ArticlePloS one2024
Acceptance-based process variables on postpartum well-being and distress: The mediating role of psychological flexibility.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Maternal Readiness for Newborn Self-Care in the Early Postpartum Period: Associations with Maternal Psychophysical State and Declared Breastfeeding Readiness.Journal of clinical medicine · 2026Article
- Disability Acceptance as a Key Protective Factor Against Depression: Evidence from Korea's National PSED (Wave 2).Medicina (Kaunas, Lithuania) · 2026Article
- Family health as a mediator between work-family conflict and depression in working parents: a cross-sectional study.Frontiers in psychology · 2026Article
- The prenatal anxiety trajectory and its correlation with stress and psychological flexibility: a longitudinal study.BMC psychology · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
objectiveAlthough up to 20% of women experience postpartum depression and/or anxiety, current interventions are limited. Identifying the processes that impact outcomes can inform and enhance interventions. Our study aims to examine: (1) whether acceptance-based process variables (awareness, acceptance, cognitive defusion, psychological flexibility) were associated with postpartum outcomes; and (2) whether psychological flexibility mediated the relationship between treatment engagement and postpartum outcomes.
methodPostpartum women (N = 266) were recruited online using snowball sampling via social media (i.e., Facebook). They completed a cross-sectional survey of validated and reliable quantitative measures assessing their well-being, emotional distress, and acceptance-based processes.
resultsHierarchical regressions revealed that women with more awareness (β = .13; p = .023), acceptance (β = .17; p = .036), and cognitive defusion (β = -.46; p < .001) reported better well-being. When adding in psychological flexibility, cognitive defusion (β = -.24; p = .031) and psychological flexibility (β = -.33; p = .003) explained variance in well-being. Women with more acceptance (β = -.32; p < .001) and cognitive defusion (β = .52; p < .001) endorsed less emotional distress. When adding in psychological flexibility, acceptance (β = -.28; p < .001), cognitive defusion (β = .40; p < .001), and psychological flexibility (β = .18; p = .047) explained variance in emotional distress. Mediation models revealed that psychological flexibility explained the relationship between mental health treatment and well-being (b = 3.91, SE = 0.66, CI = [2.69, 5.30]) and emotional distress (b = -5.74, SE = 1.08, CI = [-1.26, 3.00]).
conclusionsTargeting these acceptance-based processes in interventions may help to improve maternal, child, and family outcomes.
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