ArticleLiterature Review

Psychological Flexibility as a Fundamental Aspect of Health

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Abstract

Traditionally, positive emotions and thoughts, strengths, and the satisfaction of basic psychological needs for belonging, competence, and autonomy have been seen as the cornerstones of psychological health. Without disputing their importance, these foci fail to capture many of the fluctuating, conflicting forces that are readily apparent when people navigate the environment and social world. In this paper, we review literature to offer evidence for the prominence of psychological flexibility in understanding psychological health. Thus far, the importance of psychological flexibility has been obscured by the isolation and disconnection of research conducted on this topic. Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situational demands; shift mindsets or behavioral repertoires when these strategies compromise personal or social functioning; maintain balance among important life domains; and be aware, open, and committed to behaviors that are congruent with deeply held values. In many forms of psychopathology, these flexibility processes are absent. In hopes of creating a more coherent understanding, we synthesize work in emotion regulation, mindfulness and acceptance, social and personality psychology, and neuropsychology. Basic research findings provide insight into the nature, correlates, and consequences of psychological flexibility and applied research provides details on promising interventions. Throughout, we emphasize dynamic approaches that might capture this fluid construct in the real-world.

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... Cognitive flexibility has been conceptualised and operationalised in several ways, primarily denoting the ability to adjust one's behaviour when confronting unpredicted situations, by choosing alternatives or changing plans (for an overview, refer to [1,2]). More specifically, Martin and Rubin [3] operationalized cognitive flexibility as characterised by three components: (1) the ability to contemplate different available alternatives in various scenarios, (2) the willingness to act flexibly and adapt to the situation, and (3) one's self-efficacy in being flexible. ...
... Importantly, cognitive flexibility has been recognized as a fundamental aspect of mental health [2] and has been frequently conceived as the antithesis of rigidity [12]. Poor cognitive flexibility could lead to difficulties in different areas of functioning in everyday life [1], and it has been associated with different psychopathological conditions, including feeding and eating disorders (FED; e.g., [13]). ...
... To fill the gaps above, the present study had a twofold aim: (1) to provide the first psychometric evidence for the CFS within the Italian cultural context by examining its dimensionality, measurement invariance across genders, internal consistency, and convergent and criterionrelated validity; (2) to contribute to the ongoing debate on the correlates, risk and protective factors of ON by examining the relationship between cognitive flexibility, as indexed by the CFS, and orthorexic symptoms. ...
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Background The Cognitive Flexibility Scale (CFS) is a 12-item self-report questionnaire designed to assess cognitive flexibility. Despite its widespread use, its psychometric properties have yet to be evaluated in the Italian context. Furthermore, while cognitive flexibility has emerged as a central correlate in Feeding and Eating Disorders, only a limited number of studies have investigated its association with Orthorexia Nervosa (ON), a clinical condition characterized by a pathological fixation with healthy eating. The present study aimed to fill these two knowledge gaps. Methods A total of 803 participants (Mage = 33.89, SD = 9.44; 68.6% females) were enrolled in the investigation. The sample was randomly split into two subsamples: the first one for examining the psychometric properties of the CFS, and the second one for evaluating its association with ON symptoms. Participants completed self-report questionnaires assessing the constructs under investigation. Results Confirmatory factor analysis revealed a global dimension of cognitive flexibility, alongside a method factor accounting for covariance arising by reverse-worded items. The CFS, which was factorially invariant across genders, yielded a reliable total score (ω = 0.834) and provided evidence of convergent and criterion-related validity. Importantly, structural equation modelling showed that cognitive flexibility was negatively associated with emotional distress resulting from violations of orthorexic dietary rules (β = -0.279, p < .001). Conclusions The CFS demonstrated to be a psychometrically robust instrument in the Italian context. Moreover, cognitive flexibility may be an important treatment target for mitigating the distress derived from ON symptoms, informing the development of future therapeutic approaches.
... Competence in caregiving mitigates the chaos often associated with pediatric health issues, creating a more predictable and orderly family environment that supports better family functioning and parental adjustment [34]. Additionally, psychological flexibility, rooted in Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) [35], empowers parents to remain open to difficult emotions and engage in value-driven behaviors despite adversity [36,37]. Studies have consistently demonstrated the association between psychological flexibility and positive outcomes in parental psychological health, particularly among parents of children with neurodevelopmental and chronic conditions [38][39][40][41]. ...
... As parents become more competent and adaptable in their caregiving, their confidence in managing their child's asthma effectivelyi.e., their parental self-efficacy-may also increase [43]. Conversely, higher levels of parental self-efficacy can reduce caregiving-related anxiety and stress, thereby promoting greater psychological flexibility and emotional resilience [36]. Despite the importance of these constructs, to date, no studies have concurrently examined how all three inter-related factors-self-efficacy, parenting competence, and psychological flexibility-contribute to parental psychological adjustment and family functioning. ...
... While self-efficacy is undoubtedly important in managing specific parenting tasks, our results suggest that it may not play as pivotal a role in the broader context of family dynamics as PF does. Unlike the taskspecific confidence involved in managing particular situations, PF represents a broader capacity to navigate the emotional and cognitive challenges of parenting, particularly when caregiving involves children with comorbid chronic conditions [36,68]. PF enables parents to remain adaptable, align their actions with deeply held values, and respond to fluctuating demands with psychological resilience. ...
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Asthma and ADHD represent prevalent pediatric conditions, with the former being a physical disorder and the latter being a neurodevelopmental disorder. This study examined the influence of parental psychological flexibility (PF)—the ability to adapt to evolving situational demands, shift perspectives, and balance competing priorities—alongside parenting competence and asthma management self-efficacy on family functioning and parental psychological adjustment in families with children exhibiting concurrent asthma and ADHD symptoms. Baseline data were analyzed from 130 parents (mean age = 40.3 years, SD = 5.5; 88.9% mothers) of children diagnosed with both asthma and ADHD (mean age = 8.0 years, SD = 2.2; 74.6% boys), who were participating in a randomized controlled trial evaluating an Acceptance and Commitment Therapy (ACT)-based parenting intervention. An adjusted structural equation model revealed that greater parental psychological inflexibility was significantly associated with poorer family functioning (β = −0.61, 95% CI [−0.74, −0.33], p < 0.001) and increased psychological maladjustment (β = 0.48, 95% CI [0.32, 0.63], p < 0.001), accounting for intercorrelations with parenting competence and parental asthma management self-efficacy. Additionally, parental psychological flexibility was found to mediate the relationship between parenting competence and both family functioning and psychological adjustment. These findings underscore the importance of targeting parental psychological inflexibility and enhancing parenting competence in interventions to improve family dynamics and parental mental health and thereby suggest a shift from the traditional focus on self-efficacy in symptom management for pediatric asthma and ADHD.
... But its presence goes beyond that. It refers to the ability a person has, to cope with different situations while accepting them and adjusting accordingly [10]. In the context of stressful life events or circumstances, PF serves a protective role by fostering positive reactions and mitigating stress [11]. ...
... Shaped within a transdiagnostic context, PF emerged as an aspect that maintains and promotes health [10]. Following this acknowledgment, a significant volume of research evidence has highlighted the importance of PF in various aspects of human behavior [12]. ...
... Following this acknowledgment, a significant volume of research evidence has highlighted the importance of PF in various aspects of human behavior [12]. It is suggested that the promotion of PF is associated with more health benefits and better prognosis in various conditions, associated with stress, internalized symptoms connected to pathophysiology, pain, self-regulation, and the overall shape of an individual's wellbeing [10,13,14]. ...
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Background Psychological flexibility (PF) has been approached as a mediator between health conditions and outcomes by promoting positive responses and healthier behavior repertoires. Purpose This rapid narrative review examines studies exploring the role of PF in influencing celiac disease outcomes among adolescents, with a particular focus on adherence to dietary management practices. Method Online databases were searched for studies exploring possible connections between PF, celiac manifestation, and management presented by adolescents. Selected articles have entered the analysis to highlight whether PF mediates or affects celiac-related outcomes in adolescents. Conclusions Adolescents demonstrate a greater capacity to organize their daily routines effectively while adhering to gluten-free diets. However, the emphasis on PF can significantly impact their social interactions. Although there is much research to be conducted on this possible connection, there are still primary assumptions that support the idea that PF can also be a factor in helping adolescents with celiac disease navigate the challenges of their illness and maintain a quality of life. Healthcare professionals can find value in incorporating elements from supporting therapies, health literacy programs, and health promotion strategies. Furthermore, insights from the review suggest the importance of standardizing interventions and measurements including counseling practices at the primary care level.
... Psychological flexibility can function as a buffer against the psychological challenges of adolescence and facilitate adolescents' adaptation to changing circumstances by developing their behavioral repertoire (Hayes et al., 2012). Psychological flexibility is considered an important component of healthy psychological functioning (Gloster et al., 2011) and an important indicator of psychological health (Kashdan & Rottenberg, 2010). An increasing amount of evidence indicates that psychological flexibility is associated with higher wellbeing and adaptive psychological functioning, and psychological inflexibility is associated with psychological dysfunction. ...
... Being psychologically healthy is one of the most important goals for people (Kashdan & Rottenberg, 2010). Psychological flexibility is considered an important component of healthy psychological functioning (Gloster et al., 2011). ...
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The purpose of this study is to investigate the effect of the Multi-Component Positive Psychology Intervention (MPPI) on adolescents’ risky behaviors and psychological flexibility. The study utilized a convergent parallel design, a mixed-method research design. While the quantitative phase included a 2 × 3 factorial design, the qualitative phase included a descriptive phenomenology approach. The study group consisted of 26 adolescents (experimental group = 13, control group = 13) selected using the simultaneous/nested sampling method (Ranjage=14–17, Mage=15.35, SDage=1.09). While the adolescents in the experimental group received a ten-week MPPI program online, the adolescents in the control group were administered no interventions. Quantitative data were collected through the Risky Behavior Scale and the Multidimensional Psychological Flexibility Inventory-Short Form. Qualitative data were collected through individual interviews conducted with the adolescents after the experimental procedure. The quantitative results showed that MPPI enabled a significant decrease in adolescents’ antisocial behaviors, suicide tendency, risky behaviors total and psychological inflexibility scores and an increase in their psychological flexibility scores. This effect was found to continue in the follow-up measurements taken three months later. On the other hand, MPPI was found to have no significant effects on reducing adolescents’ alcohol use, smoking, nutrition habits, and school dropout scores. Qualitative findings indicated the positive effects of MPPI on decreasing adolescents’ risky behaviors and increasing their psychological flexibility levels. Findings from quantitative and qualitative data assessing the effectiveness of MPPI were found to support each other.
... ACT is an empirically based psychological intervention that uses multiple strategies to increase psychological flexibility [2]. Psychological flexibility is defined as the ability to pursue valuable life goals despite the existence of distress [3,4]. Accordingly, it consists of six core components: acceptance, cognitive defusion, contact with the present moment, self as context, values, and committed action [4]. ...
... When life satisfaction (SWLS) was the dependent variable, the explained variance increased significantly by 4.5% and 6.3%. Overall, the significantly positive correlation between PPFI and measures of happiness and life satisfaction underscores the importance of psychological flexibility for both physical and mental health [3]. ...
Article
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Background: Psychological flexibility (PF) is defined as the ability to pursue valuable life goals despite the existence of distress. The Personalized Psychological Flexibility Index (PPFI) is a new measure of psychological flexibility that can address existing deficiencies. This study aimed to translate and validate the psychometric characteristics of the Chinese version of the PPFI among medical college students. Methods: The study was conducted in two phases. Phase 1 involved the translation and cross-cultural adaptation of the PPFI according to guidelines recommended by the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Phase 2 was a cross-sectional survey conducted on 945 medical college students in China. The psychometric performances of the scale were assessed using construct validity, divergent validity, criterion validity, incremental validity, internal consistency, and test-rest reliability. Results: The exploratory factor analysis (EFA, n1 = 440) showed that the Chinese version of the PPFI consisted of 3 factors, with a total of 15 items. The confirmatory factor analysis (CFA, n2 = 440) showed that the three-factor structure fit well (χ2/ df =2.469, SRMR = 0.051, RMSEA = 0.058, GFI = 0.94, CFI = 0.985). The total Chinese PPFI score had a moderate positive association with the Comprehensive Assessment of Acceptance and Commitment Therapy (CompACT, r = 0.344) and a negative association with the Acceptance and Action Questionnaire-II (AAQ-II, r = -0.334). Furthermore, the Chinese PPFI demonstrated good internal consistency (Cronbach's α = 0.826) and test-retest reliability (ICC = 0.817, p < 0.001). Conclusion: The 15-item Chinese version of the PPFI is a reliable and valid tool for measuring PF in Chinese medical students. However, additional studies are needed to validate its psychometric properties in more generalizable samples and other contexts.
... Bağlamsal davranış bilimi çerçevesinde popülerleşen psikolojik esneklik kavramı, bireylerin anlamlı ve değerli bir yaşam sürdürmek için kişisel değerlere ve bağlamsal koşullara göre davranışlarını adapte etme yeteneği olarak tanımlanır (Hayes vd., 2006). Zihinsel sağlık için temel bir özelliktir (Kashdan & Rottenberg, 2010). Psikolojik esneklik, bireylerin stres ve zorluklarla dolu dönemlerde gelişmeleri ve işlevsel ve refah dolu bir hayat sürdürmeleri için son derece önemlidir (Hayes vd., 2019). ...
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The aim of this study is to investigate the mediating role of psychological flexibility in the relationship between differentiation of self and psychological distress using a structural equation model. The study entails examining the measurement models of differentiation of self, psychological flexibility, and psychological distress within a Turkish sample, and assessing the hypothesized structural model. The final sample comprised 586 individuals (54.95% female) with a mean age of 32.6 and a standard deviation of 8.87. Initially, the measurement model was evaluated before testing the hypothesized basic mediational model. The latent models of differentiation of self and psychological distress, along with their observed variables, demonstrated good model fit. However, the subscales of psychological flexibility did not adequately indicate a latent factor of psychological flexibility. Consequently, the decision was made to treat the psychological flexibility composite score as an observed variable. Following the attainment of an acceptable model fit, various structural models were tested. The best fitting model was constructed based on modification indices and theoretical considerations. In the final model, psychological flexibility emerged as a significant mediator between differentiation of self and psychological distress. This provide evidence that psychological flexibility plays a crucial role in mitigating the negative effects of low levels of differentiation of self. The findings have implications for family and couple studies as well as psychotherapies.
... Across human lifespan, people face many challenges and changes, for example daily hassles, relocating, giving birth, pain or diseases, and loss of family and friends (Hayes et al., 1996;Labouvie-Vief, 2003). Psychological flexibility provides the ability to react upon and adapt to such experiences, including thoughts, feelings or events, in a way that is consistent with personal values, thereby enhancing or sustaining wellbeing (Hayes et al., 2006;Kashdan, 2010). In addition, psychological flexibility is linked to improved psychological and physical functioning (Hayes et al., 1996). ...
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Psychological flexibility provides the ability to react upon and adapt to challenges across the lifespan, including thoughts, feelings or events, in a way that is consistent with personal values, thereby enhancing or sustaining wellbeing. The aim of this study is to improve our understanding of age-graded differences in psychological flexibility, by examining the relationship between (subcomponents of) psychological flexibility and age in a Dutch general population sample (N = 1770; Mage (SD) = 55.77 (14.31); 36.3% men and 63.7% women). The results show that the relationship between age and psychological flexibility was not significant when accounting for demographical variables, positive and negative affect. However, there was a significant relationship between age and five of the six subcomponents. Demographic variables (education, marital status, employment), as well as positive and negative affect, played a significant role, underscoring the importance of incorporating affective factors in future research on psychological flexibility. Additionally, the results have implication for future research, particularly in assessing interindividual trajectories through sequential longitudinal designs, and practical implication, especially valuable in our modern society with current challenges.
... The broad applicability of cognitive reappraisal across diverse cultural contexts further emphasizes its effectiveness as a coping mechanism. 35,66,67 Using cognitive reappraisal, resilient individuals are more likely to regulate their emotions adaptively, facilitating better mental health outcomes. This study highlights the importance of integrating cognitive reappraisal into interventions to improve educators' mental health, particularly in Saudi Arabia. ...
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Background The compromised well-being of educators engenders a range of educational, social, and economic issues that cannot be adequately addressed through the mere awareness of risk factors. The present research explores the mediating roles of self-compassion and emotion regulation strategies (cognitive reappraisal and expressive suppression) on the relationship between academic teachers’ psychological resilience and mental health. Methods A total of 405 academic teachers from four colleges in Tabuk City, Saudi Arabia, participated in the study between September and November 2023. The standardized questionnaires measuring psychological resilience (The Brief Resilience Scale- BRS), self-compassion (The Self-Compassion Scale-SCS), emotion regulation (The Emotion Regulation Scale-ERS), and mental health (General Health Questionnaire-12) were used to collect data. The bivariate correlation, regression, and path analysis were employed to investigate their associations. Results The findings demonstrated a significant positive impact of psychological resilience on mental health (β=0.39, p<0.001). Self-compassion emerged as a significant positive mediator, strengthening the association between resilience and mental health (β=0.18, p<0.01). Cognitive reappraisal was found to have a positive mediating effect on this relationship (β=0.16, p<0.01), highlighting its functional significance in regulating emotions. Conversely, expressive suppression was found to negatively mediate the relationship, with an indirect effect of β=−0.12 (p<0.05), indicating a maladaptive influence on mental health. Conclusion The research emphasizes the significance of fostering self-compassion and adaptive regulatory strategies, like cognitive reappraisal, while mitigating maladaptive approaches, including expressive suppression, in order to enhance the mental health of university educators. These findings underscore the necessity for culturally sensitive mental health interventions within educational institutions in Saudi Arabia.
... what students, faculty, and administrators experienced with . Being more psychologically flexible has been associated with having higher well-being and less anxiety and worry (Kashdan and Rottenberg 2010;Twivy et al. 2021). Second, at the institutional level, universities should prioritize mental health support services and strategies for students, administrators and faculty to foster a resilient and supportive learning environment in the post-pandemic era. ...
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This qualitative study explores the perceptions and experiences of college students, faculty, and administrators on mental well-being pre-and-post COVID-19 pandemic. The study used an exploratory sequential design, and this manuscript presented findings from the qualitative (phase one) data collected through in-depth interviews with students, faculty, and administrators (N = 20). Interviews were conducted in person and virtually, audio recorded, and transcribed verbatim. An inductive thematic analysis was undertaken using a comprehensive codebook and Nvivo14 software. The findings revealed three major categories of views and experiences based on the timeframes around COVID-19 and campus closure: (a) pre-pandemic, (b) during the pandemic, and (c) post-pandemic (after the reopening of campus). Views on pre-pandemic demonstrated that in-person learning is better for mental well-being, having a structure reduces stress, and the real college experience positively impacts mental well-being. The pandemic period was characterized as overwhelming and stressful, complex, and mixed spaces of work and life, dominated by feelings of isolation, lack of motivation, and anxiety. The post-pandemic period was filled with mixed feelings of excitement and the burden of readjustment. The re-opening of campus did not mean coming back to the pre-pandemic state; feelings of anxiety and trauma from the pandemic days continued. The period was marked by declined support that created a mental burden, but also important lessons were learned on how to maintain mental well-being. As colleges navigate the post-pandemic landscape, it is imperative to maintain a focus on mental wellness, integrating preventive measures, crisis response strategies, and continuous evaluation of mental health services.
... LMs, as attractors that frequently appear in state transitions, can be considered as constraints within the network. The network constraints uncovered in this experiment might reveal a general lack of flexibility in the response systems of MDDs [68], indicating that the brain's degrees of freedom are fewer in MDDs. This discovery may be associated with the pathology of MDDs, specifically, structural alterations in the basal ganglia circuits, characterized by smaller volumes in the bilateral caudate nucleus and putamen [69,70]. ...
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Background Major depressive disorder (MDD) is one of the most common mental disorders, and the number of individuals with MDD (MDDs) continues to increase. Therefore, there is an urgent need for an objective characterization and real‐time detection method for depression. Functional near‐infrared spectroscopy (fNIRS) is a non‐invasive tool, which is widely used in depression research. However, the process of how the brain activity of MDDs changes in response to external stimuli based on fNIRS signals is not yet clear. Method Energy landscape (EL) can describe the brain dynamics under task conditions by assigning energy values to each state. The higher the energy value, the lower the probability of the state occurring. This study compares the EL features of 60 MDDs with 60 healthy controls (HCs). Results Compared to HCs, MDDs have more local minima, smaller energy differences, smaller variations in basin sizes, and longer duration in the basin of global minimum (GM). The classification results indicate that using the four features above for depression detection yields an accuracy of 86.53%. Simultaneously, there are significant differences between the two groups in the duration of the major states. Conclusion The dynamic brain networks of MDDs exhibit more constraints and lower degrees of freedom, which might be associated with depressive symptoms such as negative emotional bias and rumination. In addition, we also demonstrate the strong depression detection capability of EL features, providing a possibility for their application in clinical diagnosis.
... Some members of digital collaborate teams may be less productive or satisfied as a result of their feeling of isolation and disconnection from the team's work and one another (Berry 2011). Some scholars have suggested that when employees' basic psychological needs are fulfilled, they experience motivation, optimal development, effective functioning, and good health, rather than feeling isolated or disconnected from others (Kashdan and Rottenberg 2010). The self-determination theory posits that individuals are commonly driven by three basic psychological needs, namely competence, relatedness, and autonomy (Deci et al. 2001b;Ryan et al. 1995). ...
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Although value networks and virtual cross-functional teams, which serve as examples of digital collaborative organizations in the digital economy, have grown in popularity, few studies have looked at knowledge sharing in these teams. Yet lack of knowledge sharing can hurt teamwork and value creation. So, this study integrates transactional theory of stress and coping and self-determination theory into the stimulus-organism-response model to better understand the mechanisms. We conducted an empirical analysis after surveying of 386 participants from 49 digital collaboration teams in 27 service and industrial firms. The results indicate that the basic psychological needs and both coping strategies together mediate the correlation between diversity-oriented leadership and organizational knowledge sharing. Surprisingly, competence and autonomy needs satisfaction are necessary for organizational knowledge sharing, while perceived relatedness needs satisfaction is the icebreaker for organizational knowledge sharing.
... These cover some of the same functions as de Botton and Armstrong's classification, but note additional benefits, such as: engagement and vitality; distraction from pain and worries (often through the flow experience resulting from skilled activity at a manageable challenge level: Csikszentmihalyi, 2002); the building of new skills (cognitive, emotional, social, and motor); tapping into the sub/unconscious; hedonic pleasure and motivation from immersion in play and beauty; developing a sense of agency and competence; and emotional catharsis, expression and regulation. Kashdan and Rottenberg (2010) note art also provides emotional, cognitive, and executive flexibility "so that one fully participates in life and avails oneself of the experiential and hereditary gifts in his or her environment" (p. 866). ...
Chapter
Philosophical and research-based explanations for why and how art and human wellbeing are inextricably linked are explored, followed by a review of the transition away from medical- and pharmacological-based interventions for treating some mental and physical ailments to a different approach to healthcare - social prescription, or connecting people to groups and activities in their community that may more naturally be able to help fill their mental and physical wellbeing needs. Where the arts fit into this new era of wellness intervention is then discussed. Potential systemic and individual psychological barriers to the provision and uptake of arts wellbeing programmes are considered, and recommendations given for how these may be overcome.
... It is worth noting that self-exploration is essential, but in the process of exploration, external help should be reduced appropriately, and one's own powerful potential should be believed in. Humans can often correct for powerful situational influences [17]. The more individuals delve into their own selves, the greater power they possess, a phenomenon recognized in psychology as a component of psychological flexibility. ...
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The culture of divination has a large fan base from ancient times to the present day. Whether it's offline fortune-telling or online through the so-called "a few cards to tell your future fortune", people are fascinated by the ability to "foretell the future" brought by divination. With the help of social media, the fame of fortune-telling has skyrocketed. The enthusiasm of Chinese netizens for the current online craze for divination is only increasing, from seeking guidance from online gurus to consulting AIs themselves for divination and interpretation, and as the Internet continues to diversify, traditional forms of divination are transforming into digital formats. This paper will dissect the psychological and practical reasons for this craze by linking numerous sociological and psychological references, comparative arguments and real-world cases. Finally, from the perspective of future social development and cultural inheritance, the importance of balancing the secondary and tertiary dimensions is proposed, pointing out that online divination, as a tool to assist people in decision-making or provide directionality, should help individuals focus on reality and contribute to social progress.
... Ön ergenlerde psikolojik katılık ve kaygı bozuklukları arasındaki ilişkiye dair ilgili alanyazında çok sayıda çalışma yer almaktadır (Kul & Türk, 2024;Levin vd., 2014;Swain vd., 2015). Kaygı bozuklukları bu yaş grubunda en yaygın ruh sağlığı sorunları arasında yer almakta olup, genellikle aşırı endişe, korku ve kaçınma davranışlarıyla kendini göstermektedir (Kashdan & Rottenberg, 2010 ACT, psikolojik katılığı gidermek ve ön ergenlerin işlevselliğini artırmak için umut verici bir yaklaşım sunmaktadır. ACT'nin merkezinde, sıkıntı verici düşünce ve duyguların varlığına rağmen içinde bulunulan an ile esnek bir biçimde temas etme, deneyimlere açık olma ve değer odaklı davranışlarda kararlı olma becerisini içeren psikolojik esnekliğin geliştirilmesi yer almaktadır (Hayes vd., 2006). ...
Thesis
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Araştırmanın genel amacı Kabul ve Kararlılık Terapisi (ACT) ve Bilişsel Davranışçı Terapi (BDT) temelli psikoeğitim programlarının ön ergenlerin kaygı düzeyleri üzerindeki etkiliklerinin karşılaştırılmasıdır. Bu bağlamda deneysel uygulama iki deney (BDT ve ACT) ve bir kontrol grubu ile ön-test, son-test, bir aylık ve üç aylık izleme ölçümlerini içeren 3x4’lük karışık desen ile yapılandırılmıştır. Araştırmanın çalışma grubunu üç farklı devlet okulunda okuyan ve altıncı sınıfa devam eden 38 (ACT=10, BDT=13, Kontrol=15) ön ergen oluşturmaktadır. Deneysel desende gerçekleştirilen araştırmada veri toplama araçları olarak Çocuklarda Anksiyete ve Depresyon Ölçeği-Yenilenmiş (ÇADÖ-Y) Çocuk Formu, Kaçınma ve Birleşme Ölçeği-Gençler 8 (KBÖ-G8), Çocuklar İçin Bilişsel Esneklik Ölçeği (ÇBEÖ) ve Akran İlişkileri Ölçeği (AİÖ) kullanılmıştır. Deney gruplarında yer alan ön ergenlere 8 haftalık BDT ve ACT’ye dayalı psikoeğitim programları uygulanmış, kontrol grubuna ise herhangi bir müdahalede bulunulmamıştır. Verilerin analizinde ise karışık ölçümler için iki faktörlü ANOVA kullanılmıştır. Araştırma sonuçları hem ACT hem de BDT temelli programların ön ergenlerin kaygı düzeylerini azaltmada etkili olduğunu ve bu etkinin izleme dönemlerinde de sürdüğünü göstermektedir. Bunun yanı sıra ACT grubunda yer alan ön ergenlerin psikolojik katılık düzeylerinde anlamlı azalma ve akran ilişkileri düzeylerinde ise artış olduğu görülmüştür. BDT grubundaki ön ergenlerin ise psikolojik katılık ve akran ilişkileri düzeylerinde herhangi bir anlamlı değişim meydana gelmemiştir. Ayrıca her iki grupta yer alan ön ergenlerin bilişsel esneklik düzeylerinde anlamlı bir değişim olmadığı gözlenmiştir. Araştırma bulguları hem BDT hem ACT’nin ön ergenlerin kaygı düzeylerini azaltma konusunda etkili birer yaklaşım olduklarına yönelik önemli veriler sunmaktadır.
... There is a small body of literature that explains how attitude towards emotions has a significant impact on emotional regulation, overall well-being, and mental health outcomes. People who have positive views towards emotions and see them as enablers of development and wellbeing are more likely to adopt adaptive emotion regulation techniques, which improve their emotional well-being [21]. Conversely, individuals who maintain negative attitudes toward emotions, viewing them as obstacles or threats to be avoided, are more inclined to employ maladaptive emotion regulation techniques, often leading to diminished emotional well-being [22]. ...
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Creative self-concept, intimately intertwined with the personality traits and plays a pivotal role in shaping individuals’ behavioral tendencies. Personality traits are largely responsible to influence how people perceive and navigate their creative abilities and self-expression. Moreover, attitudes towards emotions are another key facet of one’s psychological landscape, impacting their inclination to perceive, process, and manage emotional experiences. Keeping this view, the present research attempts to explore the interconnectedness of creative self-concept, personality traits, and attitudes towards emotions among young adults, as well as focuses on exploring the predictors of creative self concept. For this purpose participants consisted of 200 young adults with a mean age of 21.20 years. Statistical outcomes revealed that creative self concept is a significant positive correlate of openness, conscientiousness, extraversion, agreeableness, attitude towards sadness, and attitude towards fear. Additionally, stepwise multiple regression analysis confirmed that openness (R² = 27%), neuroticism (R² = 2%) and attitude towards sadness (R² = 2%) emerged as the significant predictors of creative self concept. Findings from the current research concludes that for young adults to have self-perception in the realm of creativity, personality traits and attitude towards emotions are significant contributing factors. By recognizing and employing these connections, individuals, educators, counselors, and practitioners can contribute to the cultivation of creativity and personal development. Supplementary Information The online version contains supplementary material available at 10.1186/s40359-024-02128-3.
... Flexibility has several other names like psychological flexibility, ego-resiliency, executive control, response modulation, and self-regulation. It makes one adaptable to unforeseen events that lead to suffering and eager to collaborate with others (Kashdan 2010). ...
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Human flourishing is a desired outcome for building humanistic workplaces. In this context, flourishing is taken as a whole, an end, and not examined in its distinct causes or components. Surprisingly, many strategies to promote well-being do not include confronting suffering as a comprehensive human experience that can threaten flourishing if not well-oriented. Yet human suffering is ubiquitous, inescapable, and affects relations with the self, the world, and others. Suffering needs to be confronted not only in its distinct forms and causes but also as an experience that encompasses the whole person and threatens human functioning i.e. rationality, free choice, and emotional stability. In the context of the modern work environments and the changes post-COVID-19, there are new difficulties with economic recovery, challenges with flexible work arrangements, and evolving employee-employer trust issues. These changes exist alongside the usual work and life challenges that result from dramatic or everyday events. An agent-based approach where individuals are empowered to recognize, accept, and proactively address suffering is needed. Cultivating cardinal virtues such as prudence, temperance, justice, and fortitude alongside intellectual virtues like epistemic courage, intellectual humility, open-mindedness, and intellectual perseverance will equip individuals to make wise decisions regarding their suffering and that of others. By integrating a virtue-ethic framework that addresses personal suffering through individual character growth and organizational policies, we can pave the way for more humanistic workplaces and promote human flourishing.
... Considering that parental burnout emerges in response to chronic and overwhelming parental stress , parental psychological flexibility can be considered one of the protective factors against parental burnout (Lobato et al., 2022). Psychological flexibility, although considered a core underlying many psychopathologies and overall mental health (Hayes et al., 2011;Masuda et al., 2011;Mendoza et al., 2018;Sairanen et al., 2018;Kashdan & Rottenberg, 2010), is acknowledged as a component of resilience spectrum (Ben-Ari et al., 2021). From a parenting perspective, psychological flexibility involves the parent's ability to engage in effective parenting behaviors by controlling negative emotions, thoughts, and impulses toward their children (Burke & Moore, 2014;Moyer & Sandoz, 2015). ...
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Children perceived as difficult by their parents have a negative impact on family harmony. Parental factors play a significant role in the disruption of family harmony. This study investigated the impact of parental perception of their child as difficult on family harmony. Within this framework, the constructed model examined the moderating effects of parental psychological flexibility on the relationship between difficult child behaviors and parental burnout and the moderating effect of parental task sharing on the relationship between parental burnout and family harmony. Thus, this study explored the moderating mediation effect of parental burnout. The research sample comprised a total of 406 parents from across Türkiye. To test the constructed model, analyses were conducted employing SPSS 21 and the PROCESS Macro software. As a result of the conducted analyses, it was found that parents’ perception of their child as difficult significantly influenced their levels of psychological flexibility, which in turn significantly affected their levels of burnout. Furthermore, parental burnout was found to significantly influence family harmony through the level of parental task sharing. Therefore, the constructed model in this study confirmed the moderating mediation effect of parental burnout on the relationship between perceived difficult child behaviors and family harmony. It is deemed important for future studies to consider different types of families and clinical samples to understand better the impact of difficult child behaviors on family harmony.
... However, the integrative model emphasizes addressing psychological symptoms and main challenges early to optimize patient care and quality of life. In order to support this, the BreastCancerPsych (BCP) -Integrative Clinical Tool was created to allow patients to maintain a private journal of their journey, documenting challenges and symptoms, which can positively impact their mental health (Baikie & Wilhelm, 2005;Kashdan & Rottenberg, 2010). Moreover, for patients requiring external psychosocial support, this tool can provide comprehensive insights into their experiences, enabling psycho-oncology professionals to deliver more personalized care and interventions throughout the trajectory, potentially alleviating the impact of time constraints and resource limitations identified by Butow and Hiller (209). ...
... First, studies have shown that increased psychological flexibility has acted as a moderator in lifestyle changes (Forman and Butryn, 2015;Ivanova et al., 2016;Punna et al., 2021;Yildiz, 2020). Psychological flexibility comprises a person's processes of how to adapt in fluctuating situations, recreate mental capacity, shift perspectives when needed, and adjust oneself to challenging desires, needs, and disciplines (Hayes et al., 2006;Kashdan and Rottenberg, 2010). With lifestyle changes, those skills and attitudes often play a critical role in a person's change process (Forman and Butryn, 2015). ...
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This study investigated the impact of online psychological flexibility training and support provided by peers on self-rated health (SRH) and health-related quality of life (HRQoL) among adults with overweight. It was a secondary analysis of a single-arm multi-center intervention study that was conducted in a real-life context. In a 2-years acceptance and commitment therapy (ACT) lifestyle intervention, participants ( N = 177) engaged in online ACT activities while receiving support from trained peers. Participants completed surveys at baseline, 6, 12, and 24 months. The research data were analyzed with structural equation modelling. At baseline, the participants with high SRH ( n = 83) had higher psychological flexibility and HRQoL than did participants with low SRH ( n = 94). At 24 months, the participants with low SRH at baseline reported increases in SRH, vitality and depression dimensions of HRQoL, and psychological flexibility. Increased psychological flexibility was associated with improved SRH.
... Psychological flexibility is a 'POB' construct that enables a person to adapt to adverse changes and conditions. However, continual exposure to technostress can take a toll on IT employees and might affect their flexibility to adapt, accommodate and accept challenging events (Tindle & Moustafa, 2021;Kashdan & Rottenberg, 2010). Psychological flexibility can be defined as the "sense that one's existence is important and purposeful in a positive aspect" (Ortega-Jiménez et al., 2021, pp. ...
... 24 Multiple positive psychological outcomes in various contexts have been linked to psychological flexibility. 25,26 Psychological flexibility has been associated with decreased stress among DPT students 27 and increased resilience in family medicine residents 28 and military personnel. 29 Psychological flexibility has also been linked to lower burnout in undergraduate and graduate students. ...
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Background and Aims Although resilience has been identified as an important factor for mitigating burnout among health profession students, little is known regarding the modifiable factors that should be emphasized to improve resilience in this population. The purpose of this study was to evaluate psychological flexibility as a modifiable mediator of the relationship between resilience and academic burnout among healthcare students. Methods This cross‐sectional study was conducted with 369 Doctor of Physical Therapy (DPT) students from universities across the United States. A two‐stage structural equation modeling approach, including confirmatory factor analysis and structural path analysis, was used to investigate psychological flexibility as a mediator of the relationship between resilience and academic burnout. Results The measurement and structural path models demonstrated a good fit to the data. Resilience had a statistically significant indirect association with less academic burnout through psychological flexibility as the mediator (β = −0.32, 95% confidence interval = [−0.43, −0.08], p < 0.001). The direct relationship between resilience and academic burnout was not statistically significant (β = −0.19, p = 0.10). Conclusion These results indicate that the positive effects of resilience on academic burnout occur through modifiable psychological flexibility processes only. These results suggest that psychological flexibility is a modifiable mechanism through which resilience impacts academic burnout. Developing interventions focusing on psychological flexibility may help students build resilience and limit academic burnout, positively impacting the students, their future institutions, and their future patients.
... In line with these findings, expressive suppression, which refers to a form of emotion regulation where an individual consciously inhibits the outward expression of their emotions (Gross and John, 2003), has been linked to maladaptive functioning such as lower happiness (Hirano and Ishii, 2024;Kelley et al., 2019) and increased risk of psychopathology (Dryman and Heimberg, 2018) as well as loneliness (Hirano and Ishii, 2024;Preece et al., 2021). It should be pointed out, however, that suppressing emotions can be beneficial in some circumstances (e.g., maintaining harmonious interpersonal relationships; Soto et al., 2016), suggesting that its effectiveness may depend on the context (Kashdan and Rottenberg, 2010). That said, prior literature generally suggests that expressing genuine emotion appears to be particularly crucial for promoting psychological health. ...
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Introduction This study examined whether adverse childhood experiences, positive emotional expressivity in personal (i.e., expressing positive emotions when good things happened to oneself) and social settings (i.e., expressing positive emotions when good things happened to others such as friends or family), and general trust predict levels of happiness and loneliness among American and Japanese participants. We also explored whether these two types of emotional expression and general trust mediate the relationship between adverse childhood experiences and happiness/loneliness. Methods American and Japanese participants who agreed to participate in the current study first completed the Subjective Happiness Scale. Next, they answered the Emotion Expression Questionnaire, the 5-item General Trust Scale, and the revised UCLA Loneliness Scale. They then responded to the Risky Family Questionnaire. Finally, they answered demographic questions (e.g., age, gender). We hypothesized that regardless of culture, adverse childhood experiences would be negatively (positively) associated with happiness (loneliness), while positive emotional expression in personal and social settings and general trust would be positively (negatively) related to happiness (loneliness). We also predicted that positive emotional expression in both personal and social settings, as well as general trust, would mediate the relationships between adverse childhood experiences and happiness/loneliness. Results As expected, adverse childhood experiences were negatively (positively) associated with happiness (loneliness), while positive emotional expression in personal and social settings and general trust were positively (negatively) related to happiness (loneliness). Besides, positive emotional expression in a personal situation mediated the relationships between adverse childhood experiences and happiness/loneliness, such that greater early life adversity was negatively linked to positive emotional expressivity in a personal setting, which, in turn, predicted lower happiness and higher loneliness. Discussion The present study advances the understanding of psychological mechanisms linking adverse childhood experiences to happiness and loneliness by highlighting the significant role of positive emotional expression in a personal situation. This result underscores the importance of developing therapeutic practices and public health strategies that foster authentic emotional expression in response to personal achievement or fortune, regardless of cultural background.
... Stress and distress tolerance levels of individuals with SUD are negatively affected. The ability to adapt by accepting the positive and negative aspects of life during periods when the effects of problematic substance use continue is associated with psychological flexibility (Kashdan and Rottenberg 2010). ...
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Introduction Psychological flexibility is posited to aid individuals with substance use disorder (SUD) in managing stress and tolerating distress. However, the intricacies of this mechanism remain obscure. Aim This study investigates the potential mediating role of psychological flexibility in the relationship between distress tolerance and perceived stress among individuals with SUD. Method This cross‐sectional study evaluated 187 individuals with SUD, selected through non‐probability convenience sampling, using the Introductory Information Form, the Perceived Stress Scale, the Distress Tolerance Scale and the Acceptance and Action Questionnaire—Substance Abuse. Data analysis was conducted using SPSS 25 and further refined with Jamovi 2.4.14, employing advanced mediation analysis techniques. Results Significant relationships were found between distress tolerance, perceived stress and psychological flexibility. Mediation model analysis showed that psychological flexibility mediated the relationship between distress tolerance and perceived stress. Discussion This study revealed that higher distress tolerance, higher psychological flexibility and lower perceived stress were associated. As individuals adopt a more flexible and accepting attitude towards distressing situations, they perceive stressful events as less threatening and more manageable. Implications for Practice The study suggests the need for psychiatric and mental health nursing practice and education to incorporate strategies to increase psychological flexibility.
... Simple linear regressions suggest that changes in psychological inflexibility are related to changes in life satisfaction. Many studies have also found a relationship between psychological flexibility and general well-being (Hayes et al., 2006;Kashdan & Rottenberg, 2010;Ong et al., 2024). Additionally, we found that psychological inflexibility did lead to changes in psychological distress at the 3-month follow-up. ...
... Psychological flexibility refers to the ability of an individual to fully engage with the present external environment while consciously noticing and accepting their internal mental state, clarifying their core values, and acting under the guidance of these values [12] . Studies have shown that enhancing psychological flexibility can help individuals change their approach to problems, boost self-esteem, and restore social functions, serving as a cornerstone for maintaining mental health [13][14][15] [16] . ...
Article
Objective: To assess the effectiveness of a psychological flexibility training course based on the Acceptance Commitment Therapy (ACT) DNA-V model in enhancing psychological flexibility and career adaptability among high school students, and to offer a reference for psychological health services. Methods: Collaborating with a high school in Chengdu, 110 second-year students were randomly assigned into three groups: a DNA-V face-to-face group (33 students), a DNA-V online group (40 students), and a control group receiving standard psychological education (37 students). The intervention consisted of a six-session course, with assessments using the Avoidance and Fusion Questionnaire for Youth and the Career Adaptability Scale conducted before, one week after, and two months after the sessions. Results: Data analyzed via linear mixed models showed that the face-to-face group experienced significant improvements in psychological flexibility and career adaptability at one week and two months post-intervention (P<0.01), with no significant changes noted between these two times. The online group saw no significant changes, and the control group s gains reverted to baseline after two months. Conclusion: The face-to-face DNA-V course effectively enhanced psychological flexibility and career adaptability for at least two months, underscoring its potential for integration into student mental health programs.
... Considering the losses older adults face in their social network, work life, and health, it would be relevant to examine how flexible they are in funneling their drive for purpose and adjusting to changed circumstances. Indeed, it has been proposed that such psychological flexibility may be instrumental in determining if people can continue pursuing valued goals in spite of setbacks and distress (Kashdan & Rottenberg, 2010) and may, as such, be a key research target to uncover which older adults are most at risk of experiencing declines in sense of purpose. ...
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Sense of purpose is a key construct explaining individual differences in health. However, much is still unclear about how sense of purpose and health affect each other over time in older age. Using four waves of data from the Health and Retirement Study (N = 11,390) spanning 12 years, we investigated the reciprocal associations between sense of purpose and multiple objective and subjective markers of health (e.g., self-reported health; grip strength). Across the 12 years, better health was associated with higher levels of purpose for all investigated health markers. Cross-lagged panel models implied reciprocal associations for six of the 11 health markers. When looking at within-person associations (i.e., random intercept cross-lagged models), purpose emerged as a stronger predictor of later health than the other way around, with purpose changes predicting subsequent changes in five health markers while changes in only two health markers predicted later changes in purpose. Taken together, these findings further support the notion that sense of purpose has protective effects against health decline in older age. We discuss the findings in the context of lifespan theory and emphasize the potential benefit of considering sense of purpose as a potential target for public health interventions.
... The psychological flexibility model (Hayes et al., 2012) identifies a set of transdiagnostic processes theorised to promote wellbeing and personal effectiveness. Psychological flexibility is the capacity to consciously engage with the present moment, effectively adjust behaviours and cognitive strategies to suit situational demands, and pursue personally meaningful values despite experiencing distress (Kashdan & Rottenberg, 2010). Hayes et al. (2012) describe six interrelated processes promoting psychological flexibility -acceptance, cognitive defusion, self-as-context, committed action, values, and present moment awareness (Rolffs et al., 2016). ...
... However, what is noteworthy is, different types and levels of resilience appear to exert differential impacts on children's internalising and externalising behaviours and parenting stress between parents with and without children with NDDs, except for emotional flexibility and family support which seems to be a universal resilience factor. From the literature, there is growing evidence suggesting that the flexibility with which was implement emotion regulation strategies might be key to our mental health (Kashdan & Rottenberg, 2010). In other words, any individual (parents in our specific study) who can effectively employ and switch to different emotion regulation strategies in handling different stressful situations would be able to maintain good mental health. ...
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With the rise in attention towards Neurodevelopmental Disorders in Hong Kong and worldwide, understanding the role of social ecological resilience in reducing parenting stress and enhancing child outcomes is crucial, particularly within the unique cultural context of Chinese families. This study utilized a social ecological model to examine resilience factors at individual and interpersonal levels among Hong Kong parents of children with Neurodevelopmental Disorders. It also compared the stress and resilience conditions and differential functions of social ecological resilience between parents with and without children diagnosed with Neurodevelopmental Disorders. A sample of 447 parents of children with and without Neurodevelopmental Disorders were assessed by a newly developed Social Ecological Resilience Scale, along with measures of parenting stress and the internalizing and externalizing behaviors of their children. Independent sample t-tests showed that Chinese parents of children with Neurodevelopmental Disorders report significantly higher parenting stress and more internalizing and externalizing difficulties in their children compared to those without Neurodevelopmental Disorders. Multiple linear regression analyses indicated that enhanced social ecological resilience among parents predicted improved parenting stress and better outcomes in children’s behaviors. Notably, social ecological resilience factors showed varying effects between parents with and without children diagnosed with Neurodevelopmental Disorders. These findings highlight that both individual and interpersonal resilience factors among parents predicted improved parenting stress and better outcomes in children’s behaviors and certain resilience factors may be contextually motivated. Policy makers and practitioners should consider developing context-specific strategies and programmes to help the focal target group.
... This is because the person who grows in interpersonal complexity sees the world transform from simple to complex, as what initially seemed static becomes dynamic (Cook-Greuter, 2004;Hy & Loevinger, 1996;Loevinger, 1976). This leads to an individual experiencing a greater tolerance for ambiguity, psychosocial maturation, and a lowering of psychological defenses which leads to enhanced emotional regulation capacities, mental health, and well-being (Alkoby et al., 2019;Kashdan & Rottenberg, 2010). In contrast, individuals who are low in interpersonal complexity are more likely to rely on competitive actions, such as forms of war and destructive conflict, compared to people with high interpersonal complexity (Conway et al., 2001). ...
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Political polarization has been growing in many countries, including the United States, within recent years. Scholars note how, if not addressed, growing trends can compromise fundamental pillars of a functioning democratic society. While efforts have grown in researching how integrative complexity can successfully mitigate polarizing tensions in political divides, there is a lack of scholarly attention on how conscious and unconscious dimensions of integrative complexity affect such processes. This article proposes a framework to ground future research in this direction as well as inform depolarizing interventions on this topic.
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Relationships between adolescents and primary caregivers play an important role in the development of internalizing (depressive and anxious) symptoms. We examined associations among caregiver‐adolescent emotions and their emodiversity (their breadth and frequency) with adolescents' and caregivers' internalizing symptoms. A total of 181 adolescents (aged 13–17 years old) and their primary caregivers participated in a 14‐day daily diary study between 2022 and 2023 where they reported their emotions at the end of each day. We used actor‐partner interdependence models to examine whether positive and negative emotions and their emodiversity predicted each individual's and their family member's internalizing symptoms. Primary results concentrated on the actor effects of adolescents' and caregivers' mean levels of positive and negative emotions and their own internalizing symptoms. Greater negative emotion and lower positive emotion were associated with greater internalizing symptoms, for both caregivers and adolescents. Caregivers who showed greater positive emodiversity also showed greater internalizing symptoms. In contrast, relatively few partner effects were observed. Our findings point to the need for more research on the role of interpersonal emotions in daily life as they relate to internalizing symptoms. Although our sample captured diversity in ethnicity, results may not generalize across levels of socioeconomic status, gender identity, and caregiver education.
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Through the course of the last few decades researchers have observed that Adverse Childhood Experiences (ACE) can act as a breeding ground for transformative positive changes to develop in the face of adversity. This process of enhanced growth is systematically studied as ‘Post Traumatic Growth’ (PTG). Though there is an existing association between ACE and PTG, yet there is a paucity of studies that explores the mediating variables in this relationship. The current study aims to explore the role of self-compassion (SC) and psychological flexibility (PF) between ACE and PTG among Indian young adults. The study was conducted on 298 Indian participants who were in the age bracket of 18–25 years. The study variables were assessed using self-administered rating scales. Participants were screened for ACE using Adverse Childhood Experiences (ACEs) Questionnaire. Additionally, Self-Compassion Scale (SCS-SF), Acceptance and Action Questionnaire-II (AAQ-II), Posttraumatic Growth Inventory- Short Form were other tools used. The results have indicated that both Psychological Flexibility and Self-Compassion mediate the relationship of ACE with PTG. The current findings have emphasized on the role of Psychological Flexibility and Self-Compassion in moving towards Post Traumatic Growth. These findings reassert that Psychological Flexibility and Self-Compassion are foundational to Acceptance Commitment Therapy and highly useful especially while working with trauma affected populations.
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Emotion regulation flexibility (ERF) has the function of enabling individuals to adapt to social environments, and a lack of ERF is an important risk for the onset and development of mood disorders such as anxiety and depression. It has been suggested that low task-switching is a critical factor in the lack of ERF, but task-switching cannot benefit from traditional training approaches based on strategies and cognitive functions. Therefore, there is an urgent need to find effective approaches to improve ERF. In this project, we aim to combine psychological and cognitive-neurological research methods to design task-switching training programs in three dimensions: goal-situation-integration and to systematically investigate the effects of different training methods on ERF and neural mechanisms. The main topics are: 1) investigating the mechanism of goal-switching training on ERF; 2) exploring the effect of emotion situation-switching training on ERF; 3) using goal-situation interaction training to improve ERF and explore its neural mechanism. Finally, a comprehensive analysis of the different effects of training methods and brain changes will be conducted to clarify the impact of task-switching on ERF. This project will shed light on the intrinsic process of ERF reveal the role of goal-situation task switching in neuroplasticity, and provide innovative ideas for the development of treatments for mood disorders.
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Recent evidence has suggested that valuing happiness to an extreme degree has a potential downside in Western but not in East Asian countries. We tested how valuing happiness relates to well-being in mainland China (N = 721) and Western countries (UK, US, and Canada) (N = 349) in two online survey studies. We predicted that pursuing happiness in a socially engaged yet flexible (i.e., feasible and achievable) way underlies a positive association between valuing happiness and well-being. Indeed, in study 1, a socially engaged definition of happiness mediated the relationship between valuing happiness and well-being in a Chinese sample. Specifically, increased valuing happiness was associated with a higher socially engaged definition of happiness, which in turn was related to higher well-being. Demonstrating the role of flexibility in pursuing happiness, Chinese participants reported more items overall and more feasible items to achieve happiness, though not more social items than participants in the Western sample). In study 2, we repeated the study during the Covid-19 lockdown in Chinese (N = 308) and Western (N = 185) samples and also tested if participants were able to adopt a mindset of flexibly pursuing happiness by adding a survey with social actions that were still feasible (e.g., a call instead of meeting in-person). We found the association holds in times of emotional stress and social restrictions in both samples, suggesting that people flexibly pursue social activities that relate to happiness. We propose that a socially engaged but also feasible and flexible way to pursue happiness is associated with higher well-being.
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Although research suggests that trait mindfulness has been negatively associated with perceived stress, an integrative examination of the underlying mechanisms is lacking. Consequently, the purpose of this study was to establish an integrative model within Monitor and Acceptance Theory (MAT). This model examined the relationship between trait mindfulness and perceived stress by assessing two important psychological resources: basic psychological needs satisfaction (BPNS) and psychological flexibility. A total of 679 young adults (Mage = 19.27 years, SD = 1.06) participated in this research. They completed a set of standardized instruments that assessed trait mindfulness, BPNS, psychological flexibility, and perceived stress. Serial multiple mediation analyses showed that trait mindfulness was associated with higher levels of BPNS and psychological flexibility, which in turn were associated with less perceived stress. Furthermore, the path coefficient of the serial multiple mediation was higher than other pathways. These findings demonstrate that BPNS and psychological flexibility are important mechanisms that underlie the relationship between trait mindfulness and perceived stress, particularly when they are synergistic.
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This study aims to explore the differences in psychological flexibility, psychological capital and the perception of marital quality between parents of children with and without autism and to examine whether psychological capital could serve as a moderator of the association between psychological flexibility and the perception of marital quality. One‐hundred fifty parents of children with autism and 192 parents of children without autism completed an online survey. Parents of children with autism had lower psychological flexibility and psychological capital than the comparison group. The levels of psychological flexibility and psychological capital were also found to be significantly and positively correlated with the perception of marital quality of parents in both groups. Amongst parents of children with autism, hope significantly moderated the association between psychological flexibility and the perception of marriage quality. Hope buffers the relationship between psychological flexibility and the perception of marital quality amongst parents of children with autism. Designing unique, specific and tailored therapeutic interventions for parents of children with autism is recommended.
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Purpose Emerging research investigating mechanisms underpinning PTSD has identified emotion regulation (ER) flexibility – the ability to flexibly use ER strategies according to contextual demands – as one promising mechanism. To date, however, no study has investigated whether brief training in ER flexibility can minimise negative affect elicited from evocative stimuli. This study investigated the impact of instructed ER flexibility on emotional responding in probable PTSD. Methods Participants (N = 148) viewed images that differed in negative emotional intensity (high or low). For each image, participants followed instructions to adopt either a flexible or inflexible ER approach through randomisation to either an ER flexible condition or one of three control conditions (Inflexible Reappraisal, Inflexible Distraction, Context Insensitive). In the ER Flexible condition, participants were instructed to switch between distraction and reappraisal according to the emotional intensity of the image. The control conditions required participants to either employ a single ER strategy (Inflexible Distraction and Inflexible Reappraisal) or switch between strategies in a way that did not align with image intensity (Context Insensitive). Negative affect was rated after each image. Results Participants with probable PTSD in the ER Flexible condition demonstrated the lowest levels of negative affect. For participants without probable PTSD, negative affect did not differ between the ER conditions. Conclusions Findings suggest that individuals with probable PTSD benefitted from being instructed in ER flexibility. This finding supports the adaptiveness of ER flexibility and provides a preliminary temporal link between instructed ER flexibility and improved emotional responding for those with PTSD.
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Emotion dysregulation and psychological inflexibility are widely regarded as key contributors to a range of mental health issues and are integral to several treatment models in the mental health field. However, no study has examined whether the two constructs reflect distinct aspects of psychological functioning or whether they can be clearly differentiated from mental health symptoms and associated impairment. Adolescence is a key period for the onset of mental health problems, making a better understanding of psychological processes involved in mental health in this age group important. The Difficulties in Emotion Regulation Scale (DERS-16, emotion dysregulation) and the Avoidance and Fusion Questionnaire for Youth (AFQ-Y8, psychological inflexibility) are widely used assessment tools of emotion dysregulation and psychological inflexibility, but critical evaluations of their validity are sparse. Using exploratory and confirmatory factor analysis, we examined the discriminant validity of emotion dysregulation and psychological inflexibility as measured via the DERS-16 and the AFQ-Y8 in a sample of 633 adolescents (Mage = 16.6 [1.98]). Emotion dysregulation and psychological inflexibility did not demonstrate discriminant validity. Instead, four strongly correlated factors emerged, each comprising a combination of items from both assessment tools: (1) interference stemming from distressing thoughts and emotions, (2) negative self-evaluation, (3) loss of control when emotional, and (4) confusion about one’s emotions. These factors were strongly correlated and adequately captured by an overarching factor, which we termed the X factor, which in turn was very strongly correlated with core symptoms of anxiety and depression and functional impairment stemming from mental health issues. In conclusion, the constructs of emotion dysregulation and psychological inflexibility, as assessed by the DERS-16 and AFQ-Y8, do not show discriminant validity in adolescents. Furthermore, the constructs measured by these tools are almost empirically indistinguishable from anxiety, depression, and functional impairment.
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Increased psychological flexibility (PF) may underlie the lasting positive effects of psychedelic experiences on mental well-being. The associations between different components of PF, psychological inflexibility (PI), and well-being with psychedelic use are not well understood. We conducted a cross-sectional internet survey of participants (N = 629) with experience of classical psychedelics. Using network analysis, we examined how aspects of a single psychedelic experience (mystical-type features and psychological insights) and the frequency of past psychedelic use, were associated with current PF and PI components, as well as with mental well-being and ill-being. Mediation analyses explored whether PF mediated the relationship between past psychedelic use and well-being or ill-being. The network analysis linked psychological insight to the PF component Acceptance, with no association found between the frequency of past use and PF. Mediation analyses showed PF mediates the association between past psychedelic use and well-being and ill-being. These results suggest that the quality and depth of the psychedelic experience, rather than the frequency of use, are primarily linked to psychological flexibility, particularly Acceptance, and overall well-being. This underscores the importance of treating PF as a multidimensional construct to better understand the long-term mental health benefits of psychedelics.
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Four studies examined the effect of positive versus neutral affect on preference among potential discussion partners who were members of two in-groups, two out-groups, or both an in-group and an out-group (crossed targets). The importance of targets' category memberships was manipulated by idiographically based selection. Positive affect elevated evaluation of crossed targets with a dominant (differentially important) in-group (Study 1). When categories were made equally important, positive affect had no impact (Studies 2 and 3). Study 4 presented crossed targets with both equally and differentially important group memberships and showed that differential category importance (dominance) is necessary for positive affect to influence judgments about them. These results are explained by the broadened categorization induced by positive affect.
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In this study, the authors examined the relations of regulatory control to adults' daily stress-related responses. A physiological index of regulatory control (vagal tone) and daily reports of stress and coping were obtained from 92 college students. The results of the study generally confirmed the prediction that individuals who are high in regulatory control were relatively unlikely to experience high levels of negative emotional arousal in response to stressors, but this relation held only for moderate- to high-intensity stressors. Moreover, under conditions of moderate to high stress, highly regulated individuals were likely to cope constructively with the stressor. Mediational analyses suggested that the relation of regulatory control to constructive coping was partially mediated by negative emotional arousal. The results support the conclusion that individual differences in regulatory control interact with situational factors in influencing the prediction of stress-related responses.
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An ACT Approach Chapter 1. What is Acceptance and Commitment Therapy? Steven C. Hayes, Kirk D. Strosahl, Kara Bunting, Michael Twohig, and Kelly G. Wilson Chapter 2. An ACT Primer: Core Therapy Processes, Intervention Strategies, and Therapist Competencies. Kirk D. Strosahl, Steven C. Hayes, Kelly G. Wilson and Elizabeth V. Gifford Chapter 3. ACT Case Formulation. Steven C. Hayes, Kirk D. Strosahl, Jayson Luoma, Alethea A. Smith, and Kelly G. Wilson ACT with Behavior Problems Chapter 4. ACT with Affective Disorders. Robert D. Zettle Chapter 5. ACT with Anxiety Disorders. Susan M. Orsillo, Lizabeth Roemer, Jennifer Block-Lerner, Chad LeJeune, and James D. Herbert Chapter 6. ACT with Posttraumatic Stress Disorder. Alethea A. Smith and Victoria M. Follette Chapter 7. ACT for Substance Abuse and Dependence. Kelly G. Wilson and Michelle R. Byrd Chapter 8. ACT with the Seriously Mentally Ill. Patricia Bach Chapter 9. ACT with the Multi-Problem Patient. Kirk D. Strosahl ACT with Special Populations, Settings, and Methods Chapter 10. ACT with Children, Adolescents, and their Parents. Amy R. Murrell, Lisa W. Coyne, & Kelly G. Wilson Chapter 11. ACT for Stress. Frank Bond. Chapter 12. ACT in Medical Settings. Patricia Robinson, Jennifer Gregg, JoAnne Dahl, & Tobias Lundgren Chapter 13. ACT with Chronic Pain Patients. Patricia Robinson, Rikard K. Wicksell, Gunnar L. Olsson Chapter 14. ACT in Group Format. Robyn D. Walser and Jacqueline Pistorello
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Anxiety/uncertainty management theory explains interpersonal and intergroup communication. It suggests that managing uncertainty and anxiety are central processes that affect our communication with strangers and that the anxiety and uncertainty that we experience when we communicate with others are related to each other. This research is concerned with the association of anxiety and uncertainty with avoidance in interpersonal and intercultural communication. The effect of anxiety and uncertainty on avoidance was examined through communication between strangers of the same and different cultures. The results indicate that anxiety and uncertainty are associated with avoidance in communication with strangers from both the same and different cultures. Furthermore, the data suggest that anxiety and uncertainty may be good predictors of avoidance. When studying communication between strangers of a different culture, anxiety and uncertainty were found to be associated with one another. Nevertheless, anxiety and uncertainty were not related to each other in communication between strangers of the same culture. These results provide partial support for AUM theory.
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Positive self- and emotional development is often measured by optimization of happiness, but a second aspect of positive development—the ability to tolerate tension and negativity in the interest of maintaining objective representations—needs to be integrated with this hedonic emphasis. The integration of these two aspects, optimization and differentiation, reflects a dynamic balance. Such integration is possible when emotional activation or arousal is moderate, but is impaired at very high levels of activation. From youth to middle adulthood, the capacity for integration increases, but later in life, limitations or poor regulation strategies foster compensatory processes that compromise integration.
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Nothing is more familiar to people than their moods and emotions. Oddly, however, it is not clear how these two kinds of affective processes are related. Intuitively, it makes sense that emotional reactions are stronger when they are congruent with a preexisting mood, an idea reinforced by contemporary emotion theory. Yet empirically, it is uncertain whether moods actually facilitate emotional reactivity to mood-congruent stimuli. One approach to the question of how moods affect emotions is to study mood-disturbed individuals. This review describes recent experimental studies of emotional reactivity conducted with individuals suffering from major depression. Counter to intuitions, major depression is associated with reduced emotional reactivity to sad contexts. A novel account of emotions in depression is advanced to assimilate these findings. Implications for the study of depression and normal mood variation are considered.
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The relation of 4- to 6-year-olds' sociometric status to teacher- or peer-reported negative emotionality and regulation was examined across two semesters (Tl and T2), Social status at T2 was positively related to teacher-reported regulation and negatively related to emotional intensity, as well as peer-reported anger and crying. Regulation and emotionality (in combination) accounted for additional variance in T2 social status after controlling for initial social preference. Initial (Tl) social status infrequently predicted subsequent regulation and emotionality after controlling for scores on initial emotionality/regulation. Thus, emotionality/regulation predicted future social status whereas social status did not appear to account for changes in emotionality and regulation over time. Social behavior (aggression) did not mediate the relation of emotionality/regulation to later social status.