ArticleFrontiers in psychology2014
Development and initial validation of the Cardiovascular Disease Acceptance and Action Questionnaire (CVD-AAQ) in an Italian sample of cardiac patients.
Article in Frontiers in psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Trial
- Disease acceptance and socio-familial support in late adolescents and young adults with cardiomyopathy: a pilot study.BMC psychology · 2026Article
- Psychological Flexibility Processes Differentially Predict Anxiety, Depression, and Well-Being Throughout Cardiac Rehabilitation.Journal of clinical medicine · 2025Article
- Illness Perceptions and Fear of Recurrence Among Myocardial Infarction Survivors: The Mediating Role of Psychological Flexibility.Alpha psychiatry · 2025Article
- 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.International journal of environmental research and public health · 2022Article
- [Measurement of pain-related experiential avoidance: analysis of the Acceptance and Action Questionnaire-II-Pain in patients with chronic pain].Schmerz (Berlin, Germany) · 2021Article
- Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Psychological Inflexibility and Loneliness Mediate the Impact of Stress on Anxiety and Depression Symptoms in Healthcare Students and Early-Career Professionals During COVID-19.Frontiers in psychology · 2021Article
- ACTonFOOD: opportunities of ACT to address food addiction.Frontiers in psychology · 2015Article
- Treating the mind to improve the heart: the summon to cardiac psychology.Frontiers in psychology · 2015Article
- Article
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Psychological inflexibility refers to the attempt to decrease internal distress even when doing so is inconsistent with life values, and has been identified as a potential barrier to making and maintaining health behavior changes that are consistent with a heart-healthy lifestyle. Disease- and behavior-specific measures of psychological inflexibility have been developed and utilized in treatment research. However, no specific measure has been created for patients with heart disease. Thus, the CardioVascular Disease Acceptance and Action Questionnaire (CVD-AAQ) was developed. The present study is aimed to evaluate the psychometric properties of the CVD-AAQ and to explore its association with measures of psychological adjustment and cardiovascular risk factors in an Italian sample of 275 cardiac patients. Exploratory factor analysis showed a structural one-factor solution with satisfactory internal consistency and test-retest reliability. The relation with other measures was in the expected direction with stronger correlations for the theoretically consistent variables, supporting convergent and divergent validity. CVD-AAQ scores were associated with general psychological inflexibility, anxiety and depression and inversely correlated with psychological well-being. Moreover, the results showed that CVD-AAQ scores are associated with two relevant risk factors for cardiac patients, namely low adherence to medication and being overweight. In sum, results suggest that the CVD-AAQ is a reliable and valid measure of heart disease-specific psychological inflexibility with interesting clinical applications for secondary prevention care.
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