Mediating Role of Psychological Inflexibility as Transdiagnostic Factor in the Relationship Between Emotional Dysregulation and Sleep Problems With Symptoms of Emotional Disorders
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This study aims to investigate the mediating role of psychological inflexibility as a transdiagnostic factor in the relationship between emotional dysregulation and sleep problems with symptoms of emotional disorders. A total of 500 subjects from three universities were selected by random multistage clustering, and they completed the Pittsburgh Sleep Quality Index, Difficulties in Emotional Regulation Scale, and Acceptance and Action Questionnaire–II, Inventory of Depression and Anxiety Symptoms. The results of correlation coefficients revealed that there is a positive and significant correlation among emotional dysregulation, sleep problems, and psychological inflexibility with emotional disorders. In addition, the results showed that psychological inflexibility acts as a transdiagnostic factor that mediates the relationship between emotional dysregulation and sleep problems with symptoms of emotional disorders. These findings illustrate how emotional dysregulation and sleep problems affect emotional disorders through psychological inflexibility.
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As global measures of PI are primarily used as outcome measures, the role that changes in individual PI processes may play as active mechanisms in ACT for insomnia remains unclear.
“As global measures of PI are primarily used as outcome measures (Orouji et al., 2022; Peltz et al., 2020), the role that changes in individual PI processes may play as active mechanisms in ACT for insomnia remains unclear (Lappalainen et al., 2019).”
From Associations between psychological inflexibility processes, pre‐sleep arousal and sleep quality. (2025) · cites this paper as Orouji et al., 2022
The Method > Measures section (page unavailable) says the study used the Acceptance and Action Questionnaire–II to measure overall psychological inflexibility. But the Results > Mediating Role of Psychological Inflexibility section (page unavailable) treats psychological inflexibility as a mediator, not an outcome measure. This paper therefore provides an example of a global PI measure, but does not establish that such measures are primarily used as outcome measures; the separate ACT-for-insomnia point is attributed to Lappalainen et al., not Orouji et al. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOur findings are largely consistent with past research with non-clinical samples showing links between global PI and insomnia.
“Our findings are largely consistent with past research with non‐clinical samples showing links between global PI and insomnia (Orouji et al., 2022; Peltz et al., 2020).”
From Associations between psychological inflexibility processes, pre‐sleep arousal and sleep quality. (2025) · cites this paper as Orouji et al., 2022
The Results (Descriptive Statistics, Table 1; page not available) report a significant positive correlation between psychological inflexibility and sleep problems in the study's non-clinical college-student sample. The Methods (Measures; page not available) show that sleep was assessed with the Pittsburgh Sleep Quality Index, not an insomnia-specific measure, so the source supports a link with general sleep problems rather than specifically with insomnia. (LLM, conf=0.86)
Experimental — accuracy not yet measured
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“Psychological inflexibility exacerbates the individual’s experiential experience of negative emotions and inhibits the mobilization of positive emotional resources (Liu & Yan, 2023; Orouji et al., 2022; Peltz et al., 2020).”
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“This in fl exibility, in turn, may contribute to emotional disturbances and impaired performance in athletic contexts (Orouji et al., 2022; Tanhan, 2019).”
Batallas, D., Guerra, V., Jiménez, M., Hidalgo, V., & Salvador, A. (2026) · Psychological Reports · doi:10.1177/00332941251415326 · Cited by 1 · see citing works
Arbinaga, F., Moreno-San-Pedro, E., Fernández-Acosta, G., & Sierra, M. I. M. (2023) · Preprints.org · doi:10.20944/preprints202310.1712.v1 · Cited by 1 · see citing works
Arjanto, P., & Makaruku, V. K. (2025) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2025.01.015
Davidar, R. S., Ballal, D., & Rajan, S. K. (2025) · Counselling and Psychotherapy Research · doi:10.1002/capr.70042
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
Reyna-Martínez, M., Rodríguez, J. J. M., & Hernández-Cueto, J. L. (2026) · Politicas Sociales Sectoriales · doi:10.29105/pss4.2-245
- Authors
- Orouji, F., Abdi, R., & Chalabianloo, G.
- Affiliations
- Azarbaijan Shahid Madani University (IR)
- Corresponding author
- Abdi, Reza
- ORCID
- Abdi, Reza
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2022-04-25
- Volume
- 13
- Pages
- 800041-800041
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC9082666
- OpenAlex
- W4224751733
- Cited by
- 13
- References
- 77
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 2 · 2023: 1
- FWCI
- 2.28
- 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)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychological inflexibility, emotional dysregulation, sleep disorders, sleep quality, emotional disorders, depressive symptoms, anxiety symptoms, transdiagnostic factors, mediation
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