aaq-ii and its application to high performance populations author: patrick smith emily leeming m.a....

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AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

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Page 1: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

AAQ-II and Its Application to High Performance Populations

Author: Patrick Smith Emily Leeming M.A.Steve Hayes Ph.D.

Presented By: Patrick Smith

Page 2: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

AAQ-II Measures…Experiential Avoidance

Patrick [email protected]

Psychological Inflexibility

Page 3: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

AAQ-II Theory…

Relational Frame Theory

Strict Rule Governed Behavior

Page 4: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

AAQ-II Looks Like…• 7 Self Report Questions• Example

“My painful memories prevent me from having a fulfilling life.”Never True-1 2 3 4 5 6 7-Always True

7 49Min MaxOverall Score

Page 5: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Overall Score Implications

7 49

Min Max

Non Clinical/Low EA Clinical/High EA

Degree of Experiential Avoidance

Increasing score strongly predictive of

future clinical depression and

anxiety

14 21 28 35 42

Page 6: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Reference Points

7 49

Min Max

Non Clinical/Low EA Clinical/High EA

Degree of Experiential Avoidance

Strongly predictive of future clinical needs

14 21 28 35 42

20.69 (SD 7.97)Monestes N=2507 Transcultural Study

28.34 (SD 9.92)Substance Abuse Treatment Participants

Page 7: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

7 49

Min Max

What does a single score in this range imply?

14 21 28 35 42

Relatively Normal

May Need Help/Is Receiving Help

Contemplate this…

What about a whole sample?

How do we track improvement if this is a client’s baseline score?

Page 8: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Methods• 164 Participants• Recruited from Campus and Area

Crossfit Gym sessions• Completed a survey(AAQ-II) for a

“Mental Toughness” study

Page 9: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

What is Crossfit?

• High Intensity Short Duration Interval Training

• Constantly Changing Workouts• Communal Environment• Idealizes the All-Around athlete• High Performance Generalist Athletes

“Forging Elite Fitness”

Page 10: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Why Crossfit Athletes?• Population self selects for higher

performance• Population anecdotally known for high

rule governed behaviorClinical High Performance

• Firefighters• EMT• Police• Military• Etc

Page 11: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Drumroll please….

7 49

Min Max

Non Clinical/Low EA Clinical/High EA

14 21 28 35 42

20.69 (SD 7.97)Monestes N=2507 Transcultural Study

28.34 (SD 9.92)Substance Abuse Treatment Participants

14.55 (SD 5.724)

Sample Athletes

Page 12: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Significantly Lower M & SD

14 21

20.69 (SD 7.97)14.55 (SD 5.724)

Sample Athletes Monestes N=2507 Transcultural Study

t(2671)=9.7026, p<0.0001, d=0.88

Competitive Males Sample Mode = ???7

Page 13: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Despite significantly lower AAQ-II Scores, there is data to suggest prevalence of pathologies over a high performing athlete’s lifetime remains relatively similar to general population.

-(Schaal, et al., 2011)

Are High Performers Really This Flexible?

Are These False Positives?

Page 14: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Same but Different

Clinical High Performance

More Precision Required?

Page 15: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

Limitations

• Social Expectations• Group Survey• Language Cueing

Team vs Solo

Page 16: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

Patrick Smith [email protected]

How can we identify improvement if AAQ-II scores start low?

How do we improve quality of life and performance?

Bringin’ It Back…

“My painful memories prevent me from having a fulfilling life.”

Page 17: AAQ-II and Its Application to High Performance Populations Author: Patrick Smith Emily Leeming M.A. Steve Hayes Ph.D. Presented By: Patrick Smith

AAQ-II and Its Application to High Performance Populations

Author: Patrick Smith Emily Leeming M.A.Steve Hayes Ph.D.

Presented By: Patrick Smith