RT journal article T1 Spanish cultural adaptation of the avoidance questionnaire for adolescents (AQA) in undergraduate nursing students A1 Casals Vázquez, Cristina A1 Fernández-Ordóñez, Eloísa A1 Vázquez-Sánchez, María Ángeles A1 Guerra-Marmolejo, Cristina A1 Sanchez Ojeda, María Angustias A1 López Leiva, Inmaculada A1 García-Gámez, Marina A2 Didáctica de la Educación FísicaPlástica y Musical K1 avoidance K1 critical thinking K1 nursing K1 problem solving K1 questionnaires K1 adolescence AB The need for a validated Spanish questionnaire for nursing students focusing on psychological inflexibility, problem-solving, and reflective thinking prompted the adaptation of the Avoidance Questionnaire for Adolescents (AQA). Aim: To develop and culturally validate a Spanish version of the AQA for use with undergraduate nursing students. Methodology: The AQA was culturally adapted and its psychometric properties evaluated through an online survey involving 350 first- and second-year nursing students from the University of Granada and the University of Malaga (Spain). To assess sensitivity to change, a seminar was conducted with 116 students. Results: The highest-scoring factors were "Postponement/strengthening up" and "Mulling," indicating greater reflection on problems. In contrast, "Negative self-efficacy/insolvability" and "Neglecting" scored lowest, suggesting adequate problem-solving skills. An exploratory factor analysis showed a Cronbach's alpha of 0.766 and an intraclass correlation coefficient of 0.874, with a good fit in the confirmatory factor analysis. Conclusions: The Spanish adaptation of the AQA demonstrated good internal consistency, reliability, and sensitivity to change. It is a suitable tool for educational activities in nursing students. PB Elsevier SN 1557-3087 YR 2025 FD 2025 LK http://hdl.handle.net/10498/37984 UL http://hdl.handle.net/10498/37984 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 11-nov-2026