Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress
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Show full item recordcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/8033
comunitat-uji-handle3:10234/8636
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Title
Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological DistressAuthor (s)
Date
2022-12-23Publisher
MDPIBibliographic citation
Berta-Otero, T.; Barceló-Soler, A.; Montero-Marin, J.; Maloney, S.; Pérez-Aranda, A.; López-Montoyo, A.; Salvo, V.; Sussumu, M.; García-Campayo, J.; Demarzo, M. Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress. Int. J. Environ. Res. Public Health 2023, 20, 225. https://doi.org/ 10.3390/ijerph20010225Type
info:eu-repo/semantics/articlePublisher version
https://www.mdpi.com/1660-4601/20/1/225?type=check_update&version=1Version
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Abstract
Background: A sizeable proportion of Brazilian Primary Care (PC) providers suffer from
common mental disorders, such as anxiety and depression. In an effort to cope with job-related
distress, PC workers are likely ... [+]
Background: A sizeable proportion of Brazilian Primary Care (PC) providers suffer from
common mental disorders, such as anxiety and depression. In an effort to cope with job-related
distress, PC workers are likely to implement maladaptive strategies such as experiential avoidance
(EA). The Acceptance and Action Questionnaire (AAQ-II) is a widely used instrument that evaluates
EA but has shown questionable internal consistency in specific populations. This study assesses the
psychometric properties of the AAQ-II among Brazilian PC providers, evaluates its convergence and
divergence with self-criticism and mindfulness skills, and explores its criterion validity on anxiety
and depressive symptoms. Methods: A cross-sectional design was conducted in Brazilian PC services,
and the sample included 407 PC workers. The measures evaluated EA, self-criticism, mindfulness,
depression, and anxiety. Results: The one-factor model of the AAQ-II replicated the original version
structure. The AAQ-II presented good internal consistency among Brazilian PC providers. A multiple
regression model demonstrated higher relationships with self-criticism than mindfulness skills. The
criterion validity of the AAQ-II on anxiety and depression was stronger in the context of more
severe symptoms. Conclusions: The AAQ-II is an appropriate questionnaire to measure the lack of
psychological flexibility among Brazilian PC workers in the sense of EA. [-]
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Int. J. Environ. Res. Public Health 2023, 20(1), 225Rights
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