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محمودیان فرد, فائزه, اسکندری, حسین. (1404). نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس. هنرهای کاربردی, 17(4), 51-68. doi: 10.22075/jcp.2025.36277.3080
فائزه محمودیان فرد; حسین اسکندری. "نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس". هنرهای کاربردی, 17, 4, 1404, 51-68. doi: 10.22075/jcp.2025.36277.3080
محمودیان فرد, فائزه, اسکندری, حسین. (1404). 'نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس', هنرهای کاربردی, 17(4), pp. 51-68. doi: 10.22075/jcp.2025.36277.3080
محمودیان فرد, فائزه, اسکندری, حسین. نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس. هنرهای کاربردی, 1404; 17(4): 51-68. doi: 10.22075/jcp.2025.36277.3080

نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس

روان‌شناسی بالینی: نوآوری‌ها در پژوهش و عمل
دوره 17، شماره 4 - شماره پیاپی 68، اسفند 1404، صفحه 51-68    اصل مقاله (1.14 M)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2025.36277.3080
نویسندگان
فائزه محمودیان فرد1؛ حسین اسکندری* 2
1دانشجوی کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی، دانشکده علوم و فناوری‌های پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی،
2نویسنده مسئول، استاد، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران
تاریخ دریافت: 14 دی 1403،  تاریخ بازنگری: 13 خرداد 1404،  تاریخ پذیرش: 16 خرداد 1404 
چکیده
مقدمه: هدف از پژوهش حاضر بررسی نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس بود.
روش: روش این مطالعه توصیفی- همبستگی بود. جامعه آماری پژوهش بیماران مبتلا به پسوریازیس شهر تهران در نیمه اول سال 1403 بودند. حجم نمونه بر اساس مدل کلاین(2023) و با روش نمونه‏گیری هدفمند 200 نفر انتخاب شد. ابزار گردآوری داده‌‌های پژوهش شامل پرسشنامه کیفیت زندگی در بیماری‌های پوستی(DLQI) فینلای و خان(1994)، سیاهه وسواس فکری-عملی مادزلی(MOCI) هاجسون و راچمن(1977)، سیاهه انعطاف‌پذیری شناختی(CFI) دنیس و وندروال(2010) و مقیاس ناگویی هیجانی تورنتو(TAS) و بگبی و همکاران(1994) بود. داده‌ها با استفاده از همبستگی پیرسون و معادلات ساختاری تحلیل شد.
نتایج: یافته‌های پژوهش نشان داد که اثرات مستقیم انعطاف‌پذیری شناختی بر کیفیت زندگی(0/84- =β و 0/001=sig) و وسواس فکری-عملی(0/73- =β و 0/001=sig) معنادار است. همچنین نتایج نشان داد که ناگویی هیجانی در رابطه بین انعطاف‌پذیری شناختی با کیفیت زندگی و وسواس فکری-عملی نقش میانجی و معنادار دارد. همچنین مدل پژوهش از برازش مطلوبی برخوردار بود (0/03=RMSEA و 0/05>p) و 98 درصد از واریانس وسواس فکری-عملی و 99 درصد از واریانس کیفیت زندگی بر اساس انعطاف‌پذیری روانشناختی با نقش میانجی ناگویی هیجانی تبیین می‌شود.
نتیجه‌گیری: با توجه به یافته‏های این پژوهش و نقش انعطاف‌پذیری شناختی و ناگویی هیجانی استفاده از آموزش تنظیم هیجان و مداخلات مبتنی بر پذیرش/تعهد برای بهبود کیفیت زندگی و وسواس فکری-عملی این بیماران پیشنهاد می‌شود.
کلیدواژه‌ها
اختلال وسواس فکری-عملی؛ انعطاف‌ پذیری شناختی؛ پسوریازیس؛ کیفیت زندگی؛ ناگویی هیجانی
عنوان مقاله [English]
The Mediating Role of Alexithymia in the Relationship between Cognitive Flexibility with Quality of Life and Obsessive–Compulsive Disorder of Patients with Psoriasis
نویسندگان [English]
Faezeh Mahmodian Fard1؛ Hosein Eskandari2
1M.Sc student in Clinical Psychology, Department of Psychology, Medical Sciences and Technologies Faculty, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2Corresponding Author, Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
چکیده [English]
Introduction: The purpose of the present study was to investigate mediating role of alexithymia in the relationship between cognitive flexibility with quality of life and obsessive–compulsive disorder of patients with psoriasis. This was descriptive-correlation research.
Method: The statistical population of the study was patients with psoriasis of Tehran city in year 2024. The sample size was selected based on Klein's model (2023) and with subjectivw sampling of 200 patients with psoriasis. Data collection tools include the dermatology life quality index (DLQI) of Finlay & Khan (1994), the Maudsley obsessive–compulsive inventory (MOCI) of Hodgson and Rachman (1977), cognitive flexibility inventory (CFI) of Dennis and Vander Wal (2010) and Toronto alexithymia scale (TAS) of Bagby and et al (1994). Data were analyzed using Pearson correlation and structural equations modeling.
Results: The results showed direct effect of cognitive flexibility on quality of life (β= - 0.84 and sig=0.001) and obsessive–compulsive disorder (β= - 0.73). Also, the final research model had a good fit (RMSEA=0.03, p<0.05) and 98% of the variance of obsessive–compulsive disorder and 99% of the variance of quality of life is explained by cognitive flexibility with mediating role of alexithymia.
Discussion and conclusion: According to the findings of this research and the role of cognitive flexibility and alexithymia, the use of emotion regulation training and acceptance and commitment therapy, to improve the quality of life and obsessive–compulsive disorder of patients with psoriasis.
کلیدواژه‌ها [English]
alexithymia, cognitive flexibility, obsessive–compulsive disorder, psoriasis, quality of life
سایر فایل های مرتبط با مقاله
مراجع
منابع

  1. Parisi R, Iskandar IY, Kontopantelis E, Augustin M, Griffiths CE, Ashcroft DM. National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study. BMJ, 2020; 28(1): 369-379. https://doi.org/10.1136/bmj.m1590
  2. Nowowiejska J, Karny A, Nesterowicz M, Purpurowicz P, Baran A, Kaminski TW, Flisiak I. Sexual dysfunctions in psoriatic patients. Frontiers in Public Health, 2024; 12(1): 1-10. https://doi.org/10.3389/fpubh.2024.1339196
  3. Choon SE, De La Cruz C, Wolf P, Jha RK, Fischer KI, Goncalves‐Bradley DC, Gottlieb AB. Health‐related quality of life in patients with generalized pustular psoriasis: A systematic literature review. Journal of the European Academy of Dermatology and Venereology, 2024; 38(2): 265-280. https://doi.org/10.1111/jdv.19530
  4. Wei W, Zhang B, Liu T, Lu T. Effect of psychological intervention on quality of life among patients with psoriasis: a meta-analysis. International Journal of Behavioral Medicine, 2024; 31(1): 911-922. https://doi.org/10.1007/s12529-024-10315-0
  5. Pérez-Chada LM, Hopkins ZH, Balak DM, Rashid S, Creadore A, Chu B, Barbieri JS. Patient-reported outcome measures for health-related quality of life in patients with psoriasis: a systematic review. JAMA dermatology, 2024; 1(1): 1-10. https://doi.org/10.1001/jamadermatol.2023.5439
  6. Chung KC, Muthutantri A, Goldsmith GG, Watts MR, Brown AE, Patrick DL. Symptom impact and health-related quality of life (HRQoL) assessment by cancer stage: a narrative literature review. BMC cancer, 2024; 24(1): 884-896. https://doi.org/10.1186/s12885-024-12612-z
  7. Maul JT, Navarini AA, Sommer R, Anzengruber F, Sorbe C, Mrowietz U, Augustin M. Gender and age significantly determine patient needs and treatment goals in psoriasis–a lesson for practice. Journal of the European Academy of Dermatology and Venereology, 2019; 33(4): 700-708. https://doi.org/10.1111/jdv.15324
  8. Blome C, Gosau R, Radtke MA, Reich K, Rustenbach SJ, Spehr C, Augustin M. Patient-relevant treatment goals in psoriasis. Archives of dermatological research, 2016; 308(2): 69-78. https://doi.org/10.1007/s00403-015-1613-8
  9. Maul JT, Augustin M, Sorbe C, Conrad C, Anzengruber F, Mrowietz U, Navarini AA. Association of sex and systemic therapy treatment outcomes in psoriasis: a two‐country, multicentre, prospective, noninterventional registry study. British Journal of Dermatology, 2021; 185(6): 1160-1168. https://doi.org/10.1111/bjd.20387
  10. Costa AA, Cota OM, Esteves Lima RP, Oliveira SD, Cortelli SC, Cortelli JR, Costa FO. The association between periodontitis and the impact of oral health on the quality of life of individuals with psoriasis and psoriatic arthritis. PloS one, 2024; 19(6): 1-10. https://doi.org/10.1371/journal.pone.0301158
  11. Shah K, Mellars L, Changolkar A, Feldman SR. Real-world burden of comorbidities in US patients with psoriasis. Journal of the American Academy of Dermatology, 2017; 77(2): 287-292. https://doi.org/10.1016/j.jaad.2017.03.037
  12. Scotti L, Franchi M, Marchesoni A, Corrao G. Prevalence and incidence of psoriatic arthritis: a systematic review and meta-analysis. In Seminars in Arthritis and Rheumatism, 2018; 48(1): 28-34. https://doi.org/10.1016/j.semarthrit.2018.01.003
  13. Daudén E, Vidal D, Romero A, Bordel MT, Rivera R, Márquez J, Zulaica A. Psoriasis severity, health-related quality of life, work productivity, and activity impairments among patients with moderate to severe psoriasis receiving systemic treatment: Real-world data from clinical practice in Spain. Actas dermo-sifiliograficas, 2024; 115(1): 1-9. https://doi.org/10.1016/j.ad.2023.07.001
  14. Di Spirito F, Raimondo A, Di Palo MP, Martina S, Fordellone M, Rosa D, Lembo S. Oral lesions and oral health-related quality of life in adult patients with psoriasis: A Retrospective Chart Review. Life, 2024; 14(3): 347-357. https://doi.org/10.3390/life14030347
  15. Chou Y, Tai YH, Dai YX, Lee DD, Chang YT, Chen TJ, Chen MH. Obsessive–compulsive disorder and the associated risk of autoimmune skin diseases: a nationwide population-based cohort study. CNS spectrums, 2023; 28(2): 157-163. https://doi.org/10.1017/S1092852921000973
  16. Adam Y, Meinlschmidt G, Gloster AT, Lieb R. Obsessive–compulsive disorder in the community: 12-month prevalence, comorbidity and impairment. Social psychiatry and psychiatric epidemiology, 2012; 47(1):339-349. https://doi.org/10.1007/s00127-010-0337-5
  17. Mavrogiorgou P, Bader A, Stockfleth E, Juckel G. Obsessive‐compulsive disorder in dermatology. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2015; 13(10): 991-999. https://doi.org/10.1111/ddg.12781
  18. Stengler-Wenzke K, Kroll M, Matschinger H, Angermeyer MC. Subjective quality of life of patients with obsessive-compulsive disorder compared to the general population. Psychiatrische Praxis, 2006; 33(7): 350-352. https://doi.org/10.1055/s-2006-940145
  19. Subramaniam M, Soh P, Vaingankar JA, Picco L, Chong SA. Quality of life in obsessive-compulsive disorder: impact of the disorder and of treatment. CNS drugs, 2013; 27(1): 367-383. https://doi.org/10.1007/s40263-013-0056-z
  20. Rudnik A, Piotrowicz G, Basińska MA, Rashedi V. The importance of cognitive flexibility and flexibility in coping with stress for the quality of life in inflammatory bowel disease patients during biological therapy. A preliminary report. Gastroenterology Review/Przegląd Gastroenterologiczny, 14(2): 121-128. https://doi.org/10.5114/pg.2018.81081
  21. Khanizadeh T, Bagherian-Sararoudi R, Ebrahimi A, Feizi A, Sanei H. The role of psychological flexibility on quality of life in patients with coronary artery disease mediated by illness perception: Structural equation model. Journal of Isfahan Medical School, 2022; 40(662): 115-123. (In Persian) https://doi.org/10.48305/jims.v40.i662.0115
  22. Veismoradi M, Borjali A, Rafezi Z. Predicting Nurses' Quality of Life Based on Coronavirus-Induced Anxiety and Cognitive Flexibility. Clinical Psychology and Personality, 2023; 21(1): 171-180. (In Persian) https://doi.org/10.22070/cpap.2023.16350.1237
  23. Miles S, Howlett CA, Berryman C, Nedeljkovic M, Moseley GL, Phillipou A. Considerations for using the Wisconsin Card Sorting Test to assess cognitive flexibility. Behavior research methods, 2021; 53(5): 2083-2091. https://doi.org/10.3758/s13428-021-01551-3
  24. Hohl K, Dolcos S. Measuring cognitive flexibility: A brief review of neuropsychological, self-report, and neuroscientific approaches. Frontiers in Human Neuroscience, 2024; 18(1): 1-10. https://doi.org/10.3389/fnhum.2024.1331960
  25. Brockmeyer T, Febry H, Leiteritz-Rausch A, Wünsch-Leiteritz W, Leiteritz A, Friederich HC. Cognitive flexibility, central coherence, and quality of life in anorexia nervosa. Journal of eating disorders, 2022; 10(1): 22-32. https://doi.org/10.1186/s40337-022-00547-4
  26. Chamberlain SR, Fineberg, NA, Blackwell AD, Robbins TW, Sahakian BJ. Motor inhibition and cognitive flexibility in obsessive-compulsive disorder and trichotillomania. American journal of psychiatry, 2006; 163(7): 1282-1284. https://doi.org/10.1176/ajp.2006.163.7.1282
  27. Pellegrini L, Fineberg NA. Cognitive inflexibility, obsessive-compulsive symptoms and traits and poor post-pandemic adjustment. Neuroscience Applied, 2024; 1(2): 1-10. https://doi.org/10.1016/j.nsa.2024.104073
  28. Karakuş S, Akbay SE. The mediating role of psychological flexibility in explaining authenticity and life satisfaction with alexithymia. Participatory Educational Research, 2022; 9(1): 285-302. https://doi.org/10.17275/per.22.16.9.1
  29. Franco P, Tesio V, Bertholet J, Gasnier A, Del Portillo EG, Spalek M, Castelli L. The role of alexithymia and empathy on radiation therapists’ professional quality of life. Technical innovations & patient support in radiation oncology, 2020; 15(1): 29-36. https://doi.org/10.1016/j.tipsro.2020.07.001
  30. Yousefi N, Monirpoor N. The role of alexithymia and irrational beliefs in predicting obsessive-compulsive disorder in people with obsessive-compulsive disorder. Rooyesh. 2022; 10(12): 159-168. (In Persian) http://dorl.net/dor/20.1001.1.2383353.1400.10.12.10.2
  31. Ditzer J, Wong EY, Modi RN, Behnke M, Gross JJ, Talmon A. Child maltreatment and alexithymia: A meta-analytic review. Psychological bulletin, 2023; 149(5-6): 311-320. https://doi.org/10.1037/bul0000391
  32. Mendia J, Zumeta LN, Cusi O, Pascual A, Alonso-Arbiol I, Díaz V, Páez D. Gender differences in alexithymia: Insights from an Updated Meta-Analysis. Personality and Individual Differences, 2024; 227(1): 1-10. http://dx.doi.org/10.1016/j.paid.2024.112710
  33. Taylor GJ, Bagby RM. Examining proposed changes to the conceptualization of the alexithymia construct: The way forward tilts to the past. Psychotherapy and psychosomatics, 2021; 90(3): 145-155. https://doi.org/10.1159/000511988
  34. Armstrong AW, Read C. Pathophysiology, clinical presentation, and treatment of psoriasis: a review. Jama, 2020; 323(19): 1945-1960. https://doi.org/10.1001/jama.2020.4006
  35. Prinz JC, Choon SE, Griffiths CE, Merola JF, Morita A, Ashcroft DM, Viguier M. Prevalence, comorbidities and mortality of generalized pustular psoriasis: a literature review. Journal of the European Academy of Dermatology and Venereology, 2023; 37(2): 256-273. https://doi.org/10.1111/jdv.18720
  36. Feng JN, Guo JZ, Zhang Q, Zhuo L, Xu L, Liu, LL, Wang SF. Higher prevalence of generalized pustular psoriasis in Asia? A population-based study using claim data in China and a systematic review. Dermatology, 2023; 239(2): 195-205. https://doi.org/10.1159/000528850
  37. Cipolla S, Catapano P, Bonamico AF, De Santis V, Murolo, R, Romano F, Catapano F. Factors associated with anxiety, depression, and quality of life in patients with psoriasis: A cross-sectional study. Brain Sciences, 2024; 14(9): 865-875. https://doi.org/10.3390/brainsci14090865
  38. Iocca F, Burlando M, Angelo NL, Ragucci F, Pugi D, Parodi A, Pozza A. Sexual functioning in patients with psoriasis: the role of body dissatisfaction and cognitive biases toward sexuality. Journal of Sex & Marital Therapy, 2024; 50(4): 439-455. https://doi.org/10.1080/0092623X.2024.2302959
  39. Shah S, Merchant SA, Shah SA. Female sexual dysfunction in psoriasis: a systematic review and meta-analysis using the Female Sexual Function Index. International Journal of Impotence Research, 2024; 36(3): 232-241. https://doi.org/10.1038/s41443-022-00650-9
  40. Kahraman BB, Karatepe HT, Karadağ AS, Çıtak S. Psychological flexibility, stigma, and quality of life in psoriasis patients. Psychother Res, 2024; 13(1): 1-10. http://dx.doi.org/10.5455/JCBPR.146290
  41. Kline RB. Principles and practice of structural equation modeling. Guilford publications. 2023. https://www.guilford.com/books/Principles-and-Practice-of-Structural-Equation-Modeling/Rex-Kline/9781462551910
  42. Wu CL, Chang YC, Yao WT, Chiang TI. Exploring the effectiveness of biological therapy in patients with psoriasis: body image and quality of life. Medicina, 2024; 60(1): 160-170. https://doi.org/10.3390/medicina60010160
  43. Finlay AY, Khan G. Dermatologyl ife quality Index (DLQI)—a simple practical measure for routine clinical use. Clinical and experimental dermatology, 1994; 19(3): 210-216. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
  44. Zou Q, Luo Y, Hao D, Li M, Jihui C. Validation and application of the dermatology life quality index score, a modification of the DLQI score, in psoriasis patients. Journal of Health, Population and Nutrition, 43(1): 92-100. https://doi.org/10.1186/s41043-024-00587-3
  45. Aminizadeh S, Askarizadeh G, Bagheri M. The effectiveness of dynamic interpersonal psychotherapy on psychological symptoms, emotion regulation and quality of life of psychodermatologic patients. Journal of Psychological Studies, 2022; 18(2): 119-132. (In Persian) https://doi.org/10.22051/psy.2022.39950.2599
  46. Hodgson J, Rachman S. Obsessional-compulsive complaints. Behaviour research and therapy, 1977; 15(5): 389-395. https://doi.org/10.1016/0005-7967(77)90042-0
  47. Mosavi SZ, Syyad Tabaei SR. Prediction of obsessive compulsive disorder based on rumination and distress tolerance in the corona epidemic. Rooyesh, 2023; 12(4): 159-166. (In Persian) http://dorl.net/dor/20.1001.1.2383353.1402.12.4.16.6
  48. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto alexithymia scale—I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research, 1994; 38 (1): 23-32. https://doi.org/10.1016/0022-3999(94)90005-1
  49. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research, 20210; 34(3): 241-253. https://doi.org/10.1007/s10608-009-9276-4
  50. Beck AT, Steer RA, Brown GK. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation 1996. https://psycnet.apa.org/doi/10.1037/t00742-000
  51. Kohandani M, Abolmaali Alhosseini K. Factor structure and psychometric properties of Persian version of cognitive flexibility of Dennis, Vander Wal and Jillon. Psychological Models and Methods, 2017; 8(29): 53-70. (In Persian) https://dorl.net/dor/20.1001.1.22285516.1396.8.29.3.2
  52. Chimenti MS, Fonti GL, Conigliaro P, Hitaj J, Triggianese P, Teoli M, Perricone R. Evaluation of alexithymia in patients affected by rheumatoid arthritis and psoriatic arthritis: A cross-sectional study. Medicine, 2019; 98(4): 1-10. https://doi.org/10.1097%2FMD.0000000000013955
  53. Kafetsios K, Hess U. Seeing mixed emotions: Alexithymia, emotion perception bias, and quality in dyadic interactions. Personality and Individual Differences, 2019; 137(1): 80-85. https://psycnet.apa.org/doi/10.1016/j.paid.2018.08.014
  54. Kinnaird E, Stewart C, Tchanturia K.. Investigating alexithymia in autism: A systematic review and meta-analysis. European Psychiatry, 2019; 55(1): 80-89. https://doi.org/10.1016/j.eurpsy.2018.09.004
  55. Faramarzirad B, Robatmili S, Abolmali K, Zarehbaramabadi M. A structural model for predicting alexithymia based on early maladaptive schemas with the mediation of emotional self-disclosure. Journal of Psychological Science, 2023; 22(123), 539-556. (In Persian) http://dx.doi.org/10.52547/JPS.22.123.539
  56. Pines AM. The female entrepreneur: Burnout treated using a psychodynamic existential approach. Clinical Case Studies, 2003; 1(2), 170-180. http://dx.doi.org/10.1177/1534650102001002005
  57. Zakeri F, Safarain Tosi M, Nejat H. Investigating the role of self-compassion moderator on the relationship between alexithymia and couple burnout in incompatible women. Quarterly Journal of Education, Counseling and Psychotherapy, 2019; 8(29): 52-64. (In Persian) https://journals.iau.ir/article_667020.html
  58. Chan J, Becerra R, Weinborn M, Preece D. Assessing alexithymia across Asian and western cultures: psychometric properties of the perth alexithymia questionnaire and Toronto alexithymia scale-20 in Singaporean and Australian samples. Journal of Personality Assessment, 2023; 105(3): 396-412. https://doi.org/10.1080/00223891.2022.2095641
  59. Muzi S, Di Trani M, Renzi A, Pace CS. Can alexithymia be assessed through an interview in adolescents? The Toronto Structured Interview for Alexithymia: Reliability, concurrent validity, discriminant validity, and relationships with emotional-behavioral symptoms. Frontiers in Psychiatry, 2023; 13(1): 1-10. https://doi.org/10.3389/fpsyt.2022.1055946
  60. Veisi S, Kashefi F, Imani S. Fittness the Causal-Structural Relationships of Successful Intelligence with Wisdom with the Mediation of Musical Intelligence in Piano Players. Social Psychology Research, 2024; 14(54): 1-14. (In Persian) https://doi.org/10.22034/spr.2024.424119.1877
  61. Kordnoghabi R, Veisi S. Developing a Model of Wisdom Based on Successful Intelligence and Psychological Well-Being in Students: The Mediating Role of Creativity. Positive Psychology Research, 2024; 10(3): 29-50. https://doi.org/10.22108/ppls.2025.139681.2473
  62. Wallace DP, McCracken LM, Weiss KE, Harbeck-Weber C. The role of parent psychological flexibility in relation to adolescent chronic pain: Further instrument development. The Journal of Pain, 2015; 16(3): 235-246. https://doi.org/10.1016/j.jpain.2014.11.013
  63. Eskandari H, Pajouhinia S, Abavisan Y. Explanation of Psychological Problems Based on Cognitive Flexibility and Self Differentiation. Shefaye Khatam 2016; 4 (3): 18-27 http://dx.doi.org/10.18869/acadpub.shefa.4.3.18
  64. Daks JS, Rogge RD. Examining the correlates of psychological flexibility in romantic relationship and family dynamics: A meta-analysis. Journal of Contextual Behavioral Science, 2020; 1(1): 1-10. http://dx.doi.org/10.1016/j.jcbs.2020.09.010
  65. Twohig P, Vilardaga J, Levin ME, Hayes SC. Changes in psychological flexibility during acceptance and commitment therapy for obsessive compulsive disorder. Journal of Contextual Behavioral Science, 2015; 4(3): 196–202. https://doi.org/10.1016/j.jcbs.2015.07.001
  66. Wu Y, Koutstaal W. Charting the contributions of cognitive flexibility to creativity: Self-guided transitions as a process-based index of creativity-related adaptivity. Plos one, 2020; 15(6): 1-10. https://doi.org/10.1371/journal.pone.0234473
  67. Berghoff CR, McDermott MJ, Dixon-Gordon KL. Psychological flexibility moderates the relation between PTSD symptoms and daily pain interference. Personality and Individual Differences, 2018; 124(1): 130-134. http://dx.doi.org/10.1016/j.paid.2017.12.012
  68. Grégoire S, Chénier C, Doucerain M, Lachance L, Shankland,R. Ecological momentary assessment of stress, well-being, and psychological flexibility among college and university students during acceptance and commitment therapy. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 2020; 52(3): 231–243. https://doi.org/10.1037/cbs0000175
  69. Fonseca S, Trindade IA, Mendes AL, Ferreira C. The buffer role of psychological flexibility against the impact of major life events on depression symptoms. Clinical Psychologist, 2020; 24(1): 82-90. https://psycnet.apa.org/doi/10.1111/cp.12194
  70. Østergaard,T, Lundgren T, Zettle RD, Landrø N. I, Haaland VØ. Psychological flexibility in depression relapse prevention: processes of change and positive mental health in group-based ACT for residual symptoms. Frontiers in psychology, 2020; 27(11): 528-538. https://doi.org/10.3389/fpsyg.2020.00528
  71. Pakenham KI, Landi G, Boccolini G, Furlani A, Grandi S, Tossani E. The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. Journal of contextual behavioral science, 2020; 17(1): 109-118. https://doi.org/10.1016/j.jcbs.2020.07.003
  72. Sternheim LC, van Passel B, Dingemans A, Cath D, Danner UN. Cognitive and experienced flexibility in patients with anorexia nervosa and obsessive compulsive disorder. Frontiers in Psychiatry, 2022; 13(1): 1-10. https://doi.org/10.3389/fpsyt.2022.868921
  73. Puttevils L, Vanderhasselt MA, Horczak P, Vervaet M. Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: a systematic review and meta-analysis. Comprehensive Psychiatry, 2021; 109(1): 1-10. https://doi.org/10.1016/j.comppsych.2021.152262
  74. Asghari Ebrahimabad M, Mamizade M. An Investigation into the role of psychological flexibility and hardiness in explaining soldiers’ psychological well-being. Research in Clinical Psychology and Counseling, 2018; 8(1): 37-51. (In Persian) https://doi.org/10.22067/ijap.v8i1.67658
Safari Mousavi S S, Nadri M, Amiri M, Radfar F, Farokhcheh M. The predictive role of psychological flexibility and cognitive emotion regulation strategies on depression, anxiety and stress in type 2 diabetic patients. Journal of Disability Studies, 2019; 9(1): 39-50. (In Persian) http://dorl.net/dor/20.1001.1.23222840.1398.9.0.13.5

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