ArticlePublisher preview available

Understanding Psychological Flexibility: A Multimethod Exploration of Pursuing Valued Goals Despite the Presence of Distress

Authors:
To read the full-text of this research, you can request a copy directly from the authors.

Abstract

Psychological flexibility (PF), defined as the ability to pursue valued life aims despite the presence of distress, is a fundamental contributor to health (Kashdan & Rottenberg, 2010). Existing measures of PF have failed to consider the valued goals that give context for why people are willing to manage distress. Using 4 independent samples and 3 follow-up samples, we examined the role of PF in well-being, emotional experience and regulation, resilience, goal pursuit, and daily functioning. We describe the development and psychometric properties of the Personalized Psychological Flexibility Index (PPFI), which captures tendencies to avoid, accept, and harness discomfort during valued goal pursuit. Correlational, laboratory, and experience-sampling methods show that the PPFI measures a trait-like individual difference dimension that is related to a variety of well-being and healthy personality constructs. Unlike existing measures of PF, the PPFI was shown to be distinct from negative emotionality. Beyond trait measures, the PPFI is associated with effective daily goals and life strivings pursuit and adaptive emotional and regulatory responses to stressful life events. By adopting our measurement index, PF may be better integrated into mainstream theory and research on adaptive human functioning.
Understanding Psychological Flexibility: A Multimethod Exploration of
Pursuing Valued Goals Despite the Presence of Distress
Todd B. Kashdan and David J. Disabato
George Mason University
Fallon R. Goodman
University of South Florida
James D. Doorley and Patrick E. McKnight
George Mason University
Psychological flexibility (PF), defined as the ability to pursue valued life aims despite the presence of
distress, is a fundamental contributor to health (Kashdan & Rottenberg, 2010). Existing measures of PF
have failed to consider the valued goals that give context for why people are willing to manage distress.
Using 4 independent samples and 3 follow-up samples, we examined the role of PF in well-being,
emotional experience and regulation, resilience, goal pursuit, and daily functioning. We describe the
development and psychometric properties of the Personalized Psychological Flexibility Index (PPFI),
which captures tendencies to avoid, accept, and harness discomfort during valued goal pursuit. Corre-
lational, laboratory, and experience-sampling methods show that the PPFI measures a trait-like individual
difference dimension that is related to a variety of well-being and healthy personality constructs. Unlike
existing measures of PF, the PPFI was shown to be distinct from negative emotionality. Beyond trait
measures, the PPFI is associated with effective daily goals and life strivings pursuit and adaptive
emotional and regulatory responses to stressful life events. By adopting our measurement index, PF may
be better integrated into mainstream theory and research on adaptive human functioning.
Public Significance Statement
Psychological flexibility is defined as the pursuit of valued life aims despite the presence of distress,
but existing measures fail to account for the personalized nature of these aims. We created and
validated the Personalized Psychological Flexibility Index to measure 3 ways of managing distress
(avoiding, accepting, and harnessing) that arises during the pursuit of personally meaningful goals.
Our scale offers an improvement in the measurement of psychological flexibility in basic research
and clinical trials.
Keywords: psychological flexibility, resilience, well-being, emotion regulation, purpose in life
Supplemental materials: http://dx.doi.org/10.1037/pas0000834.supp
Rather than seeking to eradicate symptoms (even those deemed
“pathological”), modern clinical interventions are more interested
in targeting mechanisms that influence healthy life choices (e.g.,
Hofmann & Hayes, 2019). Strategies that increase the probability
of healthy life choices include making room for unpleasant emo-
tions, memories, or physical sensations (e.g., with mindfulness),
extending compassion to parts of the self that are undesirable or
difficult to love (e.g., with self-compassion), and creating distance
from intrusive thoughts that impair functioning (e.g., with cogni-
tive defusion). When applied haphazardly, such strategies are
insufficient for building a satisfying, meaningful life. Rather than
indiscriminately remaining in contact with the present moment, for
example, theory and research suggest that it is more useful to
employ regulatory strategies that are matched to the demands of a
situation and service specific goals (e.g., Aldao, Sheppes, & Gross,
2015;Bonanno & Burton, 2013). Ideally, these goals are consistent
with core values.
Psychological flexibility (PF) can be succinctly defined as the
pursuit of valued goals despite the presence of distress (Hayes,
Strosahl, & Wilson, 2011;Kashdan & Rottenberg, 2010). Instru-
mental approaches to emotion regulation such as harnessing pain-
ful emotions in the pursuit of valued goals are deployed less often
This article was published Online First July 2, 2020.
XTodd B. Kashdan and David J. Disabato, Department of Psychology,
George Mason University; Fallon R. Goodman, Department of Psychol-
ogy, University of South Florida; James D. Doorley and XPatrick E.
McKnight, Department of Psychology, George Mason University.
We are grateful to MarLa Lauber, Aslihan I
˙mamog
˘lu, Irene Regalario,
Ateeb Asim, Bradley Brown, and Sai Kanuri for assistance in participant
recruitment and interviews, and Kerry Kelso for feedback throughout much
of the research program.
Correspondence concerning this article should be addressed to Todd B.
Kashdan, Department of Psychology, George Mason University, Mail Stop
3F5, Fairfax, VA 22020. E-mail: tkashdan@gmu.edu
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Psychological Assessment
© 2020 American Psychological Association 2020, Vol. 32, No. 9, 829– 850
ISSN: 1040-3590 http://dx.doi.org/10.1037/pas0000834
829
... One of the interesting factors of PWB is psychological flexibility (PF), it refers to the ability to pursue valued life aims despite the presence of distress. This concept is crucial as it links an individual's capacity to handle life's challenges with their broader mental health and well-being, suggesting that those who are psychologically flexible are better able to maintain balance and satisfaction in their lives, even during difficult times (Kashdan et al., 2020). ...
... PF allows individuals to adaptively manage both positive and negative emotional states, leading to increased PWB (Kashdan et al., 2020). This adaptability is crucial as it helps individuals to remain balanced and composed even in the face of emotional upheavals, contributing to better mental health outcomes. ...
... Moreover, the capacity to pursue valued life aims despite distress, which is considered a core aspect of PF, has been linked with positive emotional regulation and goal achievement, further emphasizing its pivotal role in fostering PWB (Kashdan et al. 2020). Recent studies illustrate this by showing that personal values such as openness to change, which foster PF, are predictive of higher levels of unconditional self-acceptance. ...
... "I engaged in activities that would distract me from feeling bad"). More recently, the Personalized Psychological Flexibility Index (Kashdan et al., 2020) assesses psychological flexibility in relation to a valued goal. However, these do not assess VC, and, in theory, these measures are only valid assessments of valued goals insofar as people understand what it is that they value. ...
... Therefore, it was important to establish that the VCQ was not saturated with negative affect, avoidance/acceptance, and VA. We therefore tested whether the single VC factor cross-loaded with these negative emotion measures using an EFA with an oblimin rotation, similar to the measurement validation study by Kashdan et al. (2020). As shown in Table 3, (i) the ELS-9 seems to be part VC, part Behavioral Activation, and part Note. ...
Article
Full-text available
Engaging in values-consistent behavior is a key outcome sought in several evidence-informed psychotherapies (e.g. "valued action" within Acceptance and Commitment Therapy). However, we cannot deliberately engage in valued action without first having value clarity (i.e., understanding the type of person we aspire to be, qua qualities of character). To date, there is no distinct English-language process or outcome measure evaluating value clarity. Here, we describe the development and validation of a novel, unidimensional measure of value clarity (the Value Clarity Questionnaire; VCQ). Study 1 describes the development of and the empirical refinement of the VCQ through a series of exploratory and confirmatory factor analyses. Study 2 confirmed the VCQ's factor structure and internal consistency in a United Kingdom-representative sample. Study 3 demonstrated that the VCQ has good internal consistency over time, test-retest stability, and configural, metric, scalar, and strict invariance. Across the studies, value clarity was correlated with and predicted multiple aspects of flourishing including engaged living, depression, behavioral activation, assertiveness, productiveness, and energy levels, over and above known predictors. The results suggest that the VCQ is a reliable and valid measure that could be an especially useful proximal index of the effectiveness of targeted value clarification interventions. ARTICLE HISTORY
... Specifically, they have identified eight fundamental characteristics of situations: Duty, Intellect, Adversity, Mating, pOsitivity, Negativity, Deception, and Sociality (DIAMONDS). This measure can be assessed with eight items (Rauthmann & Sherman, 2015), has been universally replicated (Lee et al., 2020), and has been successfully implemented in EMA studies to predict ER strategy use, behaviors, and interpersonal dynamics (e.g., Horstmann et al., 2021;Kashdan et al., 2020;Springstein & English, 2023b). For instance, Springstein and English (2023b) examined ER goals, context sensitivity using the DIAMONDS measure, and ER strategy use. ...
Article
Despite advances in understanding emotion regulation (ER) flexibility (e.g., flexibly using ER strategies to meet situational demands), there is heterogeneity in conceptualizations. To address this, we provide a unifying operationalization for ER flexibility and a person-specific ER flexibility framework. We define ER flexibility as the ability to continuously monitor the effectiveness of chosen ER strategies to meet one's goals for a situation and to adjust strategies, as needed, in response to changes in internal states (e.g., affect, beliefs about emotions) and external contextual demands (e.g., regulatory goals, situational factors/demands). This paper discusses existing ER flexibility frameworks, their empirical research, and potential limitations. We then present our person-specific ER flexibility framework. We highlight methodological applications, future research directions, and limitations.
Article
Full-text available
Psychological inflexibility (PI) and psychological flexibility (PF) are transdiagnostic mechanisms involved in the development, maintenance and treatment of SUDs. Evidence on the relationship between their components and substance abuse has not been investigated using a meta-analytic approach. The aim of this meta-analysis was to quantify the association between the dimensions of PF and PI, and substance abuse. A systematic literature review was conducted in four databases. A total of 24 studies were included. The associations were quantified using Pearson’s r correlation coefficients, and two separate meta-analyses were conducted: one for the association between mindfulness and substance abuse, and one for the association between experiential avoidance and substance abuse. The meta-analyses showed a low and negative mindfulness-substance abuse relationship (r = -0.25), and a moderate and positive experiential avoidance-substance abuse relationship (r = 0.34). One study reported a correlation of r = -0.17 between defusion and substance abuse. The search for studies on the remaining components was unsuccessful. Substance type and target population moderated the relationship between mindfulness and substance abuse. Clinical and empirical implications of these results are discussed, and recommendations and future research directions are outlined.
Article
Full-text available
Background Firearms are the primary method by which US military personnel die by suicide, and those at highest risk tend to store firearms unsafely. Promoting secure firearm storage practices is a major component of the Department of Defense’s suicide prevention strategy, but perceptions about firearms being associated with suicide risk may impact such efforts. Purpose This study examined perceptions that (1) firearm ownership and (2) storage practices are associated with suicide risk and whether key sociopsychological factors (e.g., entrapment, threat perceptions, honor ideology) were associated with these beliefs in a sample of Active Duty (AD) enlisted Army personnel. We then examined if associations varied as a function of firearm ownership or a lifetime history of suicidal thoughts and/or behaviors (STBs). Methods Survey data about sociopsychological factors and ownership-suicide risk beliefs and storage-suicide risk beliefs were collected from 399 AD Army personnel. Multiple regression and multigroup path analyses were used. Results Greater intolerance of uncertainty and entrapment, and weaker honor ideology, were associated with greater ownership-suicide risk beliefs, whereas being a parent of a minor child was linked with weaker ownership-suicide risk beliefs. None of the variables examined were associated with storage-suicide risk beliefs. Participants with a lifetime history of STBs who had higher threat perceptions endorsed weaker ownership-suicide risk beliefs. Conclusions AD Army personnel may tend to believe that firearm ownership and storage practices are largely unrelated to suicide risk. More tailored messaging and suicide-gun violence prevention efforts are likely needed. Findings have important implications for military suicide prevention efforts.
Chapter
Post-traumatic stress disorder (PTSD) and other psychiatric conditions are common among military veterans. Effective conventional treatments exist; however, many veterans do not engage in treatment and among those that do, many have an incomplete response. Thus, equine-assisted services are being increasingly used as complementary interventions for this population. However, due to a lack of rigorous studies, the field is in the early stage of scientific development. Research is needed to both establish benefits and determine mechanisms of action. Despite the lack of rigorous research, the existing literature is promising. For example, investigators have reported decreased depression, anxiety, craving for substances, and PTSD symptoms. Additionally, improvements in psychological flexibility and affect have been reported. Further, there appears to be a low risk of adverse outcomes. Mechanism of action studies are needed as little is currently known about mechanisms of change underlying benefits. Potential mechanisms include healing associated with the horse–human relationship, biophilia, enhanced psychological flexibility, problem-solving through metaphor, emotional mirroring, and heart rate synchronization. The path to move the field forward requires rigorous randomized controlled trials of interventions that are developed to be manualized and replicated and which include both psychological and physiological outcome measures.
Article
Full-text available
The organization demands, especially after the Covid pandemic and in the midst of the geo-politicial crises in the eastern and middle eastern parts of the world put are huge. In turn, the organizational demands lead to an increased adaptability of the organizational members. They have to adapt to the ensuing strategic changes in their organization as well as to changing work demands, In consequence, adaptability understood as an individual trait, is of critical importance for the workplace performance in the afore mentioned organizational reality The Adaptability Scale (AS) (Van Dam, 2020) is an instrument for measuring this individual trait. So far, Dutch and Englisch versions of the scale have been validated. This article provides the validation of the German version of the AS and reports initial findings about its incremental validity over psychological capital and psychological flexibility when associated with variables such as uncertainty tolerance, resistance to change and technological readiness. The results obtained on online survey data from 201 participants supported the hierarchical structure of AS. Convergent and discriminant validity was supported in relation to all examined variables. The results are discussed, and organizational implications are presented. .
Article
Full-text available
Prior findings suggest a greater therapeutic focus on strengths is associated with a higher likelihood of successful treatment discharge in youth public mental health treatment. To build upon previous research, the present study examined whether and to what extent therapeutic focus on strengths was associated with changes in day-to-day functioning and treatment progress over the course of therapy. This study used multilevel modeling techniques to analyze 12 consecutive years of standardized routine clinical service data from a public mental health care system which served youth and families who were typically from underserved and low-income backgrounds. The sample comprised 2362 youth with an average age of 13.51 (2.9 SD) years receiving at least 3 months of standards-based intensive in-home (SB-IIH) treatment services. Most youth in the sample identified as multi-ethnic (62.5%) and male (61%). Therapeutic focus on strengths was measured as a proportion of overall treatment targets endorsed by therapists. A greater focus on strengths during the first 5 months of SB-IIH services was a significant predictor of improved functioning at the end of treatment and higher average monthly scores on a measure of treatment progress even after accounting for other predictors, including level of impairment at treatment start. Practice-based findings suggest a greater focus on strengths in youth treatment services might be beneficial in improving functioning and treatment progress. Study findings highlight the need for further research in other clinical youth samples. Clinical practice, dissemination, implementation, and future research implications are discussed.
Article
Full-text available
This study examines relationships between emotion beliefs and emotion regulation strategy use among people with social anxiety disorder (SAD) and a psychologically healthy control group. Using experience-sampling methodology, we tested group differences in 2 types of emotion beliefs (emotion control values and emotion malleability beliefs) and whether emotion beliefs predicted trait and daily use of cognitive reappraisal and emotion suppression. People with SAD endorsed higher emotion control values and lower emotion malleability beliefs than did healthy controls. Across groups, emotion control values were positively associated with suppression (but unrelated to reappraisal), and emotion malleability beliefs were negatively associated with suppression and positively associated with reappraisal. We also addressed 2 exploratory questions related to measurement. First, we examined whether trait and state measures of emotion regulation strategies were related to emotion control values in different ways and found similar associations across measures. Second, we examined whether explicit and implicit measures of emotion control values were related to daily emotion regulation strategy use in different ways-and found that an implicit measure was unrelated to strategy use. Results are discussed in the context of growing research on metaemotions and the measurement of complex features of emotion regulation. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
Article
Full-text available
For decades the development of evidence-based therapy has been based on experimental tests of protocols designed to impact psychiatric syndromes. As this paradigm weakens, a more process-based therapy approach is rising in its place, focused on how to best target and change core biopsychosocial processes in specific situations for given goals with given clients. This is an inherently more idiographic question than has normally been at issue in evidence-based therapy over the last few decades. In this article we explore methods of assessment and analysis that can integrate idiographic and nomothetic approaches in a process-based era.
Article
Full-text available
Psychological inflexibility and experiential avoidance are key constructs in the Acceptance and Commitment Therapy (ACT) model of behavior change. Wolgast (2014) questioned the construct validity of the Acceptance and Action Questionnaire-II (AAQ-II), the most used self-report instrument to assess the efficacy of ACT interventions. Wolgast suggested that the AAQ-II measured psychological distress rather than psychological inflexibility and experiential avoidance. The current study further examined the construct validity of the AAQ-II by conducting an online cross-sectional survey (n = 524), including separate measures of experiential avoidance and psychological distress. Confirmatory factor analyses indicated that items from the AAQ-II correlated more highly with measures of depression, anxiety, and stress than the Brief Experiential Avoidance Questionnaire (BEAQ). Implications include that, as broad measures of experiential avoidance, the AAQ-II and BEAQ may not measure the same construct. In terms of psychological distress, the BEAQ has greater discriminant validity than the AAQ-II, and perhaps an alternative instrument of psychological inflexibility might be needed to assess core outcomes in ACT intervention research.
Article
Full-text available
Psychological flexibility is the act of being open to internal experiences while pursuing valued life directions and has been implicated in positive mental health. A lack of psychological flexibility has been implicated in a wide range of mental health problems. In most research, assessment of psychological (in) flexibility has been done with the Acceptance and Action Questionnaire – II (AAQ-II), yet researchers have noted that items on the AAQ-II may not adequately discriminate between responses to experiences and the experiences themselves. Furthermore, little research has examined whether items on the AAQ-II function as intended in terms of assessing psychological (in) flexibility and whether items function differently across populations. The present study used an item response theory framework to examine item functioning in the AAQ-II across items (within the measure) and across non-distressed student, distressed student, outpatient, and residential samples. The analyses identified differences in functioning between items, with some items being more sensitive to differences in psychological inflexibility. No items performed well in assessing psychological flexibility (as opposed to inflexibility) or positive functioning. Items functioned similarly across samples, yet patterns of responding differed in the non-distressed student versus residential and outpatient samples. Implications for use of the AAQ-II in clinical and research contexts are discussed.
Article
Full-text available
This study sought to develop and validate a domain-specific measure of psychological inflexibility for university students, the acceptance and action questionnaire for university students (AAQ-US). Generic versions of the AAQ tend to not be as sensitive to changes in campus-specific functioning —a key outcome of interest in this population. An online survey was conducted with 425 undergraduate students. Psychometric analyses led to the refinement of a 12-item, single factor scale with strong internal consistency. Evidence for convergent validity was found with moderate to large correlations between the AAQ-US and measures of academic outcomes, mental health, and psychological inflexibility. The AAQ-US was a stronger predictor of academic outcomes than the AAQ-II (a general measure of psychological inflexibility) whereas the AAQ-II was more strongly related to mental health outcomes than the AAQ-US. Incremental validity for the AAQ-US was found for predicting both academic and mental health outcomes while controlling for the AAQ-II, though effects were stronger for academic outcomes. Overall, results indicate that the AAQ-US is a reliable and valid measure of psychological inflexibility among university students and may be particularly relevant in the context of academic outcomes.
Article
One potential factor that could influence how individuals with at least moderate symptoms of depression cope with upsetting events in their daily lives is the beliefs that these individuals hold about whether emotions are malleable or fixed. The current study adopted an experience sampling approach to examine how the beliefs about emotion’s malleability related to daily positive and negative affect and daily emotion regulation efforts among individuals with at least moderate symptoms of depression (N = 84). Results demonstrated that individuals having at least moderate symptoms of depression who held more malleable beliefs about emotions reported decreased negative affect both overall during the day and specifically in response to daily upsetting events. Additionally, these individuals who held more malleable beliefs about their emotions also reported more daily use of cognitive reappraisal to regulate their emotions in response to upsetting daily events. Results from the current study extend previous work examining the relationship between emotion malleability beliefs, emotional experiences, and emotion regulation to examine these relationships in people who are moderately depressed as they navigate the emotional landscape of their daily lives.
Article
Cognitive reappraisal is a common form of emotion regulation that often centers on reframing how one thinks about an emotional situation so that one feels better. Given its demonstrated widespread benefits, two conclusions have been drawn about reappraisal: People can use it easily, and people should use it frequently. We critically examine these conclusions and highlight two fundamental drawbacks of reappraisal: First, people are often unable to use reappraisal successfully, and second, even when successful, using reappraisal to feel better is not always functional. To synthesize current research and inspire future research, we present a conceptual framework that systematically considers these drawbacks and how they may be influenced by individual-centered factors (e.g., the individual’s skill) and situation-centered factors (e.g., a stressor’s intensity) to shape outcomes across time. We then summarize the current literature and highlight the importance of considering reappraisal’s costs and benefits in future research.
Article
The world is complicated, and we hold a large number of beliefs about how it works. These beliefs are important because they shape how we interact with the world. One particularly impactful set of beliefs centers on emotion, and a small but growing literature has begun to document the links between emotion beliefs and a wide range of emotional, interpersonal, and clinical outcomes. Here we review the literature that has begun to examine beliefs about emotion, focusing on two fundamental beliefs, namely whether emotions are good versus bad and whether emotions are controllable versus uncontrollable. We then consider one underlying mechanism that we think may link these emotion beliefs with downstream outcomes, namely emotion regulation. Finally, we highlight the role of beliefs about emotion across various psychological disciplines and outline several promising directions for future research.
Article
Clinical science seems to have reached a tipping point. It appears that a new paradigm is beginning to emerge that is questioning the validity and utility of the medical illness model, which assumes that latent disease entities are targeted with specific therapy protocols. A new generation of evidence-based care has begun to move toward process-based therapies to target core mediators and moderators based on testable theories. This could represent a paradigm shift in clinical science with far-reaching implications. Clinical science might see a decline of named therapies defined by set technologies, a decline of broad schools, a rise of testable models, a rise of mediation and moderation studies, the emergence of new forms of diagnosis based on functional analysis, a move from nomothetic to idiographic approaches, and a move toward processes that specify modifiable elements. These changes could integrate or bridge different treatment orientations, settings, and even cultures.
Article
Objective: Researchers conceptualize grit as the combination of two facets: perseverance of effort and consistency of interests toward long‐term goals. We tested the reliability of grit facet scores across the globe and examined how differently each grit facet related to well‐being and personality strengths. Method: An international sample of 7,617 participants from 6 of the 7 continents (excluding Antarctica) completed an online survey. Results: Confirmatory factor analyses and omega reliability coefficients indicated that the 12 items from the original Grit Scale were multidimensional and reliably measured perseverance of effort and consistency of interests. Concurrent validity analyses showed that perseverance of effort was moderately to strongly related to subjective well‐being, beliefs about well‐being, and personality strengths, whereas consistency of interests had weak or negative correlations with these outcomes. The stronger relations with perseverance of effort were replicated across 7 regions of the world. The presence of overall grit was supported in individualistic countries, but not collectivistic countries (Latin America, Asia). Conclusions: We discuss the multidimensionality of grit, including a conceptual understanding of overall grit and how it may differ across cultures. We suggest well‐being and strengths researchers study grit facets separately due to their differential validity. This article is protected by copyright. All rights reserved.