Parental psychological inflexibility, particularly characterized by experiential avoidance, represents a significant risk factor for chronic stress and psychological distress. The Parental Acceptance and Action Questionnaire (PAAQ) is a context-specific instrument for the measurement of parental psychological inflexibility. This study aimed to evaluate the psychometric properties of the original composite version of the 19-item PAAQ across the three distinct Swedish samples; a community sample (n = 1018), a clinical sample of treatment-seeking parents of children with disabilities (n = 667), and a test-retest sample (n = 337). The Principal Axis Factoring of the PAAQ in the community sample yielded a 16-item, three-factor solution: 1) action-taking and flexibility in the parenting context, 2) experiential acceptance of internal experiences related to parenting, and 3) experiential acceptance of child's internal experiences. This factor model was supported by the confirmatory factor analysis in the test-retest sample. The associations observed with related constructs ( = between 0.49 and 0.61, < 0.0001) indicated good discriminant validity. The Receiver Operator Characteristic analysis demonstrated that the PAAQ can effectively classify between the clinical and community sample, achieving 79% sensitivity and 68% specificity. The showed good test-retest reliability ( = 0.82). As anticipated, the parents in the clinical sample showed greater psychological inflexibility compared to parents in the community sample. To conclude, the 16-item Swedish version of the PAAQ demonstrates adequate to good psychometric qualities.

中文翻译：

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对残疾儿童和非残疾儿童父母的父母接受和行动问卷（PAAQ）进行心理测量评估

父母的心理僵化，特别是体验性回避，是造成慢性压力和心理困扰的重要危险因素。家长接受和行动问卷（PAAQ）是一种针对具体情况的工具，用于测量家长心理僵化程度。本研究旨在评估 19 项 PAAQ 原始复合版本在三个不同瑞典样本中的心理测量特性；社区样本（n = 1018）、寻求治疗的残疾儿童父母的临床样本（n = 667）和重测样本（n = 337）。社区样本中 PAAQ 的主轴分解得出了一个包含 16 项、三因素的解决方案：1）在养育环境中采取行动和灵活性，2）对与养育相关的内部经验的体验式接受，以及 3）体验式接受孩子的内在体验。该因子模型得到了重测样本中验证性因子分析的支持。观察到的相关结构的关联性（= 0.49 和 0.61 之间，< 0.0001）表明具有良好的区分效度。接收者操作员特征分析表明，PAAQ 可以有效对临床样本和社区样本进行分类，实现 79% 的敏感性和 68% 的特异性。显示出良好的重测信度 (= 0.82)。正如预期的那样，与社区样本中的父母相比，临床样本中的父母表现出更大的心理僵化。总而言之，包含 16 项的瑞典版 PAAQ 表现出足够的良好心理测量品质。