Development of the Flexibility in Daily Life scale to measure multidimensional cognitive and behavioural flexibility in health and disease.

Objectives: Inflexibility of thought and behaviour is a transdiagnostic feature of many neuropsychiatric disorders and presents several empirical measurement challenges. Here, we developed and validated the Flexibility in Daily Life scale (FIDL); a novel, self‐report questionnaire, which captures ex...

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Publicado en:British Journal of Clinical Psychology Vol. 64; no. 2; pp. 315 - 330
Autores principales: Horne, Kristina, Chen, Tao, Irish, Muireann
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/bjc.12505
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        atl: Development of the Flexibility in Daily Life scale to measure multidimensional cognitive and behavioural flexibility in health and disease.
      aug:
        au:
          Horne, Kristina
          Chen, Tao
          Irish, Muireann
        affil: Brain and Mind Centre, The University of Sydney, Sydney New South Wales,, Australia
      sug:
        subj:
          Activities of Daily Living
          Cognition
          Behavioral Changes
          Longevity In Adulthood
          Self Report
          Questionnaires
          Psychometrics Evaluation
          Instrument Validation
          Instrument Construction
          Cognition Disorders Diagnosis
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Aged
          Validation Studies
          Factor Analysis
          Compulsive Behavior
          Executive Function
          Consensus
          Multidisciplinary Care Team
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: Inflexibility of thought and behaviour is a transdiagnostic feature of many neuropsychiatric disorders and presents several empirical measurement challenges. Here, we developed and validated the Flexibility in Daily Life scale (FIDL); a novel, self‐report questionnaire, which captures expressions of cognitive and behavioural flexibility in daily life and is sensitive to natural shifts in these processes across the adult lifespan. Methods: The FIDL was developed using a deductive scale development approach, which aimed to capture common themes within the flexibility literature and across diagnoses (e.g. insistence on sameness, preference for routines). Following multidisciplinary consensus, an initial 37‐item questionnaire was submitted for validation in an online sample of 295 healthy adult participants (19–78 years). Results: Exploratory factor analysis produced a revised 21‐item version comprising five factors, labelled: Repetition, Switching, Predictability/Control, Routine, and Thoughts/Beliefs. Internal consistency reliability was good‐to‐strong for the total FIDL score and moderate‐to‐strong for individual subscales. Convergent validity was established between the FIDL and an existing measure of cognitive flexibility. Critically, the FIDL total score evinced a U‐shaped relationship with age, whereby flexibility was lower at the younger and older tails of the lifespan and greater in middle age. The same U‐shaped trajectory emerged for the Repetition, Routine, and Thoughts/Beliefs factors. Conclusions: Overall, the FIDL is a valid and reliable multidimensional measure of flexibility, which upholds a clearly defined factor structure and good psychometric properties. It promises to be a valuable clinical and research tool to assess the natural fluctuations in flexibility across the lifespan and departures thereof.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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