Research Article

CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents

Volume: 7 Number: 3 September 16, 2026
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CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents

Abstract

Background: The Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT) is a self-report scale used to assess psychological flexibility. In the present study, we examined the psychometric properties of CompACT in Turkish adolescents. Methods: The study included 199 adolescents (31.7% male) aged 13-18 years. The participants’ mean age was 14.66 ± 1.43 years. The socio-demographic form was completed by the researchers and the participants were administered the Turkish version of CompACT, Children's Depression Inventory (CDI), short version of Difficulties in Emotion Regulation Scale (DERS-16), Beck Anxiety Inventory (BAI) and Satisfaction with Life Scale (SLS). For the retest study, the Turkish CompACT was applied to 23 adolescents again three weeks later. Results: The Cronbach's alpha coefficients for the Turkish CompACT, behavioral awareness subscale, the motivation and activation subscale, and the openness to experience subscale were 0.709, 0.786, 0.765, and 0.427, respectively. We found a significant correlation between the Turkish CompACT and BAI, CDI, DERS-16 and SLS, and the correlation coefficients (r) were -0.245, -0.466, -0.308 and 0.362, respectively. Test-retest reliability after three weeks was 0.6. Conclusions: These results showed that the CompACT is a reliable and valid measure in the general Turkish adolescents. Additionally, the 18-item form has better construct validity than the original 23-item version.

Keywords

Psychological flexibility, Turkish CompACT, adolescents, reliability, validity

Supporting Institution

This study has not received any financial support.

Ethical Statement

The Human Research Ethics Committee of Istinye University approved this study before data collection began (approval date: 19.01.2024 number: 2023/12).

Thanks

We would like to thank K. Fatif Yavuz for his contribution to the conception of the study, Azad Asaf for his support in statistical analysis, Tuğba Kara for her support in translation, and all the young people and their families who participated in the study.

References

  1. Paus T, Keshavan M, Giedd JN. Why do many psychiatric disorders emerge during adolescence? Nat Rev Neurosci. 2008;9(12):947–57.
  2. UNICEF. The State of the World’s Children 2021: On my mind: Promoting, protecting and caring for children’s mental health. New York: UNICEF; 2021.
  3. Skowyra KR, Cocozza JJ. Blueprint for change: A comprehensive model for the identification and treatment of youth with mental health needs in contact with the juvenile justice system. Policy Research Associates Inc. 2007.
  4. Kathleen R. Skowyra and Joseph J. Cocozza, Ph.D. The National Center for Mental Health and Juvenile Justice Policy Research Associates, Inc. Delmar, NY. 2006;(January).
  5. Copeland WE, Angold A, Shanahan L, Costello EJ. Longitudinal patterns of anxiety from childhood to adulthood: The great smoky mountains study. J Am Acad Child Adolesc Psychiatry. 2014;53(1):21–33.
  6. Kim-Cohen J, Caspi A, Moffitt TE, Harrington HL, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: Developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003;60(7):709–17.
  7. Kessler RC, Angermeyer M, Anthony JC, de Graaf R, Demyttenaere K, de Girolamo G, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):168-176.
  8. Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry. 2003;60(8):837–44.
  9. Okayama S, Minihan S, Andrews JL, Daniels S, Grunewald K, Richards M, et al. Intolerance of uncertainty and psychological flexibility as predictors of mental health from adolescence to old age. Soc Psychiatry Psychiatr Epidemiol. 2024.
  10. Puolakanaho A, Muotka JS, Lappalainen R, Hirvonen R, Lappalainen P, Kiuru N. Temperament and symptoms of stress and depression among adolescents: The mediating role of psychological flexibility. J Affect Disord Reports. 2023;12.
APA
Benk Durmuş, F., & Murat, D. (2026). CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents. Archives of Current Medical Research, 7(3), 699-709. https://doi.org/10.47482/acmr.1741283
AMA
1.Benk Durmuş F, Murat D. CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents. Arch Curr Med Res. 2026;7(3):699-709. doi:10.47482/acmr.1741283
Chicago
Benk Durmuş, Fatma, and Duygu Murat. 2026. “CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents”. Archives of Current Medical Research 7 (3): 699-709. https://doi.org/10.47482/acmr.1741283.
EndNote
Benk Durmuş F, Murat D (September 1, 2026) CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents. Archives of Current Medical Research 7 3 699–709.
IEEE
[1]F. Benk Durmuş and D. Murat, “CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents”, Arch Curr Med Res, vol. 7, no. 3, pp. 699–709, Sept. 2026, doi: 10.47482/acmr.1741283.
ISNAD
Benk Durmuş, Fatma - Murat, Duygu. “CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents”. Archives of Current Medical Research 7/3 (September 1, 2026): 699-709. https://doi.org/10.47482/acmr.1741283.
JAMA
1.Benk Durmuş F, Murat D. CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents. Arch Curr Med Res. 2026;7:699–709.
MLA
Benk Durmuş, Fatma, and Duygu Murat. “CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents”. Archives of Current Medical Research, vol. 7, no. 3, Sept. 2026, pp. 699-0, doi:10.47482/acmr.1741283.
Vancouver
1.Fatma Benk Durmuş, Duygu Murat. CompACT: Comprehensive Assessment of Acceptance and Commitment Therapy Processes’ Validity and Relıability in Turkish Adolescents. Arch Curr Med Res. 2026 Sep. 1;7(3):699-70. doi:10.47482/acmr.1741283