ArticleJournal of behavior therapy and experimental psychiatry2019
Associations between depression, anxious arousal and manifestations of psychological inflexibility.
Article in Journal of behavior therapy and experimental psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Associations between psychological inflexibility and mental health problems during the COVID-19 pandemic: A three-level meta-analytic review.Journal of affective disorders · 2023Pooled it
- Preschool-Onset Major Depressive Disorder is Characterized by Electrocortical Deficits in Processing Pleasant Emotional Pictures.Journal of abnormal child psychology · 2020Trial
- Sleep hygiene and sleep control mediate the relationship between cognitive fusion and insomnia severity.The British journal of clinical psychology · 2026Article
- What happens at night? Differentiating within-day and overnight affective inertia.Cognition & emotion · 2026Article
- Exploring the Association Between Psychological Inflexibility, Experiential Avoidance and Sleep-Related Problems Among Adolescents: The EHDLA Study.Healthcare (Basel, Switzerland) · 2026Article
- Mapping affective pathways to compulsion: Insights from an aversive devaluation approach.Journal of behavioral addictions · 2025Article
- The mediating role of psychological flexibility in the relationship between adverse childhood experiences and symptoms of depression, anxiety, and stress among Vietnamese college students.Discover mental health · 2025Article
- When emotions persist: Emotional inertia predicts adolescent depression amid COVID-19 stress.Behaviour research and therapy · 2025Article
- Mediating Effect of Psychological Inflexibility, Insomnia, and Resilience on the Association Between Pain and Depression Among Patients With Chronic Pain.Psychiatry investigation · 2025Article
- The Impact of a 3-Month Behavioral Weight Loss Intervention on Psychological Flexibility and Depression.Behavioral sciences (Basel, Switzerland) · 2025Article
- A Multiple Mediator Model of Depression, Dysfunctional Beliefs about Sleep, and Sleep Effort in the Relationship between Psychological Inflexibility and Insomnia in Shift Working Nurses.The Psychiatric quarterly · 2024Article
- The Effect of Psychological Inflexibility on Social-Distancing Phobia Mediated by Preoccupation With Sleep and Intolerance of Uncertainty in the Elderly Population During the COVID-19 Pandemic.Psychiatry investigation · 2024Article
- Measurement of psychological inflexibility: an examination of the psychometric properties of the AAQ-3 compared to AAQ-II.BMC psychology · 2023Article
- Cognitive Fusion, Ruminative Response Style and Depressive Spectrum Symptoms in a Sample of University Students.Life (Basel, Switzerland) · 2023Article
- Psychological inflexibility in university students: the european portuguese version of the acceptance and action questionnaire-university students.Current psychology (New Brunswick, N.J.) · 2022Article
- Blinded by and Stuck in Negative Emotions: Is Psychological Inflexibility Across Different Domains Related?Affective science · 2022Article
- The future of divorce support: Is "digital" enough in presence of conflict?Journal of marital and family therapy · 2022Article
- The Iranian form of psychometric properties of the Multidimensional Psychological Flexibility Inventory.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2022Article
- Analysis of Early Warning Diagnostic Indexes and Influencing Factors of Anxiety and Depression in Patients with Arrhythmia.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Psychometric Properties and Factor Structure of the Patient Health Questionnaire-9 as a Screening Tool for Depression Among Ecuadorian College Students.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
BACKGROUND AND
objectivesPsychological inflexibility exhibits across multiple facets of functioning, including thinking styles, personality, cognitive shifting, emotion, and physiology, with many of these manifestations showing associations with depression. As such, these facets might be part of an overarching latent construct of psychological inflexibility that explains associations with depression. We predicted that (1) five facets of inflexibility (perseverative thinking, personality rigidity, attention-shifting, negative emotional inertia, and low respiratory sinus arrhythmia reactivity) would load onto a unique latent construct of psychological inflexibility. Further, we hypothesized this latent construct of psychological inflexibility would be (2) significantly associated with higher depression; and (3) associated with depression to a greater extent than anxious arousal.
methodsSeventy-five adult community participants completed measures assessing the five indices of inflexibility and self-report measures of depression and anxious arousal.
resultsStructural equation modeling identified a latent inflexibility construct reflected by perseverative thinking, personality rigidity, and emotional inertia, but did not include attention-shifting or RSA reactivity. The inflexibility construct was positively associated with depression and anxious arousal, but more strongly associated with depression than with anxious arousal. LIMITATIONS: Limitations included a small sample size, cross-sectional approach, and dimensional measures of depression and anxious arousal.
conclusionsFindings provide preliminary support that multiple facets of inflexibility may emerge from a broader overarching vulnerability for internalizing psychopathology. This overarching inflexibility construct may have stronger associations with depression than with anxious arousal.
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