The development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT)
The development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT)
复制标题
DOI：
10.1016/j.jcbs.2016.05.003
复制
发表时间：
2016-07-01
影响因子：
5
通讯作者：
Golijani-Moghaddam, Nima
中科院分区：
文献类型：
--
作者：
Francis, Ashley W.;Dawson, David L.;Golijani-Moghaddam, Nima
现有的ACT过程衡量标准通常局限于其侧重点(限于特定的理论子过程或应用背景)，并因其区分有效性和过程变量与结果变量的混合而受到批评。因此，关于如何最好地运作和衡量《行动纲领》核心进程，仍然存在一些概念性问题。在本研究中，我们描述了一种新的ACT过程通用测量工具(COMPACT)的发展，并对该测量的因素结构、效度和信度进行了探讨。在第一阶段，ACT专家使用德尔菲共识方法对106个项目的表面和内容有效性进行了评级，并得出了最初的37项指标。在第二阶段，一个非临床样本的参与者(N=377)完成了其他理论上相关和不相关变量的简明和测量。探索性因素分析提出了一个理论上连贯的三因素结构(将ACT的六个过程聚为三个二元过程)，用于23个项目的契约版本。该契约表现出良好的内部一致性，并以理论上与其他测量变量一致的方式趋同和背离：心理不灵活程度越高，痛苦程度越高，健康和幸福水平越低。该契约显示了作为ACT过程的一般衡量标准的初步前景。(C)2016年语境行为科学协会。爱思唯尔公司出版，版权所有。
Extant ACT process measures are typically circumscribed in their focus (limited to particular theoretical sub-processes or contexts of application) and have been subject to critique in terms of their discriminant validity and conflation of process and outcome variables. Conceptual questions therefore remain regarding how best to operationalize and measure core ACT processes. In this study, we describe the development of a new general measure of ACT processes (the CompACT) and explore the measure's factor structure, validity and reliability. In phase one, ACT experts rated the face and content validity of 106 items using a Delphi consensus methodology, and produced an initial 37-itemed measure. In phase two, a non-clinical sample of participants (N=377) completed the CompACT and measures of other theoretically related and unrelated variables. An exploratory factor analysis suggested a theoretically-coherent three-factor structure (clustering ACT's six processes into three dyadic processes) for a 23-itemed version of the CompACT. The CompACT demonstrated good internal consistency, and converged and diverged in theory-consistent ways with other measured variables: higher levels of psychological inflexibility were associated with higher levels of distress and lower levels of health and wellbeing. The CompACT shows initial promise as a general measure of ACT processes. (C) 2016 Association for Contextual Behavioral Science. Published by Elsevier Inc. All rights reserved.