Turkish Adaptation and Psychometric Properties of Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised

Öz

The aim of this study was to adapt the revised Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R) into Turkish language and examine its psychometric properties in a nonoverweight sample. This cross-sectional study included predominantly female individuals (83.2%), and mean age of the sample was 21.5. Final sample size included 161 university students. AAQW-R was translated into Turkish and translated back into English. Internal consistency levels for the total AAQW-R score and its subscales (i.e., food as control, weight as barrier to living, and weight stigma) were obtained for reliability. Measures of general experiential avoidance (AAQ-II), body anxiety (SPAS), dysfunctional eating attitudes (EAT-26), anxiety symptoms (GAD-7) and subjective happiness (SHS) were examined for convergent and divergent validity. Confirmatory factor analysis was conducted to examine the factor structure of the scale. The three-factor structure model was a good fit to the data (χ2 [N = 161] = 81.27, p < .001, RMSEA = .098, 90% CI [.072, .124]). The Turkish version of AAQW-R and the subscales indicated a good level of internal consistency (α value ranging between .70 and .87). AAQW-R was found positively correlated with general experiential avoidance, dysfunctional eating attitudes and anxiety symptoms, indicating support for convergent validity. No relationship between AAQW-R and subjective happiness demonstrated evidence for divergent validity. Overall, the Turkish version of AAQW-R is valid and reliable tool to measure weight-related experiential avoidance in nonoverweight sample.

Anahtar Kelimeler

• Acceptance and Commitment Therapy
• Weight Prejudice
• Confirmatory Factor Analysis
• Reliability
• Turkish Adaptation

Kiloyla İlgili Zorluklar için Kabul ve Eylem Formu Revize Türkçe Uyarlaması ve Psikometrik Özellikleri

Öz

Bu çalışmanın amacı, revize edilmiş Kiloyla İlgili Zorluklar için Kabul ve Eylem Formu'nun (KEFK-R) Türkçeye uyarlanması ve aşırı kilolu olmayan bir örneklemde psikometrik özelliklerinin incelenmesidir. Bu kesitsel çalışmaya ağırlıklı olarak kadın bireyler (%83,2) katılmıştır ve örneklemin ortalama yaşı 21,5'tir. Nihai örneklem büyüklüğü 161 üniversite öğrencisinden oluşmaktadır. KEFK -R öncelikle Türkçeye çevrildi ve tekrardan İngilizce'ye çevrildi. Güvenilirlik için toplam KEFK-R puanı ve alt ölçekleri (yani kontrol amaçlı yemek, yaşama engeli olarak kilo ve damgalanması) için iç tutarlılık seviyeleri elde edildi. Genel deneyimsel kaçınma (KEF-II), Beden kaygısı (SFK), işlevsiz yeme tutumları (İYT-26), kaygı belirtileri (GKB-7) ve öznel mutluluk (SMÖ) ölçümleri yakınsak ve ıraksak geçerlilik açısından incelendi. Ölçeğin faktör yapısını incelemek amacıyla doğrulayıcı faktör analizi yapılmıştır. Üç faktörlü yapı modeli verilere iyi uyum sağlamıştır (χ2 [N = 161] = 81,27, p < 0,001, RMSEA = 0,098, %90 GA [0,072, 0,124]). KEFK -R'nin Türkçe versiyonu ve alt ölçekleri iyi düzeyde bir iç tutarlılığa işaret etmektedir (α değeri .70 ile .87 arasında değişmektedir). KEFK -R'nin genel deneyimsel kaçınma, işlevsiz yeme tutumları ve kaygı belirtileri ile pozitif yönde ilişkili olduğu bulundu ve bu da yakınsak geçerliliği desteklemektedir. KEFK-R ile öznel mutluluk arasında hiçbir ilişki saptanmamıştır. Genel olarak, KEFK-R'nin Türkçe versiyonu aşırı kilolu olmayan örneklemde kiloya bağlı deneyimsel kaçınmayı ölçmek için geçerli ve güvenilir bir araç olduğu söylenebilir.

Anahtar Kelimeler

• Kabul ve Kararlılık Terapisi
• Kiloya İlişkin Tutumlar
• Doğrulayıcı Faktör Analizi
• Güvenirlik
• Türkçe Uyarlama

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