The Believability of Anxious Feelings and Thoughts Questionnaire (BAFT): A Psychometric Evaluation of Cognitive Fusion in a Nonclinical and Highly Anxious Community Sample
The Believability of Anxious Feelings and Thoughts Questionnaire (BAFT): A Psychometric Evaluation of Cognitive Fusion in a Nonclinical and Highly Anxious Community Sample
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DOI：
10.1037/a0027782
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发表时间：
2012-12-01
影响因子：
3.6
通讯作者：
Eifert, Georg H.
中科院分区：
文献类型：
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作者：
Herzberg, Kristin N.;Sheppard, Sean C.;Eifert, Georg H.
认知融合——或倾向于接受思想、感觉和身体感觉的字面意思——在焦虑症的病因和维持中起着重要作用，在第三代行为疗法中占有突出地位，如接受和承诺疗法（ACT）。然而，缺乏有效的认知融合/融合的自我报告测量，特别是在焦虑症领域。我们试图通过开发和验证自我报告认知融合测量，焦虑感觉和想法问卷（BAFT）的可信度来填补这一空白，在健康的大学生样本（N = 432）和高度焦虑的社区样本（N = 503）中进行了为期12周的在线ACT干预。结果表明，BAFT具有3个低阶因子和1个层次因子的分层因子结构，BAFT总分具有良好的内部一致性（α s = 0.90, α s = 0.90）。对于本科生和高度焦虑的样本，分别为91)及其因素。此外，在两个样本中，BAFT及其所有因素与其他相关过程和结果测量一致显示出很强的结构效度，在我们高度焦虑的候补名单控制子样本中显示出很强的12周重测信度（r = 0.77），在我们高度焦虑的干预子样本中显示出对治疗的反应性。这些发现表明，BAFT在健康人群和临床人群中都是一种可靠和有效的认知融合测量方法。
Cognitive fusion-or the tendency to buy into the literal meaning of thoughts, feelings, and bodily sensations-plays an important role in the etiology and maintenance of anxiety disorders and figures prominently in third-generation behavior therapies such as acceptance and commitment therapy (ACT). Nonetheless, there is a lack of validated self-report measures of cognitive fusion/defusion, particularly in the area of anxiety disorders. We attempted to fill this gap with the development and validation of a self-report cognitive fusion measure, the Believability of Anxious Feelings and Thoughts Questionnaire (BAFT), in both a healthy undergraduate sample (N = 432) and highly anxious community sample (N = 503) undergoing a 12-week online ACT intervention. Results suggested a hierarchical factor structure of the BAFT with three lower order factors and one hierarchical factor and excellent internal consistency for the total BAFT score (i.e., alpha s = .90 and .91 for the undergraduate and highly anxious samples, respectively) and for its factors. Additionally, the BAFT and all of its factors consistently showed strong construct validity with other relevant process and outcome measures in both samples, strong 12-week test-retest reliability (r = .77) in our highly anxious waitlist control subsample and responsiveness to treatment in our highly anxious intervention subsample. These findings suggest that the BAFT is a reliable and valid measure of cognitive fusion in both healthy and clinical populations.