The mediating role of personalized psychological flexibility in the association between distress intolerance and psychological distress: A national survey during the fourth waves of COVID-19 pandemic in Iran

Akbari, Mehdi; Seydavi, Mohammad; Zamani, Elahe

doi:10.1002/cpp.2685

Cited by 35COVID-19 and Mental HealthMindfulness and Compassion InterventionsResilience and Mental Health

The mediating role of personalized psychological flexibility in the association between distress intolerance and psychological distress: A national survey during the fourth waves of COVID-19 pandemic in Iran

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Akbari, Mehdi, Seydavi, Mohammad, Zamani, Elahe·2021·Clinical Psychology & Psychotherapy

DOI 10.1002/cpp.2685PMC PMC8653034

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Abstract

Abstract The global COVID‐19 outbreak has put the human race's distress tolerance abilities to the test. And, the distress experienced getting worse with each pandemic wave; however, the more flexible the person, the greater the chance of surviving. Thus, the current study aimed to examine the mediating role of personalized psychological flexibility (PPF) in the link between distress intolerance to psychological distress during the fourth wave of the pandemic in Iran. A total of 576 individuals (Meanage 34.80, ±10.9, females 55.6%) took part in the online survey. In this national sample, PPF partially played a role in mediating the association mentioned above. Interestingly, this mediation was independent of demographic factors (age, gender, marital status, and educational level) and fear of COVID‐19, mindfulness, and satisfaction with life. So, despite the mentioned variables, accepting and using unpleasant emotions as fuel to achieve valued goals rather than avoiding them would mitigate the psychological distress during the pandemic. Consequently, public health services can aim to provide psychological flexibility enhancing interventions to decay COVID‐19‐related mental distress.

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Past studies reported that psychological flexibility, psychological mindedness, mindfulness, and coping styles were among protective factors for psychological distress.
“past studies reporting that psychological constructs, such as psychological flexibility, psychological mindedness, mindfulness, and coping styles, were among protective factors for psychological distress [13,14,15,16,17,18,19,20].”
From Seroprevalence of COVID-19 and Psychological Distress among Front Liners at the Universiti Malaysia Sabah Campus during the Third Wave of COVID-19 (2022) · cites this paper as [20]

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Authors: Akbari, M., Seydavi, M., & Zamani, E.
Affiliations: Kharazmi University (IR)
Corresponding author: Akbari, Mehdi
ORCID: Akbari, Mehdi
Seydavi, Mohammad
Zamani, Elahe
Venue: Clinical Psychology & Psychotherapy
Publisher: Wiley
Published: 2021-11
Volume: 28
Issue: 6
Pages: 1416-1426
ISSN: 1063-3995 (ISSN-L)
1099-0879
DOI: 10.1002/cpp.2685
PMC: PMC8653034
OpenAlex: W3211120815
Cited by: 31
References: 68
Citations by year: 2026: 3 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 12 · 2021: 2
FWCI: 4.23
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 10 d)
Locations: Clinical Psychology & Psychotherapy (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords: distress intolerance, psychological distress, COVID-19 pandemic, mediation, emotional acceptance, mindfulness, life satisfaction, fear of COVID-19, Iranian population
MeSH terms: Psychological Distress, COVID-19, SARS-CoV-2, Female, Humans, Iran, Pandemics

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The mediating role of personalized psychological flexibility in the association between distress intolerance and psychological distress: A national survey during the fourth waves of COVID-19 pandemic in Iran

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