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The mediating role of psychological flexibility in the relationship between resilience and distress and quality of life in people with multiple sclerosis

Bibliographic Data

ID4229191
AuthorsKenneth I Pakenham (0000-0002-8653-4593, The University of Queensland), Giovanni Landi (0000-0002-2576-3528, University of Bologna), Silvana Grandi (0000-0003-3401-2301, University of Bologna), Eliana Tossani (0000-0002-6197-4496, University of Bologna)
Year2024
Volume29
Issue1
Pages65-80
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053231182364
PMID37387365
OpenAlexW4382631146
LanguageEN
Citations received3
References cited52

The purpose of this study is to investigate the role of psychological flexibility in mediating the beneficial effects of resilience on distress and quality of life (QoL) in people with MS (PwMS). The psychological flexibility framework underpinning acceptance and commitment therapy (ACT) was used to conceptualise psychological flexibility. A total of 56 PwMS completed an online survey that assessed global psychological flexibility and each of its six core sub-processes, resilience, distress, mental and physical health QoL, socio-demographics, and illness variables. Mediation analyses showed that, as hypothesised, higher levels of global psychological flexibility and its sub-processes were associated with increases in the positive impacts of resilience on distress and mental and physical health QoL via a mediational mechanism. These findings suggest that psychological flexibility skills build resilience capacities in PwMS. The psychological flexibility framework offers an ACT-based intervention pathway to build resilience and enhance mental health and QoL in PwMS

Acceptance and commitment therapy · Distress · Flexibility (engineering · Intervention (counseling · Mediation · Mental health · Psychiatry · Psychological distress · Psychological intervention · Psychological resilience · Psychotherapist · Quality of life (healthcare · COVID-19 and Mental Health · Multiple Sclerosis Research Studies · Psychology · Resilience and Mental Health · Clinical Psychology

  • What makes us strong

    Open Access•Duckhyun Jo, Sohwi Pyo et al.•Journal of Contextual Behavioral…•2024

  • Cross-cultural validity and reliability of the comprehensive assessment of acceptance and commitment therapy processes (CompACT) in people with multiple sclerosis

    Open Access•Ambra Mara Giovannetti, Rosalba Rosato et al.•Quality of Life Research•2024

  • Dimensions of psychological flexibility and their significance in people with somatic symptoms

    Open Access•Tim Y Koppert, Renée van Hoek et al.•Journal of Health Psychology•2025

  • The Essential Guide to Effect Sizes

    Open Access•Paul D Ellis•Essential Guide to Effect Sizes•2010

  • Acceptance and commitment therapy.

    Steven C Hayes, Jason Lillis•Acceptance and commitment therapy•2012

  • Disentangling Components of Flexibility via the Hexaflex Model

    Open Access•Jaci L Rolffs, Ronald D Rogge et al.•Assessment•2018

  • Psychological flexibility

    Open Access•James Doorley, Fallon R Goodman et al.•Social and Personality Psychology…•2020

  • A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions

    Open Access•Christopher D Graham, Joanna Gouick et al.•Clinical Psychology Review•2016

  • Psychological flexibility as a fundamental aspect of health

    Open Access•Todd B Kashdan, Jonathan Rottenberg•Clinical Psychology Review•2010

  • A methodological review of resilience measurement scales

    Open Access•Gill Windle, Kate M Bennett et al.•Health and Quality of Life Outcomes•2011

  • Psychometric properties of the Depression Anxiety Stress Scales (Dass) in clinical samples

    Open Access•Timothy A Brown, Bruce F Chorpita et al.•Behaviour Research and Therapy•1997

  • Acceptance and Commitment Therapy

    Open Access•Steven C Hayes, Jason B Luoma et al.•Behaviour Research and Therapy•2006

  • The MOS 36-ltem Short-Form Health Survey (SF-36)

    John E Ware, Cathy Donald Sherbourne•Medical Care•1992

  • Required Sample Size to Detect the Mediated Effect

    Open Access•Matthew S Fritz, David P Mackinnon•Psychological Science•2007

  • Flexibly and/or inflexibly embracing life

    Open Access•Oliver K Stabbe, Jaci L Rolffs et al.•Journal of Contextual Behavioral…•2019

  • Psychological flexibility as a malleable public health target

    Open Access•Andrew T Gloster, Alfred H Meyer et al.•Journal of Contextual Behavioral…•2017

  • Italian validation of the Italian multidimensional psychological flexibility inventory (MPFI)

    Open Access•Giovanni Landi, Kenneth I Pakenham et al.•Journal of Contextual Behavioral…•2021

  • The Multidimensional Psychological Flexibility Inventory (MPFI)

    Open Access•Giovanni Landi, Kenneth I Pakenham et al.•Journal of Contextual Behavioral…•2021

  • Affective disorders and Health-Related Quality of Life (HRQoL) in adolescents and young adults with Multiple Sclerosis (MS)

    Open Access•N Rainone, Alessandro Chiodi et al.•Quality of Life Research•2016

  • A health-related quality of life measure for multiple sclerosis

    Open Access•Barbara G Vickrey, Ron D Hays et al.•Quality of Life Research•1995

  • Resilience, age, and perceived symptoms in persons with long-term physical disabilities

    Open Access•Alexandra L Terrill, Ivan R Molton et al.•Journal of Health Psychology•2016

Unique citing works3
Citations per year1,5
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3
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