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Psychological flexibility and inflexibility as sources of resiliency and risk during a pandemic: Modeling the cascade of COVID-19 stress on family systems with a contextual behavioral science lens
Open accessAbstract
Background The coronavirus disease (COVID-19) pandemic and the historic economic shutdown and stay-at-home efforts to slow its spread have radically impacted the lives of families across the world, completely disrupting routines and challenging them to adjust to new health risks as well as to new work and family demands. The current study applied a contextual behavioral science lens to the spillover hypothesis of Family Systems Theory to develop a multi-stage mechanistic model for how COVID-19 stress could impact family and child functioning and how parents' psychological flexibility could shape those processes.Methods A total of 742 coparents (71% female; 84% Caucasian, 85% married, M = 41 years old) of children (ages 5-18, M = 9.4 years old, 50% male) completed an online survey from March 27th to the end of April 2020.Results Path analyses highlighted robust links from parent inflexibility to all components of the model, predicting: greater COVID-19 stress, greater coparenting discord and family discord, greater caustic parenting, and greater parent and child distress. Parent flexibility was associated with greater family cohesion, lower family discord and greater use of constructive parenting strategies (inductive, democratic/autonomy supportive, positive). Results further suggested that COVID-19 stressors predicted greater family and coparent discord, which in turn predicted greater use of caustic parenting (reactive, inconsistent, aggressive), which in turn predicted greater child and parent distress.Conclusions The current results highlight parental flexibility and inflexibility as key points of intervention for helping families navigate the current global health crisis, highlighting the crucial role they play in the lives of families.
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“During the pandemic PF has also been found to moderate the relationships between social isolation and depression and anxiety (Smith et al., 2020), COVID-19 risk factors and mental health difficulties (Pakenham et al., 2020), COVID-19 stressors and suicide risk (Crasta et al., 2020) and psychological distress within family systems (Daks et al., 2020).”
From Behind the masks: A cross-sectional study on intolerance of uncertainty, perceived vulnerability to disease and psychological flexibility in relation to state anxiety and wellbeing during the COVID-19 pandemic (2021) · cites this paper as Daks et al., 2020
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“and a moderating role between the psychological impacts of COVID-19 and mental health outcomes and wellbeing (Chong et al., 2021; Crasta et al., 2020; Daks et al., 2020; Pakenham et al., 2020; Smith et al., 2020).”
From Behind the masks: A cross-sectional study on intolerance of uncertainty, perceived vulnerability to disease and psychological flexibility in relation to state anxiety and wellbeing during the COVID-19 pandemic (2021) · cites this paper as Daks et al., 2020
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“As stated, caregivers with symptoms of anxiety, depression, and traumatic stress are at higher risk of negative consequences due to COVID-19 and the quarantine (Brooks et al., 2020, Brown et al., 2020, Daks et al., 2020).”
From Brief Transdiagnostic Intervention for Parents With Emotional Disorder Symptoms During the COVID-19 Pandemic: A Case Example (2021) · cites this paper as Daks et al., 2020
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“Some of these identify psychological flexibility, or the ability to act with openness, awareness, and engagement (Hayes et al., 2006) as an important target in the treatment and recovery of those adversely affected”
From Health, well-being, and persisting symptoms in the pandemic: What is the role of psychological flexibility? (2022) · cites this paper as Daks et al., 2020
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“Future work could even seek to apply the UFM model to clarify links between mindfulness and family functioning (e.g., Daks et al. 2020; Miklósi et al. 2017; Parent et al. 2010) or romantic relationship functioning (e.g., Barnes et al. 2007; Khaddouma and Gordon 2018; see Daks and Rogge 2020 for a…”
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“Initial support for this proposal came from a series of papers analyzing data from a large cross-sectional survey of parents during the early stages of lockdown demonstrating that inflexibility among parents predicted greater parent distress and poorer family functioning (Daks et al., 2020) and served to strengthen th…”
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“As stated, caregivers with symptoms of anxiety, depression, and traumatic stress are at higher risk of negative consequences due to COVID-19 and the quarantine (Brooks et al., 2020; Brown et al., 2020; Daks et al., 2020).”
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“…caregiver flexibility, positive caregiver-child relationships, constructive parenting, and parental strength, have been identified as environmental factors that positively impact children’s resilience (Black & Lobo, 2008; Daks et al., 2020; Guruge et al., 2021; Torres Fernandez et al., 2013).”
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“Increased expectations for parents to facilitate telepractice may leave them feeling overwhelmed (Jeste et al., 2020), which could amplify stress and have cascading impacts on parent and child well-being (Aishworiya & Kang, 2021; Daks et al., 2020; White et al., 2021).”
BackgroundJo, D., Goh, P. K., Lin, S. L., Spencer, S. D., & Masuda, A. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100766 · Cited by 12
Parenting in Israel amid COVID-19: the Protective Role of Mentalization and Emotion Regulation
Cohen, R., Yassin, N., & Gershy, N. (2022) · Adversity and Resilience Science · doi:10.1007/s42844-022-00072-y · Cited by 13
“Taken together, parental emotion regulation and mentalization may underline a flexible and adaptive family response to stressful situations that may improve the family’s ability to successfully adapt to the new conditions (Daks et al., 2020).”
BackgroundMathematical Approach to Investigate Stress due to Control Measures to Curb COVID-19
Paul, J. N., Mirau, S., & Mbalawata, I. S. (2022) · Computational and Mathematical Methods in Medicine · doi:10.1155/2022/7772263 · Cited by 12
Lobato, D., Montesinos, F., & Flujas-Contreras, J. M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106118 · Cited by 14
Dąbkowska, M., Kobierecka-Dziamska, A., & Prusaczyk, M. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.97828 · Cited by 18
Baluku, M. M. (2023) · International Journal of Applied Positive Psychology · doi:10.1007/s41042-023-00091-9 · Cited by 13
“From a psychological perspective, some studies have focused on the role of personality (e.g., Liu et al., 2021; Nudelman et al., 2021) and psychological flexibility/ inflexibility (e.g., Daks et al., 2020; Dawson & Golijani-Moghaddam, 2020; Shepherd et al., 2022).”
BackgroundLi, J., Zhai, Y., Xiao, B., Xia, X., Wang, J., Zhao, Y., Ye, L., & Li, Y. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s414456 · Cited by 12
“The Serial Mediating Roles of Parenting Stress and Negative Instrumental Use of Media in Parenting Family routines and everyday life were disrupted during the home isolation, posing many challenges for parents.(55) Mothers’ psychological distress increased significantly,(21) which would cause and exacerbate parenting…”
BackgroundWu, Q., Zhang, T.-M., Wang, X., & Zhang, Y. (2024) · BMC Psychology · doi:10.1186/s40359-024-01521-2 · Cited by 10
“Studies based on the spillover perspective have revealed that COVID-19-related stress could affect interpersonal factors (e.g., relationship satisfaction and parenting dynamics), which further contributes to personal distress and the development of depressive symptoms [40, 41].”
BackgroundGavazzi, S. M., & Lim, J.-Y. (2023) · Advancing responsible adolescent development · doi:10.1007/978-3-031-43407-5_4 · Cited by 10
Bookman, C. J., Nunes, J. C., Ngo, N. T., Twickler, N. K., Smith, T. S., Lekwauwa, R., & Yuen, E. Y. (2024) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-024-00750-y · Cited by 22
“Cross-sectional research suggested that parents with self-reported higher stress levels had fewer positive parenting practices during the pandemic [4–6 , 50].”
BackgroundFinancial Stress and COVID-19: A Comprehensive Analysis of the Factors Associated with the Pandemic
Moon, K., Heo, W., Lee, J. M., & Grable, J. E. (2023) · Risks · doi:10.3390/risks11120218 · Cited by 10
“The compounding effects of the worldwide health crisis resulting from the COVID-19 pandemic triggered deep national economic and social crises, significantly impacting household incomes, unemployment rates, and overall well-being (Brewer and Gardiner 2020; Daks et al. 2020).”
Puffer, E. S., Johnson, S. L., Quick, K. N., Rieder, A. D., Mansoor, M., Proeschold‐Bell, R. J., Jones, S., Moore-Lawrence, S., Rasmussen, J. D., Cucuzzella, C., et al. (2022) · Prevention Science · doi:10.1007/s11121-022-01418-9 · Cited by 10
“Participants offered perspectives on implementation during COVID-19.”
InfluentialAbuse of Marginalized Older Adults During COVID-19
GUTMAN, G. M., Karbakhsh, M., & Stewart, H. G. (2022) · GeroPsych · doi:10.1024/1662-9647/a000301 · Cited by 10
Trindade, I. A., Vagos, P., Moreira, H., Fernandes, D. V., & Tyndall, I. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.06.003 · Cited by 10
Ünsal, F., & Acar, İ. H. (2023) · Children · doi:10.3390/children10040639 · Cited by 9
Aktaş, S. C., & ÇİÇEK, B. (2023) · Journal of Family Issues · doi:10.1177/0192513x231169558 · Cited by 8
Evolution of family relationship in Kyrgyzstan
Osmonova, D., Talgarbekova, E., Tashtanbekova, M., Moldoshova, A., & Anastassiadi, A. (2023) · Social & Legal Studios · doi:10.32518/sals4.2023.155 · Cited by 8
Hagan, M. J., Roubinov, D., Cordeiro, A. M., Lisha, N. E., & Bush, N. R. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.08.061 · Cited by 11
Examining psychological flexibility in unaccompanied refugee minors: A network analysis
Freymann, J., Morroni, D., Kleinbub, J. R., & Karekla, M. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100808 · Cited by 7
The Model for Maintaining Families with Noble Character During the Pandemic in Kampung KB Villages
Kustati, M., Kosim, M., Sermal, S., Fajri, S., & Febriani, S. R. (2024) · Jurnal Ilmiah Peuradeun · doi:10.26811/peuradeun.v12i1.1126 · Cited by 7
Resilience and Flexibility for Clinical Nurses: A Latent Class Analysis
Zhao, S., Zhang, Z., Duan, X., Shao, Y., Wang, F., Chen, Y., Yang, C., Chen, L., Wang, F., Zhang, J., et al. (2024) · Journal of Nursing Management · doi:10.1155/2024/6171305 · Cited by 8
Fang, S., Huang, M., Ding, D., & Zheng, Q. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100805 · Cited by 7
Parenting With a Kind Mind: Exploring Kindness as a Potentiator for Enhanced Brain Health
Johnson, M. T., Fratantoni, J. M., Tate, K., & Moran, A. S. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.805748 · Cited by 7
Kwon, C. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20053807 · Cited by 7
Yao, X., Chan, K. L., Chen, S., & Gao, S. (2024) · Current Psychology · doi:10.1007/s12144-024-05628-y · Cited by 7
“As an intervention method, the ACT is a treatment approach to effectively foster PF and has potential implications for future intervention (Daks et al., 2020; Tarbox et al., 2022).”
Xiao, H. (2023) · Family Relations · doi:10.1111/fare.12961 · Cited by 7
Tayyebi, G., Alwan, N. H., Hamed, A. F., Shallal, A. A., Abdulrazzaq, T., & Khayayi, R. (2024) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v19i3.15809 · Cited by 7
“By enhancing psychological flexibility, ACT may contribute to improved resilience, fostering less rigid and more adaptable responses to challenging situations and emotions (13).”
BackgroundBazo‐Alvarez, J. C., Villarreal‐Zegarra, D., Lázaro-Illatopa, W. I., Millones, D. L. M., Ipanaqué-Zapata, M., García, M. J., Bazo-Alvarez, O. A., Ríos, E. D. S. G., Salvatierra, W. V., & García-Serna, J. (2023) · PeerJ · doi:10.7717/peerj.16269 · Cited by 6
“When the family was economically fragile, having COVID-19 at home represented one of the highest stressors, inducing parents to be reactive, inconsistent and even aggressive, amplifying, in turn, the stress among parents and children ( Daks, Peltz & Rogge, 2020 ).”
BackgroundFang, S., Ding, D., & Huang, M. (2023) · BMC Psychology · doi:10.1186/s40359-023-01318-9 · Cited by 7
“Existing meta-analyses also suggest that psychological flexibility is positively related to individuals’ mental health and adaptive behaviors and negatively related to individuals’ negative emotional affect and problematic behaviors [19, 20].”
BackgroundBetter social reversal learning is associated with a more social approach across time
Zabag, R., Kivity, Y., Gilboa‐Schechtman, E., & Levy‐Gigi, E. (2024) · Scientific Reports · doi:10.1038/s41598-024-58348-5 · Cited by 7
“During the COVID-19 Pandemic, parental self-reported psychological flexibility predicted less child and parental stress across time 40,41 and adaptive coping with the new situation 42 .”
BackgroundHelmer, J., Durrani, N., Mir, G., Polat, F., Karimova, N., & Qanay, G. (2024) · SAGE Open · doi:10.1177/21582440241307440 · Cited by 10
“Family systems theory suggests that stressors such as increased child-care and forced isolation can have a negative effect on the cohesion of the family system over time (Daks et al., 2020).”
Schaffer, G. E., Kilanowski-Press, L., & Lee, B. E. C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710483 · Cited by 6
Baluku, M. M., Nansubuga, F., Kibanja, G., Ouma, S., Balikoowa, R., Nansamba, J., Ruto, G. C., Kawooya, K., & Musanje, K. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.05.002 · Cited by 6
“This finding is in line with the theoretical expectations and extant evidence suggesting that psychological flexibility inhibits behavior change or regulation (Daks et al., 2020; S. C. Hayes et al., 2006) which could be especially detrimental in situations that require behavioral adjustment.”
Tan, T. X., Wang, J. H., Wang, P., & Huang, Y. T. (2022) · Family Relations · doi:10.1111/fare.12755 · Cited by 6
“Globally, because COVID-19 lockdowns caused unprecedented disruptions to family life (Biroli et al., 2020; Daks et al., 2020), were highly stressful for both children and parents (Evandrou et al., 2021; Fontanesi et al., 2020; Jiao et al., 2020; Spinelli et al., 2021), and created a heavy toll on…”
BackgroundGreen, R., Linga-Easwaran, J., Goodman, C. V., Taylor, M., Fabiano, G. F., Miller, S., & Williams, T. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1328476 · Cited by 5
Vega-Campos, M., Pérez-Pérez, M., & Sarabia‐Cobo, C. (2025) · SAGE Open · doi:10.1177/21582440251320192 · Cited by 5
“Psychological flexibility in this context refers to the ability to stay present in the moment while accepting difficult thoughts and emotions, and still taking actions aligned with one’s values (Daks et al., 2020; Hayes et al., 1999).”
Metadata
- Authors
- Daks, J. S., Peltz, J. S., & Rogge, R. D.
- Affiliations
- University of Rochester (US)
- Daemen College (US)
- Corresponding author
- Daks, Jennifer S.
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 18
- Pages
- 16-27
- ISSN
- 2212-1447 (ISSN-L)
- PMC
- PMC7428754
- OpenAlex
- W3048447575
- Cited by
- 197
- References
- 77
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 37 · 2023: 33 · 2022: 44 · 2021: 47 · 2020: 7
- FWCI
- 13.11
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-07-01)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Contextual Behavioral Science (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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- psychological flexibility, COVID-19 pandemic, family systems theory, spillover hypothesis, family conflict, family cohesion, child distress, parental distress, contextual behavioral science, family resilience
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