Transdiagnostic perspective on psychological inflexibility and emotional dysregulation
Abstract
Background: Psychological inflexibility and emotional dysregulation are a hallmark of psychopathology, being intrinsically embedded in emotional and personality disorders. However, the transdiagnostic mechanisms of psychological inflexibility and emotional dysregulation domains are still a matter of discussion. Aims: The present study aims to explore the relationships between cognitive fusion (as a measure of psychological inflexibility), emotion regulation strategies, such as cognitive reappraisal and emotional suppression and emotional dysregulation domains in two different samples. Method: In a cross-sectional design, 297 individuals were assessed with self-report measures and divided into non-clinical ( n = 231) and clinical samples ( n = 66), according to diagnosis. Results: Results showed that the degree of cognitive fusion was higher in the clinical sample. However, significant correlations between cognitive fusion, emotional regulation strategies and emotional dysregulation domains were found in the two samples. Cognitive reappraisal and emotional dysregulation domains predicted cognitive fusion and mediated the relationship between cognitive fusion and symptomatology in the two samples. Conclusions: Relationships between cognitive fusion and emotional dysregulation domains were found independent of diagnosis. The implementation of emotion regulation strategies may be related to individual differences. However, cognitive fusion, reappraisal and lack of strategies may be core transdiagnostic features in psychological inflexibility and emotion dysregulation.
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Previous studies have consistently shown that cognitive fusion is positively associated with internalizing problems, depression and anxiety, and alexithymia.
“Previous studies have consistently shown that cognitive fusion is positively associated with internalizing problems [39, 40], depression and anxiety [41], and alexithymia [42].”
From Socioeconomic status impacts Chinese late adolescents’ internalizing problems: risk role of psychological insecurity and cognitive fusion (2025) · cites this paper as [39]
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Matey, B. A. L., Pacheco, A. A. B., & Ayala, M. J. G. (2025) · Multidisciplinary Science Journal · doi:10.31893/multiscience.2026320
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 · see citing works
Dumas, C. R., Rommel, D., & Congard, A. (2026) · Journal of Health Psychology · doi:10.1177/13591053261442553
Güneysu, İ., Aydın, S., Eser, B., Demir, F. Ü., Yaşaran, A. Ö., & Bak, C. (2026) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-026-00661-1
Bekker, J., Gorniak, A. N., Ahlstrom, M. K., Klingonsmith, B. O., & Warren, J. S. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.101023
Amarie, T., & Karner‐Huțuleac, A. (2026) · Counselling Psychology Quarterly · doi:10.1080/09515070.2026.2752360
- Authors
- Faustino, B.
- Affiliations
- University of Lisbon (PT)
- Corresponding author
- Faustino, Bruno
- ORCID
- Faustino, Bruno
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2020-09-08
- Volume
- 49
- Issue
- 2
- Pages
- 233-246
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W3083917991
- Cited by
- 62
- References
- 56
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 6 · 2023: 15 · 2022: 14 · 2021: 8 · 2020: 1 · 2019: 1
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychological inflexibility, emotional dysregulation, cognitive fusion, cognitive reappraisal, emotional suppression, emotion regulation strategies, transdiagnostic mechanisms, clinical and non-clinical samples, mediation
- MeSH terms
- Emotional Regulation, Cross-Sectional Studies, Emotions, Humans, Personality Disorders, Psychopathology
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