Psychological Flexibility and Inflexibility of University Students: An In-Depth Qualitative Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Qualitative Data Analysis
2.4. Data Analysis
3. Results
It would be a very open-minded person, very spontaneous with ideas. I’m not saying they are entirely positive, but they don’t see many obstacles; they always think about moving forward.(SP1 Male, 22 years old)
They are a person who doesn’t cling to a single concept of things. I mean, even if things are stipulated to be a certain way, that person can change things and make them better.(SP6 Male, 22 years old)
They wouldn’t repress themselves; they would let themselves be carried by who they are, what they feel, [and] the emotions they have in the moment.(SP2 Male, 20 years old)
They are a person who has control over what they feel because they are capable of observing their surroundings.(SP9 Female, 21 years old)
[They are] able to face different situations, I don’t know how to explain it, but they would help themselves move forward.(SP3 Female, 20 years old)
[They are] able to solve problems, [get] through them successfully. At first, I perceived it as a weakness, but I believe it’s more about having the ability to solve [problems].(SP14 Male, 18 years old)
They must be … understanding … toward others; they must be sociable.(SP11 Female, 19 years old)
They must be a tolerant, respectful person and, above all, someone who has the ability to truly listen, not just hear, but [to] listen and understand what the other person is expressing.(SP13 Female, 21 years old)
3.1. Description of Results by Superordinate Theme
3.1.1. Manifestations Associated with the Control of Private Events
I think about it daily, and daily means out of 24 h a day, about 15 or 16 h at a minimum. I really think about it very often.(SP1 Male, 22 years old)
Everything I think about revolves around that, then the thoughts come that I’m useless, I mean, I start thinking about all the bad things.(PS2 Male, 20 years old)
So, if something bad happens to me, I start thinking about it, and I can’t concentrate on anything else. I mean, all my thoughts revolve around that. It’s like I have to resolve that situation to be able to continue with my day.(SP12 Male, 22 years old)
When something happens to me, I spend a lot of time thinking about it, and all the time in my head it’s like why, why, why? I try to find an explanation or justification for what’s happening to me.(SP3 Female, 20 years old)
I always try to find an explanation for the things that happen to me; I don’t like to be left with doubts or with the questions that I impose on myself.(SP7 Male, 19 years old)
So I channel my anger into training, lifting a lot of weight, like all my anger, all my rage, that strength, and being mentally exhausted.(SP1 Male, 22 years old)
I mainly tend to invalidate everything—any situation that generates anger or disappointment in me, I just try not to think about it for as long as possible.(SP4 Female, 19 years old)
I change my attitude; if I’m angry or sad, I distance myself, I shut down and don’t talk about it. So I carry that discomfort with me because I feel that if I am angry, I could offend or hurt someone.(SP3 Female, 20 years old)
I distance myself. I withdraw from everything and listen to music. I don’t have many friends to lean on, so it’s just me … and I cry a lot.(SP7 Male, 19 years old)
I isolate myself; I prefer to be alone.(SP8 Female, 21 years old)
3.1.2. Manifestations Associated with the Acceptance of Private Events
If I see that I can’t solve it, then I say, why stress about it if I can’t fix it anyway? So I let it go, release it, and move on. Honestly, one feels lighter.(SP6 Male, 22 years old)
3.1.3. Manifestations Associated with Observing Oneself Through the Content of Thoughts
I know I have anger issues that I can control. I try not to get angry, instead I try to ignore those times when many bad things or family problems occur. I try not to get involved because I feel I have a lot of anger issues.(SP1 Male, 22 years old)
I feel that my way of being sometimes gives the impression that I want to be liked by everyone, and I’ve received comments like “You want to please everyone.” I don’t know how I do that or if I do it unconsciously, but I tend to be that way, and then I feel bad because I don’t like that [other people] think that.(SP3 Female, 20 years old)
Being a perfectionist really bothers me; that part of me causes a lot of stress because not everything can be perfect.(SP11 Female, 19 years old)
Many times, I stop doing things because I know I won’t feel good or because I believe I won’t do them well, that they won’t turn out right.(SP14 Male, 18 years old)
I’m a very insecure person; I don’t like taking many risks. I always try to stay in a safe place.(SP4 Female, 19 years old)
I’m a bit manipulative, not in a bad way, but to achieve my goals. I’m always thinking about what benefits me and what doesn’t.(SP7 Male, 19 years old)
3.1.4. Manifestations Associated with Observing Oneself Without Judgment
Before, I felt like a fearful person, somewhat insufficient [and] incompetent, [but] now I feel like a person with many positive qualities. I’m still afraid of many things—that hasn’t changed—I’m still insecure, but now I move forward even with fear.(SP2 Male, 20 years old)
I am a sensitive person; that’s my essence, and I feel like I will never lose it. But perhaps before, I was the kind of sensitive person who allowed everything because I loved others.(SP13 Female, 21 years old)
When you’re a teenager, you see yourself one way, but when I entered university, I still thought the same things about myself, but my way of seeing myself to take risks and make decisions has changed a lot.(SP14 Male, 18 years old)
3.1.5. Manifestations Associated with Disconnection from the Present Moment
Before going to bed, I start thinking: Tomorrow you have to get up at such and such a time, make breakfast at such and such a time, go to classes, then go to the gym, and when you get back from the gym, you have to do this and that, and so on every day.(SP7 Male, 19 years old)
I have so many things to do that I have no time for anything else, and it works for me because living like this helps me not think and not give myself space to feel bad.(SP10 Female, 19 years old)
What has worked for me to avoid feeling bad is doing lots of things. So, besides my academic workload, I’m also taking two more courses, and I really just get home exhausted and go to sleep.(SP7 Male, 19 years old)
Because I’m even aware of it, but I don’t do anything to change it. It’s like I’m comfortable living this way, without anything out of the ordinary happening.(SP11 Female, 19 years old)
Right now, I’m realizing that I have been living like this. Until now, I hadn’t stopped to think about it; I saw it as normal, like everyone lives this way.(SP3 Female, 20 years old)
Just now I’m becoming aware of it; I hadn’t thought of it like this before. Until this moment, I saw it as part of my organization and wasn’t aware of how rigid it can sound or seem.(SP7 Male, 19 years old)
3.1.6. Manifestations Associated with the Connection of the Present Moment
I have a routine, but I don’t get lost in it; I mean, I enjoy my day.(SP6 Male, 22 years old)
I haven’t fallen into that state of doing things mechanically. I get up at 5, go to university, have lunch, go back to university, and then return home, but I am aware of my routine and try to do other things I enjoy.(SP14 Male, 18 years old)
I have always felt that I pay a lot of attention to the things I do and that I enjoy them. I can be very busy, but even so, if something comes up and I can make time for it, I do—like going to chat with friends or getting some ice cream.(SP15 Female, 19 years old)
3.1.7. Manifestations Associated with Fusing with Thought Content
I have only had one relationship, and there was a time when I would make up movies in my head, thinking he was seeing someone else: They would leave at the same time, so they must be together. I spent all my time thinking about that. I got obsessed. I was always angry because I assumed something was happening, and eventually, my relationship ended because of that.(SP7 Male, 19 years old)
I have a kind of multiverse of what could happen; I always see all the things that could happen, especially the worse-case scenarios, and I act accordingly.(SP9 Female, 21 years old)
When I confront people, I’m often surprised because I take what I think as a given and feel entitled to confront them, and sometimes I go too far with what I say.(SP12 Male, 22 years old)
For example, sometimes I meet someone and feel like they judge me badly, so I avoid interacting with that person because of how they look at me.(SP14 Male, 18 years old)
No, I was the writer, director, producer, and protagonist but never the spectator.(SP7 Male, 19 years old)
No, during all that time I was completely immersed in the movie; that was my reality, and I didn’t allow myself to see any other reality.(SP8 Female, 21 years old)
I haven’t had a romantic relationship in a long time. But I feel like I can’t feel anything for anyone. Since my uncle died, I haven’t been able to feel anything for anyone.(SP1 Male, 22 years old)
I carry that feeling of being watched, like it was throughout high school. Of not being able to do things because I know my parents wouldn’t like it, and in the end, I always end up feeling that way and prefer to do nothing.(SP4 Female, 19 years old)
3.1.8. Manifestations Associated with Separating from Thought Content
I don’t like to speculate because humans speculate for the worst, never for the best. And that leads to distress, misunderstandings, and problems.(SP13 Female, 21 years old)
At some point, I also learned to be a spectator, especially when I realized that [a] situation was beyond my control. So, I just let it unfold however it needed to because you can’t control everything; it’s exhausting, and I won’t do anything to change it.
Sometimes you have to because if you can’t solve things, why live miserably? That way, you put an end to the mortification.(SP6 Male, 22 years old)
Calm, because I feel like I have let go, like I have taken a weight off my shoulders. It’s better to just let things happen.(SP6 Male, 22 years old)
It’s about accepting that you don’t have control over everything. It’s like taking a weight off your shoulders. It’s like saying, everything passes, and this will pass too, and everything will fall into place.(SP13 Female, 21 years old)
3.1.9. Manifestations Associated with Interference in Contacting Personal Values
The most important thing in my life is my grandmother. Obviously my parents too, but my grandmother and the two girls my uncle left behind are my greatest drive, one hundred percent.(SP1 Male, 22 years old)
My family. I think everything revolves around them. Because all my projects and everything I’ve planned are aimed at ensuring their stability.(SP5 Male, 20 years old)
My well-being—that’s the most important thing for me.(SP12 Male, 22 years old)
Currently, it’s mainly my peace of mind, being able to improve my relationship with my parents, having a healthy relationship with them.(SP4 Female, 19 years old)
My psychological and physical health; without health, there’s nothing.(SP3 Female, 20 years old)
My family and my friends.(SP10 Female, 19 years old)
My family, my friends, and my boyfriend.(SP13 Female, 21 years old)
Finishing my degree, that’s the most important thing.(SP6 Male, 22 years old)
My autonomy and my space are the most important things; [they are] the only things that depend on me.(SP9 Female, 21 years old)
The things I do, I do them so that my mom feels proud of me. She doesn’t know that I’m homosexual and that makes many things difficult. But I want her to feel proud of me in other aspects, to see me as someone successful and to realize that my condition has nothing to do with what I can achieve.(SP7 Male, 19 years old)
I ended up really bad because I let my anger out.(SP1 Male, 22 years old)
Everything builds up, and I feel like sometimes I can’t handle it.(SP12 Male, 22 years old)
I lose my direction.(SP2 Male, 20 years old)
Everything becomes chaotic.(SP5 Male, 20 years old)
Everything gets out of control.(SP8 Female, 21 years old)
I don’t make progress.(SP10 Female, 19 years old)
I wouldn’t like to be remembered. Everyone is free; I don’t do things to be admired or followed. I do things as I see fit. It sounds selfish, but I honestly don’t care because others are also responsible for themselves. Everyone has their own way of thinking and acting.(SP9 Female, 21 years old)
It’s not something like “I want this or that in the future.” I don’t want to idealize my future because I don’t want to look back and realize I didn’t achieve what I wanted; that would affect me.
3.1.10. Manifestations Associated with Contacting Personal Values
As the person who overcame himself, because my past was very dark. I was on the verge of collapse; I even distanced myself from my friends so they wouldn’t feel pain if something happened to me.(Male, 22 years old)
As a joyful, centered person who does everything with good intentions. I would like to be remembered as someone funny, capable of enjoying life.(Male, 19 years old)
Being the same cheerful and fun person, with many achieved goals, a good job, new friends, and people who surround me and bring good things into my life… Making my family happy.(SP2 Male, 20 years old)
Having overcome all these obstacles that stop and paralyze me, that don’t let me move forward.(SP11 Female, 19 years old)
Every time I wake up, I try to remember what I want to achieve and that everything I have done so far has been for that.(SP6 Male, 22 years old)
I feel that we are a reflection of what we live. Many people tell me that I am loving because I grew up in a home like that; my dad is so loving with my mom, he respects her, loves her, is present, and is so responsible that I reflect that. So, I always keep that in mind in my life.(SP13 Female, 21 years old)
3.1.11. Manifestations Associated with Behavioral Rigidity
I’m disciplined, so when I have clear goals, I give everything I have to achieve them—my effort, my time. I fully commit to it and, no matter what happens, I do it. I achieve it.(SP2 Male, 20 years old)
Well, first I organize my time so that the things I want to achieve can be done on time. Also, I surround myself with people who can help me achieve what I want.(SP6 Male, 22 years old)
I would love to travel, explore, put down roots somewhere else, but I worry that my grandmother might die, and I won’t be there.(SP1 Male, 22 years old)
I do everything short term. Long-term plans, like for a year from now, don’t work for me. I only act when I’m certain that I’ll get results.(SP9 Female, 21 years old)
Well, it depends on the obstacle. If it depends on someone else, I’ll probably just set it aside and move on to something else. I have the ability to let go of things without [them] affecting me in the future.(SP9 Female, 21 years old)
It’s really hard for me—honestly, when something doesn’t go as I expected, thoughts of incompetence overwhelm me. That holds me back and stops me from continuing on the path I had already mapped out.(SP11 Female, 19 years old)
4. Discussion
4.1. Theoretical and Contextual Reflexivity
4.1.1. Experiential Avoidance vs. Acceptance
4.1.2. Self-As-Content vs. Self-As-Context
4.1.3. Lack of Contact with the Present Moment vs. Contact with the Present Moment
4.1.4. Fusion vs. Defusion
4.1.5. Lack of Contact with Values vs. Contact with Values
4.1.6. Inaction vs. Committed Action
Reflexivity, Strengths, and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
ACT | Acceptance and Commitment Therapy |
IPA | Interpretative Phenomenological Analysis |
Appendix A
Section | Purpose | Sample Questions |
---|---|---|
Introduction | Introduce the study and explain the process |
|
Personal and Family Context | To contextualize the participant |
|
Perceptions of Psychological Flexibility | Explore participants’ understanding of the concept |
|
Psychological flexibility processes | Elicit personal strategies aligned with ACT’s six core processes | Acceptance
|
Closing | Emotional closure and ethical care |
|
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Code | Sex | Age | Academic Program |
---|---|---|---|
SP1 | Male | 22 | Agronomy Engineering |
SP2 | Male | 20 | Public Accounting |
SP3 | Female | 20 | Medicine |
SP4 | Female | 19 | Biology |
SP5 | Male | 20 | Law |
SP6 | Male | 22 | Nursing |
SP7 | Male | 19 | Public Accounting |
SP8 | Female | 21 | Nursing |
SP9 | Female | 21 | History and Heritage |
SP10 | Female | 19 | Nursing |
SP11 | Female | 19 | Business Administration |
SP12 | Male | 22 | Systems Engineering |
SP13 | Female | 21 | Industrial Engineering |
SP14 | Male | 18 | International Business |
SP15 | Female | 19 | Public Accounting |
Steps | Description |
---|---|
Initial familiarization with a case and initial comments | Reviewing interviews and notes |
Initial identification of themes | Detailed descriptive, linguistic, and conceptual comments |
Looking for connections between themes | Identifying key themes for each case |
Producing a table of themes | Describing and illustrating emerging themes |
Continuing with further cases | Repeat idiographic analyses, identifying shared and divergent patterns |
Writing up the analysis | Write the results of the analysis |
ACT Process | Superordinate Theme | Emergent Theme | Illustrative Quotes (Participant) |
---|---|---|---|
Experiential Avoidance (suppressing discomfort)/Acceptance (willingness to experience discomfort) | Control of private events | Tendency to focus on private events, disrupting contact with the present (fusion)
| I think about it daily, like 15–16 h a day (SP1) |
Acceptance of private events | Willingness to admit thoughts/emotions perceived as aversive, without futile control | If I see I can’t solve it, I just let it go and move on. I feel lighter (SP6) | |
Self-as-Context (observes self beyond thoughts)/Self-as-Content (identifies self with thoughts) | Defined by thoughts | Self-criticism for having certain thoughts or feelings
| I know I have anger issues… so I avoid getting angry (SP1) |
Observing self without judgment | Ability to maintain perspective beyond negative thoughts/emotions | I’m still afraid of many things, but I keep going despite the fear (SP2) | |
Lack of Contact with the Present (disconnected and caught in past or future)/Present Moment Contact (open and engaged with present moment) | Living on autopilot | Doing tasks non-stop, moving from one to another without noticing feelings/thoughts | I do so many things I don’t have time to feel bad (SP10) |
Mindful presence | Openness to contact what is felt/thought in the here and now | I have a routine, but I enjoy my day; I don’t get lost in it (SP6) | |
Cognitive Fusion (takes thoughts as literal truth)/Defusion (sees thoughts as thoughts) | Fusion with private content | Ineffective perspective-taking, over-identifying with thoughts
| I made up movies in my head that he was cheating (SP7) |
Defusion from private content | Recognizing internal events as ideas, possibilities, not fixed reality | I learned to be a spectator, especially when I can’t control it (SP13) | |
Values (has direction and meaning)/Lack of Values (lacks direction or meaning) | Difficulty contacting values | Acting to meet others’ expectations
| I do things so my mom feels proud. She doesn’t know I’m homosexual (SP7) |
Contact with values | Openness to explore what really matters and give life meaning
| I would like to be remembered as someone funny, capable of enjoying life (SP13) | |
Inaction (avoids action due to discomfort)/Committed Action (takes value-based action) | Behavioral rigidity | Ineffective strategies to implement actions
| I do everything short-term; I can’t plan long-term (SP9) |
Values above all | Commitment to values-driven actions despite difficulty | I give everything to reach my goals; I fully commit until I get it (SP2) |
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Cervantes-Perea, W.; Martínez-Bacaicoa, J.; Gámez-Guadix, M. Psychological Flexibility and Inflexibility of University Students: An In-Depth Qualitative Study. Int. J. Environ. Res. Public Health 2025, 22, 1141. https://doi.org/10.3390/ijerph22071141
Cervantes-Perea W, Martínez-Bacaicoa J, Gámez-Guadix M. Psychological Flexibility and Inflexibility of University Students: An In-Depth Qualitative Study. International Journal of Environmental Research and Public Health. 2025; 22(7):1141. https://doi.org/10.3390/ijerph22071141
Chicago/Turabian StyleCervantes-Perea, Wendy, Jone Martínez-Bacaicoa, and Manuel Gámez-Guadix. 2025. "Psychological Flexibility and Inflexibility of University Students: An In-Depth Qualitative Study" International Journal of Environmental Research and Public Health 22, no. 7: 1141. https://doi.org/10.3390/ijerph22071141
APA StyleCervantes-Perea, W., Martínez-Bacaicoa, J., & Gámez-Guadix, M. (2025). Psychological Flexibility and Inflexibility of University Students: An In-Depth Qualitative Study. International Journal of Environmental Research and Public Health, 22(7), 1141. https://doi.org/10.3390/ijerph22071141