Search Results (75)

Background/Introduction: Psychological inflexibility, which includes experiential avoidance, is a transdiagnostic process associated with multiple mental health issues in adolescence. Physical fitness (PF) has shown benefits for mental well-being, yet its specific relationship with psychological inflexibility remains understudied, particularly among youth. Objectives: To examine the association between components of PF and psychological inflexibility, measured by the Acceptance and Action Questionnaire-II (AAQ-II), in a representative sample of Spanish adolescents. Methods: A cross-sectional analysis was conducted using data from 631 adolescents (aged 12–17) participating in the Eating Healthy and Daily Life Activities (EHDLA) study. PF was assessed by the Assessing the Levels of PHysical Activity and Fitness (ALPHA-Fit) Test Battery (cardiorespiratory fitness, muscular strength, agility, and flexibility). Psychological inflexibility was measured using the AAQ-II. Generalized linear models (GLMs) were used to evaluate associations, adjusting for age, sex, body mass index, socioeconomic status, physical activity, sedentary behavior, sleep duration, and energy intake. Results: Unadjusted analyses showed weak but significant associations between psychological inflexibility and performance in the 20 m shuttle run test (p = 0.002), the 4 × 10 shuttle run test (p = 0.005), and the sit-and-reach test (p < 0.001). However, after adjusting for covariates, none of the PF components maintained a statistically significant association with the AAQ-II scores. Conclusions: In this adolescent sample, PF components were not independently associated with psychological inflexibility after adjustment for key confounders. These findings suggest that, while PF may contribute to general well-being, it is not a primary determinant of psychological inflexibility. Further longitudinal and intervention studies are needed to clarify the mechanisms linking physical and psychological health in youth. Full article

Background/Objectives: Chronic Pelvic Pain (CPP) is a multifactorial condition that affects in many ways the daily life of patients suffering from it. Different psychological factors demonstrated to be associated with the genesis and maintenance of CPP. Less is known about the role of the Psychological Flexibility (PF) model. Thus, the aim of this study is to explore the relationship between the PF domains, psychological distress, pain, and quality of life in patients with chronic pelvic pain. Methods: A total of 114 women with a diagnosis of chronic pelvic pain were included in this study. Participants completed online self-report measures to assess psychological distress (anxiety, depression, stress), Psychological Flexibility, Pain interference, and Quality of life. Results: Psychological distress and Psychological Flexibility showed significant association with pain interference. Other PF dimensions related to pain interference were as follows: self as context, defusion, and values. Physical Quality of life showed significant association with Experiential avoidance and Lack of values clarity, while Mental Quality of life was associated with Psychological Inflexibility and Self as content. Conclusions: Psychological distress and Psychological Flexibility have a role in pain perception and its interference with a patient’s daily life, affecting also physical and mental quality of life of CPP patients. Full article

Background and Objectives: Acceptance and commitment therapy (ACT) enhances psychological flexibility by fostering acceptance of thoughts and emotions, promoting mindfulness practices, and encouraging engagement in value-based actions. These processes have been associated with improvements in mental health and social functioning, with accumulating evidence supporting ACT’s efficacy across various psychiatric disorders. This systematic review aimed to evaluate current evidence on ACT interventions for reducing psychiatric symptoms and enhancing social functioning and interpersonal relationships in adults with psychiatric conditions. Materials and Methods: A comprehensive search was conducted across PubMed, Web of Science, the Cochrane Library, and Embase for studies published between 2014 and 2024. The review protocol was registered on the Open Science Framework (OSF; registration ID: 2ZAGT). Results: Seventeen studies met the inclusion criteria; however, the evidence base remained fragmented, with most psychiatric diagnoses represented by only one or two studies. The reviewed studies exhibited several methodological limitations, including small sample sizes, lack of randomization and blinding, high risk of bias, reliance on subjective outcome measures, and inadequately designed or absent control groups. Despite these limitations, ACT was associated with beneficial effects in conditions such as post-traumatic stress disorder (PTSD), insomnia, psychosis, and autism spectrum disorder, particularly in reducing experiential avoidance, enhancing mindfulness, and promoting long-term improvements in emotional regulation and life satisfaction. Conclusions: Due to the limited number of studies per diagnosis, significant methodological weaknesses, and the lack of high-quality controlled trials, this review cannot provide strong evidence for the efficacy of ACT in improving social functioning among adults with psychiatric disorders. The heterogeneity and overall low quality of the available literature highlight the urgent need for further large-scale well-controlled studies. Full article

Objectives: The COVID-19 pandemic has significantly impacted mental health worldwide. This study investigated the relationship between perceived COVID-19 threat and adjustment disorder (AjD) severity, examining self-compassion (SC) and experiential avoidance (EA) as potential moderators. Additionally, cluster analysis—a statistical method for grouping individuals based on similar psychological characteristics—was employed to identify distinct profiles of SC and EA and their associations with AjD, depression, and anxiety symptoms. Methods: A sample of 308 participants meeting AjD criteria completed measures assessing AjD severity (ADNM-20), depression (PHQ-9), anxiety (GAD-7), SC, EA, and perceived threat of COVID-19. Moderation analyses were performed using the PROCESS macro. Cluster analysis identified profiles based on SC and EA scores, with clusters compared on AjD, PHQ, and GAD symptom severity. Results: SC and EA moderated the relationship between perceived COVID-19 threat and AjD severity. Interestingly, individuals with high EA and low SC exhibited no significant association between perceived threat and AjD symptoms. Cluster analysis revealed four distinct profiles: (1) high SC and low EA, (2) average SC and EA, (3) low SC and low EA, and (4) low SC and high EA. Participants in the high SC/low EA cluster reported significantly lower levels of AjD, depression, and anxiety symptoms compared to those in the low SC/high EA cluster, who exhibited the highest symptom severity across all measures. Conclusions: Our findings suggest that individuals who relied on experiential avoidance and lacked self-compassion experienced less emotional distress related to pandemic-related worries, potentially shielding themselves from acute AjD symptoms. However, this strategy was associated with greater emotional distress, as those with high AE and SC exhibited more symptoms of AjD, depression, and anxiety. In contrast, individuals with low AE and high SC demonstrated significantly better psychological well-being. Full article

Background and Clinical Significance: Evaluations of interventions for sexual orientation obsessive–compulsive disorder (SO-OCD) are rare. This study therefore evaluated the effectiveness of cognitive analytic therapy (CAT). Case Presentation: A 28-year-old heterosexual male presented with SO-OCD in the form of obsessions concerning his sexual identity and associated avoidance and reassurance-seeking compulsions. The evaluation was a quasi-experiential A/B single-case experimental design (SCED) with follow-up of the eight-session CAT intervention. The SCED had three phases: baseline ‘A’ (two sessions; 21 days), active treatment ‘B’ (six sessions; 56 days) and follow-up (one session; 44 days). There were seven daily rated idiographic outcome measures (intrusion count as the control, a compulsion count and then intensity measures of checking, worrying, generating evidence, shame and anxiety). Four nomothetic outcome measures (including a primary outcome measure of SO-OCD) were collected at assessment, end of treatment and follow-up. Generalised logistical models were fitted to the idiographic outcomes. Six of the seven idiographic measures responded to treatment, indicating an effective intervention. Idiographic change was non-linear and synchronised with specific psychotherapeutic actions and there was no evidence of relapse. There was a clinically significant and reliable pre–post reduction in SO-OCD with progress sustained over the follow-up period. Conclusions: Overall, the study indicates that CAT was an effective intervention for the SO-OCD. The study methodology is critiqued and guidance on SO-OCD treatment is provided. Full article

Smartphone addiction has emerged as a pressing public health issue in recent years, which negatively impacts university students’ academic performance, physical and mental health, and social functioning. Therefore, it is crucial to explore the significant factors related to smartphone addiction. While previous research has suggested a potential link between self-compassion and problematic internet or smartphone use, studies specifically examining the relationship between self-compassion and smartphone addiction tendency remain limited. From a positive psychology perspective, this study aims to explore the relationship between self-compassion and smartphone addiction tendency, as well as its internal mechanism. A total of 641 Chinese college students were recruited to complete online questionnaires assessing their self-compassion, self-concept clarity, experiential avoidance, and smartphone addiction tendency. The results show that self-compassion not only directly and negatively predicts smartphone addiction tendency, but also indirectly predicts it through the independent mediating effects of self-concept clarity and experiential avoidance. Additionally, there is a chain-mediating effect of self-concept clarity and experiential avoidance. This study provides a new perspective for the prevention and intervention of smartphone addiction tendency among college students. Full article

This article reports on a mixed-methods evaluation of a hydroponics-based learning curriculum for fourth and fifth grade students that incorporated 3D design and 3D printing technologies. This study provides a better understanding of the extent to which experiential indoor gardening applications can be used in the formal curriculum as an effective teaching tool to sensitize participants to the prudent use of water, avoiding its wastage. The primary objective was to introduce students to the processes of 3D printing and hydroponics, while also assessing the enhancement of their 21st century skills. The participating students presented significant improvement in environmental knowledge scores about hydroponics, as well as high overall scores on collaboration, creativity, communication, and critical thinking (the 4Cs). The teachers noted the modern, innovative character of the program, as well as the ease of use of the included, offered, educational material. Full article

Background: In recent years, the conceptual framework of psychological flexibility/inflexibility has been of global interest in the field of behavioral health. Nevertheless, studies and evidence of psychological flexibility/inflexibility remain limited for underrepresented groups of individuals, including people of color in the United States (U.S.). Among these groups of individuals are Black Americans in the U.S. In response to this empirical gap, the present cross-sectional study investigated whether psychological inflexibility and mindful awareness were uniquely related to general psychological distress, somatization, depression, and anxiety in Black American adults in the United States. Methods: A convenience sample of 359 Black American college students completed self-report measures of interest online. Results: As predicted, correlational analyses showed that psychological inflexibility was positively associated with general psychological distress, somatization, depression, and anxiety, and that mindful awareness was negatively associated with these four distress variables. A path analysis model revealed that psychological inflexibility, but not mindful awareness, was uniquely associated with these distress variables. Conclusions: The present study extended previous findings with a convenience sample of Black American college students, suggesting that psychological inflexibility may be a useful construct for understanding psychological distress, more so than mindful awareness, among Black American adults in the U.S. Full article

A review of the violent knife crime literature suggests that the experiential perspective is one which has not been addressed in academic study. The research presented hereafter aims to address this literary gap and generate transferable knowledge relevant to the lived experience of violent knife crime. The experiential study of the single case within psychological research involves detailed examination of a particular event. Participant ‘J’ is the survivor of an extremely violent attack, involving the use of a knife, in his own home. J’s experience was analysed using Interpretative Phenomenological Analysis with reference to elements of the lifeworld: temporality, spatiality, intersubjectivity, and embodiment. Three themes were identified: 1. switching from past to present tense when relaying traumatic experience; 2. The presence of redemption sequences; and 3. making sense as a temporal process, which included an additional two subthemes—‘The long journey’ and ‘Seeking belongingness’. This case emphasises that the traumatic event is conceptualised as one part of a longer journey towards recovery, and that recovery itself is central to the experience of violent knife crime. Finally, the need to understand recovery as temporal process highlights the need to provide victims with appropriate support in order to avoid negative outcomes. Full article

Introduction: Third-generation therapies (TGTs) have been shown to be effective in the treatment of substance use behaviors in college-aged adolescents. These therapies are based on acceptance, mindfulness and psychological flexibility, which enable young people to change their Psychoactive Substance Use (PSU)-related behaviours, develop coping skills to manage difficult emotions and thoughts, reduce experiential avoidance and maintain long-term abstinence. Objective: To explore the implementation and potential benefits of third-generation therapies, Acceptance and Commitment Therapy (ACT), Dialectical Behaviour Therapy (DBT) and Mindfulness, for the treatment of PSU in college youth. This review includes articles within a 5-year window. Method: A scoping, observational and retrospective review was conducted using the PRISMA method in SCOPUS, PUBMED and Web of Science. Results: eight studies were found, six based on mindfulness, one on dialectical behaviour therapy and one on acceptance and commitment therapy. The results of the studies are promising and emerging for the intervention of the problem. Conclusion: The interventions used show evidence of reducing PSU and other mental health problems such as anxiety, depression and post-traumatic stress. In addition, they allowed patients to increase their well-being and mindfulness. Full article

Early adolescents are at high risk for non-suicidal self-injurious behavior (NSSI). Based on the Rejection Sensitivity Model, the Experiential Avoidance Model, and the Affect Regulation Model of Self-Injury, this study aimed to explain how rejection sensitivity was related to NSSI among adolescents by unraveling the mediating role of social anxiety and the moderating role of regulatory emotional self-efficacy (RESE) in this relationship. A three-wave longitudinal investigation with a three-month interval was conducted among 726 adolescents (M_age = 13.47, SD = 0.95; 46.0% girls) from a middle school in North China. The Cross-Lagged Panel Models (RI-CLPMs) were utilized to estimate the associations among the study variables. The results indicated that the incidence rates of NSSI in the three measurements among adolescents were 33.3%, 30.3%, and 24.1%, respectively. Adolescents’ rejection sensitivity and NSSI showed a declining trend over time. Furthermore, rejection sensitivity predicted NSSI through the longitudinal mediating effect of social anxiety. RESE played a protective role in adolescents’ NSSI, but its moderating effect was not significant. The findings increase our understanding of the association between rejection sensitivity and NSSI in adolescents, and they benefit educators in conducting targeted interventions through improving adolescents’ rejection sensitivity and social anxiety to reduce the risk of NSSI. Full article

Objective: Considering the prevalence of ED-related prodromal symptoms among higher education students (making them a population at risk for developing EDs), the main goals of this study were to conduct a network analysis in a college sample and to explore multivariate dependencies between a selection of empirically informed variables of interest to eating psychopathology, namely difficulties in emotion regulation and psychological processes (e.g., interoceptive awareness, self-compassion, self-criticism, mindfulness, and experiential avoidance). Methods: The sample included 294 college students (M_age = 21.4, SD = 5.0; M_BMI = 22.4, SD = 3.7). A Gaussian graphical network model was estimated to visualize interactions among the studied variables and to assess their centrality in terms of betweenness, closeness, strength, and expected influence. Results: A network system with 21 nodes was estimated (sparsity = 0.52). Nodes assessing disordered eating symptoms displayed the strongest correlation coefficients with nodes assessing dimensions of interoceptive awareness: eating concerns and not-distracting (r = −0.11), shape concerns and trusting (r = −0.16), and weight concerns and trusting (r = −0.10). Self-compassion was the node with the highest betweenness (SELFCS = 2.27) and closeness centrality (SELFCS = 1.70). The nodes with the highest strength centrality were strategies (DERS = 1.91) and shape concerns (EDE-Q = 1.51). Discussion: In this network model conducted in a college sample, eating-related symptoms were mainly associated with dimensions of interoceptive awareness. Also, the lack of effective strategies to regulate emotions, shape concerns, and self-compassion stood out as central nodes in the network model. The results suggest that addressing these variables may be promising in disrupting network systems marked by the presence of prodromal eating psychopathology symptoms in at-risk populations (e.g., college students). Full article

Multiple sclerosis (MS) is a neurodegenerative disease that presents with both motor and non-motor symptoms, with anxiety and depression being prominent and potentially exacerbated by negative thoughts. Therefore, the experiential avoidance (EA) exhibited by patients post diagnosis is particularly relevant. This study aimed to measure the degree of EA in patients with MS and determine its relationship with emotional disturbances. A cross-sectional descriptive study was conducted using a sample of 64 patients diagnosed with MS. In October 2018, these patients underwent evaluations of functional and cognitive variables, such as anxiety, depression, and avoidant behaviors towards the disease, using the Expanded Disability Status Scale, Acceptance and Action Questionnaire-II, Self-Compassion Scale Short Form, Five Facet Mindfulness Questionnaire-15, prefrontal symptoms inventory, Beck Depression Inventory II, and State-Trait Anxiety Inventory to assess coping mechanisms in handling the disease. Higher levels of state anxiety (β = 0.79; p < 0.001), trait anxiety (β = 0.82; p < 0.001), and depression (β = 0.62; p < 0.001) were observed in patients with MS as their EA and psychological inflexibility increased. Participants with high self-compassion/self-acceptance tended to have fewer negative thoughts and exhibited better coping with the disease, which may, in turn, affect patterns of psychological rigidity or inflexibility. Dimensions such as kindness and humility could act as positive factors in coping with the disease, whereas self-judgment and isolation are negative elements often associated with avoidant behaviors that hinder effective coping with the illness. Full article

Objectives: Many people living with type 2 diabetes experience diabetes distress which impacts negatively on their health-related quality of life (HRQoL). However, little is known about the modifiable factors or psychological processes that make this happen. The current study examines the role of experiential avoidance and post-traumatic growth (PTG) in association with diabetes distress and the HRQoL. Methods: Participants included 303 patients with type 2 diabetes conveniently selected from two tertiary healthcare institutions in Nigeria. They completed relevant self-report measures. The Hayes PROCESS macro for SPSS was used for data analysis. Results: The results showed that experiential avoidance mediated the association between diabetes distress and the HRQoL [95% CI: −0.15, −0.07]. PTG significantly moderated the association between diabetes distress and the HRQoL [95% CI: 0.01, 0.02]. Specifically, diabetes distress was associated with a poor HRQoL only among patients with low levels of PTG but not among those with average and high levels of PTG. Conclusion: These findings underscore the importance of Acceptance and Commitment Therapy as it can potentially decrease the experiential avoidance behaviour of patients. Moreover, intervention should also target the facilitation of PTG due to its beneficial effects in reducing the negative effects of diabetes distress on health and recovery. Full article

Cognitive-experiential self-theory is a unique model for exploring restaurant patrons’ decision making. Fear and its impact on diners’ decision making, particularly related to specific dining contexts (dine-in, takeout, and delivery), are limited in their representation in the literature. The COVID-19 pandemic provided an instance where a single fear could be explored universally for dining patrons. This study explores how fear influences diners’ perception of risk, antipathy, and avoidance toward restaurant dining and how these factors impact their intention to dine in a restaurant. Furthermore, it investigates how those constructs influence diner decision making regarding the selection of one of the identified dining contexts. Online survey data (n = 1225) of diners were analyzed using SEM. The research finds that fear impacts dining contexts differentially. Additionally, environmental control is identified as a valuable tool in the mitigation of diners’ fear. The pandemic had devastating impacts on the restaurant industry, partly due to the lack of research into fear, particularly in dining contexts. This research helps to fill the important research gap through the findings and theoretical and managerial implications provided. Full article