Sánchez-Millán Hilda A, Alicea-Cruz Alfredo, Pedrogo Coralee Pérez
Albizu University, San Juan, Puerto Rico P.O. BOX 9023711, 00902-3711.
University of Puerto Rico Medical Sciences Campus Box 365067. San Juan, Puerto Rico 00936.
J Contextual Behav Sci. 2022 Jan;23:31-37. doi: 10.1016/j.jcbs.2021.11.002. Epub 2021 Nov 10.
Evaluating psychological flexibility is key in determining the mechanism of action of an ACT intervention. This study aims to evaluate the psychometric properties of the Spanish version of the Acceptance and Action Questionnaire - Substance Abuse (AAQ-SA), a measure of psychological flexibility, among 402 adults with Substance Use Disorders (SUDs) in Puerto Rico recruited from either a prison population or community treatment settings. To evaluate the factor structure of the AAQ-SA, we conducted confirmatory factor analyses with the two-factor structure proposed by the original authors and the three-factor structure found in a Mexican sample. We found the two-factor structure to be a better fit of the data from our sample. After implementing modifications to the model, the two-factor structure demonstrated adequate model fit indices. To gather evidence of convergent validity, we evaluated correlations between scores of the AAQ-SA and those of depression, self-efficacy, and self-stigma measures. The current study suggests that the AAQ-SA is a promising measure of psychological flexibility for the present target populations. Further research is needed to examine the psychometric properties of scores of the AAQ-SA, including discriminant validity.
评估心理灵活性是确定接纳与承诺疗法（ACT）干预作用机制的关键。本研究旨在评估《接纳与行动问卷 - 药物滥用版》（AAQ - SA）西班牙语版本的心理测量特性，这是一种心理灵活性测量工具，研究对象为从波多黎各监狱人群或社区治疗机构招募的402名患有物质使用障碍（SUDs）的成年人。为了评估AAQ - SA的因子结构，我们对原作者提出的双因子结构以及在一个墨西哥样本中发现的三因子结构进行了验证性因子分析。我们发现双因子结构更适合我们样本的数据。在对模型进行修改后，双因子结构显示出足够的模型拟合指数。为了收集收敛效度的证据，我们评估了AAQ - SA得分与抑郁、自我效能感和自我污名测量得分之间的相关性。当前研究表明，AAQ - SA对于当前目标人群而言是一种很有前景的心理灵活性测量工具。需要进一步研究来检验AAQ - SA得分的心理测量特性，包括区分效度。
