Psychological Flexibility and Its Relationship to Distress and Work Engagement Among Intensive Care Medical Staff
Open accessAbstract
Intensive care settings place specific work-related demands on health care professionals that may elicit stress and negatively influence occupational health and work engagement. Psychological flexibility has emerged as a promising construct that could help explain variation in reported health. Understanding the role of psychological flexibility in occupational psychological health among intensive care medical staff may potentially guide the development of effective interventions. Thus, the present study evaluated the relationships between psychological flexibility (Work-related Acceptance and Action Questionnaire), distress (Perceived Stress Scale, General Health Questionnaire) and work engagement (Utrecht Work Engagement Scale) in a sample of 144 health care professionals from one adult (ICU, N=98) and one pediatric (PICU, N=46) intensive care unit. In addition to cross-sectional analyses, a subset of data (PICU, N=46) was analyzed using a longitudinal design. Results illustrated that higher levels of distress were associated with lower levels of work engagement. Furthermore, psychological flexibility was related to greater work engagement, and psychological flexibility had a significant indirect effect on the relationship between distress and work engagement. Lastly, increased psychological flexibility over time corresponded with increased work engagement. Although tentative, the results suggest the importance of psychological flexibility for work engagement in health care professionals within intensive care settings.
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The pattern of PII and PIPS improving significantly over time during ACT while pain intensity did not is in line with previous studies on treatment effects published by our group.
“The pattern found, of PII and PIPS improving significantly over time during ACT while pain intensity did not, is in line with the previous studies on treatment effects published by our group [12,13,31,39,40,41,42].”
From Baseline Pro-Inflammatory Cytokine Levels Moderate Psychological Inflexibility in Behavioral Treatment for Chronic Pain (2022) · cites this paper as [41]
The Methods (Design; page not provided) describe a cross-sectional study of intensive care staff with a longitudinal subsample, not an ACT treatment study. The Results (Changes in Psychological Flexibility, Distress, and Work Engagement Over Time; page not provided) report work engagement, stress, and work-related psychological flexibility. A search for PII, PIPS, pain intensity, and ACT treatment effects found no passage reporting the claimed pattern. (LLM, conf=0.77)
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- Authors
- Holmberg, J., Kemani, M. K., Holmström, L., Öst, L.-G., & Wicksell, R. K.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Corresponding author
- Holmberg, Johan
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2020-11-04
- Volume
- 11
- Pages
- 603986-603986
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC7672021
- OpenAlex
- W3096645002
- Cited by
- 34
- References
- 66
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 4 · 2022: 6 · 2021: 4
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kommunfullmäktige, Stockholms Stad
- Karolinska Institutet
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Workaholism, burnout, and well-being
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Job Satisfaction and Organizational Behavior
- Keywords
- psychological flexibility, work engagement, occupational distress, intensive care unit, pediatric intensive care unit, healthcare workers, Acceptance and Action Questionnaire, General Health Questionnaire, Perceived Stress Scale, mediation, longitudinal change
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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