Gloster AT, Block VJ, Klotsche J, et al. Gaze and eye-tracking solutions for psychological research. 4 0 obj Trends in Neurosciences, 38(9), 571578. Dialogues in Clinical Neuroscience, 14, 29. Exploring the relationship between cognitive flexibility and psychological flexibility after acquired brain injury. de Boer, M. J., Steinhagen, H. E., Versteegen, G. J., Struys, M. M., & Sanderman, R. (2014). We analyzed data from a randomized controlled trial involving 158 participants who were assigned to, The complexities of everyday life reinforce the need to be cognitively flexible. Whiting, D. L., Deane, F. P., Simpson, G. K., McLeod, H. J., & Ciarrochi, J. Journal of Neural Transmission, 117(1), 105122. Boulanger, J. L., Hayes, S. C. Pistorello, J. Moser, D. J., Jorge, R. E., Manes, F., Paradiso, S., Benjamin, M. L., & Robinson, R. G. (2002). Rigidity of thought and behavior: 100 years of research. Its main features include: Brevity (6 items) Context sensitivity Treatment sensitivity Excellent validity Simple language Numerous translations Informed consent was obtained from all individual participants included in the study. (Download here). My colleagues and I developed the original AAQ (Hayes et What does the Acceptance and Action Questionnaire (AAQ-II) really measure? Virtual reality in neuroscience research and therapy. acknowledge the authors and their research paper when writing about it The CFS is in the original paper not listed as a The importance of being flexible: The ability to both enhance and suppress emotional expression predicts long-term adjustment. Nolen-Hoeksema, S. (1991). https://doi.org/10.1007/s10202-008-0068-9. and transmitted securely. https://doi.org/10.1093/beheco/arx007. Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013). Journal of Contextual Behavioral Science. Poor cognitive flexibility in eating disorders: Examining the evidence using the Wisconsin Card Sorting Task. NCI CPTC Antibody Characterization Program. Article This novel measure, the Eating Disorder Flexibility Index (EDFLIX) questionnaire, was found to be reliable and valid in the assessment of cognitive and behavioral flexibility, with results offering support for the conceptual distinction between general and ED related flexibility. Two hexaflexes are presented, one with 'core problems' (top) and the other with 'core processes' (below). Levin ME, Luoma JB, Lillis J, Hayes SC, Vilardaga R. J Contextual Behav Sci. Kashdan TB, Disabato DJ, Goodman FR, Doorley JD, McKnight PE. https://doi.org/10.1016/j.brat.2005.06.006. Psychological flexibility and inflexibility in obsessive-compulsive symptom dimensions, disability, and quality of life: An online longitudinal study. Series B, Biological Sciences, 359(1449), 13671378. Psychological Science, 15(7), 482487. Convergent validity was confirmed by the findings of a positive correlation between the PFQ and three other related questionnaires. Both present the ACT problems and processes using simplified terminology. Further, the. xZRF}`Nl?p! Sage Publications, Inc. https://doi.org/10.4135/9781412976237.n2. Acceptance and Commitment Therapy (ACT) is a "third-wave" cognitive behavioral intervention aimed at enhancing our psychological flexibility (Hayes et al., 2006). Stange, J. P., Alloy, L. B., & Fresco, D. M. (2017). Polk, K. L., & Schoendorff, B. Previous research produced two factors, social, Communication flexibility has long been recognized as an essential component of communication competence. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. Our view is that dynamic constructs require dynamic approaches. The relationships between psychological flexibility, self-compassion, and emotional well-being. 2022 Aug 15;311:267-275. doi: 10.1016/j.jad.2022.05.024. Psychological flexibility as a resilience factor in individuals with chronic pain. Journal of Cognitive Psychotherapy, 30(1), 6072. A Practical Guide to Acceptance and Commitment Therapy, 329. https://doi.org/10.1007/978-0-387-23369-7_1. Psychology, Medicine. Pedroli, E., Serino, S., Pallavicini, F., Cipresso, P., & Riva, G. (2018). (2014). Can be completed by family members, educators, therapists, etc. Psychological flexibility is a multidimensional trait that plays an important role in many areas of life, including mental health. PubMed Perceptual and Motor Skills, 8(3), 271276. There are cognitive tasks and self-report questionnaires for this, like the disexecutive questionnaire (DEX), which is best suited for clinical populations. Psy-Flex: A contextually sensitive measure of psychological flexibility (Journal of Contextual Behavioral Science, 2021). There was no statistically significant differences between men Masuda, A., Mandavia, A., & Tully, E. C. (2014). Online ahead of print. AIM: A behavior analytic curriculum for social-emotional development in children. The Clinical Neuropsychologist, 30(2), 165184. View 7 excerpts, cites background, results and methods. https://doi.org/10.1080/02678373.2013.782157. There are cognitive tasks and self-report questionnaires for this, https://doi.org/10.1016/j.janxdis.2009.09.005. Neuroscience and biobehavioral reviews, 37(9 Pt B), 22332242. https://doi.org/10.1007/s10484-008-9064-z. Nature Reviews Neuroscience, 12, 752762. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. This preliminary non-cognitive assessment survey will be able to play a valuable role in DPT admissions decisions following further examination and refinement. Cognitive Processing, 13(1), 261265. Malo, R., Acier, D. & Bulteau, S. Psychological Flexibility: Toward a Better Understanding of a Key Concept. Lewin, K. (1951). We specifically wanted to create the first scale to comprehensively assess the 6 key dimensions of flexibility and 6 key dimensions of inflexibility from the Hexaflex model. Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control over and over. Cognitive Therapy and Research, 34(3), 241253. Tugade, M. M., & Fredrickson, B. L. (2004). Eye tracking as a behavioral biomarker for psychiatric conditions: The road ahead. The roles of cognitive flexibility and experiential avoidance in explaining psychological distress in survivors of interpersonal victimization. https://doi.org/10.1002/jclp.20400. Fredrickson B. L. (2004). Epub 2022 May 13. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. A model of socioemotional flexibility at three time scales. Psychological flexibility refers to the ability to be aware of and open to internal and external stimuli as they occur while choosing to act in ways that are consistent with what a person deeply cares about ( Hayes, Strohsahl & Wilson, 2012a ). However, similar constructs have existed since the mid-20th century, resulting in different terms, definitions and measures of flexibility, hindering the advancement of the field. Rssler, W. (2013). Multi-language comparison across 16 languages: coordinated by G. Presti and G. Aydin. (2020). https://doi.org/10.1371/journal.pone.0120883. https://doi.org/10.1007/s12124-016-9357-3. Malooly, A. M., Genet, J. J., & Siemer, M. (2013). As you practice the many tools and techniques presented in A Liberated Mind, you might notice your psychological flexibility starting to improve. A lack of psychological, This paper focuses on pinpointing the existence of a relationship between the variables family resilience, cognitive flexibility and parents transformative learning experiences. Therefore, this study's objectives were to examine the relationships between psychological . Before 2014 Jan;3(1):21-26. doi: 10.1016/j.jcbs.2013.11.003. Convergent validity was confirmed by the findings of a positive correlation between the PFQ and three other related questionnaires. Scheggia, D., Bebensee, A., Weinberger, D. R., & Papaleo, F. (2014). All rights reserved, Experiential avoidance where events, thoughts, and feelings are avoided. (2021). Google Scholar. This points to the utility of targeting parental psychological flexibility in pediatric chronic pain. - 103.30.145.169. Journal of Abnormal Psychology, 100(4), 569582. Nevertheless, we are intrigued by the question of whether a person can ever have too much of this good thing (Kashdan & Rottenberg, 2010). (1961). On the other hand, it includes the ability to act in accordance with personal values. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. By clicking accept or continuing to use the site, you agree to the terms outlined in our. The ultimate intra-/extra-dimensional attentional set-shifting task for mice. Psychological Reports, 76(2), 623626. Psychological Assessment, 23(4), 970982. This preliminary non-cognitive assessment survey will be able to play a valuable role in DPT admissions decisions following further examination and refinement. A compendium of neuropsychological tests: Administration, norms, and commentary. Frontiers in Psychology, 9, 2219. We then The overarching aim of ACT is to improve psychological flexibility, which is the act of being open in an intentional manner to direct experiences as they occur and to engage in behaviors consistent with valued life directions (Hayes et al. https://doi.org/10.1016/j.neuron.2012.06.002. (2014). For feedback on the translations, please contact the translators directly. Lehrer, P. M. (2018). Cognitive flexibility in anorexia nervosa and bulimia nervosa. same purpose. https://doi.org/10.1007/s10862-010-9210-x. https://doi.org/10.1503/jpn.130018. In Interference and inhibition in cognition (pp. The broaden-and-build theory of positive emotions. Kriegel, U. |.z* ^iAa8cDA|(K%r\+a(,Hn{kYsmnd8bXNLd;+H7gs%78,;JUS85NL!|Tj(Y Tu9rISzoK#90IQQd$cv]L"a,S LR*MP)ZRwJc&J*kpiBB=BP`'.(G/B-DsAEf#6dem Psychological flexibility research trends. Stange, J. P., Hamilton, J. L., Shepard, R., Wu, J., Fresco, D. M., & Alloy, L. B. Anodal tDCS over the right dorsolateral prefrontal cortex modulates cognitive processing of emotional information as a function of trait rumination in healthy volunteers. Chaytor, N., & Schmitter-Edgecombe, M. (2003). Rigidity is not solely characterized by decreased flexibility in an individuals behaviors and views. (1995). due to its brevity. https://doi.org/10.1080/09602011.2015.1062115. Ego-resiliency reloaded: A three-component model of general resiliency. Dont choose too quickly. (2006). (2007). The PPAQ is a valid measure of parent pain acceptance and may provide valuable insights into parent responses to child pain and the ways in which parent acceptance influences child outcomes. The future is an uncertain situation, Problems of Psychology in the 21st Century, When talking about human well-being, Unconditional Self-acceptance represents one of the cores. Cognitive flexibility refers to a person's awareness of communication alternatives, willingness to adapt to the, The purpose of this research was to reassess the validity and increase the variance accounted for by the Communicative Adaptability Scale (CAS). A hesitant defense of introspection. Copy and paste this code to your PsyToolkit account if you want to use the scale in your own online research project, open access academic review of instruments for measuring executive function. The Psy-Flex is furthermore ideal for repeated measurements (e.g., assessment at each session; event sampling, etc.) Virtual reality measures in neuropsychological assessment: A meta-analytic review. 2006). Psychological flexibility is often measured with the Acceptance and Action Questionnaire-2 (AAQ-2; Bond et alii, 2011), which is a single-factor instrument inspecting the whole of experiential avoidance and its counterpart, psychological flexibility. measure of psychological flexibility, by developing a second version, which we will term the AAQ-II. ACT teaches defusion where wecan see thoughts as just thoughts, Lack of values clarity describes how problems can stem from becoming disconnected from what truly matters to us. Journal of Contextual Behavioral Science, 23, 6474. Individual differences in reappraisal effectiveness: The role of affective flexibility. and women on this scale. Mental flexibility is the ability to switch between different thoughts From there on, you can continue with relevant specialized measurements. Monests, J. L., Villatte, M., Mouras, H., Loas, G., & Bond, F. W. (2009). Take a few moments to think about it. A measuring instrument (RHETSEN) was developed and the, Table 1: Factor analysis: rotated component matrix, variance explained and reliability of each component, By clicking accept or continuing to use the site, you agree to the terms outlined in our, The Psychological Flexibility Questionnaire (PFQ): Development, Reliability and Validity. This site needs JavaScript to work properly. Farkas, D., & Orosz, G. (2015). (2006). https://doi.org/10.1007/s43076-022-00188-1, DOI: https://doi.org/10.1007/s43076-022-00188-1. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Resilient individuals use positive emotions to bounce back from negative emotional experiences. Buckholtz, J. W., & Meyer-Lindenberg, A. Oxford University Press. Fuchs, T. (2009). Given the role of psychological flexibility, researchers have been, Journal of educational evaluation for health professions. Dunod. Journal of Psychiatry & Neuroscience: JPN, 38(2), 7577. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. Self-regulation and depletion of limited resources: Does self-control resemble a muscle? Adaptability and psychological flexibility: Overlapping constructs?. The ecological validity of neuropsychological tests: A review of the literature on everyday cognitive skills. The objective of this article is to propose a theoretical review of the literature, aiming at understanding the notion of psychological flexibility according to the different approaches. Assessment, 25, 458482. Mental flexibility is considered part of We analyzed data from a randomized controlled trial involving 158 participants who were assigned to, The complexities of everyday life reinforce the need to be cognitively flexible. Dajani, D. R., & Uddin, L. Q. Frontiers in Psychology, 10, 2016. https://doi.org/10.3389/fpsyg.2019.02016. Academic Press. Psychopathology and the human connectome: Toward a transdiagnostic model of risk for mental illness. Monests, J. L., & Baeyens, C. (2016). One such subscale was the Flexibility (Fx) subscale, which comprised of 28-items that were designed to assess the ability to be adaptable in thinking, behaviour, and tempera- Psychological flexibility is also a central component of Acceptance and Commitment Therapy (ACT). (Eds.). https://doi.org/10.1016/j.beth.2014.07.002. Journal of the International Neuropsychological Society, 12(2), 194209. Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review. Examination of the prevalence, familial concordance, and correlates of diagnostic uncertainty in children and their parents presenting to a multidisciplinary pain clinic in the United States found that parents who believed that something else was going on with their childs pain had children with higher avoidance of pain-related activities and lower pain willingness. M. Maor, B. Gurion, S. Ben-Itzhak, I. Bluvstein. Twenty-three flexibility constructs appeared across 220 articles, and twelve measures were included and rated for quality. We examined the reliability and validity of the Japanese-version Parental Acceptance Questionnaire. Cognitive control and flexibility in the context of stress and depressive symptoms: The cognitive control and flexibility questionnaire. A growing body of research demonstrates that psychological flexibility leads to psychological benefits and adaptive behavior change. What is normal? This page lists different questionnaires for you to assess your psychological flexibility across a range of different areas. Inflexible autonomic responses to sadness predict habitual and real-world rumination: A multi-level, multi-wave study. https://doi.org/10.1037/a00398009. Many studies conclude that psychological flexibility is an important determinant of mental health. https://doi.org/10.1037//0021-843x.100.4.569. Bjorklund, D. F., & Harnishfeger, K. K. (1995). (1995). Psychological flexibility (PF) is a popular construct in clinical psychology. Disentangling components of flexibility via the hexaflex model: Development and validation of the Multidimensional Psychological Flexibility Inventory (MPFI). To do so, we propose a presentation of the notions, as well as perspectives to improve actual assessment, especially in its ecological aspects. The Guilford Press, pp 329-360. Acceptance and commitment therapy: Model, processes and outcomes. 2023 Feb 10;11:1084467. doi: 10.3389/fpubh.2023.1084467. This article reports the development of a communication flexibility scale and corresponding, Abstract Two studies examine the psychometric properties and socio-demographic correlates of the General Self-efficacy Scale (GSE) (Jerusalem and Schwarzer, 1986; Schwarzer, 1993). My Flexibility Scores The Acceptance and Action Questionnaire (AAQ-2) This is perhaps the most commonly used measure of psychological flexibility that you can find. Psychological flexibility could be a crucial psychological resilience factor against the adverse impact of nurses' burnout on their mental health problems and well-being during COVID-19. Literature review. Aging Ment Health. (2010). Id suggest starting with the The ACT Advisor or the Acceptance and Action Questionnaire to assess your general psychological flexibility. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. Whiting DL, Deane FP, Ciarrochi J, McLeod HJ, Simpson GK. like the disexecutive questionnaire (DEX), which is best suited for Yao X, Xu X, Chan KL, Chen S, Assink M, Gao S. J Affect Disord. government site. It has been cited over 2000 times in scientific publications, and we generally know what it's scores mean. . Le projet RDoC, catalyseur dune rvolution scientifique en psychiatrie? Correspondence to https://doi.org/10.1080/02678373.2012.710369. They are not just seen as ways of counterbalancing psychological dysfunction, but as positive psychological skills suitable for anyone wishing to live a balanced life. Unauthorized use of these marks is strictly prohibited. Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Coates, L. M., Dawson, D. R., & Channon, S. (2006). Experiential avoidance as a functional contextual concept AM Kring DM Sloan Eds Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. Beauchaine, T. P., & Thayer, J. F. (2015). Berman, N. C., Wheaton, M. G., McGrath, P., & Abramowitz, J. S. (2010). In this context, psychological flexibility can also be understood as a common factor of the six core competencies of ACT: Psychological flexibility is increasingly being studied in different contexts. Neuropsychological assessment. Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Psychol Assess. TLDR. The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two. https://doi.org/10.1037/1528-3542.6.3.429. The second study refined this measure and tested the relationships between parental psychological flexibility, parent and adolescent outcomes. psychological flexibility, and cognitive flexibility on psychological symptomatology. Clinical Psychology Review, 30(7), 865878. Emotion Washington, D.C., 6(3), 429437. Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. Edited by Dorwin Cartwright. Rochefort, C., Baldwin, A. S., & Chmielewski, M. (2018). Bethesda, MD 20894, Web Policies Learn more about Institutional subscriptions. and actions. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2023. Welcome to My Flexibility Scores. Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. C., Guenole, N., Orcutt, H. K., & Zettle, R. D. (2011). The Psychological Inflexibility in Pain Scale (PIPS) - validation, factor structure and comparison to the Chronic Pain Acceptance Questionnaire (CPAQ) and other validated measures in German chronic back pain patients A. Barke, Jenny Riecke, W. Rief, J. Glombiewski Psychology, Medicine BMC Musculoskeletal Disorders 2015 TLDR Yet, much of what we know, or think we know, about psychological flexibility hinges on a single measurement approach using the Acceptance and Action Questionnaire (AAQ and AAQ-II). Parents who reported lower confidence in their child's ability to cope with the pain engaged in significantly more protective, monitoring and distracting behaviours, even when controlling for the child's recent level of functioning. Although researchers have focused on various predictors of Acceptance, there is not a clear, International Journal of Applied Positive Psychology, We examined mediators of a multi-component positive psychology intervention for healthy employees. Validating measures of psychological flexibility in a population with acquired brain injury. Psychological flexibility as a malleable public health target: Evidence from a representative sample. Hayes, S. C., Luoma, J. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. The .gov means its official. Epub 2015 Jul 9. Journal of Abnormal Psychology, 109(3), 504511. Behavior Therapy, 49(3), 435449. Book Provide a total score as well as individual subscales for each component of the ACT hexaflex, Use in intervention planning to determine which ACT areas to target, Use as a measure of progress and growth over time. Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control over and over. Selfreport questionnaires. (2014). The core processes hexaflex can be used to teach clients key skills or to guide their integration of these skills into their lives. Roman Malo. Federal government websites often end in .gov or .mil. 2017 Mar;27(2):263-299. doi: 10.1080/09602011.2015.1062115. (2006). Oxford University Press. Negut, A., Matu, S.-A., Sava, F. A., & David, D. (2016). Gentili, C., Rickardsson, J., Zetterqvist, V., Simons, L. E., Lekander, M., & Wicksell, R. K. (2019). Whats flexible in behavioral flexibility? Social and Personality Psychology Compass. Schultz, P., & Searleman, A. Paulhus, D. L., & Martin, C. L. (1988). official website and that any information you provide is encrypted Further, the. The paradox of cognitive flexibility in autism. Lanne Psychologique, 106(3), 415434. The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two previous studies have indicated its reliability and validity. A New Tool for Measuring a Child's Psychological Flexibility, 24-item self-report measure that is completed by the child, Can be done independently or with adult support, Visual Scale is included to support child responding, Any child participating in the AIM curriculum should be able to complete this measure, 24-itemmeasure that is completed by an adult familiar with the child. % FOIA The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. Mascolo, M. F. (2016). Wiley Interdiscip Reviews Cognitive Science, 1, 586596. Journal of Personality and Social Psychology, 55, 88101. Behavior Therapy, 44, 180198. Waldeck, D., Pancani, L., Holliman, A., Karekla, M., & Tyndall, I. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 163170. https://doi.org/10.1111/spc3.12566. The Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., 2011) is a seven item, Likert-scale that has been validated with the medical student population. Nolen-Hoeksema, S. (2000). Shawnee Scientific Press, 2018. A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology. Pakenham, K. I., Landi, G., Boccolini, G., Furlani, A., Grandi, S., & Tossani, E. (2020). Gloster, A. T., Meyer, A. H., & Lieb, R. (2017). eCollection 2022. Luchins, A. S., & Luchins, E. H. (1959). Embracing complex models: Exploratory network analyses of psychological (In) Flexibility processes and unique associations with psychiatric symptomology and quality of life. 2022 Oct;26:201-209. doi: 10.1016/j.jcbs.2022.10.001. https://doi.org/10.1037/a0024135. A simple objective technique for measuring flexibility in thinking. (2015b). Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Dawson, D. L. (2018). Additional translations are available in a variety of languages. (2010). (2012). Functional flexibility: A new conception of interpersonal flexibility. Epub 2022 Oct 7. Caregivers of People with dementia (PwD) commonly experience burdens and other mental health issues, e.g., depression and anxiety. Vanderhasselt, M. A., Sanchez, A., Josephy, H., Baeken, C., Brunoni, A. R., & De Raedt, R. (2017). Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Two hexaflexes are presented, one with core problems (top) and the other with core processes (below). Geurts, H. M., Corbett, B., & Solomon, M. (2009). The current study sought to validate the Swedish version of the 17-item PPFQ (PPFQ-17) in a sample of parents ( n = 263) of children with chronic pain. Makriyianis, H. M., Adams, E. A., Lozano, L. L., Mooney, T. A., Morton, C., & Liss, M. (2019). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Psychol Assess. Approche de la flexibilit cognitive dans la problmatique de la rsolution de problme. Psychological flexibility (PF) is a popular construct in clinical psychology. Being chronically low in PF could lead to greater DIDF and thereby worse mental health and having more PF promotes the ability to identify and differentiate the nuances of pleasant and unpleasant emotions, which enhances an individual's mental health. Given the role of psychological flexibility, researchers have been, Journal of educational evaluation for health professions. Glenberg, A. M. (2010). https://doi.org/10.1037/0022-3514.86.2.320. Recent meta-analyses investigating the relationship between personality and job performance have found that openness to experience is the least predictive of the Big Five factors. Psychological flexibility is a key process in mental health, both in a psychopathological approach and from a quality of life and well-being perspective. Martin, M. M. & Rubin, R.B. Weight Self-Stigma Questionnaire If you are obese or overweight and are finding it difficult to manage feelings of shame . Gloster, A. T., Klotsche, J., Chaker, S., Hummel, K. V., & Hoyer, J. Neuropsychological Rehabilitation, 27(2), 263299. OPEN AND ENGAGED STATE QUESTIONNAIRE 1 Assessing psychological flexibility: Validation of the Open and Engaged State Questionnaire Charles Benoy1,2, Barbara Knitter2, Linda Knellwolf2, Sabrina Doering2, Jens Klotsche3 & Andrew T. Gloster2 1Psychiatric Hospital of the University of Basel, Switzerland 2University of Basel, Department of Psychology, Division of Clinical Psychology and Epub 2014 Nov 24. Context Press/New Harbinger Publications.

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