Cited by 3,054Mindfulness and Compassion InterventionsPsychological Well-being and Life SatisfactionResilience and Mental Health

Psychological flexibility as a fundamental aspect of health

Open access
Kashdan, Todd B., Rottenberg, Jonathan·2010·Clinical Psychology Review

Abstract

Traditionally, positive emotions and thoughts, strengths, and the satisfaction of basic psychological needs for belonging, competence, and autonomy have been seen as the cornerstones of psychological health. Without disputing their importance, these foci fail to capture many of the fluctuating, conflicting forces that are readily apparent when people navigate the environment and social world. In this paper, we review literature to offer evidence for the prominence of psychological flexibility in understanding psychological health. Thus far, the importance of psychological flexibility has been obscured by the isolation and disconnection of research conducted on this topic. Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situational demands; shift mindsets or behavioral repertoires when these strategies compromise personal or social functioning; maintain balance among important life domains; and be aware, open, and committed to behaviors that are congruent with deeply held values. In many forms of psychopathology, these flexibility processes are absent. In hopes of creating a more coherent understanding, we synthesize work in emotion regulation, mindfulness and acceptance, social and personality psychology, and neuropsychology. Basic research findings provide insight into the nature, correlates, and consequences of psychological flexibility and applied research provides details on promising interventions. Throughout, we emphasize dynamic approaches that might capture this fluid construct in the real-world.

Integrity signals

Registry

Crossref · 10.1016/j.cpr.2010.03.001

Cites

201 of 201 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

14 of 149 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Psychopathology is relatively independent from positive experiences at subjective, behavioral, and biological levels.

    “At subjective, behavioral, and biological levels of analysis, researchers continue to find that psychopathology is relatively independent from positive experiences (Carver, Sutton, & Scheier, 2000; Keyes, 2005).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Carver, Sutton, & Scheier, 2000 source
    • cites Keyes, 2005 source

      The Discussion (p. 8) concludes that mental health and mental illness are distinct but correlated, supporting the claim at the subjective level. The Results (p. 7) report differences in work and psychosocial functioning, but do not establish independence at a behavioral level; the paper provides no biological-level evidence for the claim. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Premisecitation

    Time-balance scores related more strongly to life satisfaction, positive affect, family/work satisfaction, and lower negative affect than any single time orientation did.

    “This index of time balance demonstrated stronger positive relations with life satisfaction, positive affect, and satisfaction with family and work, and inverse relations with negative affect than any of the specific time orientations (Boniwell, 2005).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Boniwell, 2005 source

      The Balanced Time Perspective section (p. 6) reports that balanced time perspective correlates more strongly with life satisfaction than any individual orientation. But Table 1 shows a weaker positive-affect correlation for balance (.307) than for present hedonism (.375), and a weaker negative-affect correlation in magnitude (-.436) than for past negative orientation (-.484). The table does not report satisfaction with family or work. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
  • Premisecitation

    Using the Acceptance and Action Questionnaire, a meta-analysis of 32 studies found an average correlation of .42 between flexibility and outcomes such as work performance and satisfaction across one year, daily activity in pain patients, and mental health.

    “Upon being operationalized with the Acceptance and Action Questionnaire (Hayes et al., 2004), a meta-analysis of 32 studies found that psychological flexibility was on average correlated .42 with outcomes ranging from job performance and satisfaction over a 1-year interval, daily activity engagement in pain patients, and mental health (Hayes, Luoma, Bond, Masuda, & Lillis, 2006).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Hayes et al., 2004

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Hayes, Luoma, Bond, Masuda, & Lillis, 2006 source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • Premisecitation

    Rumination is a vulnerability factor for depression.

    “an important strand of research on cognition in depression has identified rumination as a vulnerability factor for depression (Nolen Hoeksema et al., 2008).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Nolen Hoeksema et al., 2008 source
  • Interpretationcitation

    The degree to which people experience and express situation-relevant emotions, produce coping mechanisms matching the stressor, and experience balance in psychological need satisfaction accounts for incremental variance in social and psychological health beyond standard metrics.

    “Because of this, it makes good sense that the degree to which people can experience and express emotions that are most relevant to a situation (Bonanno et al., 2004), produce coping mechanisms that match onto the stressor being confronted (Cheng, 2001), and experience a balance in their satisfaction of psychological needs (Sheldon & Niemiec, 2006) account for incremental variance in social and”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Bonanno et al., 2004 source
    • cites Cheng, 2001 source
    • cites Sheldon & Niemiec, 2006 source
  • May combine two claims. 52
  • Classified as probably not a substantial claim. 18
  • May combine two claims.

    Premisecitation

    High resting cardiac vagal control is associated with greater resiliency to daily life stressors and improved coping during social relationship conflicts.

    “high resting CVC has been associated with greater resiliency in the face of daily life stressors (Fabes & Eisenberg, 1997) and with improved coping with in the midst of social relationship conflicts (Gyurak & Ayduk, 2008).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Fabes & Eisenberg, 1997 source
    • cites Gyurak & Ayduk, 2008 source

      The Abstract reports better emotion control and less hostility during romantic-partner conflicts among highly rejection-sensitive participants with high resting RSA. The Discussion says RSA was not significantly associated with either outcome in the whole sample, so the claim is too broad without that population qualifier. The daily-life-stressors clause is attributed to Fabes and Eisenberg, not to this paper. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Social judgments are problematic because accessible behavior cues are often irrelevant to personality, other relevant information is often unavailable, and people inflate the value of available information while neglecting personal and situational variability.

    “This is problematic because (1) accessible behavior cues often are irrelevant to extrapolating about a person’s personality, (2) other relevant information is often unavailable that could provide insight, and (3) when forming judgments, we often inflate the value of information at our disposal and over extend this information at the expense of attending to personal and situational variability (F”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Funder, 1995 source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites Gilovich, Griffin, & Kahneman, 2002

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    Attempts to measure psychological flexibility have often been limited to global self-report scales or specific questions about the believability of unpleasant thoughts or willingness to act toward values despite unpleasant thoughts and feelings.

    “To date, attempts to measure psychological flexibility have often been limited to global self-report scales (e.g., Acceptance and Action Questionnaire) or more specific questions about the believability of unpleasant thoughts or the willingness to take action in the direction of central interests and values despite the presence of unpleasant thoughts and feelings (Hayes et al., 2006).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Hayes et al., 2006 source
  • May combine two claims.

    Premisecitation

    During business negotiations, people in a positive mood are more likely to listen to arguments, consider them, and compromise for a mutually desirable outcome, whereas people in neutral states more often end without agreement.

    “during business negotiations, people in a positive mood are more likely to listen to arguments, carefully consider them, and compromise to obtain a desirable outcome for both parties, whereas people in more neutral states were more likely to end the bargaining period without agreement (Carnevale & Isen, 1986).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Carnevale & Isen, 1986 source

      The Outcome of the Negotiation section (page unavailable) reports higher joint outcomes for negotiators in the positive-affect condition, especially when they could see one another. The Verbal Process Measures section reports more cooperative tactics and priority-information exchange in that face-to-face condition, but does not establish that participants listened to and carefully considered arguments. The paper distinguishes mutually beneficial integrative solutions from compromise and does not report that control-condition negotiators more often ended without agreement. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    After laboratory induction of positive emotions, people show an expanded attentional field, greater working memory, enhanced creativity, and increased openness to new knowledge and perspectives.

    “After a laboratory induction of positive emotions, people demonstrate an expanded attentional field, greater working memory, enhanced creativity, and increased openness to new knowledge and perspectives.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Fredrickson, 1998 source

      In the sections on cognition and action (page unavailable), the paper reports that induced positive affect improved creative-test performance and describes broader, more flexible thinking. Its discussion of attention calls the evidence preliminary and says positive-versus-neutral experiments had not been conducted. The paper discusses memory and openness to new ideas, but does not report greater working memory or experimentally demonstrated openness after an induction. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationreasoning

    Psychological flexibility is a key ingredient to psychological health that complements traditional perspectives.

    “We will argue that another key ingredient to psychological health—one that complements traditional perspectives—is psychological flexibility.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    Psychological flexibility contributes substantially to daily well-being and enduring psychological health.

    “Although psychological flexibility makes a major contribution to daily well-being and lasting psychological health, this construct has been a dark horse in (positive) psychology.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Less ego-resilient children showed stronger HPA axis reactions in a home environment with negative parent interactions, whereas ego-resilient children showed biological resilience.

    “This helps explain why less ego-resilient children demonstrated stronger physiological reactions (HPA axis activity) when observed in a home environment characterized by negative interactions with parents, whereas ego-resilient children showed evidence of biological resilience (Smeekens, Risksen-Walraven, & Bakel, 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Smeekens, Risksen-Walraven, & Bakel, 2007 source
  • May combine two claims.

    Premisecitation

    Those with flexible coping had better daily adjustment and fewer anxiety and depressive symptoms across one week than those who coped rigidly, independent of strategy type.

    “More importantly, the 30% of people demonstrating coping flexibility were better adjusted on a daily basis and showed less anxiety and depressive symptoms over a 1-week period than people demonstrating more rigid adherence to particular coping strategies, regardless of whether they were problem- or emotion-focused, active- or passive-focused.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cheng, 2001 source
  • May combine two claims.

    Interpretationcitation

    By being flexible and living in service of deepest values rather than narrowly focusing on achieving happiness, people experience more frequent joy and meaning and less distress, with greater vitality and degrees of freedom.

    “Ironically, by being flexible and living in service of our deepest values instead of being narrowly focused on achieving happiness, we end up experiencing more frequent joy and meaning in life and less distress; we end up with greater vitality and degrees of freedom for how to live each moment (Hayes et al., 1999, 2004).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Hayes et al., 1999

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Hayes et al., 2004

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    If rejection fear is high, individuals tend to give in to angry negotiators; if that fear is absent, they tend not to.

    “When the fear of being rejected is prominent, people are more likely to concede to angry bargainers at the negotiation table; when the fear of being rejected is removed from the equation, people are less likely to concede benefits to angry bargainers (Van Dijk, Van Kleef, Steinel, & Van Beest, 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Van Dijk, Van Kleef, Steinel, & Van Beest, 2008 source
  • May combine two claims.

    Premisecitation

    People sometimes seek to increase unpleasant emotions or decrease pleasant emotions.

    “Contexts in which people seek to increase unpleasant or decrease pleasant emotions are surprisingly frequent.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    After cold-pressor pain, more flexible individuals endure longer, tolerate more pain, and return to baseline distress faster.

    “These findings are supplemented by experimental studies showing that when induced with physical pain via a cold pressor task, people with greater flexibility show greater endurance, pain tolerance, and a more rapid rate of recovery to baseline distress levels (Feldner et al., 2006).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Feldner et al., 2006 source
  • May combine two claims.

    Premisecitation

    When people feel they have less bargaining power, angry opponents achieve better outcomes than people in a positive mood; when they feel more power, angry opponents fare worse in negotiations.

    “When people feel they possess less bargaining power, angry opponents gain a better outcome, even compared with people in a positive mood; when people feel they possess more power, angry opponents consistently fare worse in negotiations (Van Kleef & Côté, 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Van Kleef & Côté, 2007 source
  • May combine two claims.

    Premisecitation

    Ego-resilience distinguished conformist adolescents from more autonomous peers and identified adults at later identity stages; general intelligence did not account for these effects.

    “In particular, adolescents at a conformist stage could be easily discriminated by those at more autonomous stages based on ego-resilience; adults at increasing stages of identity development could also be discerned by greater ego-resilience and none of these effects could be explained by general intelligence (Westenberg & Block, 1993).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Westenberg & Block, 1993 source
  • May combine two claims.

    Interpretationcitation

    Causality is unclear, but flexibility seems to shift people from externally driven action toward self-determination and its health benefits.

    “Although causality cannot be determined, flexibility appears to move people from extrinsic motivated actions toward self-determination and the related health benefits (Deci & Ryan, 2000).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Deci & Ryan, 2000 source
  • May combine two claims.

    Interpretationreasoning

    Most cardiac vagal control work is correlational, so it is usually unclear whether high cardiac vagal control causes or is caused by other forms of flexibility.

    “most of this work is correlational. That is, most of the time we cannot tell whether high CVC causes and organizes other elements of flexibility or whether high CVC is an effect of these other forms of flexibility.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationnone given

    Psychological flexibility is reduced in many forms of psychopathology, but whether inflexibility is an antecedent or consequence is less clear.

    “it is clear that psychological flexibility is reduced in many forms of psychopathology but it is less clear whether this inflexibility is an antecedent or a consequence of psychopathology”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Executive functioning, default mental states, and personality configurations are three critical factors influencing the likelihood of being psychologically flexible and gaining its benefits.

    “we consider three critical factors that influence the likelihood of being psychologically flexible and gaining access to its benefits:: executive functioning, default mental states, and personality configurations.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Depression is associated with lower resting cardiac vagal control and less dynamic cardiac vagal control response to laboratory stressors.

    “depression, with this disorder associated with lower resting CVC (Rottenberg, 2007), and less dynamic CVC response to laboratory stressors (Rottenberg, Clift, Bolden, & Salomon, 2007).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Rottenberg, 2007 source
    • cites Rottenberg, Clift, Bolden, & Salomon, 2007 source
  • May combine two claims.

    Interpretationreasoning

    A ruminative response style is inflexible because it habitually applies circular thoughts and is passive, displacing active engagement that could relieve depressed mood.

    “Not only is a ruminative response style inflexible in that it involves habitual application of circular, looping thoughts, it also represents a passive, inactive mode that displaces more active engagement with the environment; engagement that could potentially relieve depressed mood.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Depressed individuals display unresponsive facial expressive and gaze behavior in naturalistic settings, which disrupts social interactions.

    “in naturalistic settings, depressed individuals display unresponsive facial expressive and gaze behavior (Ellgring, 1989), a pattern that disrupts social interactions (see Rottenberg & Gotlib, 2004).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Ellgring, 1989
    • cites Rottenberg & Gotlib, 2004 source
  • May combine two claims.

    Premisecitation

    Over three weeks in natural environments, well-being increased on days when time allocation was consistent with desired aims and was compromised on days when time allocation deviated from this balance.

    “Over the course of three weeks in people’s natural environment, on days when time is allocated in a manner consistent with desired aims, well-being increases accordingly, and on days when time deviates from this balance, well-being is compromised.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sheldon, Cummins, & Khamble, in press

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationnone given

    Many disorders share a breakdown in flexible environmental exchange, with responses becoming fixed and repetitive.

    “As we will highlight below, a signal feature of many disorders is that a person’s fluid transactions with the environment break down and responses become stereotyped and invariable.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Anxiety disorders share psychological inflexibility in responses involving fear and anxiety.

    “one commonality involves psychological inflexibility with respect to responses involving fear and anxiety.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: A flexible approach to one's experiences is associated with health and well-being even when those experiences are sometimes painful.
  • May combine two claims.

    Premisecitation

    Executive control allows a person to re-focus or rapidly shift cognitive sets and attention, which is critical for self-control and goal-directed behavior.

    “executive control allows a person to re-focus or rapidly shift cognitive sets and thereby shift attention, which is a critical element of self-control and goal-directed behavior (Goldberg, 2001; Lyon & Krasnegor, 1995).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Goldberg, 2001

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Lyon & Krasnegor, 1995

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Cardiac vagal control has a plausible functional relationship to the body: the vagus nerve innervates end organs involved in emotion and communication, and vagal input to the heart can be quickly withdrawn to allow rapid mobilization for demands such as exercise, coping with negative emotion, and survival threats.

    “the vagus nerve innervates a number of end organs that are involved in emotion and communication (i.e., larynx, facial muscles, Porges, 1995), and the vagal input to the heart can be quickly withdrawn to allow rapid mobilization of the body to meet a variety of environmental and metabolic demands; these include physical exercise, coping with negative emotion (e.g., Beauchaine, 2001; Friedman & Tha”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Porges, 1995 source
    • cites Beauchaine, 2001 source
    • cites Friedman & Thayer, 1998 source
  • May combine two claims.

    Premisecitation

    In naval personnel, maintaining an exercise routine led to higher resting cardiac vagal control and better executive functioning compared with not maintaining it.

    “Relative to participants who did not maintain the exercise routine, those who maintained the exercise regimen had higher resting CVC and better functioning on an executive functioning task (Hansen, Johnsen, Soller, Stenvik, & Thayer. 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hansen, Johnsen, Soller, Stenvik, & Thayer. 2004 source
  • May combine two claims.

    Premisecitation

    Inflexibility manifests in many other forms of psychopathology, including executive deficits in schizophrenia, poor attentional control in ADHD, and disinhibited response style in substance abuse.

    “inflexibility manifests in many other forms of psychopathology whether it is severe deficits in executive function in schizophrenia (Heinrichs, 2005), poor attentional control in ADHD (Barkley, 1997), or a disinhibited response style in substance abuse (Iacono, Carlson, Taylor, Elkins, & McGue, 1999).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Heinrichs, 2005 source
    • cites Barkley, 1997 source
    • cites Iacono, Carlson, Taylor, Elkins, & McGue, 1999 source
  • May combine two claims.

    Premisecitation

    Psychologically flexible people are more apt to be versatile, using top-down strategies, showing awareness of situational requirements and organizing or prioritizing fitting strategies rather than dominant defaults.

    “When someone is described as being psychologically flexible, they are more apt to be versatile, using top-down strategies. That is, they show an awareness of what a situation requires and an ability to organize and prioritize strategies that “fit” the situation rather than relying on dominant, default strategies (Fleeson, 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fleeson, 2001 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Attributional style theory holds that people who explain negative personal events with internal, global, stable causes are more likely to become depressed.

    “attributional style, which posits that persons who apply a stereotyped way of explaining the causes of personally relevant negative events (i.e., these events reflect internal, global, and stable factors) will be more likely to experience depression (Abramson, Metalsky, & Alloy, 1989).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Abramson, Metalsky, & Alloy, 1989 source
  • May combine two claims.

    Interpretationreasoning

    Depression is a common and burdensome condition that involves reduced flexibility in several domains.

    “Depression is a common and burdensome disorder, which features a loss of flexibility in a number of different ways.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    This body of research shows that rigid attention is pervasive and conscious awareness is limited.

    “Taken together, this line of research shows the pervasiveness of rigid attention and the limitations of conscious awareness.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Psychologists told a person was a job applicant judged them healthy, while those told the person was a patient judged them as experiencing significant distress and impairment.

    “When told the person was a job applicant, psychologists determined they were healthy; when told the person was a patient, psychologists determined they were experiencing significant distress and impairment.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Langer & Abelson, 1974 source
  • May combine two claims.

    Premisecitation

    Experts often apply old templates to new situations because they are overconfident and neglect contextual information.

    “There is other evidence that experts often attempt to adapt old templates to new situations because of inflated confidence in their abilities to the neglect of contextual information.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Reder & Ritter, 1992 source
  • May combine two claims.

    Premisecitation

    The motivation to reach closure about a person frees cognitive resources but ends the search for new and potentially useful information about situational differences.

    “In our motivation to reach closure about a person, we free cognitive resources for other endeavors. However, we also end our search for new and potentially useful information about each situation being different (even slightly) from any other (Kashdan, 2009).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Kashdan, 2009

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    People differ in tendencies to negatively evaluate emotions and thoughts, and faster categorization tendencies are linked to lower well-being.

    “People differ in their tendencies to negatively evaluate emotions such as anxiety and thoughts such as “I have difficulty making friends,” with faster categorization tendencies linked to lower well-being (Robinson, Vargas, Tamir, & Solberg, 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Robinson, Vargas, Tamir, & Solberg, 2004 source
  • May combine two claims.

    Interpretationreasoning

    Preventing misjudgments of people and situations increases engagement, creativity, and mindful, compassionate communication that is attractive to others.

    “this act prevents misjudgments of people and situations, and increases engagement, creativity, and the type of mindful, compassionate style of communication that is attractive and desirable to other people.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Strong short-term memory capacity allows a person to mentally represent multiple aspects of a complex situation, which helps select situationally appropriate responses.

    “a strong short-term memory capacity allows a person to mentally represent multiple aspects of a complex situation, which is important in helping the person select situationally-appropriate responses.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    To achieve psychological flexibility, a person must maintain a balance between investing effort in current surroundings and conserving mental energy for future situations.

    “To achieve psychological flexibility, a person must maintain a delicate balance between investing effort into our current surroundings and conserving mental energy for potentially significant future situations.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Psychological flexibility depends on the precise configuration of personality traits in each individual.

    “Psychological flexibility also very much depends upon the precise configuration of personality traits in each individual.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Humans commonly fail to detect novel distinctions and opportunities in the immediate environment, and this can erode psychological flexibility.

    “there is evidence that humans commonly fail to detect novel distinctions and opportunities in the immediate environment and this can erode psychological flexibility.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In an eye-tracking study of a photograph, only half of participants noticed when two cowboys' heads were switched, and only 30% of all modifications were detected.

    “Despite having no other task besides staring at the photograph, only 50% of participants noticed when the heads of two cowboys were switched; only 30% of all the modifications in objects, background, and people were detected (Grimes, 1996).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Grimes, 1996
  • May combine two claims.

    Interpretationreasoning

    A weak danger cue in the environment may be prepotent, shutting down executive control and leading a person to conflate anxious feelings as evidence of danger that never occurred.

    “A weak danger cue in the environment may be prepotent, shutting down executive control, leading a person to conflate their anxious feelings as evidence of the dangerous potential that was never actualized.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Greater valuing of self-determination, curiosity, and seeking novelty, variety, and challenge is directly related to well-being, whereas heavy focus on conformity, obedience, security, and stability is inversely related to well-being.

    “Support for this notion stems from work showing that a greater valuing of self-determination, curiosity, and the seeking of novelty, variety, and challenge in life is directly related to well-being, whereas a heavy focus on conformity, obedience, security, and stability is inversely related to well-being (Sagiv & Schwartz, 2000).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sagiv & Schwartz, 2000 source
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    If interventions to increase flexibility are informed by strong basic science, there is great untapped potential to aid people suffering from pathology and help high-functioning people find greater efficacy and fulfillment in daily life.

    “If interventions to increase flexibility can be informed by strong basic science, we believe there great untapped potential to aid people suffering from pathology, as well help highly functioning people find greater efficacy and fulfillment in their daily lives.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: In many forms of psychopathology, flexibility processes are absent.
  • Classified as probably not a substantial claim.

    Interpretationcitation

    Classic social psychology demonstrations warn that ordinary people should not underestimate the challenge of overcoming a strong situation.

    “While this is a hopeful message, classic demonstrations in social psychology --Zimbardo’s Stanford Prison Experiment and Milgram’s social obedience studies—warn us that we should not underestimate the challenge for ordinary people to overcome the power of a strong situation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Some ability to delay gratification, resist impulses or urges, and control thoughts and feelings is needed to achieve flexible behavioral routines; without these skills, behavior is at the mercy of environmental forces.

    “Clearly, some ability to delay gratification, resist impulses or urges, and control thoughts and feelings, is needed to achieve flexible behavioral routines; without these skills, a person’s behavior is at the mercy of the unpredictable push and pull of environmental forces.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Open people are willing to make room for positive and negative feelings that arise when confronting novel, complex, uncertain, and unpredictable stimuli, so they engage rather than avoid.

    “they show a willingness to make room for the positive and negative feelings that often arise when confronting novel, complex, uncertain, and unpredictable stimuli such that they engage rather than avoid (Kashdan & Silvia, 2009; Silvia & Kashdan, in press).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Kashdan & Silvia, 2009; Silvia & Kashdan, in press

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Four-year-old boys who were most successful at delay of gratification later had higher SAT scores, high school grades, and social relationships.

    “Four-year old boys who were most successful at exercising self-control in a delay of gratification task ended up with higher SAT scores, grades in high school, and social relationships (Mischel, Shoda, & Peake, 1988; Shoda, Mischel, & Peake, 1990).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Mischel, Shoda, & Peake, 1988; Shoda, Mischel, & Peake, 1990

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationnone given

    Flexibility reflects cognitive, behavioral, emotional, and physiological channels and activity and balance in multiple life domains.

    “Our primary mission here was to present the many faces of flexibility – it can reflect cognitive, behavioral, emotional, and physiological channels and it can reflect activity and balance in multiple life domains.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    In the short term, people with intolerance of uncertainty avoid anxiety, but in the longer term this behavioral pattern interferes with skill development, progress, and growth.

    “In the short-term, anxiety is avoided, in the longer term, this behavioral pattern interferes with skill development, progress, and growth.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    The ACT intervention worked well for people across the spectrum of cognitive flexibility, whereas the educational program only worked for the most rigid and inflexible people.

    “Interestingly, the intervention worked well for people ranging across the spectrum of cognitive flexibility whereas the educational program only worked with people who were the most rigid and inflexible.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Masuda et al., 2007 source
  • May combine two claims.

    Premisecitation

    ACT-based training in observing negative thoughts while acting on values led to less stigma or greater flexibility toward people different from oneself.

    “This notion of living with negative thoughts while still committing to behaviors aligned with central values led to less stigma or greater flexibility about people different from themselves.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Masuda et al., 2007 source
  • May combine two claims.

    Premisenone given

    Self-control can be understood as a stable trait related to conscientiousness and as a state that can be temporarily augmented or depleted.

    “One important complexity is that self-control can be understood as a stable trait (that is related to conscientiousness) and as a state, that can be temporarily augmented or depleted.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    Flexibility does not occur in a vacuum; the rest of a person's personality configuration requires explicit acknowledgment.

    “To understand these issues, we believe there is merit to returning to our earlier point that flexibility does not occur in a vacuum, instead the rest of a person’s personality configuration requires explicit acknowledgment.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    A healthy person is someone who can manage themselves in an uncertain, unpredictable world where novelty and change are the norm.

    “After all, a healthy person is someone who can manage themselves in the uncertain, unpredictable world around them, where novelty and change are the norm rather than the exception.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    Human beings have the potential to better tolerate and effectively use emotions, thoughts, and behavior to extract the best possible outcomes in varying situations.

    “Human beings have the potential to better tolerate and effectively use emotions, thoughts, and behavior to extract the best possible outcomes in varying situations.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Being in a positive emotional state does not lead to blind acceptance of out-group members; out-group members are accepted when they possess relevant socially desirable qualities, while irrelevant qualities have little influence on inclusion decisions.

    “For instance, being in a positive emotional state does not lead to blind acceptance of out-group members to work with or form a relationship, instead out-group members are accepted when they possess relevant socially desirable qualities, while irrelevant qualities have little influence on inclusion decisions (Urada & Miller, 2000).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Urada & Miller, 2000 source
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    This wide range of dynamic abilities forms the essence of health.

    “This wide range of dynamic abilities forms the essence of health.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationnone given

    To be flexible, a person needs to be open to what personal experiences and external events offer.

    “To be flexible, a person needs to be open to what personal experiences and external events offer.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    College students instructed to organize their time allocation more balanced across life domains reported greater balance and showed less discrepancy between ideal and actual time use four weeks later.

    “Upon being contacted four weeks later, participants reported greater balance in their lives and objectively, there was less discrepancy between their ideal time configuration at the beginning of the intervention and what they did at the end of the month.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sheldon et al., in press

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Movement toward greater balance in life predicted greater changes in satisfying needs for belonging, competence, and autonomy, and greater changes in life satisfaction.

    “Furthermore, this movement toward greater balance in life predicted greater changes in satisfying needs for belonging, competence, and autonomy, and greater changes in life satisfaction.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sheldon et al., in press

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    The expansion process enables people to clarify pre-existing values and strengths, or broaden efforts so strengths are realized and goals and daily behaviors are linked to fundamental interests and values.

    “This expansion process enables people to clarify pre-existing values and strengths, or broaden their efforts so that strengths are realized and goals and daily behaviors are linked to fundamental interests and values (Hidi & Renninger, 2006; Miller & Rollnick, 2002; Tomkins, 1962).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hidi & Renninger, 2006; Miller & Rollnick, 2002; Tomkins, 1962

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Psychological flexibility may be a critical skill in threatening and uncertain environments.

    “Psychological flexibility may be a critical skill: more than ever.”
    Quote in the paperNot a substantial claim
65 of 65
  • The authors state this as an assumption.

    A flexible approach to one's experiences is associated with health and well-being even when those experiences are sometimes painful.

    “Our premise, shared with the “acceptance-based approaches,” is that a flexible approach to one’s experiences will be associated with health and well-being, even when those experiences are sometimes painful.”
  • The paper relies on this without support.

    No systematic review of psychological flexibility exists.

    “which makes it all the more surprising that there has yet to be a systematic review of this topic.”
  • The paper relies on this without support.

    In many forms of psychopathology, flexibility processes are absent.

    “In many forms of psychopathology, these flexibility processes are absent.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Experiential avoidance may represent a transdiagnostic mechanism underlying the relation between perceived racial discrimination and anxiety/depressive symptoms and disorders among Hispanic persons.

    “Such findings are in line with the theoretical perspective that experiential avoidance may represent a transdiagnostic mechanism underlying the relation between perceived racial discrimination (Chawla & Ostafin, 2007; Kashdan & Rottenberg, 2010) and anxiety/depressive symptoms and disorders among Hispanic persons.”

    From Perceived Discrimination, Experiential Avoidance, and Mental Health among Hispanic Adults in Primary Care (2022) · cites this paper as Kashdan & Rottenberg, 2010

    The Anxiety disorders section describes experiential avoidance as important across anxiety disorders and says avoidance can maintain them; the Depression section also links inflexible responses to depression. Neither section addresses perceived racial discrimination or Hispanic persons, so the proposed mechanism in that specific context is not supported by this source. Page numbers were not available in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Aspects of psychological flexibility central to chronic disease management include recognizing and adapting to situational demands, shifting perspective when personal or social functioning is compromised, balancing competing desires, needs, and life domains, and being committed to behaviors consistent with deeply held values.

    “Aspects of psychological flexibility central to chronic disease management include: (1) recognizing and adapting to situational demands, (2) shifting perspective when personal or social functioning is compromised; (3) balancing competing desires, needs, and life domains, and (4) being committed to behaviors that are consistent with deeply held values (17,18).”

    From Addressing emotional distress to improve outcomes in adults with type 1 diabetes: Protocol for ACT1VATE randomized controlled trial (2024) · cites this paper as [17]

    The Abstract and opening section describe the four listed aspects of psychological flexibility, including adapting to situational demands, shifting responses, balancing life domains, and acting in line with values. The paper discusses psychological health broadly, but does not establish that these aspects are central specifically to chronic disease management. Page numbers are unavailable in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • The clinical phenomenology of depression includes multiple prominent markers of inflexible thought and behavior, broadly consistent with a decreased capacity for the brain to flexibly adjust and reorganize itself in response to a changing environment.

    “Though depression is a highly heterogeneous and complex syndrome, it is notable that the clinical phenomenology of depression includes multiple prominent markers of inflexible thought and behavior, which are broadly consistent with a decreased capacity for the brain to flexibly adjust and reorganize itself in response to a changing environment 6 .”

    From Neuroplasticity in cognitive and psychological mechanisms of depression: an integrative model (2020) · cites this paper as [6]

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured
  • An intervention that addresses coping knowledge, skills, and self-efficacy in the foster care context may support adaptive coping, and psychological flexibility more broadly, for youth who lack stable family-based support, have fewer opportunities for typical vicarious learning, and have limited concrete and informational resources.

    “Thus, an intervention that addresses coping knowledge, skills, and self-efficacy (including stress appraisal and assessment of available support and resources) in the foster care context may support adaptive coping, and psychological flexibility more broadly (Kashdan & Rottenberg, 2010), for youth who lack stable family-based support, have fewer opportunities for typical vicarious learning from”

    From Intervention development to improve foster youth mental health by targeting coping self-efficacy and help-seeking (2023) · cites this paper as Kashdan & Rottenberg, 2010

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured
  • Conceptual models of psychopathology and prominent perspectives on MBIs have consistently proposed key underlying psychological processes such as emotion regulation and mindfulness skills.

    “Conceptual models of psychopathology and prominent perspectives on MBIs have consistently proposed certain key underlying psychological processes, such as emotion regulation and mindfulness skills [5,24,42,43,44,45,48,50,63,64,65,66].”

    From 10-Week Trajectories of Candidate Psychological Processes Differentially Predict Mental Health Gains from Online Dyadic versus Mindfulness Interventions: A Randomized Clinical Trial (2024) · cites this paper as [50]

    The paper’s introduction and its section on psychopathology link psychological flexibility to psychopathology, while the introduction says the review synthesizes work on emotion regulation, mindfulness, and acceptance. Its discussion of executive functioning also connects mindfulness and emotion-regulation processes to flexibility. The cited passages do not establish the claim about prominent perspectives on mindfulness-based interventions consistently proposing these processes. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

Cites

Flagged first, then by citations

17 of the 218 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Kashdan, T.B., Breen, W.E., & Julian, T. (in press). Everyday strivings in combat veterans with posttraumatic stress disorder: Problems arise when avoidance and emotion regulation dominate. Behavior Therapy.

Cited by

Sorted by citations

Authors
Kashdan, T. B., & Rottenberg, J.
Affiliations
  • George Mason University (US)
  • University of South Florida (US)
Corresponding author
Kashdan, Todd B.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2010-11
Volume
30
Issue
7
Pages
865-878
ISSN
0272-7358 (ISSN-L)
OpenAlex
W2163215199
Cited by
3,054
References
218
Citations by year
2026: 293 · 2025: 332 · 2024: 298 · 2023: 311 · 2022: 283 · 2021: 278 · 2020: 283 · 2019: 179 · 2018: 190 · 2017: 144 · 2016: 110 · 2015: 111 · 2014: 97 · 2013: 66 · 2012: 45
FWCI
6.59
Type
journal article
Language
en
Open access
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
Funders
National Institute of Mental Health (R21MH073937)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
psychological flexibility, mental health, emotion regulation, mindfulness, acceptance, basic psychological needs, value congruence, psychopathology, intervention, dynamic approach, mindset, behavioral repertoire
MeSH terms
Adaptation, Psychological, Emotions, Humans, Mental Health, Social Adjustment, Social Control, Informal

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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