Department of Psychology, Drexel University, 3141 Chestnut Street, Stratton 226, Philadelphia, PA, 19104, USA; Center for Weight, Eating, and Lifestyle Science, Drexel University, 3141 Chestnut Street, Stratton 226, Philadelphia, PA, 19104, USA; Center for Neurointestinal Health, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Department of Psychology, Drexel University, 3141 Chestnut Street, Stratton 226, Philadelphia, PA, 19104, USA; Center for Weight, Eating, and Lifestyle Science, Drexel University, 3141 Chestnut Street, Stratton 226, Philadelphia, PA, 19104, USA.
Appetite. 2022 Jan 1;168:105680. doi: 10.1016/j.appet.2021.105680. Epub 2021 Sep 3.
The Food Craving Acceptance and Action Questionnaire (FAAQ) was developed to measure psychological flexibility around food-related internal experiences (e.g., thoughts, feelings, urges) and has two subscales, acceptance and willingness. However, the FAAQ factor structure has not yet been systematically validated with a clinically relevant sample.
Two weight-loss treatment seeking samples (total N = 462; 80.4% female) ages 18 to 70 (M = 52.6, SD = 9.8) completed the FAAQ before and after group-based treatment of overweight or obesity.
Confirmatory factor analysis on the FAAQ's previously observed two-factor model produced poor model fit. An alternative 7-item model removing specific items that contributed to poor fit and were conceptually relevant to remove provided good model fit. The resulting revised 7-item FAAQ (items 1,3,6 removed) had adequate internal consistency and significant predictive validity for the Total score and subscales, and showed initial construct validity for the Total score.
Results from this study suggest researchers and clinicians should now use the 7-item FAAQ-II, which retains the Willingness and Acceptance subscales. Future research is needed with other relevant samples to confirm the FAAQ-II's factor structure and psychometric properties.
食物渴望接纳与行动问卷（FAAQ）旨在衡量与食物相关的内部体验（如想法、感觉、冲动）方面的心理灵活性，它有两个分量表，即接纳和意愿。然而，FAAQ 的因子结构尚未通过具有临床相关性的样本进行系统验证。
两个寻求体重减轻治疗的样本（共 462 名；80.4%为女性），年龄在 18 至 70 岁之间（M=52.6，SD=9.8），在接受基于小组的超重或肥胖治疗前后完成了 FAAQ。
对 FAAQ 先前观察到的两因素模型进行验证性因子分析，结果显示模型拟合不佳。一个替代的 7 项模型去除了导致不良拟合且在概念上与去除相关的特定项目，提供了良好的模型拟合。由此产生的修订后的 7 项 FAAQ（删除项目 1、3、6）具有足够的内部一致性和对总分和分量表的显著预测有效性，并显示出总分的初步结构有效性。
本研究结果表明，研究人员和临床医生现在应该使用保留意愿和接纳分量表的 7 项 FAAQ-II。需要对其他相关样本进行进一步研究，以确认 FAAQ-II 的因子结构和心理测量特性。
