Evidence map›Paper›PMID 42445900›Full record

Trial reportFrontiers in public health2026

Psychological flexibility as a mediator between social participation and retirement adaptation: an ACT intervention study from the perspective of active aging.

Fang Yang, Xiaohua Shen, Xiaolan Zhang, Jian Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fang YangSchool of Mental Health and Psychological Science, Anhui Medical University, Hefei, China.
Xiaohua ShenDepartment of Nursing, Hangzhou Wuyunshan Hospital (Hangzhou Health Promotion Research Institute), Hangzhou, China.
Xiaolan ZhangDepartment of Employee Health Promotion, Hangzhou Wuyunshan Hospital (Hangzhou Health Promotion Research Institute), Hangzhou, China.
Jian LiuSchool of Mental Health and Psychological Science, Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aims to examine the effectiveness and mechanisms of Acceptance and Commitment Therapy (ACT) in promoting retirement adaptation among older adults, and to analyze the mediating role of psychological flexibility within the framework of positive aging and successful aging theory. Methods: A cross-sectional survey of 145 participants was conducted to establish a mediation model exploring psychological flexibility between social participation and retirement adaptation. Subsequently, 77 eligible participants were randomly assigned to an ACT intervention group ( Results: Psychological flexibility partially mediated the association between social participation and retirement adaptation (indirect effect = 0.189, 95% CI [0.098, 0.298]), accounting for 29.73% of the total effect. ACT intervention significantly improved both retirement adaptation and psychological flexibility ( Discussion: ACT may promote retirement adaptation by enhancing psychological flexibility, providing preliminary evidence for psychological interventions under the active aging framework. Causal inferences from the cross-sectional mediation model require validation in longitudinal designs.

Indexed as

Acceptance and Commitment TherapyAdaptation, PsychologicalAgingRetirementSocial ParticipationAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesacceptance and commitment therapyinterventionolder adultspositive agingpsychological flexibilityretirement adaptation

Identifiers

PMID42445900
PMCPMC13357169

What OpenQuestion holds

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Registered trials

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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.