Department of Psychology, University at Albany, State University of New York, Albany, NY 12222, USA.
Psychol Assess. 2012 Dec;24(4):877-91. doi: 10.1037/a0027782. Epub 2012 Apr 9.
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., αs = .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.
认知融合——或者说倾向于接受思想、感觉和身体感觉的字面意思——在焦虑障碍的病因和维持中起着重要作用，并在第三代行为疗法（如接受和承诺疗法（ACT））中占据重要地位。尽管如此，在焦虑障碍领域，仍然缺乏经过验证的认知融合/去融合的自我报告测量方法。我们试图通过开发和验证自我报告认知融合测量方法——焦虑感觉和想法可信度问卷（BAFT）来填补这一空白，该问卷在健康的本科生样本（N=432）和接受为期 12 周在线 ACT 干预的高度焦虑社区样本（N=503）中进行了测试。结果表明，BAFT 具有分层因素结构，有三个较低阶因素和一个高阶因素，其总分（即本科生和高度焦虑样本的αs分别为.90 和.91）和各因子的内部一致性均非常好。此外，BAFT 及其所有因子在两个样本中均与其他相关过程和结果测量具有很强的构念效度，在我们高度焦虑的候补名单对照组亚样本中具有 12 周的测试重测信度（r=.77），并且在我们高度焦虑的干预组亚样本中具有治疗反应性。这些发现表明，BAFT 是一种可靠且有效的健康和临床人群认知融合的测量方法。
