Skip to main content
Log in

Development of a Brief Version of the Social Anxiety – Acceptance and Action Questionnaire

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

The Social Anxiety – Acceptance and Action Questionnaire (SA-AAQ; MacKenzie and Kocovski 2010) is a 19-item self-report measure designed to assess acceptance and action specific to social anxiety symptoms. The present research was designed to evaluate an abbreviated version of the SA-AAQ. This abbreviated scale was confirmed using an undergraduate sample (N = 148) in Study 1 and a clinical sample of individuals with social anxiety disorder in Study 2 (N = 137). Results indicated that an eight-item, two-factor model (acceptance and action) provided a good fit for the Brief SA-AAQ in both samples. Finally, we also found preliminary evidence in support of the convergent, discriminant/divergent, and incremental validity of the shortened scale. The Brief SA-AAQ shows promise as a useful and brief tool for the measurement of acceptance of social anxiety symptoms in socially anxious populations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Notes

  1. Scoring the B-SA-AAQ in this manner (i.e., higher scores indicate greater acceptance) is consistent with the original version of the SA-AAQ, but it is in contrast to the AAQ-II scoring.

  2. Additional measures of social anxiety were administered; however, the results using the other scales were similar.

References

  • Antony, M. M., Coons, M. J., McCabe, R. E., Ashbaugh, A., & Swinson, R. P. (2006). Psychometric properties of the social phobia inventory: further evaluation. Behaviour Research and Therapy, 44, 1177–1185. doi:10.1016/j.brat.2005.08.013.

    Article  PubMed  Google Scholar 

  • Antony, M. M., Orsillo, S. M., & Roemer, L. (2002). Practitioner’s Guide to Empirically-Based Measures of Anxiety. New York: Springer.

  • Arbuckle, J. L. (2013). Amos (version 22.0) [computer program]. Chicago, IL: IBM-SPSS.

    Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. doi:10.1177/1073191105283504.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Pearson Assessment.

    Google Scholar 

  • Bögels, S. M., Sijbers, G. F. V. M., & Voncken, M. (2006). Mindfulness and task concentration training for social phobia: a pilot study. Journal of Cognitive Psychotherapy, 20, 33–44. doi:10.1891/jcop.20.1.33.

    Article  Google Scholar 

  • Bollen, K. A., & Stine, R. A. (1992). Bootstrapping goodness-of-fit measures in structural equation models. Sociological Methods & Research, 21, 205–229.

  • Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057–1067.

  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676–688. doi:10.1016/j.beth.2011.03.007.

    Article  PubMed  Google Scholar 

  • Bond, F. W., Lloyd, J., & Guenole, N. (2013). The work-related acceptance and action questionnaire: initial psychometric findings and their implications for measuring psychological flexibility in specific contexts. Journal of Occupational and Organizational Psychology, 86, 331–347. doi:10.1111/joop.12001.

    Article  Google Scholar 

  • Carleton, R. N., Collimore, K. C., Asmundson, G. J. G., McCabe, R. E., Rowa, K., & Antony, M. M. (2009). Refining and validating the Social Interaction Anxiety Scale and the Social Phobia Scale. Depression and Anxiety, 26, E71–E81. doi:10.1002/da.20480.

  • Ciarrochi, J., Bilich, L., & Godsell, C. (2010). Psychological flexibility as a mechanism of change in acceptance and commitment therapy. In R. A. Baer (Ed.), Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change (pp. 51–75). Oakland, CA: New Harbinger Publications.

    Google Scholar 

  • Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the social phobia inventory (SPIN): a new self-rating scale. British Journal of Psychiatry, 176, 379–386. doi:10.1192/bjp.176.4.379.

    Article  PubMed  Google Scholar 

  • Dalrymple, K. L., & Herbert, J. D. (2007). Acceptance and commitment therapy for generalized social anxiety disorder: a pilot study. Behavior Modification, 31, 543–568. doi:10.1177/0145445507302037.

    Article  PubMed  Google Scholar 

  • Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders. Oakland, CA: New Harbinger.

  • Eng, W., Coles, M. E., Heimberg, R. G., & Safren, S. A. (2005). Domains of life satisfaction in social anxiety disorder: relation to symptoms and response to cognitive-behavioral therapy. Journal of Anxiety Disorders, 19, 143–156. doi:10.1016/j.janxdis.2004.01.007.

    Article  PubMed  Google Scholar 

  • Everitt, B. S. (1975). Multivariate analysis: the need for data, and other problems. The British Journal of Psychiatry, 126, 237–240.

    Article  PubMed  Google Scholar 

  • Ferreira, N. B., Eugenicos, M. P., Morris, P. G., & Gillanders, D. T. (2013). Measuring acceptance in irritable bowel syndrome: preliminary validation of an adapted scale and construct utility. Quality of Life Research, 22, 1761–1766. doi:10.1007/s11136-012-0299-z.

    Article  PubMed  Google Scholar 

  • Fledderus, M., Oude Voshaar, M. A. H., ten Klooster, P. M., & Bohlmeijer, E. T. (2012). Further evaluation of the psychometric properties of the acceptance and action questionnaire–II. Psychological Assessment, 24, 925–936. doi:10.1037/a0028200.

    Article  PubMed  Google Scholar 

  • Gifford, E. (2004). Acceptance based treatment for smoking cessation. Behavior Therapy, 35, 689–705. doi:10.1016/S0005-7894(04)80015-7.

    Article  Google Scholar 

  • Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10, 83. doi:10.1037/a0018441.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gorsuch, R. L. (1983). Factor analysis (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 75, 336–343. doi:10.1037/0022-006X.75.2.336.

    Article  PubMed  Google Scholar 

  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi:10.1037/0022-3514.85.2.348.

    Article  PubMed  Google Scholar 

  • Hair, J. F., Anderson, R. E., Tatham, R. L., & Black (1995). Multivariate data analysis (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.

    Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25. doi:10.1016/j.brat.2005.06.006.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011a). Acceptance and commitment therapy: the process and practice of mindful change (2nd ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011b). Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology, 7, 141–168. doi:10.1146/annurev-clinpsy-032210-104449.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578.

  • Heimberg, R. G. (2002). Cognitive-behavioral therapy for social anxiety disorder: current status and future directions. Biological Psychiatry, 51, 101–108. doi:10.1016/S0006-3223(01)01183-0.

    Article  PubMed  Google Scholar 

  • Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: the social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53–73. doi:10.1016/S0005-7894(05)80308-9.

    Article  Google Scholar 

  • Herbert, J. D., & Cardaciotto, L. (2005). An acceptance and mindfulness-based perspective on social anxiety disorder. In S. M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: conceptualization and treatment (pp. 189–212). New York, NY: Springer.

    Chapter  Google Scholar 

  • Hofmann, S. G., & Bögels, S. M. (2006). Recent advances in the treatment of social phobia: introduction to the special issue. Journal of Cognitive Psychotherapy, 20, 3–5.

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593.

    Article  PubMed  Google Scholar 

  • Kim, K. W., & Kwon, S. M. (2013). Validation of the Korean version of the social anxiety-acceptance and action questionnaire. Cognitive Behavior Therapy in Korea, 13, 489–510.

  • Kocovski, N. L., Fleming, J. E., & Rector, N. A. (2009). Mindfulness and acceptance-based group therapy for social anxiety disorder: an open trial. Cognitive and Behavioral Practice, 16, 276–289. doi:10.1016/j.cbpra.2008.12.004.

    Article  Google Scholar 

  • Kocovski, N. L., Fleming, J. E., Hawley, L. L., Huta, V., & Antony, M. M. (2013). Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: a randomized controlled trial. Behaviour Research and Therapy, 51, 889–898. doi:10.1016/j.brat.2013.10.007.

    Article  PubMed  Google Scholar 

  • Kocovski, N. L., Fleming, J. E., Hawley, L. L., Ho, M. H. R., & Antony, M. M. (2015). Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: mechanisms of change. Behaviour Research and Therapy, 70, 11–22. doi:10.1016/j.brat.2015.04.005.

    Article  PubMed  Google Scholar 

  • Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behaviour Research and Therapy, 45, 2518–2526. doi:10.1016/j.brat.2007.04.011.

    Article  PubMed  Google Scholar 

  • Lillis, J., & Hayes, S. C. (2008). Measuring avoidance and inflexibility in weight related problems. International Journal of Behavioral Consultation and Therapy, 4, 30–40. doi:10.1037/h0100865.

    Article  Google Scholar 

  • Luoma, J., Drake, C. E., Kohlenberg, B. S., & Hayes, S. C. (2011). Substance abuse and psychological flexibility: the development of a new measure. Addiction Research and Theory, 19, 3–13. doi:10.3109/16066359.2010.524956.

    Article  Google Scholar 

  • MacKenzie, M. B., & Kocovski, N. L. (2010). Self-reported acceptance of social anxiety symptoms: development and validation of the social anxiety—acceptance and action questionnaire. International Journal of Behavioral Consultation and Therapy, 6, 214–232. doi:10.1037/h0100909.

    Article  Google Scholar 

  • Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi:10.1016/S0005-7967(97)10031-6.

    Article  PubMed  Google Scholar 

  • McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107, 159–166. doi:10.1016/j.pain.2003.10.012.

    Article  PubMed  Google Scholar 

  • McNeil, D. W., Ries, B. J., & Turk, C. L. (1995). Behavioral assessment: Self-report, physiology, and overt behavior. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 202–231). New York, NY, US: Guilford Press.

  • Meng, X.-L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172. doi:10.1037/0033-2909.111.1.172.

    Article  Google Scholar 

  • Ossman, W. A., Wilson, K. G., Storaasli, R. D., & McNeill, J. W. (2006). A preliminary investigation of the use of acceptance and commitment therapy in a group treatment for social phobia. International Journal of Psychology and Psychological Therapy, 6, 397–416.

    Google Scholar 

  • Purdon, C., Antony, M., Monteiro, S., & Swinson, R. P. (2001). Social anxiety in college students. Journal of Anxiety Disorders, 15, 203–215.

  • Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.

    Article  Google Scholar 

  • Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kate Kellum, K. (2013). Assessment of body image flexibility: the body image-acceptance and action questionnaire. Journal of Contextual Behavioral Science, 2, 39–48. doi:10.1016/j.jcbs.2013.03.002.

    Article  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (5th ed.). Boston: Pearson Education.

    Google Scholar 

  • Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76, 284–304. doi:10.1037/0022-3514.76.2.284.

    Article  PubMed  Google Scholar 

  • Vieira, S., Martins, M. J., Salvador, M. C., MacKenzie, M. B., & Kocovski, N. L. (2016). The Social Anxiety – Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A): Study of the psychometric properties in a Portuguese sample. Manuscript submitted for publication.

  • West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with nonnormal variables: problems and remedies. In R. H. Hoyle (Ed.), Structural equation modeling: concepts, issues and applications (pp. 56–75). Newbury Park, CA: Sage.

    Google Scholar 

  • Westin, V., Hayes, S. C., & Andersson, G. (2008). Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behaviour Research and Therapy, 46, 1259–1265. doi:10.1016/j.brat.2008.08.008.

    Article  PubMed  Google Scholar 

  • Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Juarascio, A. S., Rabin, S., et al. (2013). Acceptance based behavior therapy for social anxiety disorder through videoconferencing. Journal of Anxiety Disorders, 27, 389–397. doi:10.1016/j.janxdis.2013.03.002.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors gratefully acknowledge financial support awarded to the second author from the Ontario Mental Health Foundation (grant number 1–51-54,320) and the Ministry of Research and Innovation (grant number ER09–06-227).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meagan B. MacKenzie.

Ethics declarations

Conflict of Interest

Meagan B. MacKenzie declares that she has no conflict of interest. Nancy L. Kocovski declares that she has no conflict of interest. Rebecca A. Blackie declares that she has no conflict of interest. Lauren C. Carrique declares that she has no conflict of interest. Jan. E. Fleming declares that she has no conflict of interest. Martin M. Antony declares that he has no conflict of interest.

Experiment Participants

This research was approved by the appropriate institutional review committees and met the guidelines of responsible government agencies. Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Appendix

Appendix

ᅟ B-SA-AAQ

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

MacKenzie, M.B., Kocovski, N.L., Blackie, R.A. et al. Development of a Brief Version of the Social Anxiety – Acceptance and Action Questionnaire. J Psychopathol Behav Assess 39, 342–354 (2017). https://doi.org/10.1007/s10862-016-9585-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10862-016-9585-3

Keywords

Navigation