Psychological inflexibility and stigma: A meta-analytic review
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There is a statistically significant positive moderate association between psychological inflexibility and stigma.
“A systematic review of the associations between psychological inflexibility and stigma found a statistically significant positive moderate association between these two variables (Krafft et al. 2018).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Krafft et al. 2018
Psychological flexibility is negatively associated with shame and stigma, as well as with psychological distress.
“Psychological flexibility is a psychological process that has been found to be negatively associated with shame and stigma, as well as with psychological distress (Krafft et al. 2018;Yao et al. 2024).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Krafft et al. 2018
The associations found among the study variables were in line with previous research on the negative association between stigma, shame and psychological distress and the positive association with psychological flexibility and self-compassion.
“Regarding the first aim, the associations found among the study variables were in line with-and further strengthened-findings by previous research on the negative association between stigma, shame and psychological distress on the one side and psychological flexibility and self-compassion on the other side (e.g., Hughes et al. 2021;Krafft et al. 2018;Matos et al. 2022;Yao et al. 2024;Zhang et al.”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Krafft et al. 2018
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Acceptance and Commitment Therapy as a Unified Model of Behavior Change
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Self-citationAn investigation of stigma in individuals receiving treatment for substance abuse
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“…et al., 2011; Luoma et al., 2013); perceived stigma related to substance use (Luoma et al., 2007; Luoma et al., 2008); stigma-related rejection (Luoma et al., 2007); active coping with stigma (Luoma et al., 2011); weight stigma (Lillis et al., 2010; Palmeira, Pinto-Gouveia, et al., 2016);…”
BackgroundMethodInfluentialSelf-citationEmpirical studies of self-stigma reduction strategies: a critical review of the literature
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Assessment of body image flexibility: The Body Image-Acceptance and Action Questionnaire
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Interventions targeting mental health self-stigma: A review and comparison.
Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000100 · Cited by 351 · see citing works
On Describing and Seeking to Change the Experience of Stigma
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Self-stigma in women with borderline personality disorder and women with social phobia
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“Brief (OAS-2; Matos, PintoGouveia, Gilbert, Duarte, & Figueiredo, 2015) 0.59*** 0.47*** Palmeira, PintoGouveia, et al. (2016) Overweight or obese women seeking treatment n=282 AAQW-R WSSQ 0.61*** Rüsch et al. (2006) Women with borderline personality disorder and women with social phobia in Germany n=90 AAQ Perceived S…”
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Luoma, J. B., Nobles, R. H., Drake, C. E., Hayes, S. C., O’Hair, A., Fletcher, L., & Kohlenberg, B. S. (2013) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9323-4 · Cited by 150 · see citing works
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“Although ACT does not necessarily PSYCHOLOGICAL INFLEXIBILITY AND STIGMA 8 seek to reduce stigmatizing thoughts or attitudes, studies have shown that ACT may reduce selfstigma among those with HIV (Moitra, Chan, & Stein, 2015; Skinta, Lezama, Wells, & Dilley, 2015) and schizophrenia (Minkesh & Masroor, 2014) as well a…”
BackgroundMethodInfluentialAcceptance and compassion-based group therapy to reduce HIV stigma
Skinta, M. D., Lezama, M., Wells, G., & Dilley, J. W. (2015) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.05.006 · Cited by 120 · see citing works
Acceptance and Commitment Therapy
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“ACT focuses on reducing experiential avoidance and being psychologically flexible in the midst of difficult or painful private events, such as shame, self-evaluations, or fear (Hayes et al., 1999; Twohig, 2012).”
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“…Luoma et al., 2011; and Luoma et al., 2013), individuals with mental illness in Hong Kong (Chan & Mak, 2015); gay male sexual assault survivors (Gold et al., 2007); individuals with epilepsy (Heersink, Kocovski, MacKenzie, Denomme, & Macrodimitris, 2015); overweight/obese individuals (Lillis…”
BackgroundInfluentialThe content and process of self-stigma in people with mental illness
Chan, K. K. S., & Mak, W. W. S. (2017) · American Journal of Orthopsychiatry · doi:10.1037/ort0000127 · Cited by 54 · cited 5× · see citing works
“Self-stigma among concealable minorities in Hong Kong: Conceptualization and unified measurement.”
BackgroundInfluentialNew developments in the assessment of weight-related experiential avoidance (AAQW-Revised)
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Berman, M. I., Morton, S. N., & Hegel, M. T. (2016) · Clinical Social Work Journal · doi:10.1007/s10615-015-0565-y · Cited by 23 · see citing works
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An Overview of Research on Acceptance and Commitment Therapy
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Psychological flexibility in older adulthood: a scoping review.
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“An initial search strategy with key terms was developed a priori based on our operational definition of PF/PI and previous reviews targeting ACT-related processes (Krafft et al., 2018; Levin et al., 2012).”
MethodBruno, F., Vozzo, F., Arcuri, D., Maressa, R., La Cava, E., Malvaso, A., Lau, C., & Chiesi, F. (2024) · Current Psychology · doi:10.1007/s12144-022-03502-3 · Cited by 28 · see citing works
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Soltani, E., Karimi, R., Mowla, A., Gillanders, D. T., Keihani, F., & Zarifi, F. (2024) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-132724 · Cited by 2 · see citing works
- Authors
- Krafft, J., Ferrell, J., Levin, M. E., & Twohig, M. P.
- Affiliations
- Utah State University (US)
- Corresponding author
- Krafft, Jennifer
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 7
- Pages
- 15-28
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W2765683470
- Cited by
- 76
- References
- 24
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 13 · 2023: 11 · 2022: 6 · 2021: 10 · 2020: 10 · 2019: 2 · 2018: 1
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychological inflexibility, stigma, acceptance and commitment therapy, stigma reduction, mediating and moderating effects, long-term outcomes
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