Is the Effect of Psychological Inflexibility on Symptoms and Quality of Life Mediated by Coping Strategies in Patients with Mental Disorders?

Rueda, Beatriz Molina; Valls, Esperanza

doi:10.1007/s41811-020-00069-4

Cited by 20 publications

(35 citation statements)

References 23 publications

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“…This finding of both unique and mediated effects of psychological flexibility is consistent with previous work demonstrating that psychological flexibility is independent of, but overlapping with, coping response ( Karekla & Panayiotou, 2011 ). Our findings also mirror mediational analyses by Rueda and Valls (2020) , who demonstrated indirect effects of psychological inflexibility on distress and wellbeing via coping strategies – with psychological inflexibility disposing greater use of avoidant coping strategies and poorer outcomes. So, although psychological flexibility is related to coping, it does not appear to be a form of coping.…”

Section: Discussionsupporting

confidence: 84%

“…Thus, psychological flexibility may partly affect outcomes via its influence on selection of coping behaviours (including, but not limited to, facilitation of more open/less avoidant ways of responding). This notion has been supported by mediational modelling demonstrating indirect effects of psychological flexibility on wellbeing and distress outcomes, via coping strategies ( Rueda & Valls, 2020 ). Notably, Rueda and Valls (2020) found direct effects of psychological flexibility in addition to indirect (mediated) effects: These direct effects may reflect unique aspects of psychological flexibility as a functional-contextual process (adapting responding according to situational demands/affordances and desired consequences) which may not be captured by traditional measures of coping.…”

mentioning

confidence: 86%

“…Based on this, and theory outlined in the background, we posited and tested the general mediational model depicted in Fig. 1 – mirroring mediation modelling applied by Rueda and Valls (2020) .

Fig.…”

Section: Data Analysesmentioning

confidence: 99%

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COVID-19: Psychological flexibility, coping, mental health, and wellbeing in the UK during the pandemic

Dawson

Moghaddam

2020

Journal of Contextual Behavioral Science

335

265

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The COVID-19 pandemic has profoundly altered the daily lives of many people across the globe, both through the direct interpersonal cost of the disease, and the governmental restrictions imposed to mitigate its spread and impact. The UK has been particularly affected and has one of the highest mortality rates in Europe. In this paper, we examine the impact of COVID-19 on psychological health and well-being in the UK during a period of ‘lockdown’ (15th–21st May 2020) and the specific role of Psychological Flexibility as a potential mitigating process. We observed clinically high levels of distress in our sample (N = 555). However, psychological flexibility was significantly and positively associated with greater wellbeing, and inversely related to anxiety, depression, and COVID-19-related distress. Avoidant coping behaviour was positively associated with all indices of distress and negatively associated with wellbeing, while engagement in approach coping only demonstrated weaker associations with outcomes of interest. No relationship between adherence to government guidelines and psychological flexibility was found. In planned regression models, psychological flexibility demonstrated incremental predictive validity for all distress and wellbeing outcomes (over and above both demographic characteristics and COVID-19-specific coping responses). Furthermore, psychological flexibility and COVID-19 outcomes were only part-mediated by coping responses to COVID-19, supporting the position that psychological flexibility can be understood as an overarching response style that is distinct from established conceptualisations of coping. We conclude that psychological flexibility represents a promising candidate process for understanding and predicting how an individual may be affected by, and cope with, both the acute and longer-term challenges of the pandemic.

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Section: Discussionsupporting

confidence: 84%

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confidence: 86%

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COVID-19: Psychological flexibility, coping, mental health, and wellbeing in the UK during the pandemic

Dawson

Moghaddam

2020

Journal of Contextual Behavioral Science

335

265

View full text Add to dashboard Cite

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“…Individual inflexibility also leads to excessive use of cell phones to escape from feelings of loneliness that reduce well-being (Jiayu Li et al, 2021). Students with high stress levels are prone to experience distress and use maladaptive coping strategies (Rueda & Valls, 2020;Tavakoli et al, 2019). Individuals who accept difficult thoughts, feelings, and sensations find it more challenging than others to engage in behaviors that avoid sources of stress and to employ various strategies to cope with stress (Donald & Atkins, 2016;Hayes et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…When the environmental context requires changes to active coping strategies, inflexible individuals still rely on the same strategy, regardless of its function and results; this simply adds to inflexible individuals' burden (Karekla & Panayiotou, 2011;Rueda & Valls, 2020). Expending more resources on the avoidance process makes the avoidance strategy inflexible (Kashdan et al, 2006), and attempts to suppress and avoid emotions are often excessive and even increase the frequency of thoughts and feelings that cause distress (Gross, 2002).…”

Section: Psychological Research On Urban Societymentioning

confidence: 99%

The Relationship Between Stress and Well-being: The Mediating Roles of Students’ Psychological Flexibility and Loneliness During the Coronavirus Pandemic

Indra¹,

Radyani²,

Oriza³

2021

PROUST

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Coronavirus (COVID-19) has greatly impacted people‘s lives, including those of students in higher education, who have experienced drastic changes causing high levels of stress and decreased well-being. The relationship between stress and well-being can be viewed through the lens of psychological flexibility and loneliness. Individuals who experience high stress tend to be psychologically inflexible and have avoidant/maladaptive coping strategies. As a result, they are also vulnerable to loneliness, which ultimately results in decreased in well-being. In this study, of 945 student-participants, 43.28% met the criterion for high loneliness, 21.9% reported high perceived stress, 69.8% reflected high psychological inflexibility, and their mean score for well-being was 54.45. Serial mediation analysis found that psychological flexibility and loneliness partially mediate the relationship between stress and well-being. However, stress can affect well-being directly but also indirectly through psychological inflexibility and loneliness. A high level of stress, with a low level of psychological flexibility, results in a high level of loneliness; hence well-being decreases. Interventions promoting psychological flexibility can help individuals adapt and cope with difficult situations during the pandemic.

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Resilience and Wellbeing Strategies for Pandemic Fatigue in Times of Covid-19

Zarowsky

Rashid

2022

Int J Appl Posit Psychol

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The COVID-19 pandemic is truly one of the greatest collective health crises in history which have altered our life and living. For years, people have felt fatigued from following public health directives such as social distancing, wearing masks, washing hands frequently, and working or studying remotely without in-person interactions. In this paper, we explore strategies for resilience and wellbeing which can mitigate pandemic-caused stress and behavioural fatigue. We start with individual level strategies including reworking stress appraisals, the importance of psychological flexibility, reducing loneliness through adaptive online platform use, optimizing familial relationships when living in close quarters for a prolonged period, reducing symptoms of burnout and using adaptive distractions, using specific evidence-based resilience strategies. We discuss specific considerations which tap on our shared identities and shared responsibilities which can enhance a sense of community, especially for individuals from marginalized backgrounds and how suicide risks can be minimized.

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Is the Effect of Psychological Inflexibility on Symptoms and Quality of Life Mediated by Coping Strategies in Patients with Mental Disorders?

Cited by 20 publications

References 23 publications

COVID-19: Psychological flexibility, coping, mental health, and wellbeing in the UK during the pandemic

COVID-19: Psychological flexibility, coping, mental health, and wellbeing in the UK during the pandemic

The Relationship Between Stress and Well-being: The Mediating Roles of Students’ Psychological Flexibility and Loneliness During the Coronavirus Pandemic

Resilience and Wellbeing Strategies for Pandemic Fatigue in Times of Covid-19

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