The Acceptance and Action Questionnaire

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The Acceptance and Action Questionnaire

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About The Acceptance and Action Questionnaire

Scale Name

The Acceptance and Action Questionnaire (AAQ-2)

Author Details

Frank Bond
Read More about Professor Frank Bond Click here

Translation Availability

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The Acceptance and Action Questionnaire
The Acceptance and Action Questionnaire

Background/Description

The Acceptance and Action Questionnaire (AAQ-2) emerged from the Acceptance and Commitment Therapy (ACT) framework, founded by Frank Bond and Dr. Steven C. Hayes. Developed in 2011, it aimed to improve upon an earlier version (AAQ) by addressing issues with internal consistency. With just 10 concise statements, the AAQ-2 delves into a crucial construct: psychological flexibility.

This concept refers to your ability to accept your thoughts and feelings, even unpleasant ones, without getting controlled by them. It also encompasses being present in the moment and aligning your actions with your values. Essentially, the AAQ-2 measures how skillfully you manage your inner world while pursuing meaningful goals.

Scoring is straightforward, with each statement rated on a 7-point scale. Higher scores indicate greater psychological inflexibility, which is linked to various mental health concerns like anxiety, depression, and addiction. This information helps both individuals and therapists track progress in ACT therapy and identify potential vulnerabilities.

However, it’s crucial to remember that the AAQ-2 is not a diagnostic tool. While it offers valuable insights, a comprehensive assessment by a qualified professional is necessary for diagnosis and treatment decisions.

Beyond clinical settings, the AAQ-2 can be used for self-reflection and personal growth. Understanding your level of psychological flexibility can empower you to manage difficult emotions, cultivate mindful awareness, and live more aligned with your values.

So, whether you’re curious about personal well-being or seeking therapy tools, the AAQ-2 offers a concise window into your psychological flexibility, paving the way for greater growth and acceptance.

Administration, Scoring and Interpretation

  • Self-administered paper or online format: This is the most common method, where individuals read the statements and rate their agreement on a scale. Instructions should be clear and easily understood.
  • Clinician-administered interview: In some cases, a qualified professional may administer the questionnaire verbally and ask clarifying questions for better understanding. This can be helpful for individuals with limitations in reading or comprehension.
  • Informed consent: Before administering the AAQ-2, ensure individuals understand the purpose, potential risks and benefits, and how their data will be used.
  • Confidentiality: Maintain confidentiality of responses and ensure data is stored securely.
  • Interpretation: Scores should be interpreted by qualified professionals considering individual context and potential co-occurring factors.
  • Limitations: Remember, the AAQ-2 is a self-report measure and not a diagnostic tool. It cannot provide a definitive diagnosis or replace a comprehensive clinical assessment.

Reliability and Validity

The AAQ-2 has been thoroughly examined in terms of its reliability and validity. Here’s a breakdown of the key findings:

Reliability:

  • Internal consistency: Multiple studies report strong internal consistency, with Cronbach’s alpha values typically above 0.80, indicating items within the scale cohere well.
  • Test-retest reliability: The AAQ-2 shows moderate test-retest reliability over short and longer periods (3-12 months) with correlations around 0.80. This suggests consistency in scores over time for relatively stable populations.

Validity:

  • Content validity: The items directly address core concepts of psychological flexibility within the ACT framework, supporting content validity.
  • Convergent validity: The AAQ-2 correlates positively with other measures of related constructs like anxiety, depression, and experiential avoidance, suggesting it captures similar aspects of mental health.
  • Discriminant validity: Some studies report mixed findings, with concerns about overlapping with specific aspects of distress rather than solely measuring psychological inflexibility. Further research is ongoing.

Available Versions

10-Items AAQ-2
19-Items AAQ-R
49-Items AAQ

Reference

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., … & McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The psychological record54, 553-578.

Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of applied psychology88(6), 1057.

Important Link

Scale File:

Frequently Asked Questions

What is the AAQ-2?
The Acceptance and Action Questionnaire (AAQ-2) is a 10-item questionnaire that measures psychological flexibility. It assesses your ability to accept your thoughts and feelings, live in the present moment, and align your actions with your values.

Who developed the AAQ-2?
The primary author is Frank Bond and Dr. Steven C. Hayes, the founder of Acceptance and Commitment Therapy (ACT). The AAQ-2 was developed collaboratively with other researchers in 2011.

How is the AAQ-2 scored?
Each item is rated on a 7-point scale, with higher scores indicating greater psychological inflexibility.

What does the AAQ-2 tell you?
The AAQ-2 can help you understand how well you manage your inner world and pursue your values. Higher scores may suggest difficulties with acceptance, present-moment awareness, and living according to your values.

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