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Journal of Contextual Behavioral Science, 17, 109118. Block, J. National Library of Medicine Malo, R., Acier, D. & Bulteau, S. Psychological Flexibility: Toward a Better Understanding of a Key Concept. Acceptance and mindfulness-based treatments for chronic pain attempts to alter the impact of pain-related thoughts and feelings on behavior without necessarily changing the thoughts and. The overarching aim of ACT is to improve psychological flexibility, which is the act of being open in an intentional manner to direct experiences as they occur and to engage in behaviors consistent with valued life directions (Hayes et al. Learn more about Institutional subscriptions. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. same purpose. NCI CPTC Antibody Characterization Program. The Guilford Press, pp 329-360. (2006). Adaptability and psychological flexibility: Overlapping constructs?. Behavior Therapy, 49(3), 435449. Marshall, E.-J., & Brockman, R. N. (2016). 2020 Sep;32(9):829-850. doi: 10.1037/pas0000834. PubMed Whiting, D. L., Deane, F. P., Ciarrochi, J., McLeod, H. J., & Simpson, G. K. (2015a). Psychological Assessment, 26(4), 13811387. To move towards definitional consensus and improved measurement, we surveyed the literature to map PF and related-terms, examine definitional overlaps, and assessthe psychometric quality of prominent flexibility measures. Psychopathology and the human connectome: Toward a transdiagnostic model of risk for mental illness. Dont choose too quickly. TLDR. Lanne Psychologique, 106(3), 415434. Multi-language comparison across 16 languages: coordinated by G. Presti and G. Aydin. Pakenham, K. I., Landi, G., Boccolini, G., Furlani, A., Grandi, S., & Tossani, E. (2020). Dunod. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Neuropsychological Rehabilitation, 27(2), 263299. This article reports the development of a communication flexibility scale and corresponding, Abstract Two studies examine the psychometric properties and socio-demographic correlates of the General Self-efficacy Scale (GSE) (Jerusalem and Schwarzer, 1986; Schwarzer, 1993). sharing sensitive information, make sure youre on a federal << /Length 5 0 R /Filter /FlateDecode >> %PDF-1.3 Journal of the American Academy of Child & Adolescent Psychiatry, 55(4), 267268. As you practice the many tools and techniques presented in A Liberated Mind, you might notice your psychological flexibility starting to improve. https://doi.org/10.1371/journal.pone.0087445. Inflexibility as a vulnerability to depression: A systematic qualitative review. Acceptance and commitment therapy: Model, processes and outcomes. Brown V.J., Tait D.S. I also included a section on specifically applying these Assessing psychological flexibility: What does it add above and beyond existing constructs? Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review. Psychological flexibility is a key process in mental health, both in a psychopathological approach and from a quality of life and well-being perspective. A compendium of neuropsychological tests: Administration, norms, and commentary. The second study refined this measure and tested the relationships between parental psychological flexibility, parent and adolescent outcomes. Cherry, K. M., Vander Hoeven, E., Patterson, T. S., & Lumley, M. N. (2021). Google Scholar. De Houwer, J. The PPAQ is a valid measure of parent pain acceptance and may provide valuable insights into parent responses to child pain and the ways in which parent acceptance influences child outcomes. View PDF View article View in Scopus Google Scholar. Functional flexibility: A new conception of interpersonal flexibility. This site needs JavaScript to work properly. Dajani, D. R., & Uddin, L. Q. Whats flexible in behavioral flexibility? Psychol Assess. Schlagenhauf, F., Huys, Q. J., Deserno, L., Rapp, M. A., Beck, A., Heinze, H. J., Dolan, R., & Heinz, A. From there on, you can continue with relevant specialized measurements. Work & Stress, 27(2), 181199. Bookshelf Reliability was demonstrated by a Cronbach alpha coefficient of 0.918. The article presents the development of the Psychological Flexibility Questionnaire (PFQ) on the basis of two studies. Download them here for free! Mental flexibility is considered part of executive funcions , which are the general mental functions that help us to cordinate thought and action. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. Parsons, T. D., & Phillips, A. S. (2016). Clinical Psychology Review, 30(7), 865878. Rssler, W. (2013). The main measure of PF - the Acceptance and Action Questionnaire (AAQ-II; Bond et al., 2011) - has also been heavily criticized. Hayes, S. C., Levin, M., Plumb-Vilardaga, J., Villatte, J., & Pistorello, J. Epub 2020 Jul 2. https://doi.org/10.1080/02678373.2013.782157. Exploring the relationship between cognitive flexibility and psychological flexibility after acquired brain injury. Kashdan, T. B., & Rottenberg, J. Behavior Therapy, 45(6), 831839. In acceptance and commitment therapy, psychological flexibility is. Embodiment as a unifying perspective for psychology. Provide a total score as well as individual subscales for each component of the ACT hexaflex, Use in intervention planning to determine which ACT areas to target, Use as a measure of progress and growth over time. The authors declare no competing interests. Psychology, Medicine. Doorley, J. D., Goodman, F. R., Kelso, K. C., & Kashdan, T. B. The Psychological Flexibility Questionnaire (PFQ): Development, Reliability and Validity. Weight Self-Stigma Questionnaire If you are obese or overweight and are finding it difficult to manage feelings of shame . Selfreport questionnaires. Chaytor, N., & Schmitter-Edgecombe, M. (2003). Whiting DL, Deane FP, Simpson GK, McLeod HJ, Ciarrochi J. Neuropsychol Rehabil. Psychological flexibility: What we know, what we do not know, and what we think we know. Cognitive Therapy and Research, 34(3), 241253. Academic Press. Fredrickson B. L. (2004). View 4 excerpts, cites background and methods, Psychological flexibility is considered to be a persons ability to flexibly use emotional, behavioral, and cognitive strategies to adapt to changing situational demands. The roles of cognitive flexibility and experiential avoidance in explaining psychological distress in survivors of interpersonal victimization. Hollenstein, T., Lichtwarck-Aschoff, A., & Potworowski, G. (2013). Oxford University Press. Research domain criteria: Cognitive systems, neural circuits, and dimensions of behavior. Masuda, A., Mandavia, A., & Tully, E. C. (2014). Journal of Personality and Social Psychology, 86(2), 320333. and women on this scale. points. https://doi.org/10.1371/journal.pone.0028331. Where appropriate, case examples and annotations are also included. New Ideas in Psychology, 30, 190200. American Association for Research into Nervous and Mental Diseases, Posner, M. I., & Rothbart, M. K. (1998). Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control over and over. British Psychoanalytic Council, 2015. The core processes are taught to achieve these ends. PF, psychological inflexibility (PI), and cognitive flexibility (CF) were most prominent. clinical populations. They are not just seen as ways of counterbalancing psychological dysfunction, but as positive psychological skills suitable for anyone wishing to live a balanced life. The Acceptance and Action Questionnaire - Stigma (AAQ-S): Developing a measure of psychological flexibility with stigmatizing thoughts. A scoping review was conducted in two databases (PsycNET and SCOPUS). Rigidity is not solely characterized by decreased flexibility in an individuals behaviors and views. Trends in Psychology 9|;"Y dPg/%9pTmWxbs_]RDb[Au1{VZ0i;)5H/wDu,.&pNT ! Paulhus, D. L., & Martin, C. L. (1988). (1946). AAQ; Definition; Measurement; Psychological flexibility; Scoping review. Article stream https://doi.org/10.1016/j.janxdis.2009.09.005. Biological Psychology, 123, 111118. By clicking accept or continuing to use the site, you agree to the terms outlined in our. ACT teaches acceptance, allowing, andwillingness, Cognitive fusion whereby an individual becomes hooked in thoughts. Behaviour Research and Therapy, 44, 125. Therefore, appropriate measurement methods should, ideally, be able to capture it in clinical and non-clinical samples. It has been solidly linked to both positive health outcomes and, in its negative form (i.e., psychological in flexibility), to psychopathology. This article reports the development of a communication flexibility scale and corresponding, Abstract Two studies examine the psychometric properties and socio-demographic correlates of the General Self-efficacy Scale (GSE) (Jerusalem and Schwarzer, 1986; Schwarzer, 1993). Recent meta-analyses investigating the relationship between personality and job performance have found that openness to experience is the least predictive of the Big Five factors. (2019). Bethesda, MD 20894, Web Policies Philosophical transactions of the Royal Society of London. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Federal government websites often end in .gov or .mil. Biological Psychology, 153, 107886. Applied Psychophysiology and Biofeedback, 33, 195201. Farkas, D., & Orosz, G. (2015). Mascolo, M. F. (2016). Thompson, E. M., Brierley, M. E. E., Destre, L., Albertella, L., & Fontenelle, L. F. (2022). Hayes, S. C., Merwin, R. M., McHugh, L., Sandoz, E. K., A-Tjak, J. G., Ruiz, F. J., & McCracken, L. M. (2021). Principles of self-regulation: The nature of willpower and self-control ET Higgins AW Kruglanski Eds Social psychology: Handbook of basic principles. Evaluated statistical properties of the Pain Interference Index support the use of PII as an adequate instrument to assess pain interference in children and adolescents with chronic pain. McCracken, L. M., Gutirrez-Martnez, O., & Smyth, C. (2013). Bjorklund, D. F., & Harnishfeger, K. K. (1995). Psychological flexibility is a multidimensional trait that plays an important role in many areas of life, including mental health. Behavior Therapy, 42(4), 676688. European Review of Applied Psychology, 59(4), 301308. https://doi.org/10.1007/s10202-008-0068-9. The ACT matrix: A new approach to building psychological flexibility across settings and populations. Previous research produced two factors, social, Communication flexibility has long been recognized as an essential component of communication competence. Psychological Assessment, 23(4), 970982. A growing body of research demonstrates that psychological flexibility leads to psychological benefits and adaptive behavior change. Journal of the International Neuropsychological Society, 12(2), 194209. ACT encourages committed action in the service of our values, Client handout use as a psychoeducation resource, Discussion point use to provoke a discussion and explore client beliefs, Therapist learning tool improve your familiarity with a psychological construct, Supervision tool use to develop formulations and knowledge, Teaching resource use as a learning tool during training. Neuropsychological assessment. The results support previous findings and warrant the need for larger, randomized clinical trials evaluating the relative utility of individual and group treatment and the effects of parental interventions. Work & Stress, 26, 272288. Rigid individuals show an important desire for restructuring their environments into more manageable forms with the aim of reducing their cognitive load (p. 98) (Morris & Mansell, 2018). Cognitive control and flexibility in the context of stress and depressive symptoms: The cognitive control and flexibility questionnaire. PLoS ONE, 7(1), e28331. The journal of pain : official journal of the American Pain Society, View 10 excerpts, references methods, background and results, View 7 excerpts, references background and methods. Demographic Associations with Psychological Flexibility (CompACT). Embodied cognitive neuroscience and its consequences for psychiatry. Anodal tDCS over the right dorsolateral prefrontal cortex modulates cognitive processing of emotional information as a function of trait rumination in healthy volunteers. This list will continue to expand, so make sure to check back from time to time for more resources. Its main features include: The Psy-Flex Questionnaire is based on the assumption that there are natural variations in the need and importance of applying psychological flexibility in everyday life. Morris, S. E., & Cuthbert, B. N. (2012). Defining and measuring psychological flexibility: A narrative scoping review of diverse flexibility and rigidity constructs and perspectives. Substance abuse and psychological flexibility: The development of a new measure. A simple objective technique for measuring flexibility in thinking. The ultimate intra-/extra-dimensional attentional set-shifting task for mice. Self-regulation and depletion of limited resources: Does self-control resemble a muscle? How do I activate JavaScript in this web browser? This preliminary non-cognitive assessment survey will be able to play a valuable role in DPT admissions decisions following further examination and refinement. Mele, M. L., & Federici, S. (2012). Odessa: Psychological Assessment Resources. Mental flexibility is considered part of 2023 Feb 10;11:1084467. doi: 10.3389/fpubh.2023.1084467. https://doi.org/10.1007/s43076-022-00188-1, DOI: https://doi.org/10.1007/s43076-022-00188-1. Shawnee Scientific Press, 2018. eCollection 2022. Hayes, S. C., Strosahl, K. D., Bunting, K., Twohig, M., & Wilson, K. G. (2004). Definitional consensus and measurement development are vital to advance the field. 8600 Rockville Pike Heart rate variability as a transdiagnostic biomarker of psychopathology. What is acceptance and commitment therapy? The development and initial evaluation of the Psychological Flexibility Questionnaire -Accessible (PFQ-Ax) Conference: UK and Republic of Ireland ACT and Contextual Behavioural Science 4th. (2013). (2011). Decentering reflects psychological flexibility in people with chronic pain and correlates with their quality of functioning. 2022 Aug 15;311:267-275. doi: 10.1016/j.jad.2022.05.024. Wiley Interdiscip Reviews Cognitive Science, 1, 586596. acknowledge the authors and their research paper when writing about it https://doi.org/10.1503/jpn.130018. Whiting, D., Deane, F., Ciarrochi, J., McLeod, H., & Simpson, G. (2014). Definitional similarities among prominent flexibility constructs emerged, namely handling distress or interference, taking action, and meeting goals or values. Geurts, H. M., Corbett, B., & Solomon, M. (2009). Developing Psychological Flexibility is a client information handout which can be used to familiarize clients with the ACT model. M. Maor, B. Gurion, S. Ben-Itzhak, I. Bluvstein. government site. due to its brevity. A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology. official website and that any information you provide is encrypted Journal of Contextual Behavioral Science, 14, 8289. This points to the utility of targeting parental psychological flexibility in pediatric chronic pain. 2023. Psychological Bulletin, 126(2), 247259. Bitbol, M., & Petitmengin, C. (2013). Kashdan TB, Disabato DJ, Goodman FR, Doorley JD, McKnight PE. A new measure of cognitive flexibility. Johnco, C., Wuthrich, V. M., & Rapee, R. M. (2014). Aging Ment Health. (2020). Both present the ACT problems and processes using simplified terminology. Nolen-Hoeksema, S. (2000). An editable Microsoft PowerPoint version of the resource. Trends in Cognitive Sciences, 13(2), 7482. Journal of Contextual Behavioral Science, 23, 3847. (2022)Cite this article. 2023 Springer Nature Switzerland AG. Given the role of psychological flexibility, researchers have been, Journal of educational evaluation for health professions. (2012). first aimed to address a gap in the measurement of the parental psychological flexibility construct by developing a questionnaire applicable for a general parenting context. The goal of Acceptance and Commitment Therapy (ACT) is to increase psychological flexibility. Rigidity of behavior: A variational approach to the effect of Einstellung. All rights reserved, Experiential avoidance where events, thoughts, and feelings are avoided. The Acceptance and Action Questionnaire (AAQ-II) is a widely used questionnaire measuring experiential avoidance and psychological inflexibility . This novel measure, the Eating Disorder Flexibility Index (EDFLIX) questionnaire, was found to be reliable and valid in the assessment of cognitive and behavioral flexibility, with results offering support for the conceptual distinction between general and ED related flexibility. de Boer, M. J., Steinhagen, H. E., Versteegen, G. J., Struys, M. M., & Sanderman, R. (2014). and actions. If you would like to create atranslation for a language that is not currently listed or if you are interested in a research collaboration, please feel free to contact us. Avsec A, Eisenbeck N, Carreno DF, Kocjan GZ, Kavi T. J Contextual Behav Sci. The Clinical Neuropsychologist, 30(2), 165184. Front Psychol. Our view is that dynamic constructs require dynamic approaches. Therefore, this study's objectives were to examine the relationships between psychological . Psychological Science, 15(7), 482487. https://doi.org/10.1016/j.jcbs.2019.03.003. ACT teaches mindfulness skills to help individuals contact the present moment, Attachment to the conceptualized self describes how we can see ourself as our thoughts. This series of studies operationalized the concept of rhetorical sensitivity first discussed by Hart and Burks in 1972. https://doi.org/10.1007/978-3-642-27772-6_340-2. Psychological flexibility (PF) refers on the one hand tothe ability to be aware ofand open to internal and external stimuli. The future is an uncertain situation, Problems of Psychology in the 21st Century, When talking about human well-being, Unconditional Self-acceptance represents one of the cores. https://doi.org/10.1016/j.neuroimage.2013.11.034. The Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., 2011) is a seven item, Likert-scale that has been validated with the medical student population. Health Psychology, 32(7), 820823. 2015). Berg, E. A. Polk, K. L., & Schoendorff, B. Validating measures of psychological flexibility in a population with acquired brain injury. Experiential avoidance: An examination of the construct validity of the AAQ-II and MEAQ. FLEXIBILITY QUESTIONNAIRE: CPFQ The AIM Curriculum includes two measures of adaptive, flexible behavior: a child report and a caregiver report. Improved executive functioning following repetitive transcranial magnetic stimulation. The Multidimensional Psychological Flexibility Inventory (MPFI) Authors: Ronald D Rogge University of Rochester Abstract Content uploaded by Ronald D Rogge Author content Content may be subject. Questionnaire for weight-related difficulties. Malooly, A. M., Genet, J. J., & Siemer, M. (2013). Gloster, A. T., Meyer, A. H., & Lieb, R. (2017). This study explores the relationship between psychological flexibility and future anxiety mediated by intolerance of uncertainty in students of SMK PGRI 3 Malang. https://doi.org/10.1037/1528-3542.6.3.429. Psychological flexibility could be a crucial psychological resilience factor against the adverse impact of nurses' burnout on their mental health problems and well-being during COVID-19. However, it does not enable a more specific inspection of the underlying processes that compose Psychol Assess. Clment, . Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Dawson, D. L. (2018). Journal of the International Neuropsychological Society: JINS, 10(4), 513. Makriyianis, H. M., Adams, E. A., Lozano, L. L., Mooney, T. A., Morton, C., & Liss, M. (2019). https://doi.org/10.1016/j.jcbs.2017.02.003. Luchins, A. S., & Luchins, E. H. (1959). Front Public Health. (2021). FOIA Exploring the nature of cognitive flexibility. Further, the. Genetic, Social, and General Psychology Monographs, 128, 165207. The studies describe how we reexamined the measure-ment of this construct and investigated the initial psychometricpropertiesoftheAAQ-II.InStudy1,a panel of experts generated items that assessed psychological flexibility and inflexibility. https://doi.org/10.1016/j.tins.2015.07.003. Behavioral Ecology, 28(4), 943947. Luoma, J., Drake, C. E., Kohlenberg, B. S., & Hayes, S. C. (2010). Audet, J.-N., & Lefebvre, L. (2017). Approche de la flexibilit cognitive dans la problmatique de la rsolution de problme. There are cognitive tasks and self-report questionnaires for this, like the disexecutive questionnaire (DEX), which is best suited for clinical populations. % Testing the feasibility and acceptability of a three-session online parent workshop based on acceptance and commitment therapy (ACT) and addressing concerns about eating well and nutrition in IBD suggest that providing parents of children with IBD a brief online ACT workshop including nutrition guidance is feasible and leads to changes in parenting behaviours. Additional translations are available in a variety of languages. Emotion Washington, D.C., 6(3), 429437. This page lists different questionnaires for you to assess your psychological flexibility across a range of different areas. Martin, M. M., & Rubin, R. B. Boksa, P. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Unauthorized use of these marks is strictly prohibited. However, similar constructs have existed since the mid-20th century, resulting in different terms, definitions and measures of flexibility, hindering the advancement of the field. Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. C., Guenole, N., Orcutt, H. K., & Zettle, R. D. (2011). Integrative Psychological & Behavioral Science, 50(4), 543554. Psychological flexibility (PF) is a popular construct in clinical psychology. Google Scholar. This is in line with a review of the literature that indicated that expression of a personality trait could vary as a function of context (Mansell & Moris, 2018). Neuropsychology Review, 13(4), 181197. Poor cognitive flexibility in eating disorders: Examining the evidence using the Wisconsin Card Sorting Task. Which outcome variables are associated with psychological inflexibility/flexibility for chronic pain patients? Epub 2022 Sep 28. Cognitive Processing, 13(1), 261265. After you choose the goal, please write it in the following blankPPFI. Besides moderational models, researchers can also extend lines of work using person-centric approaches to understand clusters or subsets of people that demonstrate flexibility but fail to show benefits (Kashdan & Rottenberg, 2010). Psychological Inventory (Gough, 1956), a 480-item true/false self-report questionnaire that produces scores for 18 personality traits. Inflexible autonomic responses to sadness predict habitual and real-world rumination: A multi-level, multi-wave study. The survey comprised a demographic questionnaire and measures of psychological flexibility, professional quality of life and workplace factors. Many studies conclude that psychological flexibility is an important determinant of mental health. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in The Acceptance and Action Questionnaire-II (AAQ-II) as a measure of experiential avoidance: Concerns over discriminant validity. Frontiers in Psychology, 10, 2016. https://doi.org/10.3389/fpsyg.2019.02016. Please take a few moments to think of an important goal that you are working on. Shortcuts using static measurement approaches are perilous, and likely to lead to misunderstandings of flexibilitys antecedents, correlates, and consequences (Kashdan & Rottenberg, 2010). Springfield, IL: Charles C Thomas. Fuchs, T. (2009). Cognitive effects of high-frequency repetitive transcranial magnetic stimulation: A systematic review. Literature review. The core problems hexaflex can be used to help clients to understand at which points they might be particularly stuck or as a prompt for areas of exploration in therapy. The six problems and processes in ACT are: Generalized Anxiety Disorder (GAD) And Worry. A copy of the information handout in PDF format. |.z* ^iAa8cDA|(K%r\+a(,Hn{kYsmnd8bXNLd;+H7gs%78,;JUS85NL!|Tj(Y Tu9rISzoK#90IQQd$cv]L"a,S LR*MP)ZRwJc&J*kpiBB=BP`'.(G/B-DsAEf#6dem Ionescu, T. (2012). The Personalized Psychological Flexibility Index (PPFI; Kashdan, Disabato, Goodman, Doorley, & McKnight, 2020) appears to be the best measure available to assess PF. Would you like email updates of new search results? (2020). A lack of psychological, This paper focuses on pinpointing the existence of a relationship between the variables family resilience, cognitive flexibility and parents transformative learning experiences. Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., & McKnight, P. E. (2020). xZRF}`Nl?p! In Interference and inhibition in cognition (pp. Resilient individuals use positive emotions to bounce back from negative emotional experiences. 2023 Psychology Tools. My colleagues and I developed the original AAQ (Hayes et Bluett, E. J., Lee, E. B., Simone, M., Lockhart, G., Twohig, M. P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. Journal of Contextual Behavioral Science, 20, 172-183. The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two previous studies have indicated its reliability and validity. Description and measurement of personality. Eating Behaviors, 23, 150155. 2017 Mar;27(2):263-299. doi: 10.1080/09602011.2015.1062115. https://doi.org/10.1016/j.beth.2014.07.002. Psychological flexibility as a malleable public health target: Evidence from a representative sample. Kairos. Beyond objectivity and subjectivity: The intersubjective foundations of psychological science. Flexibly and/or inflexibly embracing life: Identifying fundamental approaches to life with latent profile analyses on the dimensions of the Hexaflex model. To use this feature you must be signed in to an active Complete, Advanced, or Team account. Martin, M. M. & Rubin, R.B. https://doi.org/10.3109/16066359.2010.524956. *k&= $n- T8eK/ ;6CeF:H; DQ The correlation between psychological flexibility and patient-reported outcomes was a strong and consistent correlate of outcome; effects were maintained even when potentially confounding clinical and sociodemographic characteristics were controlled. Psychological Reports, 76, 623-626. Adjusting behavior to changing environmental demands with development. Negut, A., Matu, S.-A., Sava, F. A., & David, D. (2016). https://doi.org/10.1037/a00398009. Report of the ACBS task force on the strategies and tactics of contextual behavioral science research. https://doi.org/10.1016/j.brat.2005.06.006. Le Quang, G., & Gansel, Y. The role of body image psychological flexibility on the treatment of eating disorders in a residential facility. Two hexaflexes are presented, one with 'core problems' (top) and the other with 'core processes' (below). Acceptance and mindfulness-based treatments for chronic pain attempts to alter the impact of pain-related thoughts and feelings on behavior without necessarily changing the thoughts and. The evolution of inhibition mechanisms and their role in human cognition and behavior. (1995). The PIPS subscale Avoidance predicted pain-related disability even after controlling for catastrophizing and fear of movement and may be a valuable instrument to assess treatment processes in future RCTs. Hayes, S. C., Luoma, J. The CFS is in the original paper not listed as a Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 163170. (2014). (1961). We specifically wanted to create the first scale to comprehensively assess the 6 key dimensions of flexibility and 6 key dimensions of inflexibility from the Hexaflex model. Neuroscience and biobehavioral reviews, 37(9 Pt B), 22332242. 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