{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:58:33Z","timestamp":1790884713618,"version":"4.1.0"},"reference-count":79,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The parental acceptance questionnaire (6\u2010PAQ) is a user\u2010friendly and contextually sensitive scale of psychological flexibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This research aimed to translate the original English version of the 6\u2010PAQ into Chinese and to test its psychometric properties among Chinese parents of children with or without hearing loss (HL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two phases were conducted: (1) translation from English to Chinese (6\u2010PAQ\u2010C), followed by a semantic equivalence evaluation between two versions, a pre\u2010test and face validity with 40 parents of children with or without HL, and content validity with 15 experts; (2) A cross\u2010sectional study was conducted for providing empirical support among two samples: parents of children with (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009204) or without (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009336) HL. All participants were assessed for test\u2013retest reliability over an 8\u2010week interval.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 6\u2010PAQ\u2010C showed satisfactory semantic equivalence with the original version, excellent internal consistency, and good 8\u2010week test\u2013retest stability. Exploratory factor analysis and parallel analysis confirmed a six\u2010factor structure consisting of 18 items. Confirmatory factor analysis supported both the original six\u2010factor structure and a bifactor model (one general factor plus six specific factors), both demonstrating excellent fit. Bifactor indices indicated a strong general factor (omega = 0.95; omega hierarchical = 0.80; proportion of uncontaminated correlations = 0.88) and more modest independent specific\u2010factor reliability (omega hierarchical subscale = 0.41\u20130.49; specific explained common variance = 0.08\u20130.10), supporting use of the total score as the primary metric and subscale scores as supplementary indicators. The scale also exhibited significant mean score differences between parents with high and low parenting stress in both samples and correlated with measures of psychological flexibility, symptomatology, and mental well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that the 6\u2010PAQ\u2010C is a reliable and valid instrument for measuring psychological flexibility among parents of children with or without HL. In practice, the total score should be treated as the primary scoring metric, whereas the six subscale scores may be used cautiously to describe ACT process profiles rather than as fully independent dimensions. Future research should test the 6\u2010PAQ\u2010C with diverse samples across cultures\/contexts to improve its generalizability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70209","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T19:34:27Z","timestamp":1788032067000},"page":"1908-1921","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reliability and Validity of the Chinese Version of the Parental Acceptance Questionnaire (6\u2010PAQ) Among Parents of Children With or Without Hearing Loss"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1347-4024","authenticated-orcid":false,"given":"Sini","family":"LI","sequence":"first","affiliation":[{"name":"Xiangya School of Nursing Central South University Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhe","family":"LI","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The Second Xiangya Hospital Central South University Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8396-5208","authenticated-orcid":false,"given":"Yamin","family":"Li","sequence":"additional","affiliation":[{"name":"Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University) Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiao","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, The Second Xiangya Hospital Central South University Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-04787-9"},{"key":"e_1_2_11_3_1","volume-title":"The Parenting Stress Index","author":"Abidin R.","year":"2006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/audiolres15030046"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2016.03.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/135910457000100301"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.84.4.822"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12227"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.07.001"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-014-0495-x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12282"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04242.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2017.03.005"},{"key":"e_1_2_11_16_1","unstructured":"Chen C. 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