135. Convergent validity was confirmed by the findings of a positive correlation between the PFQ and three other related questionnaires. (2013). To use this feature you must be signed in to an active Complete, Advanced, or Team account. The impact of psychiatric classification on mental health practice and research. Chaytor, N., & Schmitter-Edgecombe, M. (2003). Wisconsin card sort test manual. This is a preview of subscription content, access via your institution. Psychological flexibility (PF) refers on the one hand tothe ability to be aware ofand open to internal and external stimuli. Farkas, D., & Orosz, G. (2015). However, similar constructs have existed since the mid-20th century, resulting in different terms, definitions and measures of flexibility, hindering the advancement of the field. Field theory in social science: selected theoretical papers. Adaptability and psychological flexibility: Overlapping constructs?. Everything you could need: a PDF of the resource, therapist instructions, and description with theoretical context and references. Reliability was demonstrated by a Cronbach alpha coefficient of 0.918. It seems that the CFS can be used for research, but you need to Learn more about Institutional subscriptions. (2006). Mascolo, M. F. (2016). The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. The studies describe how we reexamined the measure-ment of this construct and investigated the initial psychometricpropertiesoftheAAQ-II.InStudy1,a panel of experts generated items that assessed psychological flexibility and inflexibility. Psychological flexibility (PF) is a popular construct in clinical psychology. Journal of Contextual Behavioral Science, 23, 3847. View PDF View article View in Scopus Google Scholar. (1948). Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Problems with the current use of the AAQ-II were apparent, hindering current knowledge of PF. Our view is that dynamic constructs require dynamic approaches. The PIPS subscale Avoidance predicted pain-related disability even after controlling for catastrophizing and fear of movement and may be a valuable instrument to assess treatment processes in future RCTs. Responses to depression and their effects on the duration of depressive episodes. Clinical Psychology Review, 30(7), 865878. https://doi.org/10.1007/s10484-008-9064-z. Copy and paste this code to your PsyToolkit account if you want to use the scale in your own online research project, open access academic review of instruments for measuring executive function. Springer, Berlin, Heidelberg. A basic scale question with some items reverse scored. 2022 Oct;26:201-209. doi: 10.1016/j.jcbs.2022.10.001. Resilient individuals use positive emotions to bounce back from negative emotional experiences. A measuring instrument (RHETSEN) was developed and the, Table 1: Factor analysis: rotated component matrix, variance explained and reliability of each component, By clicking accept or continuing to use the site, you agree to the terms outlined in our, The Psychological Flexibility Questionnaire (PFQ): Development, Reliability and Validity. Psychol Assess. Journal of developmental and behavioral pediatrics : JDBP. Psychological flexibility is particularly useful when challenges arise during goal pursuit that produce distress. Morris, L., & Mansell, W. (2018). Therefore, this study's objectives were to examine the relationships between psychological . Psychological mechanism of acceptance and commitment therapy and rational emotive behavior therapy for treating hoarding: Evidence from randomized controlled trials. Emotion Review, 5(4), 397405. Thompson, E. M., Brierley, M. E. E., Destre, L., Albertella, L., & Fontenelle, L. F. (2022). first aimed to address a gap in the measurement of the parental psychological flexibility construct by developing a questionnaire applicable for a general parenting context. Federal government websites often end in .gov or .mil. The objective of this article is to propose a theoretical review of the literature, aiming at understanding the notion of psychological flexibility according to the different approaches. (2016). Harpers. Carbondale, IL: Shawnee Scientific Press. In practice this means helping clients to contact the present moment more fully, and to engage or persist in behavior that serves valued ends (Hayes, 2006). From there on, you can continue with relevant specialized measurements. psychological flexibility, and cognitive flexibility on psychological symptomatology. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. This study explores the relationship between psychological flexibility and future anxiety mediated by intolerance of uncertainty in students of SMK PGRI 3 Malang. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. Data sharing not applicable to this article as no datasets were generated or analyzed during the current study. *k&= $n- T8eK/ ;6CeF:H; DQ An official website of the United States government. (2012). Would you like email updates of new search results? Fuchs, T. (2009). 2022 Dec 6;13:1069748. doi: 10.3389/fpsyg.2022.1069748. Epub 2022 Oct 7. Acceptance and Commitment Therapy (ACT) is a "third-wave" cognitive behavioral intervention aimed at enhancing our psychological flexibility (Hayes et al., 2006). Journal of Personality and Social Psychology, 55, 88101. Psychological Reports, 76(2), 623626. The Q-sort method in personality assessment and psychiatric research. Functional flexibility: A new conception of interpersonal flexibility. and actions. Psychological Science, 15(7), 482487. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. However, it does not enable a more specific inspection of the underlying processes that compose Journal of Clinical Psychology, 63(9), 871890. There are cognitive tasks and self-report questionnaires for this, like the disexecutive questionnaire (DEX), which is best suited for clinical populations. Avsec A, Eisenbeck N, Carreno DF, Kocjan GZ, Kavi T. J Contextual Behav Sci. One such subscale was the Flexibility (Fx) subscale, which comprised of 28-items that were designed to assess the ability to be adaptable in thinking, behaviour, and tempera- Findings (after. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. If you would like to create atranslation for a language that is not currently listed or if you are interested in a research collaboration, please feel free to contact us. Reitan, R. M. (1958). Levin ME, Luoma JB, Lillis J, Hayes SC, Vilardaga R. J Contextual Behav Sci. Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013). Book Gloster AT, Block VJ, Klotsche J, et al. Berg, E. A. Lanne Psychologique, 106(3), 415434. Virtual reality in neuroscience research and therapy. Psychological flexibility as a fundamental aspect of health. clinical populations. (2016). https://doi.org/10.1891/0889-8391.30.1.60. Accessibility The site is secure. Stange, J. P., Alloy, L. B., & Fresco, D. M. (2017). Unauthorized use of these marks is strictly prohibited. Luoma, J., Drake, C. E., Kohlenberg, B. S., & Hayes, S. C. (2010). Improved executive functioning following repetitive transcranial magnetic stimulation. Journal of the International Neuropsychological Society, 12(2), 194209. The Psy-Flex is furthermore ideal for repeated measurements (e.g., assessment at each session; event sampling, etc.) Psychological flexibility: What we know, what we do not know, and what we think we know. Front Psychol. (1995). thought and action. . Findings highlight the importance of pain education, formulating and acting in line with personal values, and communication around the pain experience, as well as the need for developmental and individual adaptations of interventions. Before Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 163170. View 4 excerpts, cites background and methods, Psychological flexibility is considered to be a persons ability to flexibly use emotional, behavioral, and cognitive strategies to adapt to changing situational demands. AIM: A behavior analytic curriculum for social-emotional development in children. PSN, 14(3), 3142. Decentering reflects psychological flexibility in people with chronic pain and correlates with their quality of functioning. British Psychoanalytic Council, 2015. Hayes, S. C., Merwin, R. M., McHugh, L., Sandoz, E. K., A-Tjak, J. G., Ruiz, F. J., & McCracken, L. M. (2021). As you practice the many tools and techniques presented in A Liberated Mind, you might notice your psychological flexibility starting to improve. Rigid individuals show an important desire for restructuring their environments into more manageable forms with the aim of reducing their cognitive load (p. 98) (Morris & Mansell, 2018). The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two. The Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., 2011) is a seven item, Likert-scale that has been validated with the medical student population. Series B: Biological Sciences, 353(1377), 19151927. FLEXIBILITY QUESTIONNAIRE: CPFQ The AIM Curriculum includes two measures of adaptive, flexible behavior: a child report and a caregiver report. 2017 Mar;27(2):263-299. doi: 10.1080/09602011.2015.1062115. (2011). Strauss, E., Sherman, E. M. S., & Spreen, O. Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control over and over. Berman, N. C., Wheaton, M. G., McGrath, P., & Abramowitz, J. S. (2010). Definitional consensus and measurement development are vital to advance the field. Cognitive flexibility refers to a person's awareness of communication alternatives, willingness to adapt to the, The purpose of this research was to reassess the validity and increase the variance accounted for by the Communicative Adaptability Scale (CAS). Vanderhasselt, M. A., Sanchez, A., Josephy, H., Baeken, C., Brunoni, A. R., & De Raedt, R. (2017). Substance abuse and psychological flexibility: The development of a new measure. Luchins, A. S., & Luchins, E. H. (1959). Given the role of psychological flexibility, researchers have been, Journal of educational evaluation for health professions. Psychological Flexibility. of the Psychological Flexibility Questionnaire (PFQ) and evaluates its reliability and validity. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Gloster, A. T., Klotsche, J., Chaker, S., Hummel, K. V., & Hoyer, J.