Accept to change: Translation and validation of the Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) in an international survey of Spanish-speaking psychedelic users

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 DOI:10.1016/j.jcbs.2025.100923

Óscar Soto-Angona , Amanda Rodríguez-Urrutia , Josep Antoni Ramos-Quiroga , Óscar Álvarez-Bobo , Genís Ona , Sergio Pérez Rosal , Juan París-Pérez , Max Wolff

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引用次数: 0

Abstract

Introduction

The Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) is a theory-based instrument designed to assess acceptance-related (ACE) and avoidance-related experiences (AVE) during psychedelic-induced altered states of consciousness, proposing a model in which these experiences shape psychological flexibility. This study aimed not only to translate and evaluate the psychometric properties of a Spanish version of the APEQ, but also to test its theoretical assumptions and examine contextual and motivational factors modulating therapeutic processes in psychedelic experiences across diverse Spanish-speaking populations.

Material and methods

An international retrospective survey was conducted in a Spanish-speaking cohort (n = 715) reporting a single psychedelic experience in a therapeutic, ritualistic or ceremonial context involving LSD, psilocybin, ayahuasca, mescaline, MDMA, or ketamine. Participants resided in Spain (n = 420), Latin America (n = 274), or other countries (n = 21).

Results

The Spanish APEQ demonstrated good construct, criterion and cross-cultural validity, as well as internal consistency across scales and in diverse Spanish-speaking populations. Indicating context-dependency, ACE scores were positively associated with therapeutic and growth-oriented motives and with increased psychological flexibility, whereas AVE scores were associated with hedonic/escapist motives and decreased flexibility. High rates of comorbid mental health conditions and concurrent substance use were observed, reflecting relevant patterns in naturalistic psychedelic users.

Conclusion

This study supports the validity and reliability of the Spanish APEQ and provides cross-cultural evidence for the context-dependent nature of psychedelic experiences and their psychological consequences. Beyond validation, these findings confirm core theoretical assumptions of the APEQ and suggest that promoting acceptance during psychedelic states may enhance therapeutic outcomes. The observed comorbidities and substance use patterns point to the need for informed risk-reduction strategies in these populations.

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接受改变：接受/回避-促进经验问卷（APEQ）在西班牙语致幻剂使用者国际调查中的翻译与验证

接受/回避-促进体验问卷（APEQ）是一种基于理论的工具，旨在评估迷幻药诱导的意识改变状态下的接受相关体验（ACE）和回避相关体验（AVE），并提出了这些体验塑造心理灵活性的模型。本研究不仅旨在翻译和评估西班牙语版APEQ的心理测量特性，而且还旨在检验其理论假设，并检查在不同西班牙语人群中调节迷幻体验治疗过程的背景和动机因素。材料和方法在西班牙语队列中进行了一项国际回顾性调查（n = 715），报告了在治疗、仪式或仪式背景下的单一迷幻体验，包括LSD、裸盖菇碱、死藤水、美斯卡灵、MDMA或氯胺酮。参与者居住在西班牙（n = 420）、拉丁美洲（n = 274）或其他国家（n = 21）。结果西班牙语APEQ量表具有良好的结构、标准和跨文化效度，在不同量表和不同西班牙语人群中具有良好的内部一致性。ACE分数与治疗性动机和成长导向动机以及心理灵活性的增加呈正相关，而AVE分数与享乐/逃避主义动机和灵活性的降低相关，这表明了情境依赖性。观察到高发病率的共病精神健康状况和同时的物质使用，反映了自然致幻剂使用者的相关模式。结论本研究支持西班牙语APEQ的效度和信度，并为迷幻体验的情境依赖性质及其心理后果提供了跨文化证据。除了验证之外，这些发现证实了APEQ的核心理论假设，并表明在迷幻状态下促进接受可能会提高治疗效果。观察到的合并症和药物使用模式表明，需要在这些人群中采取知情的降低风险战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.