The development and initial validation of The Cognitive Fusion Questionnaire

Article


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. and Remington, B. 2014. The development and initial validation of The Cognitive Fusion Questionnaire. Behavior Therapy. 45 (1), pp. 83-101. https://doi.org/10.1016/j.beth.2013.09.001
AuthorsGillanders, 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. and Remington, B.
Abstract

Acceptance and Commitment Therapy (ACT) emphasizes the relationship a person has with their thoughts and beliefs as potentially more relevant than belief content in predicting the emotional and behavioral consequences of cognition. In ACT, “defusion” interventions aim to “unhook” thoughts from actions and to create psychological distance between a person and their thoughts, beliefs, memories, and self-stories. A number of similar concepts have been described in the psychology literature (e.g., decentering, metacognition, mentalization, and mindfulness) suggesting converging evidence that how we relate to mental events may be of critical importance. While there are some good measures of these related processes, none of them provides an adequate operationalization of cognitive fusion. Despite the centrality of cognitive fusion in the ACT model, there is as yet no agreed-upon measure of cognitive fusion. This paper presents the construction and development of a brief, self-report measure of cognitive fusion: The Cognitive Fusion Questionnaire (CFQ). The results of a series of studies involving over 1,800 people across diverse samples show good preliminary evidence of the CFQ’s factor structure, reliability, temporal stability, validity, discriminant validity, and sensitivity to treatment effects. The potential uses of the CFQ in research and clinical practice are outlined.

Keywordscognitive-behavior; acceptance and commitment therapy; measurement; questionnaires; cognitive fusion
JournalBehavior Therapy
Journal citation45 (1), pp. 83-101
ISSN0005-7894
Year2014
PublisherElsevier
Accepted author manuscript
License
File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1016/j.beth.2013.09.001
Publication dates
Online18 Sep 2013
Print01 Jan 2014
Publication process dates
Accepted07 Sep 2013
Deposited22 Jan 2022
Copyright holder© 2013 Elsevier
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Accepted author manuscript
CFQ manuscript [final with tables] 2014.pdf
License: CC BY-NC-ND 4.0
File access level: Anyone

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