Psychological flexibility is not a single dimension: The distinctive flexibility profiles of underweight, overweight, and obese people
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Empirical studies have shown that psychological flexibility and inflexibility are independently associated with different outcomes, such as well-being and psychological distress, and may simultaneously be elevated within individuals.
“Empirical studies have shown that psychological flexibility and inflexibility are independently associated with different outcomes, such as well-being and psychological distress, and may simultaneously be elevated within individuals.[25][26][27]”
From Differential associations of Acceptance and Commitment Therapy processes with psychological distress across racial groups. (2026) · cites this paper as [25]
Ciarrochi et al. (2014) employed profile analysis and discovered that individuals differed across dimensions of PF (e.g., simultaneously showing high levels of fusion alongside pursuing goals and values), suggesting unidimensional, inverse measurement of PF is likely inaccurate.
“For example, Ciarrochi et al. (2014) employed profile analysis and discovered that individuals differed across dimensions of PF (e.g., simultaneously showing high levels of fusion alongside pursuing goals and values), suggesting unidi mensional, inverse measurement of PF is likely inaccurate.”
From Defining and measuring “psychological flexibility”: A narrative scoping review of diverse flexibility and rigidity constructs and perspectives (2021) · cites this paper as Ciarrochi et al. (2014)
People may have different profiles of experiential avoidance, being above average on some aspects of avoidance and average or below average on others.
“Recent evidence suggests that people may have different profiles of experiential avoidance, being above average on some aspects of avoidance, and average and below average on others, and this may have important implications for practice (Ciarrochi et al., 2014).”
From Using Genetic Algorithms in a Large Nationally Representative American Sample to Abbreviate the Multidimensional Experiential Avoidance Questionnaire (2016) · cites this paper as Ciarrochi et al., 2014
The intercorrelations of the subscales of the MEAQ-30 (and the 62-item MEAQ) ranged from negligible to moderate in size, consistent with previous research using the 62-item MEAQ.
“As initial evidence of the distinctiveness of the six dimensions of experiential avoidance, the intercorrelations of the subscales of the MEAQ-30 (and the 62-item MEAQ) ranged from negligible to moderate in size, which is consistent with previous research using the 62-item MEAQ (Gámez et al., 2011; Ciarrochi et al., 2014).”
From Using Genetic Algorithms in a Large Nationally Representative American Sample to Abbreviate the Multidimensional Experiential Avoidance Questionnaire (2016) · cites this paper as Ciarrochi et al., 2014
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Self-citationPERFECTIONISM AND RISK FOR DISORDERED EATING AMONG YOUNG FRENCH MALE CYCLISTS OF HIGH PERFORMANCE
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Self-citationSahdra, B. K., Ciarrochi, J., Parker, P., & Scrucca, L. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00189 · Cited by 100 · see citing works
“Recent evidence suggests that people may have different profiles of experiential avoidance, being above average on some aspects of avoidance, and average and below average on others, and this may have important implications for practice (Ciarrochi et al., 2014).”
BackgroundResultInfluentialSelf-citationStabbe, O. K., Rolffs, J. L., & Rogge, R. D. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.03.003 · Cited by 78 · see citing works
A systematic review of values measures in acceptance and commitment therapy research
Reilly, E. D., Ritzert, T. R., Scoglio, A. A. J., Mote, J., Fukuda, S. D., Ahern, M. E., & Kelly, M. M. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.10.004 · Cited by 72 · see citing works
Ong, C. W., Barthel, A. L., & Hofmann, S. G. (2024) · Behavior Therapy · doi:10.1016/j.beth.2023.05.007 · Cited by 61 · see citing works
Ong, C. W., Ciarrochi, J., Hofmann, S. G., Karekla, M., & Hayes, S. C. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100734 · Cited by 51 · see citing works
“A closely related construct to psychological flexibility is psychological inflexibility, which, depending on how it is measured, can be distinct from—rather than the inverse of— psychological flexibility (Ciarrochi et al., 2014; Rolffs et al., 2018).”
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Li, S., Zhu, Y., Zeng, M., Li, Z., Zeng, H., Shi, Z., & Zhao, Y. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.893267 · Cited by 46 · see citing works
“Second, senior high school students may have more self–efficacy and flexibility to translate nutrition knowledge into healthy behaviors (38).”
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Ong, C. W., Sheehan, K. G., & Haaga, D. A. F. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.04.005 · Cited by 28 · see citing works
Health and Nutritional Literacy of New Zealand Nursing Students
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Assessing Psychological Flexibility in Chronic Illness
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“Our data appear to fit best with a dimensional account of psychological flexibility/inflexibility (e.g., Ciarrochi et al., 2014) rather than treating or measuring them as singular constructs in chronic ill-health populations.”
MethodAcceptance as a possible link between past psychedelic experiences and psychological flexibility
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“Additionally, considering psychological flexibility and inflexibility as opposite ends of a continuum may be an oversimplification, as individuals can exhibit various combinations of psychological flexibility and inflexibility components simultaneously 20–22 .”
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“Second, the total score approach ignores the heterogeneity of the study population, yet individuals typically perform inconsistently on different components of PF [10].”
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“This practice is questionable, given the debate over whether psychological flexibility operates along a single continuum to psychological inflex-ibility (Ciarrochi et al., 2014; Kashdan & Rottenberg, 2010; Morris & Mansell, 2018).”
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Examining item content across nine psychological (in)flexibility scales: What do they measure?
Ong, C. W., Skolnik, A. M., Johnson, H. M., & Lee, E. B. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100872 · Cited by 5 · see citing works
STUDY OF THE RELATIONSHIP BETWEEN PSYCHOPATHOLOCIAL SYMPTOMS AND BMI IN ADULTS AND OLDER PEOPLE
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Fraser, M. I., Field, K., Ciarrochi, J., Hernández, C., Krafft, J., Klimczak, K. S., Levin, M. E., Yap, K., Hayes, S. C., & Sahdra, B. K. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.100984 · Cited by 1 · see citing works
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Psychological Intervention in Childhood Obesity
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“The total score approach assumes that each subprocess of PF affects outcomes to the same degree; however, individuals may perform inconsistently on different PF subprocesses [43].”
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- Authors
- Ciarrochi, J., Sahdra, B., Marshall, S., Parker, P., & Horwath, C.
- Affiliations
- Australian Catholic University (AU)
- University of Otago (NZ)
- Corresponding author
- Ciarrochi, Joseph
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 3
- Issue
- 4
- Pages
- 236-247
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W2150405224
- Cited by
- 42
- References
- 103
- Citations by year
- 2026: 10 · 2025: 4 · 2024: 7 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- psychological flexibility, acceptance and commitment therapy, weight status, obesity, underweight, overweight, fusion, defusion, acceptance, awareness, values, gender differences, weight management, planned missing data
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