ArticlePersonality and individual differences2021
Is psychological flexibility a mediator between perceived stress and general anxiety or depression among suspected patients of the 2019 coronavirus disease (COVID-19)?
Article in Personality and individual differences, 2021. 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, 51 citations in OpenAlex.
- 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
- Life Goal Content and Health Outcomes: Associations with Mental Health and Health Behaviours Among Turkish University Students.Behavioral sciences (Basel, Switzerland) · 2026Article
- The role of psychological inflexibility on post-traumatic stress symptoms among COVID-19 survivors.BMC psychology · 2026Article
- Perceived stress and depression among Chinese nurses: a cross-sectional mediation analysis of psychological flexibility and its components.Frontiers in psychiatry · 2026Article
- The interplay between perceived stress, psychological flexibility, and interpretation biases in undergraduate mental health.Scientific reports · 2025Article
- Associations of psychological flexibility, mindfulness, and valued living with psychological distress among nursing students.BMC psychology · 2025Article
- Relationship Between Perceived Stress Level, Psychological Flexibility, Depression, and Anxiety in Patients with Acute Myocardial Infarction.Medicina (Kaunas, Lithuania) · 2025Article
- Adolescent-Reported Interparental Conflict and Related Emotional-Behavioral Difficulties: The Mediating Role of Psychological Inflexibility.Pediatric reports · 2025Article
- Longitudinal association of stress with mental health in the context of COVID-19: The mediating role of psychological flexibility and emotional schemas.Applied psychology. Health and well-being · 2025Article
- Perceived stress, anxiety, and depression among university employees in Southwestern Nigeria: A cross-sectional study.PLOS mental health · 2025Article
- A cross-sectional network analysis of successful aging in a resilience-based framework.PloS one · 2025Article
- Alone and under pressure: the transdiagnostic role of loneliness, stress, and psychological inflexibility in university students.Frontiers in public health · 2025Article
- Headache and Associated Psychological Variables in Intensive Care Unit Nurses during the COVID-19 Pandemic: A Prospective Study.Journal of clinical medicine · 2024Article
- From Anxiety to Hardiness: The Role of Self-Efficacy in Spanish CCU Nurses in the COVID-19 Pandemic.Medicina (Kaunas, Lithuania) · 2024Observational
- The mediating role of cognitive flexibility in home-school co-education and psychological well-being among Chinese vocational college students.Frontiers in psychology · 2024Article
- Article
- Effect and pathway of abortion stigma on depressive symptoms before terminating the pregnancy in pregnant women with fetal anomaly.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023Article
- Tracking perceived stress, anxiety, and depression in daily life: a double-downward spiral process.Frontiers in psychology · 2023Article
- Perceived Stress, Psychological Flexibility Profiles, and Mental Health During COVID-19: A Latent Profile Analysis.Psychology research and behavior management · 2023Article
- Indulging in Smartphones in Times of Stress: A Moderated Mediation Model of Experiential Avoidance and Trait Mindfulness.Behavioral sciences (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study is aimed to investigate the status of general anxiety and depression among suspected patients of COVID-19 and explore whether psychological flexibility can serve as a mediator between perceived stress and general anxiety or depression. Total of 180 participants completed the online questionnaire which comprised demographic information, the Perceived Stress Scale (PSS), the 7-item Generalized Anxiety Disorder scale (GAD-7), the 9-item Patients Health Questionnaire (PHQ-9), the Acceptance and Action Questionnaire-II (AAQ-II) and the Cognitive Fusion Questionnaire (CFQ). Statistical methods including correlation analysis, multiple linear regression analysis and structural equation model were used in this study. The scores of 23.9% (43/180) and 34.4% (62/180) of participants were higher than the cut points of GAD-7 and PHQ-9 respectively. Psychological flexibility was significantly correlated with perceived stress, general anxiety and depression. Multiple regression analyses showed the possible mediation effect of psychological flexibility between perceived stress and general anxiety or depression. The structural equation model confirmed that psychological flexibility partially mediated between perceived stress and general anxiety or depression. Our findings suggested the potential benefit of Acceptance and Commitment Therapy (ACT) as a psychological support approach in suspected patients of COVID-19 because ACT targets psychological flexibility.
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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.