ArticlePloS one2018
Psychological inflexibility explains distress in parents whose children have chronic conditions.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Living With Physical Health Conditions: A Systematic Review of Mindfulness-Based Interventions for Children, Adolescents, and Their Parents.Journal of pediatric psychology · 2023Pooled it
- The relationship between trait mindfulness and affective symptoms: A meta-analysis of the Five Facet Mindfulness Questionnaire (FFMQ).Clinical psychology review · 2019Pooled it
- The Effectiveness of Acceptance and Commitment Therapy Group Intervention (Navigator ACT) for Parents of Children With Neurodevelopmental Disabilities: A Randomized Controlled Trial.Autism research : official journal of the International Society for Autism Research · 2026Trial
- Delays in diagnosis and intervention for paediatric hearing loss: the role of parental psychological inflexibility in a multicentre Iranian study.BMJ paediatrics open · 2026Observational
- Preliminary Clustering: Exploring the Interplay of Burnout, Stress, Turnover, Psychological Flexibility and Distress in a French Nurse Sample.Journal of advanced nursing · 2026Article
- Emotional Reactivity as a Mediator and Moderator of the Relationship Between Psychological Flexibility and Parental Burnout in Parents of Children With Autism Spectrum Disorder (ASD).Journal of autism and developmental disorders · 2026Article
- An Intervention Based on Acceptance and Commitment Therapy for Childhood Separation Anxiety: A Case Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Internal and external factors related to anxiety and depression in parents of children with autism: the significance of psychological resilience.BMC public health · 2026Article
- The effect of parental psychological flexibility on children's behavioral problems: a moderated mediation model.Child and adolescent psychiatry and mental health · 2025Article
- Acceptance and Commitment Therapy Group Intervention for Parents of Children with Disabilities (Navigator ACT): An Open Feasibility Trial.Journal of autism and developmental disorders · 2023Article
- Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian "Acceptance and Action Questionnaire" (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress.International journal of environmental research and public health · 2022Article
- Review
- Analysis of related factors of behavioral problems in children with congenital pseudarthrosis of tibia.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Burnout Related to Diabetes Mellitus: A Critical Analysis.Clinical practice and epidemiology in mental health : CP & EMH · 2022Review
- Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery.International journal of environmental research and public health · 2021Article
- Quality of life in parents of seriously Ill/injured children: a prospective longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Coparenting Alleviated the Effect of Psychological Distress on Parental Psychological Flexibility.Frontiers in psychology · 2021Article
- Limiting moral injury in healthcare professionals during the COVID-19 pandemic.Occupational medicine (Oxford, England) · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Experiential avoidance, cognitive defusion, and mindfulness have all been associated with psychological disorders and well-being. This study investigates whether they predict psychological distress, i.e., symptoms of burnout, depression, stress and anxiety, in parents of children with chronic conditions. We hypothesized that these factors would exhibit a large degree of common variance, and that when compared to mindfulness and defusion, experiential avoidance on its own would predict a larger proportion of unique variance. 75 parents of children with chronic conditions having burnout symptoms who participated in an intervention study completed measures of burnout, stress, anxiety, depression, experiential avoidance, cognitive defusion, and mindfulness at the beginning of the intervention study (baseline). We ran several regression analyses to assess the predictive ability of these different constructs. Experiential avoidance on its own accounted for 28-48% of the variance in different psychological symptoms. Cognitive defusion and mindfulness did not make a significant contribution to explaining burnout, stress and anxiety, but cognitive defusion contributed to explaining depression. The results confirmed our hypothesis, supporting research on the importance of psychological flexibility as a central factor in understanding the occurrence of psychological distress.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.