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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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“Psychological flexibility skills have previously been shown to promote resilience by providing the individual a set of skills they can use to respond to challenges in life (e.g., Daks et al., 2020).”
Family and peer functioning mediate associations between COVID-19 impact and child mental health
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“The initial phase of COVID-19 has been associated with decreased in-person peer interactions and increased family discord (Daks et al., 2020 ), two factors which are known to broadly influence child mental health (Hossain et al., 2020a; Czyz et al., 2012; Family and peer support are well-known…”
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Enfants et adolescents au cours de la crise sanitaire
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“According to Daks, Peltz, and Rogge (2020), during the COVID-19 pandemic, families need psychological flexibility, which is a source of family resilience in facing challenges during the pandemic.”
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Introduction to the special issue on COVID-19
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“…in the short term, but the psychological discomfort increases in the long term (S. Hayes et al., 2014), which can cause parental stress and anxiety (Daks et al., 2020; Fonseca et al., 2020), depressive episodes (Biglan et al., 2015), and/or inconsistent or maladaptive habits (Sairanen et al.,…”
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BackgroundChild emotional problems: Associations with maternal distress and parenting practices
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Shnitzer‐Meirovich, S., Aviad, S., Reich, A., Lifshitz, H., & Gur, A. (2025) · Research and Practice for Persons with Severe Disabilities · doi:10.1177/15407969251390467 · Cited by 1
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Parentalidade e saúde física e mental na pandemia da covid-19
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“Similarly, higher PF measures were associated with greater family cohesion and the use of constructive parenting strategies such as inductive, democratic behavior and positive and supportive parenting practices [62].”
BackgroundMaybe I can go back to school in a few weeks'
Gunnarsdóttir, H., Wilson, S., & Enoksen, E. (2022) · Journal of Comparative Social Work · doi:10.31265/jcsw.v17i1.403 · Cited by 1
“Others have noted that the home is not necessarily the safest place for all children (Daks et al., 2020).”
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“Moreover, mothers with young children were one of the main groups severely affected by the pandemic (Daks, Peltz, and Rogge 2020).”
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“Daks et al. (2020) inspected how depression affected families and children based on an online survey. a total of 742 responses from parents of children of 5–18 year of age were received.”
Identity and Family Formation During Young Adulthood
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Ketangguhan Keluarga Menghadapi Pandemi COVID 19: Perspektif Psikologi dan Islam
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The Impact of COVID-19 Pandemic in Family Communication on Families with Children with Disabilities
Soedarsono, D. K., Soedarsono, D. K., Ramadhana, M. R., Setyorini, R. H., & Nurrezqia, A. (2022) · Proceedings Of International Conference On Communication Science · doi:10.29303/iccsproceeding.v1i1.9
“This follows the conclusions of previous research on supportive communication in the application of family functions (Daks et al., 2020).”
BackgroundResultInfluentialPersepsi Orang Tua Siswa Sekolah Dasar dalam Pembelajaran Daring Di Masa Pandemi Covid-19
Fitriyani, Y., Septiani, Y., Triarianti, M., & Helmia, A. F. (2022) · DWIJA CENDEKIA Jurnal Riset Pedagogik · doi:10.20961/jdc.v6i1.53268
البراشدية, ح. س. أ. (2022) · Journal of Educational Sciences – Qatar University · doi:10.29117/jes.2022.0075
Recognition, Employment and the Social Crisis in Times of COVID-19 and Beyond
Schweiger, G. (2022) · Studies in global justice · doi:10.1007/978-3-030-97982-9_8
Family experiences during illness outbreaks: A systematic reviewPreprint
Sheen, J. A., Chen, L., Lee, B., Aridas, A., & Reupert, A. (2022) · medRxiv · doi:10.1101/2022.11.16.22282428
ALTIN, B., & Erden, G. (2022) · Turkish Journal of Psychiatry · doi:10.5080/u25936
Juric, L. C., Vernucci, S., Andrés, M. L., Flores-Kanter, P. E., Poó, F. M., Avincetto, M. M. Y., del Valle, M. V., López‐Morales, H., & Urquijo, S. (2023) · Trends in Psychology · doi:10.1007/s43076-023-00285-9
“…as those measures proposed to control the spread of the disease (Hawryluck et al., 2004), could lead to adverse cascade effects on mental health (Daks et al., 2020) due to worries about one’s health and that of loved ones, economic disruption and losses, challenges in meeting basic needs,…”
Nuruddin, N., Muis, A., & Muniron, M. (2023) · QALAMUNA Jurnal Pendidikan Sosial dan Agama · doi:10.37680/qalamuna.v15i1.2340
“Research conducted by Daks states that families will encounter many unexpected things after the pandemic, such as financial pressures, additional parenting burdens, and child care (Daks et al., 2020).”
BackgroundEmerging Social Burdens on Married Working Women in the Health Sector During Covid – 19 Pandemic
Kazan, A., & Al-Saqr, R. A. (2023) · Jordan Journal of Social Sciences · doi:10.35516/jjss.v16i3.2204
Xu, J., Lü, L., & Zhao, X. (2024) · The Family Journal · doi:10.1177/10664807231225218
#ThisIsWhatAnxietyFeelsLike: Twitter Users’ Narratives of the Interpersonal Effects of Anxiety
Russo, R. B., Seedall, R. B., Aller, T. B., & Clark, J. K. (2024) · Contemporary Family Therapy · doi:10.1007/s10591-024-09695-y
“Although in lower levels, anxiety can foster some psychological flexibility and be beneficial (Daks et al., 2020), it can also be disruptive to individuals and relationships.”
Topalian, M., Mir, R. E., Malaeb, D. N., Sakr, F., Dabbous, M., Hallit, S. R., Fekih‐Romdhane, F., & Obeïd, S. (2024) · Research Square · doi:10.21203/rs.3.rs-4303437/v1
COVID-19 and Child Adjustment: The role of Coparenting Conflict and Child Temperament
Menéndez, D., Li, Z., Klapper, R. E., Rosengren, K. S., & Sturge‐Apple, M. L. (2024) · Journal of Child and Family Studies · doi:10.1007/s10826-024-02841-y
“Indeed, research has documented a greater prevalence of depressive symptoms (e.g., Xie et al., 2020), anxiety (Duan et al., 2020), worry (Gassman-Pines et al., 2020), and greater distress (Daks et al., 2020) in children during the pandemic.”
Yip, A., Mo, K. Y., Yip, Y., Tsui, Z., Fong, F.-F., & Chu, P.-M. (2024) · Healthcare · doi:10.3390/healthcare12242512
“This overwhelming situation posed unique challenges, especially for vulnerable households, including those facing socioeconomic adversity, caregiver mental health struggles, or children with special needs [25,26].”
Behavioral Analysis and Sub-Topic Detection in COVID-19 Data Using Path-Aware Graph Neural Networks
Akiladevi, G., & Murugesan, M. (2024) · International Conference on Innovations in Communications, Electrical and Computer Engineering (ICICEC) · doi:10.1109/icicec62498.2024.10808952
Kamalinia, M., Zahrakar, K., & Arabzadeh, M. (2025) · مجله دانشگاه علوم پزشکی اراک · doi:10.61186/jams.27.6.378
Rethinking Post-COVID-19 Behavioral Science: Old Questions, New Insights
Daovisan, H., Mamom, J., Choowan, P., & Suwanwong, C. (2025) · Behavioral Sciences · doi:10.3390/bs15060831
Development of an Indigenous Psychological Flexibility Scale (PFS) for Parents of Children with ASD
Mazhar, M., & Kausar, N. (2025) · ACADEMIA International Journal for Social Sciences · doi:10.63056/acad.004.03.0514
Association of COVID-19 stimulus receipt and spending with family health
Reese, E. M., Lines, N., Thacker, E. L., & Barnes, M. (2025) · PLoS ONE · doi:10.1371/journal.pone.0328389
“During the pandemic, researchers found that COVID-19 stressors within families predicted greater family discord – stressors predicted negative parenting techniques and parental conflict, which increased child distress and decreased family cohesion [22,23].”
InfluentialLiu, J., Ma, Y.-W., Liang, H., Hu, Y.-J., Zheng, W., & Chen, H. (2025) · Psycho-Oncologie · doi:10.18282/po3679
Yan, C., Qian, M., & Sun, T. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.105997
Cooper, D. J., Evans, H. L., & Collins, M. R. (2022) · International Journal of Social and Psychological Aspects of Healthcare · doi:10.51847/rmo4xngxpk
Mohammed, H. G., & Mohammed, H. (2026) · BMC Psychology · doi:10.1186/s40359-026-04022-6
“Daks et al. [77] claimed that psychological flexibility improves parent-child interaction.”
Lobato, D., Flujas-Contreras, J. M., Montoya-Rodríguez, M. M., Polín, E., & Montesinos, F. (2026) · Child & Family Behavior Therapy · doi:10.1080/07317107.2026.2640383
“Higher PPF is associated with more adaptive parenting practices, less punitive behavior, lower stress, increased family cohesion, and better child behavioral or emotional outcomes (Daks et al., 2020; Moyer et al., 2018).”
Hare, M. M., Fava, N. M., & Trucco, E. M. (2026) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2026.108049
Xin, Y., Davis, A. K., Yoon, S., & Lee, M. Y. (2026) · Psychedelic Medicine · doi:10.1177/28314425261448756
Mostardinha, A. F., Sousa, D., Senra, H., Simões, M., Rodrigues, A. P., Vagos, P., & Castelo-Branco, M. S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1769001 · Cited by 1
Perfectionism and psychological (in)flexibility as predictors of coping strategies in fencers
Arbinaga, F., Durán-Andrada, J., & Ozcorta, E. J. F. (2026) · Acta Gymnica · doi:10.5507/ag.2026.011
西憲, 敬. (2026) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-026-01183-6
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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