| Summary: | Psychological inflexibility has been found as one of the predictor to psychopathology in cancer patient. Cancer patients tend to experience psychological inflexibility as a reaction to cancer diagnosis, prognosis and treatment. Therefore, there is a need to identify psychological inflexibility due to its impact on quality of life among cancer patients. Objectives Acceptance and action questionnaire (AAQ II) is a scale used to assess psychological inflexibility. The aim of this study is to translate AAQ II into Malay language and evaluate the psychometric properties of AAQ II Malay version. Methods The AAQ II which has been translated into Malay language via back translation procedure was distributed to 101 cancer patients and 100 non-cancer patients. The evaluation of psychometric properties in this study included content validity index, internal consistency, parallel reliability, exploratory factor analysis, concurrent validity, sensitivity and specificity of AAQ II Malay version. Results AAQ II Malay version has established good content validity index, acceptable internal consistency with Cronbach’s alpha value of 0.91, excellent parallel reliability and adequate concurrent validity. Exploratory factor analysis (EFA) results demonstrated AAQ II Malay version is a unidimensional factor instrument. The result of sensitivity and specificity of AAQ II Malay version indicated cancer patients who scored more than 17.5 were having significant psychological inflexibility. Conclusion AAQ II Malay version is a reliable and valid instrument to measure psychological inflexibility among cancer patient in Malaysia. © 2019 Shari et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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