Cited by 281Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNeural and Behavioral Psychology StudiesMindfulness and Compassion Interventions

Cognitive Control and Flexibility in the Context of Stress and Depressive Symptoms: The Cognitive Control and Flexibility Questionnaire

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Gabrys, Robert L., Tabri, Nassim, Anisman, Hymie, Matheson, Kimberly·2018·Frontiers in Psychology

Abstract

Cognitive control and (cognitive) flexibility play an important role in the ability to adapt to continuously changing environments. In addition to facilitating goal-directed behaviors, cognitive control and flexibility have been implicated in emotion regulation, and disturbances of these abilities were observed in mood and anxiety disorders. The reported studies examined the processes related to cognitive control and flexibility, emotional regulation and depressive symptoms, within the context of stressful experiences. To this end, a brief (18-item) self-report measure - the Cognitive Control and Flexibility Questionnaire (CCFQ) - was developed. This questionnaire measures the extent to which an individual is capable of exerting control over intrusive, unwanted (negative) thoughts and emotions in order to flexibly adapt and cope with a stressful situation. In Study 1, the CCFQ was assessed among both university students (N = 300) and a community sample (N = 302). Preliminary analyses suggested a stable and reliable two-factor structure, that of cognitive control over emotion, and appraisal and coping flexibility. Scores on the CCFQ were strongly associated with greater depressive symptoms, even after controlling for other measures that had been taken to reflect cognitive control and (in)flexibility (e.g., the Ruminative Response Scale; Perseverative Thinking Questionnaire). In Study 2 (N = 368), lower scores on the CCFQ were related to more negative stressor appraisals (i.e., greater perceived threat and uncontrollability) of a personally meaningful stressful event. Perceptions of threat and uncontrollability, in turn, partially accounted for the association between CCFQ subscale scores and depressive symptoms. The relation between lower CCFQ scores and heightened depressive symptoms was also partially accounted for by less frequent engagement in problem-focused coping and more use of emotion-focused methods. In Study 3 (N = 47 females), lower scores on the cognitive control over emotion component of the CCFQ predicted elevated negative affect and an exacerbated cortisol response following an acute psychosocial stressor (Trier Social Stress Test). The present research points to the CCFQ as a useful self-report tool to identify ways through which cognitive control and flexibility might be manifested in stressful situations, and how reductions in flexibility might be accompanied by elevated symptoms of depression.

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  • CI has been associated with self- and parent-reported depression in autistic individuals in several studies.

    “as several studies have found CI to be associated with self and parent-reported depression in autistic individuals (Gabrys et al., 2018; Hollocks et al., 2014, 2022a, 2022b; Lawson et al., 2015).”

    From Investigating the Effects of Transdiagnostic Processes on Anxiety and Depression Symptoms in Autistic Young People: the Mediating Role of Emotion Dysregulation. (2025) · cites this paper as Gabrys et al., 2018

    Study 1 Results and Discussion reports an association between cognitive control/flexibility scores and depressive symptoms. Its Methods describes student and community samples, not samples of autistic individuals; depressive symptoms were assessed with the Beck Depression Inventory, not parent reports. Thus this source supports the general association but not the claim’s autistic-population or parent-reported-depression qualifiers. Page numbers are unavailable in our copy. (LLM, conf=0.88)

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  • CI is associated with anxiety and depression in autistic youth and adult general population samples.

    “CI has been linked to flexible problem solving and transition between activities in autistic individuals (Uddin, 2021) and associated with anxiety and depression in autistic youth (Hollocks et al., 2019) and adult general population samples (Gabrys et al., 2018; Wang et al., 2019).”

    From Investigating the Effects of Transdiagnostic Processes on Anxiety and Depression Symptoms in Autistic Young People: the Mediating Role of Emotion Dysregulation. (2025) · cites this paper as Gabrys et al., 2018

    The General Discussion reports that reduced cognitive control and flexibility were associated with heightened depressive symptoms, supporting the depression link in general-population samples. It says the research focused on depression and discusses anxiety only as a possible area for future use of the questionnaire; it does not establish an anxiety association in those samples. The autistic-youth portion of the citing sentence is attributed to Hollocks et al., not Gabrys et al. (LLM, conf=0.88)

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  1. Kline R. B. (2016). Methodology in the Social Sciences. Principles and Practice of Structural Equation Modeling, 4th Edn New York, NY: Guilford Press.

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Authors
Gabrys, R. L., Tabri, N., Anisman, H., & Matheson, K.
Affiliations
  • Carleton University (CA)
  • Royal Ottawa Mental Health Centre (CA)
Corresponding author
Gabrys, Robert L.
Venue
Frontiers in Psychology
Published
2018-11-19
Volume
9
Pages
2219-2219
ISSN
1664-1078 (ISSN-L)
OpenAlex
W2901368915
Cited by
281
References
97
Citations by year
2026: 43 · 2025: 52 · 2024: 49 · 2023: 30 · 2022: 43 · 2021: 38 · 2020: 19 · 2019: 7
FWCI
20.96
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Carleton University's Institutional Repository (MacOdrum Library, Carleton University) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Natural Sciences and Engineering Research Council of Canada (9180)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords
cognitive control, cognitive flexibility, depressive symptoms, stress, emotion regulation, coping flexibility, stress appraisal, threat perception, problem-focused coping, emotion-focused coping, rumination, perseverative thinking, cortisol response, negative affect, Trier Social Stress Test, self-report measure development

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