The Measure Equivalence Across Gender of The Cognitive Fusion Questionnaire (CFQ) for Ecuadorian college students

Esteban Moreno-Montero, Rodrigo Moreta-Herrera, Micaela Jiménez-Borja, Carlos José Jiménez-Mosquera, Diego Vaca-Quintana

Abstract


Background: Cognitive Fusion (CF) limits behavior by perceiving thoughts as real events. It is a crucial process in the evaluation and intervention of contextual therapies. Its measurement is carried out through the Cognitive Fusion Questionnaire (CFQ), which, despite its psychometric analysis in several countries, the studies on its measurement invariance by gender are cases. This lack of information prevents a full understanding of this phenomenon and its comparison by genre.


Objective: To evaluate the CFQ measure equivalence across gender, its validity of association with other variables, and its internal consistency using a sample of Ecuadorian university students.


Method: Confirmatory factor analyses were designed with the restrictions corresponding to each level of measurement equivalence and the differences between the adjustment indices were evaluated. The validity of association with variables was computed by means of latent relationships and a factorial model was built to evaluate the equivalence of measurement by gender of these correlations. Finally, the total omega for each gender was calculated.


Participants: 356 university students (59.1% women), between 18 and 58 years of age (mean= 25.52; sd= 7.51); 43.9% of these students studied in public institutions (43.9%), 27.5% studied in technical and/or technological institutions and 28.6% were enrolled in private institutions.


Results: The CFQ shows factorial validity through a unidimensional structure. The equivalence of the measure across gender is strong. Additionally, the CFQ shows validity and coherence with regards to convergence and divergence, and the questionnaire items have high internal consistency.


Conclusion: This study significantly expands the knowledge about the psychometric properties of the CFQ in the university population of Ecuador. Women show a greater tendency to CF in the comparison between genders. These findings are valuable for future research to better understand the influence of gender on this phenomenon. 


Keywords


Measure equivalence; Reliability; Cognitive fusion; Gender; Validity.

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References


Arias, P. R., & Garcia, F. E. (2018). Propiedades psicométricas de la Escala de Satisfacción con la Vida en población ecuatoriana adulta. Pensamiento Psicológico, 16(2), 21-29. https://doi.org/10.11144/javerianacali.ppsi16-2.ppes

Asparouhov, T., & Muthén, B. (2014). Multiple-group factor analysis alignment. Structural Equation Modeling: A Multidisciplinary Journal, 21(4), 495-508. https://doi.org/10.1080/10705511.2014.919210

Assaz, D. A., Tyndall, I., Oshiro, C. K. B., & Roche, B. (2022). A Process-Based Analysis of Cognitive Defusion in Acceptance and Commitment Therapy. Behavior Therapy. https://doi.org/10.1016/j.beth.2022.06.003

Barrera-Caballero, S., Romero-Moreno, R., del Sequeros Pedroso-Chaparro, M., Olmos, R., Vara-García, C., Gallego-Alberto, L., Cabrera, I., Márquez-González, M., Olazarán, J., & Losada-Baltar, A. (2021). Stress, cognitive fusion and comorbid depressive and anxiety symptomatology in dementia caregivers. Psychology and Aging, 36(5), 667. https://doi.org/10.1037/pag0000624

Benfer, N., Rogers, T. A., & Bardeen, J. R. (2020). Cognitive fusion potentiates the effect of maladaptive posttraumatic cognitions on posttraumatic stress symptoms. Journal of Contextual Behavioral Science, 17, 55-61.

https://doi.org/10.1016/j.jcbs.2020.06.003

Berkout, O. V. (2021). Working With Values: An Overview of Approaches and Considerations in Implementation. Behavior Analysis in Practice, 15(1), 104-114. https://doi.org/10.1007/s40617-021-00589-1

Bodenlos, J., Hawes, E., Burstein, S., & Arroyo, K. (2020). Association of cognitive fusion with domains of health. Journal of Contextual Behavioral Science, 18, 9-15. https://doi.org/10.1016/j.jcbs.2020.08.001

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary Psychometric Properties of the Acceptance and Action Questionnaire-II: A Revised Measure of Psychological Inflexibility and Experiential Avoidance. Behavior Therapy, 42(4), 676-688.

https://doi.org/10.1016/j.beth.2011.03.007

Bonilla-Sierra, P., Manrique-G, A., Hidalgo-Andrade, P., & Ruisoto, P. (2021). 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, 12. https://doi.org/10.3389/fpsyg.2021.729171

Campbell, O. L. K., Bann, D., & Patalay, P. (2021). The gender gap in adolescent mental health: A cross-national investigation of 566,829 adolescents across 73 countries. SSM - Population Health, 13, 100742.

https://doi.org/10.1016/j.ssmph.2021.100742

Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14(3), 464-504. https://doi.org/10.1080/ 10705510701301834

Chen, N., Xi, J., & Fan, X. (2023). Correlations among Psychological Resilience, Cognitive Fusion, and Depressed Emotions in Patients with Depression. Behavioral Sciences, 13(2), 100. https://doi.org/10.3390/bs13020100

China, C., Hansen, L. B., Gillanders, D. T., & Benninghoven, D. (2018). Concept and validation of the German version of the Cognitive Fusion Questionnaire (CFQ-D). Journal of Contextual Behavioral Science, 9, 30-35. https://doi.org/10.1016/ J.JCBS.2018.06.003

Ciarrochi, J., Robb, H., & Godsell, C. (2005). Letting a little nonverbal air into the room: Insights from acceptance and commitment therapy Part 1: Philosophical and theoretical underpinnings. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 23(2), 79-106. https://doi.org/10.1007/s10942-005-0005-y

Clauss, K., & Bardeen, J. R. (2022). The interactive effect of mental contamination and cognitive fusion on anxiety. Journal of Clinical Psychology, 78(4), 517-525. https://doi.org/10.1002/jclp.23224

Cookson, C., Luzon, O., Newland, J., & Kingston, J. (2020). Examining the role of cognitive fusion and experiential avoidance in predicting anxiety and depression. Psychology and Psychotherapy: Theory, Research and Practice, 93(3), 456-473. https://doi.org/10.1111/papt.12233

Costa, J. A., Marôco, J., & Pinto-Gouveia, J. (2017). Validation of the psychometric properties of cognitive fusion questionnaire. A study of the factorial validity and factorial invariance of the measure among osteoarticular disease, diabetes mellitus, obesity, depressive disorder, and general populations. Clinical Psychology & Psychotherapy, 24(5), 1121-1129. https://doi.org/10.1002/cpp.2077

De Lourdes R. da F. Passos, M. (2012). B. F. Skinner: The Writer and His Definition of Verbal Behavior. The Behavior Analyst, 35(1), 115-126. https://doi.org/10.1007/BF03392270

Deng, L., & Yuan, K.-H. (2023). Which method is more powerful in testing the relationship of theoretical constructs? A meta comparison of structural equation modeling and path analysis with weighted composites. Behavior Research Methods, 55(3), 1460-1479. https://doi.org/10.3758/s13428-022-01838-z

Diener, E., Emmons, R. A., Larsem, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10. 1207/s15327752jpa4901_13

Dijkstra, J. M., & Nagatsu, T. (2022). Cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and Morita therapy (MT); comparison of three established psychotherapies and possible common neural mechanisms of psychotherapies. Journal of Neural Transmission, 129(5), 805-828. https://doi.org/10.1007/s00702-021-02450-9

Dominguez-Lara, S. (2018). Proposal for cut-offs for factor loadings: A construct reliability perspective. Enfermeria Clinica, 28(6), 401-402. https://doi.org/10.1016/j.enfcli. 2018.06.002

Dominguez-Lara, S., & Merino-Soto, C. (2019). Estimación de la magnitud del efecto en invarianza de medición. Revista Avaliação Psicológica, 18(03), 328-332. https://doi.org/10.15689/ap.2019.1803.16248.13

Dominguez-Lara, S., Gravini-Donado, M., Moreta-Herrera, R., Quistgaard-Álvarez, A., Barboza-Zelada, L.A., De Taobada, L. (2022). Propiedades psicométricas del Student adaptation to College Questionnaire - Educación Remota en Estudiantes Universitarios de primer año durante la pandemia. Campos Virtuales, 11(1). https://doi.org/10.54988/cv.2022.1.965

Donati, M. A., Berrocal, C., Bernini, O., Gori, C., & Primi, C. (2021). Measuring cognitive fusion through the Cognitive Fusion Questionnaire-7: Measurement invariance across non-clinical and clinical psychological samples. PLOS ONE, 16(2), e0246434. https://doi.org/10.1371/journal.pone.0246434

Fernández Rodríguez, C., Coto Lesmes, R., Martínez Loredo, V., & Cuesta Izquierdo, M. (2022). Psychological inflexibility, anxiety and depression: The moderating role of cognitive fusion, experiential avoidance and activation. Psicothema. https://doi.org/10.7334/psicothema2021.344

Ferrando, P. J., & Anguiano-Carrasco, C. (2010). El análisis factorial como técnica de investigación en psicología. Papeles del Psicologo, 31(1), 18-33.

Ferreira, C., Trindade, I. A., Duarte, C., & Pinto-Gouveia, J. (2015). Getting entangled with body image: Development and validation of a new measure. Psychology and Psychotherapy, 88(3), 304-316. https://doi.org/10.1111/papt.12047

Flynn, M. K., Hernandez, J. O., Hebert, E. R., James, K. K., & Kusick, M. K. (2018). Cognitive fusion among hispanic college students: Further validation of the Cognitive Fusion Questionnaire. Journal of Contextual Behavioral Science, 7, 29-34. https://doi.org/10.1016/j.jcbs.2017.11.003

Fooladvand, K. (2020). The Role of Cognitive Fusion and Mindfulness Components in Prediction of Student’s Depression. Journal of Psychological Studies, 16(3), 89-104. https://doi.org/10.22051/psy.2020.30114.2153

Furr, R. M. (2018). Psychometrics: An introduction. SAGE.

George, D., & Mallery, P. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 (10.a ed.). Pearson Education Limited.

Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The Development and Initial Validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45(1), 83-101. https://doi.org/10.1016/J.BETH.2013.09.001

Guercio, J. M. (2022). The importance of a deeper knowledge of the history and theoretical foundations of behaviorism and behavior therapy: Part 3–1986–2021. Behavior Analysis: Research and Practice, 22(1), 114-129. https://doi.org/10.1037/bar0000226

Guidotti, S., Coscioni, G., & Pruneti, C. (2022). Impact of Covid-19 on mental health and the role of personality: Preliminary data from a sample of young Italian students. Mediterranean Journal of Clinical Psychology, 10(3). https://doi.org/10.13129/2282-1619/mjcp-3549

Han, K., Colarelli, S. M., & Weed, N. C. (2019). Methodological and statistical advances in the consideration of cultural diversity in assessment: A critical review of group classification and measurement invariance testing. Psychological assessment, 31(12), 1481. https://doi.org/10.1037/pas0000731

Hayes, S. C., & Hofmann, S. G. (2017). The third wave of cognitive behavioral therapy and the rise of process‐based care. World Psychiatry, 16(3), 245-246. https://doi.org/10.1002/wps.20442

Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational Frame Theory: A Post-Skinnerian Account of Human Language and Cognition. Springer. https://link.springer.com/book/10.1007/b108413

Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy. Behavior Therapy, 44(2), 180-198. https://doi.org/10.1016/j.beth.2009.08.002

Hayes, S. C., Strosahl, K., & Wilson, K. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change. Guilford Press.

Healy, H. A., Barnes-Holmes, Y., Barnes-Holmes, D., Keogh, C., Luciano, C., & Wilson, K. (2008). An experimental test of a cognitive defusion exercise: Coping with negative and positive self-statements. Psychological Record, 58(4), 623-640. https://doi.org/10.1007/BF03395641

Hekmati, I., Abdollahpour Ranjbar, H., Eskin, M., Drake, C. E., & Jobson, L. (2023). The moderating role of experiential avoidance on the relationship between cognitive fusion and psychological distress among Iranian students. Current Psychology, 42(2), 1394-1401. https://doi.org/10.1007/s12144-021-01539-4

Hellberg, S. N., Buchholz, J. L., Twohig, M. P., & Abramowitz, J. S. (2020). Not just thinking, but believing: Obsessive beliefs and domains of cognitive fusion in the prediction of OCD symptom dimensions. Clinical Psychology & Psychotherapy, 27(1), 69-78. https://doi.org/10.1002/cpp.2409

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. https://doi.org/10.1080/10705519909540118

Hu, Z., Yu, H., Zou, J., Zhang, Y., Lu, Z., & Hu, M. (2021). Relationship among self-injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self-injury. Brain and Behavior, 11(12), e2419. https://doi.org/10.1002/brb3.2419

Isazadegan, A., & Dostalizadeh, S. (2020). Comparing the Cognitive Flexibility, Cognitive Fusion, Cognitive Defusion in Male and Female Divorce Applicants. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 5(4), 15-26.

Ishizu, K., Ohtsuki, T., & Shimoda, Y. (2022). Contingent self-worth and depression in early adolescents: The role of psychological inflexibility as a mediator. Acta Psychologica, 230, 103744. https://doi.org/10.1016/j.actpsy.2022.103744

José Quintero, P. S., Rodríguez Biglieri, R., Etchezahar, E., & Gillanders, D. T. (2022). The Argentinian version of the cognitive fusion questionnaire: Psychometric properties and the role of cognitive fusion as a predictor of pathological worry. Current Psychology, 41(5), 2546-2557. https://doi.org/10.1007/s12144-020-00767-4

Kervancioglu, A., Aydin, Y., Sakarya, D., Duymaz, G., & Özdel, K. (2023). Adaptation Of Cognitive Fusion Questionnaire To Turkish: A Validity And Reliability Study. Journal of Cognitive-Behavioral Psychotherapy and Research, 12(1), 50-50. https://doi.org/10.5455/JCBPR.19971

Kim, B.-O., & Cho, S. (2015). Psychometric Properties of a Korean Version of the Cognitive Fusion Questionnaire. Social Behavior and Personality: an international journal, 43(10), 1715-1723. https://doi.org/10.2224/sbp.2015.43.10.1715

Krafft, J., Haeger, J. A., & Levin, M. E. (2019). Comparing cognitive fusion and cognitive reappraisal as predictors of college student mental health. Cognitive Behaviour Therapy, 48(3), 241-252. https://doi.org/10.1080/16506073.2018.1513556

Krafft, J., Hicks, E. T., Mack, S. A., & Levin, M. E. (2019). Psychological Inflexibility Predicts Suicidality Over Time in College Students. Suicide and Life-Threatening Behavior, 49(5), 1488-1496. https://doi.org/10.1111/sltb.12533

Larsson, A., Hooper, N., Osborne, L. A., Bennett, P., & McHugh, L. (2016). Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope With Negative Thoughts. Behavior Modification, 40(3), 452-482. https://doi.org/10.1177/0145445515621488

Levin, M. E., Krafft, J., Hicks, E. T., Pierce, B., & Twohig, M. P. (2020). A randomized dismantling trial of the open and engaged components of acceptance and commitment therapy in an online intervention for distressed college students. Behaviour Research and Therapy, 126, 103557. https://doi.org/10.1016/j.brat.2020.103557

Li, C. H. (2016). The performance of ML, DWLS, and ULS estimation with robust corrections in structural equation models with ordinal variables. Psychological methods, 21(3), 369-387. https://doi.org/10.1037/MET0000093

Lucena-Santos, P., Carvalho, S., Pinto-Gouveia, J., Gillanders, D., & Oliveira, M. S. (2017). Cognitive Fusion Questionnaire: Exploring measurement invariance across three groups of Brazilian women and the role of cognitive fusion as a mediator in the relationship between rumination and depression. Journal of Contextual Behavioral Science, 6(1), 53-62. https://doi.org/10.1016/j.jcbs.2017.02.004

Luciano, C. (2016). Evolución de ACT. Análisis y Modificación de Conducta, 42(165-66), 3-14. https://doi.org/10.33776/amc.v42i165-66.2791

Luque-Reca, O., Gillanders, D., Catala, P., & Peñacoba, C. (2023). Psychometric properties of the Cognitive Fusion Questionnaire in females with fibromyalgia. Current Psychology, 42(11), 9485-9495. https://doi.org/10.1007/s12144-021-02214-4

Marasigan, P. R. (2019). Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope with Negative Thoughts. Social Values & Society (SVS), 1(4), 11-14. https://doi.org/10.1177/0145445515621488

Mardia, K. V. (1970). Measures of multivariate skewness and kurtosis with applications. Biometrika, 57(3), 519-530. https://doi.org/10.1093/biomet/57.3.519

Martin, S. (2023). Using values in cognitive and behavioral therapy: A bridge back to philosophy. Journal of Evaluation in Clinical Practice, 1-7. https://doi.org/10.1111/jep.13872

Martino, M. L., Passeggia, R., Natale, M. R. D., & Freda, M. F. (2022). Sinapsi Academic Self-Management Training Group to Promote Well-Being with University Students. Mediterranean Journal of Clinical Psychology, 10(2). https://doi.org/10.13129/2282-1619/mjcp-3416

McLoughlin, S., & Roche, B. T. (2022). ACT: A Process-Based Therapy in search of a process. Behavior Therapy. https://doi.org/10.1016/j.beth.2022.07.010

Melo, D., Oliveira, S., & Ferreira, C. (2020). The link between external and internal shame and binge eating: The mediating role of body image-related shame and cognitive fusion. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25(6), 1703-1710. https://doi.org/10.1007/s40519-019-00811-8

Meuleman, B., Żółtak, T., Pokropek, A., Davidov, E., Muthén, B., Oberski, D. L., Billiet, J., & Schmidt, P. (2022). Why Measurement Invariance is Important in Comparative Research. A Response to Welzel et al. (2021). Sociological Methods & Research, 00491241221091755. https://doi.org/10.1177/00491241221091755

Moreno-Montero, M., Moreta-Herrera, R. & Suárez-López, A. (2023). Psychometric properties of the Cognitive Fusion Questionnaire (CFQ) in a sample of university students from Ecuador. PSICOLOGIA. http://dx.doi.org/10.17575/psicologia.1871

Moreta-Herrera, R., Dominguez-Lara, S., Rodas, J., Sánchez-Guevara, S., Montes-De-Oca, C., Rojeab-Bravo, B. & Salinas, A. (2022). Examining psychometric properties and measurement invariance of the Emotion Regulation Questionnaire in an Ecuadorian Sample. Psychological Thought, 15(2), 57-74. https://doi.org/10.37708/psyct.v15i2.634

Moreta-Herrera, R., Domínguez-Lara, S., Vaca-Quintana, D., Zambrano-Estrella, J., Gavilanes-Gómez, D., Ruperti-Bonilla, E. & Bonilla, D. (2021). Psychometric properties of the General Health Questionnaire (GHQ-28) in Ecuadorian college students. Psihologijske Teme, 30(3), 573-590. https://doi.org/10.31820/pt.30.3.9

Moreta-Herrera, R., Mayorga-Lascano, M., Larzabal-Fernandez, A. & Vaca-Quintana, D. (2020). Factor analysis, reliability and validity of a measurement model for the intent of alcohol consumption among Ecuadorian teenagers. Health & Adictions/Salud y Drogas, 20(1), 126-135.

Noureen, S., & Malik, S. (2021). Conceptualized-self and depression symptoms among university students: Mediating role of cognitive fusion. Current Psychology, 40(10), 5106-5114. https://doi.org/10.1007/s12144-019-00450-3

Oppo, A., Prevedini, A. B., Dell’Orco, F., Dordoni, P., Presti, G., Gillanders, D. T., & Moderato, P. (2019). Fusione e defusione: Adattamento e proprietà psicometriche della versione italiana del Cognitive Fusion Questionnaire (I-CFQ). Psicoterapia Cognitiva e Comportamentale, 25(1), 53-73.

Paladines-Costa, B., López-Guerra, V., Ruisoto, P., Vaca-Gallegos, S., & Cacho, R. (2021). Psychometric properties and factor structure of the spanish version of the acceptance and action questionnaire-II (AAQ-II) in ecuador. International Journal of Environmental Research and Public Health, 18(6), 1-10. https://doi.org/10.3390/ijerph18062944

Pinto-Gouveia, J., Dinis, A., Gregório, S., & Pinto, A. M. (2020). Concurrent effects of different psychological processes in the prediction of depressive symptoms – the role of cognitive fusion. Current Psychology, 39(2), 528-539. https://doi.org/10.1007/s12144-017-9767-5

Pornprasertmanit, S. (2022). A Note on Effect Size for Measurement Invariance. https://cran.r-project.org/web/packages/semTools/vignettes/partialInvariance.pdf

Prowse, R., Sherratt, F., Abizaid, A., Gabrys, R. L., Hellemans, K. G. C., Patterson, Z. R., & McQuaid, R. J. (2021). Coping With the COVID-19 Pandemic: Examining Gender Differences in Stress and Mental Health Among University Students. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.650759

Prudenzi, A., Rooney, B., Presti, G., Lombardo, M., Lombardo, D., Messina, C., & McHugh, L. (2019). Testing the effectiveness of virtual reality as a defusion technique for coping with unwanted thoughts. Virtual Reality, 23(2), 179-185. https://doi.org/10.1007/s10055-018-0372-1

Putnick, D. L., & Bornstein, M. H. (2016). Measurement Invariance Conventions and Reporting: The State of the Art and Future Directions for Psychological Research. Developmental review: DR, 41, 71-90. https://doi.org/10.1016/j.dr.2016.06.004

R Core Team. (2021). R: A language and enviroment for statistical computing. https://www.rproject.org

Ramlan, H., Shafri, N. I., Wahab, S., Kamarudin, M. A., Rajikan, R., Wahab, N. A. A., & Damanhuri, H. A. (2020). Depression, Anxiety and Stress in Medical Students: An Early Observation Analysis. Mediterranean Journal of Clinical Psychology, 8(2). https://doi.org/10.6092/2282-1619/mjcp-2516

Reuman, L., Buchholz, J., & Abramowitz, J. S. (2018). Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. Journal of Contextual Behavioral Science, 9, 15-20. https://doi.org/10.1016/j.jcbs.2018.06.001

Romero-Moreno, R., Márquez-Gonzáles, M., Losada, A., Gillanders, D., & Fernández-Fernández, V. (2014). Cognitive fusion in dementia caregiving: Psychometric properties of the Spanish version of the Cognitive Fusion Questionnaire. Behavioral Psychology, 22(1), 117-132.

Ruiz, F. J., Suárez Falcón, J. C., Riaño Hernández, D., & Gillanders, D. (2017). Psychometric properties of the Cognitive Fusion Questionnaire in Colombia. Revista Latinoamericana de Psicología, 49(1), 80-87. https://doi.org/10.1016/j.rlp.2016.09.006

Ruiz, F. J., Suárez-Falcón, J. C., Cárdenas-Sierra, S., Durán, Y., Guerrero, K., & Riaño-Hernández, D. (2016). Psychometric Properties of the Acceptance and Action Questionnaire–II in Colombia. Psychological Record, 66(3), 429-437. https://doi.org/10.1007/s40732-016-0183-2

Russell, L. H., Bardeen, J. R., Clayson, K. A., Dolan, S. L., & Fergus, T. A. (2020). The closed response style and posttraumatic stress: Examining the interaction between experiential avoidance and cognitive fusion among women experiencing sexual trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 12(6), 627-634. https://doi.org/10.1037/tra0000580

Rutkowski, L., & Svetina, D. (2017). Measurement Invariance in International Surveys: Categorical Indicators and Fit Measure Performance. Applied Measurement in Education, 30(1), 39-51. https://doi.org/10.1080/08957347.2016.1243540

Sánchez-Puertas, R., Ruisoto, P., López-Núñez, C., & Vaca-Gallegos, S. (2022). Gender Differences in Transdiagnostic Predictors of Problematic Alcohol Consumption in a Large Sample of College Students in Ecuador. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.784896

Scardera, S., Sacco, S., Di Sante, J., & Booij, L. (2021). Body image-related cognitive fusion and disordered eating: The role of self-compassion and sad mood. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 26(2), 483-490. https://doi.org/10.1007/s40519-020-00868-w

Serrano-Ibáñez, E. R., Ruiz-Párraga, G. T., Gómez-Pérez, L., Ramírez-Maestre, C., Esteve, R., & López-Martínez, A. E. (2021). The Relationship Between Experiential Avoidance and Posttraumatic Stress Symptoms: A Moderated Mediation Model Involving Dissociation, Guilt, and Gender. Journal of Trauma & Dissociation, 22(3), 304-318. https://doi.org/10.1080/15299732.2020.1869647

Sierra, M. A., & Ortiz, E. (2022). Psychological inflexibility components as trans-diagnostic predictors of emotional symptomatology and suicide risk among young adults. Mediterranean Journal of Clinical Psychology, 10(3), Article 3. https://doi.org/10.13129/2282-1619/mjcp-3565

Soltani, E., Momenzadeh, S., Hoseini, S. Z., & Bahrainian. (2016). Psychometric properties of the cognitive fusion questionnaire. Pajoohandeh Journal, 21(5), 290-297.

Soltani, E., Wong, Q. J. J., Ahmadzadeh, L., & Sheikholeslami, S. S. (2023). Cognitive Maintaining Factors and Social Anxiety: The Mediating Role of Cognitive Fusion and Experiential Avoidance. Journal of Cognitive Psychotherapy, JCP-2022-0010.R1. https://doi.org/10.1891/JCP-2022-0010

Starr, L. R., Huang, M., & Scarpulla, E. (2021). Does it help to talk about it? Co-rumination, internalizing symptoms, and committed action during the COVID-19 global pandemic. Journal of Contextual Behavioral Science, 21, 187-195. https://doi.org/10.1016/j.jcbs.2021.07.004

Torres-Salazar, C.; Moreta-Herrera, R.; Ramos-Ramírez, M. & López-Castro, J. (2020). Optimismo como rasgo y sesgo cognitivo en el Bienestar Subjetivo y Psicológico en estudiantes ecuatorianos. Revista Colombiana de Psicología, 29(1), 61-72. https://doi.org/10.15446/rcp.v29n1.75853

Trindade, I. A., Ferreira, C., & Pinto-Gouveia, J. (2018). Assessment of Chronic Illness-Related Cognitive Fusion: Preliminary Development and Validation of a New Scale with an IBD Sample. Journal of Clinical Psychology in Medical Settings, 25(4), 356-366. https://doi.org/10.1007/s10880-017-9536-5

Valencia, P., & Falcón, C. (2019). Estructura factorial del Cuestionario de Fusión Cognitiva en universitarios de Lima. Interacciones: Revista de Avances en Psicología, 5(2), e167. https://doi.org/10.24016/2019.v5n2.167

Vandenberg, R. J., & Lance, C. E. (2000). A Review and Synthesis of the Measurement Invariance Literature: Suggestions, Practices, and Recommendations for Organizational Research. Organizational Research Methods, 3(1), 4-69.https://doi.org/10.1177/109442810031002

Viskovich, S., & Pakenham, K. I. (2020). Randomized controlled trial of a web-based Acceptance and Commitment Therapy (ACT) program to promote mental health in university students. Journal of Clinical Psychology, 76(6), 929-951. https://doi.org/10.1002/jclp.22848

Wang, S., Chen, C.-C., Dai, C.-L., & Richardson, G. (2017). A call for, and beginner’s guide to, measurement invariance testing in evolutionary psychology. Evolutionary Psychological Science, 4(2), 166-178. https://doi.org/10.1007/s40806-017-0125-5

Yao, X., Xu, X., Chan, K. L., Chen, S., Assink, M., & Gao, S. (2023). Associations between psychological inflexibility and mental health problems during the COVID-19 pandemic: A three-level meta-analytic review. Journal of Affective Disorders, 320, 148-160. https://doi.org/10.1016/j.jad.2022.09.116

Zacharia, M., Ioannou, M., Theofanous, A., Vasiliou, V. S., & Karekla, M. (2021). Does Cognitive Fusion show up similarly across two behavioral health samples? Psychometric properties and invariance of the Greek–Cognitive Fusion Questionnaire (G-CFQ). Journal of Contextual Behavioral Science, 21, 212-221. https://doi.org/10.1016/j.jcbs.2021.01.003

Zapata Tellez, J., Reyes-Ortega, M., Somerstein Heymann, J., Marin Nava, A., & Gillanders, D. (2020). ¿Eres lo que piensas? Validación del Cuestionario de Fusión Cognitiva (CFQ) en población mexicana. Apuntes de Psicología, 38(3), 159-166. https://doi.org/10.55414/ap.v38i3.819

Zhang, W. C., Ji, Y., Li, X., Guo, H., & Zhu, Z. (2014). Reliability and validity of the Chinese version of the Cognitive Fusion Questionnaire. Chinese Mental Health Journal, 28(1), 40-44.




DOI: https://doi.org/10.13129/2282-1619/mjcp-3712

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