Evidence map›Paper›PMID 39308144›Full record

ArticleThe British journal of clinical psychology2025

Development of the Flexibility in Daily Life scale to measure multidimensional cognitive and behavioural flexibility in health and disease.

Kristina Horne, Tao Chen, Muireann Irish

Abstract read
In one paragraph

Article in The British journal of clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Sex differences in frontotemporal dementia.Nature reviews. Neurology · 2025
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kristina HorneBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-0482-6315
Tao ChenBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4982-3951
Muireann IrishBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4950-8169

Funding

Australian Government Department of Health and Aged Care GNT2024329Australian Research Council DP220100663National Health and Medical Research Council GNT2025228
6 · The paper itself

Abstract

objectivesInflexibility of thought and behaviour is a transdiagnostic feature of many neuropsychiatric disorders and presents several empirical measurement challenges. Here, we developed and validated the Flexibility in Daily Life scale (FIDL); a novel, self-report questionnaire, which captures expressions of cognitive and behavioural flexibility in daily life and is sensitive to natural shifts in these processes across the adult lifespan.

methodsThe FIDL was developed using a deductive scale development approach, which aimed to capture common themes within the flexibility literature and across diagnoses (e.g. insistence on sameness, preference for routines). Following multidisciplinary consensus, an initial 37-item questionnaire was submitted for validation in an online sample of 295 healthy adult participants (19-78 years).

resultsExploratory factor analysis produced a revised 21-item version comprising five factors, labelled: Repetition, Switching, Predictability/Control, Routine, and Thoughts/Beliefs. Internal consistency reliability was good-to-strong for the total FIDL score and moderate-to-strong for individual subscales. Convergent validity was established between the FIDL and an existing measure of cognitive flexibility. Critically, the FIDL total score evinced a U-shaped relationship with age, whereby flexibility was lower at the younger and older tails of the lifespan and greater in middle age. The same U-shaped trajectory emerged for the Repetition, Routine, and Thoughts/Beliefs factors.

conclusionsOverall, the FIDL is a valid and reliable multidimensional measure of flexibility, which upholds a clearly defined factor structure and good psychometric properties. It promises to be a valuable clinical and research tool to assess the natural fluctuations in flexibility across the lifespan and departures thereof.

Indexed as

Activities of Daily LivingCognitionExecutive FunctionPsychometricsAdultAgedFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedReproducibility of ResultsSelf ReportSurveys and QuestionnairesYoung Adultbehavioural flexibilitycognitive flexibilitycompulsivityexecutive functionrigidity

Identifiers

PMID39308144
PMCPMC12057328

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.