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Development of a Virtual Reality Assessment of Everyday Living Skills
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The voices acceptance and action scale (VAAS): Pilot data.

Frances Shawyer1, Kirk Ratcliff, Andrew Mackinnon

  • 1The Mental Health Research Institute of Victoria, Australia. fshawyer@mhri.edu.au

Journal of Clinical Psychology
|April 26, 2007
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This study introduces the Voices Acceptance and Action Scale (VAAS) to measure acceptance of auditory hallucinations. The VAAS shows promise for assessing the psychological impact of voices in psychosis treatment.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Acceptance and mindfulness are increasingly central to behavioral and cognitive therapies.
  • Acceptance and Commitment Therapy (ACT) is a prominent approach, showing promise for psychosis.
  • A lack of acceptance-based measures for psychotic symptoms hinders research into therapy mechanisms.

Purpose of the Study:

  • To describe the preliminary evaluation of a new self-report instrument.
  • To assess acceptance-based attitudes and actions related to auditory and command hallucinations.
  • To develop a measure for investigating ACT mechanisms in psychosis.

Main Methods:

  • Initial scale development of the Voices Acceptance and Action Scale (VAAS).
  • Administration of a 56-item VAAS to 43 participants with command hallucinations.
  • Reliability and construct validity analyses, including correlations with depression, quality of life, and coping strategies.

Main Results:

  • A 31-item version of the VAAS was retained after reliability testing.
  • The 31-item VAAS demonstrated acceptable internal consistency and test-retest reliability.
  • The VAAS showed significant correlations with depression, quality of life, and coping, and discriminated compliance with harmful commands.

Conclusions:

  • The preliminary findings suggest the VAAS is a promising tool.
  • The VAAS may aid in assessing the psychological impact of auditory hallucinations.
  • Further research is needed due to the preliminary nature and limitations of the study.