Measuring psychological inflexibility in educational settings: Development and validation of the KIBS-Ed with a psychotherapy training sample

Psychological inflexibility (PI) is a potentially important yet understudied factor in therapist training, as it may hinder engagement in learning activities central to psychotherapy education and is negatively associated with learner wellbeing. However, few instruments have been developed to assess PI in educational and training contexts, and evidence from psychotherapy training population is limited. This study aimed to develop a new measure of PI intended for use in educational settings, and to evaluate its psychometric properties within the specific context of psychotherapy training In Study One, an initial version of the scale was developed and tested with 195 mental health professionals who were currently or previously enrolled in psychotherapy continuing education. Preliminary psychometric evaluation included expert review, cognitive interviews, exploratory factor analysis, and Mokken scale analysis. Rasch methodology was then applied to assess dimensionality, item independence, response category ordering, targeting, invariance, and reliability. In Study Two, a new sample (n = 337) was used to validate the revised instrument through Rasch analysis Results supported a unidimensional, 7-item scale demonstrating good model fit, local independence, ordered thresholds, invariance, and acceptable reliability. Additional analyses suggested a small but statistically significant negative association between age and psychological inflexibility ( rho = -0.18), while no consistent differences were found across gender or profession The resulting instrument – the Karolinska Inner-Barriers Scale for Education (KIBS-Ed) – offers a brief and psychometrically sound measure of psychological inflexibility, suitable for use in educational and training settings. Our evaluation within two samples from the psychotherapy training population supports its application within therapist education. Despite providing only preliminary validation and requiring further evaluation with additional outcomes and instruments, the present study represent a rigorous and important first step. • Learner psychological inflexibility is understudied in therapist training • Measuring PI may clarify learner engagement and wellbeing • The KIBS-Ed shows initial validity and reliability in two samples • Findings support the KIBS-Ed as an education-specific assessment tool • Further research is needed to confirm validity evidence

Authors

Institutions

Publication Details

Journal
Journal of Contextual Behavioral Science
Published
2026-02-21
DOI
https://doi.org/10.1016/j.jcbs.2026.100982
Primary Topic
Mindfulness and Compassion Interventions
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Measuring psychological inflexibility in educational settings: Development and validation of the KIBS-Ed with a psychotherapy training sample

Clara Hellner, Tobias Lundgren, Martin Onslow Forster, Emma Högberg Ragnarsson et al.
Journal of Contextual Behavioral Science
Mindfulness and Compassion Interventions
article

Measuring psychological inflexibility in educational settings: Development and validation of the KIBS-Ed with a psychotherapy training sample

Clara Hellner, Tobias Lundgren, Martin Onslow Forster, Emma Högberg Ragnarsson, Annika Lindgren, Lise Bergman Nordgren, Magnus Johansson
article en

Abstract

Psychological inflexibility (PI) is a potentially important yet understudied factor in therapist training, as it may hinder engagement in learning activities central to psychotherapy education and is negatively associated with learner wellbeing. However, few instruments have been developed to assess PI in educational and training contexts, and evidence from psychotherapy training population is limited. This study aimed to develop a new measure of PI intended for use in educational settings, and to evaluate its psychometric properties within the specific context of psychotherapy training In Study One, an initial version of the scale was developed and tested with 195 mental health professionals who were currently or previously enrolled in psychotherapy continuing education. Preliminary psychometric evaluation included expert review, cognitive interviews, exploratory factor analysis, and Mokken scale analysis. Rasch methodology was then applied to assess dimensionality, item independence, response category ordering, targeting, invariance, and reliability. In Study Two, a new sample (n = 337) was used to validate the revised instrument through Rasch analysis Results supported a unidimensional, 7-item scale demonstrating good model fit, local independence, ordered thresholds, invariance, and acceptable reliability. Additional analyses suggested a small but statistically significant negative association between age and psychological inflexibility ( rho = -0.18), while no consistent differences were found across gender or profession The resulting instrument – the Karolinska Inner-Barriers Scale for Education (KIBS-Ed) – offers a brief and psychometrically sound measure of psychological inflexibility, suitable for use in educational and training settings. Our evaluation within two samples from the psychotherapy training population supports its application within therapist education. Despite providing only preliminary validation and requiring further evaluation with additional outcomes and instruments, the present study represent a rigorous and important first step. • Learner psychological inflexibility is understudied in therapist training • Measuring PI may clarify learner engagement and wellbeing • The KIBS-Ed shows initial validity and reliability in two samples • Findings support the KIBS-Ed as an education-specific assessment tool • Further research is needed to confirm validity evidence

Journal of Contextual Behavioral ScienceVol. 40
Örebro University (SE), RISE Research Institutes of Sweden (SE), Karolinska Institutet (SE), Örebro County Council (SE), Stockholm Health Care Services (SE)
Quality Education
Openalex Percentile: Top 51%
Mindfulness and Compassion Interventions
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.