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Psychological Inflexibility Predicts Depression and Anxiety During Covid-19 Pandemic

Ilhan Cicek*, Ahmet Tanhan **, Metin Bulus ***

* Batman University Health College, Batman, Turkey.

** Economic and Social Research Center – ESAM (Ankara, Turkey), Department of Counseling at The University of North Carolina at Greensboro (North Carolina, USA) and Adiyaman University (Adiyaman, Turkey); Institute for Muslim Mental Health (Michigan, USA), Association for Contextual Behavioral Sciences, Turkey Chapter (Istanbul, Turkey).

*** Adiyaman University, Faculty of Education, Adiyaman, Turkey.

Periodicity:May - July'2021
DOI : https://doi.org/10.26634/jpsy.15.1.18198

Abstract

COVID-19 has affected people across the globe in psychosocial and economic aspects. This process has been difficult for most people, even more for some others including (teachers, administrators at educational settings) working in educational settings. The purpose of this study was to understand the predictive effect of psychosocial factors (gender, age, marital status, Additional Time Spent (ATS) on social media, ATS internet compared to the pre-COVID-19 pandemic and expert programs), and psychological inflexibility on depression and anxiety for teachers employed in the Ministry of Education during the pandemic. Participants included 514 adults (49% women). The findings of the study revealed that psychological factors and psychological inflexibility together explained 47% of the variance in depression and 42% of the variance in anxiety. Specifically, gender, social media and psychological inflexibility were significant predictors of both depression and anxiety during the pandemic. In addition to the predictive effect of psychosocial factors, these results indicated that psychological flexibility was important to develop further evidence based mental health services to address psychopathology and enhanced wellbeing. The findings of the study were discussed in the light of literature, and some suggestions were provided for future research and practice.

Keywords

Psychological Inflexibility, Teachers, Depression, Anxiety, COVID-19 Pandemic.

How to Cite this Article?

Cicek, I., Tanhan, A., and Bulus, M. (2021). Psychological Inflexibility Predicts Depression and Anxiety During Covid-19 Pandemic. i-manager's Journal on Educational Psychology, 15(1), 11-24. https://doi.org/10.26634/jpsy.15.1.18198

References

[1]. Asmundson, G. J., Paluszek, M. M., Landry, C. A., Rachor, G. S., McKay, D., & Taylor, S. (2020). Do preexisting anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?. Journal of Anxiety Disorders, 74, 102271.

[2]. Arslan, G., Yıldırım, M., Tanhan, A., Buluş, M., & Allen, K. A. (2020). Coronavirus stress, optimism-pessimism, psychological inflexibility, and psychological health: Psychometric properties of the Coronavirus Stress Measure. International Journal of Mental Health and Addiction, 1-17.

[3]. Bates, D., Mächler, M., Bolker, B., & Walker, S. (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67(1), 1-48.

[4]. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897.

[5]. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561-571.

[6]. Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., ... & Zettle, R. D. (2011). Preliminary psychometric properties of the acceptance and action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676-688.

[7]. Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5(1), 156–163.

[8]. Ceri, V., & Cicek, I. (2021). Psychological well-being, depression and stress during COVID-19 pandemic in Turkey: A comparative study of healthcare professionals and non-healthcare professionals. Psychology, Health & Medicine, 26(1), 85-97.

[9]. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence: Erlbaum Associates.

[10]. Çiçek, İ., Tanrıverdi, S., Şanlı, M. E., & Bulus, M. (2021). Parental attitudes and socio-demographic factors as predictors of smartphone addiction in university students. International Journal of Psychology and Educational Studies, 8(2), 158-169.

[11]. Çiçek, İ.,Tanhan, A., & Tanriverdi, S. (2020). COVID-19 ve eğitim. Milli Eğitim Dergisi, 49(1), 1091-1104.

[12]. Doyumgaç, I., Tanhan, A., & Kiymaz, M. S. (2021). Understanding the most important facilitators and barriers for online education during COVID-19 through online photovoice methodology. International Journal of Higher Education, 10(1), 166-190.

[13]. Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument. Personality and Individual differences, 47(6), 541-546.

[14]. Fergus, T. A., Valentiner, D. P., Gillen, M. J., Hiraoka, R., Twohig, M. P., Abramowitz, J. S., & McGrath, P. B. (2012). Assessing psychological inflexibility: The psychometric properties of the avoidance and fusion questionnaire for youth in two adult samples. Psychological Assessment, 24(2), 402-408.

[15]. Fledderus, M., Bohlmeijer, E. T., Fox, J. P., Schreurs, K. M., & Spinhoven, P. (2013). The role of psychological flexibility in a self-help acceptance and commitment therapy intervention for psychological distress in a randomized controlled trial. Behaviour Research and Therapy, 51(3), 142-151.

[16]. Furnham, A., & Marks, J. (2013). Tolerance of ambiguity: A review of the recent literature. Psychology, 4(09), 717-728.

[17]. Gaudiano, B. A., Schofield, C. A., Davis, C., & Rifkin, L. S. (2017). Psychological inflexibility as a mediator of the relationship between depressive symptom severity and public stigma in depression. Journal of Contextual Behavioral Science, 6(2), 159-165.

[18]. Gawda, B. (2017). Fear attachment as a predictor for mental inflexibility. Hypothesis on neural bases. Neuro Quantology, 15(4), 93-100.

[19]. Genc, E., Tanhan, A., & Kose, O. (2021). Exploring the facilitators and barriers to intimate relationships during Covid-19 through online photovoice methodology. Manuscript in preparation.

[20]. Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665.

[21]. Hayes, S. C., & Strosahl, K. D. (2004). A Practical Guide to Acceptance and Commitment Therapy. New York, NY: Springer.

[22]. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25.

[23]. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. New York, NY: The Guilford Press.

[24]. Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Batten, S. V., Bergan, J., & Eifert, G. H. (2003). The Acceptance and Action Questionnaire (AAQ) as a measure of experiential avoidance, Psychological Record.

[25]. Hayes, S. C., Strosahl, K. D. ,& Wilson, K. G. (1999). Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. New York: Guilford Press.

[26]. Herbert, J. D., Forman, E. M., Kaye, J. L., Gershkovich, M., Goetter, E., Yuen, E. K., & Berkowitz, S. (2018). Randomized controlled trial of acceptance and commitment therapy versus traditional cognitive behavior therapy for social anxiety disorder: Symptomatic and behavioral outcomes. Journal of Contextual Behavioral Science, 9, 88-96.

[27]. Hisli, N. (1988). Beck Depresyon Envanteri'ningeçer liliğiüzerinebirçalışma. PsikolojiDergisi, 6(22), 118-126.

[28]. Hisli, N. (1989). Beck DepresyonEnvanteri'nin üniversite öğrencileri için geçerliği, güvenirliği. PsikolojiDergisi, 7(23), 3-13.

[29]. Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based crosssectional survey. Psychiatry Research, 288, 112954.

[30]. Johns Hopkins University. (n.d.). Mortality Analyses. Coronavirus Research Center.

[31]. Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878.

[32]. Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44(9), 1301-1320.

[33]. Kashdan, T. B., Farmer, A. S., Adams, L. M., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2013). Distinguishing healthy adults from people with social anxiety disorder: Evidence for the value of experiential avoidance and positive emotions in everyday social interactions. Journal of Abnormal Psychology, 122(3), 645.

[34]. Levin, M. E., Haeger, J. A., Pierce, B. G., & Twohig, M. P. (2017). Web-based acceptance and commitment therapy for mental health problems in college students: A randomized controlled trial. Behavior Modification, 41(1), 141-162.

[35]. Levin, M. E., Krafft, J., Pistorello, J., & Seeley, J. R. (2019). Assessing psychological inflexibility in university students: Development and validation of the acceptance and action questionnaire for university students (AAQ-US). Journal of Contextual Behavioral Science, 12, 199-206.

[36]. Levin, M. E., MacLane, C., Daflos, S., Seeley, J. R., Hayes, S. C., Biglan, A., & Pistorello, J. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3(3), 155-163.

[37]. Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 101132.

[38]. Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., ... & Liu, W. (2020). Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Research, 287, 112921.

[39]. Lu, H., Stratton, C. W., & Tang, Y. W. (2020). Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. Journal of Medical Virology, 92(4), 401-402.

[40]. Masuda, A., Mandavia, A., & Tully, E. C. (2014). The role of psychological inflexibility and mindfulness in somatization, depression, and anxiety among Asian Americans in the United States. Asian American Journal of Psychology, 5(3), 230-236.

[41]. McKay, D., &Asmundson, G. J. (2020). Covid-19 stress and substance use: current issues and future preparations. Journal of Anxiety Disorders, 74, 102174.

[42]. Öğülmüş, K., Acikgoz, M. H., & Tanhan, A. (2021). Evaluation of teacher candidates' perceptions about specific learning difficulties through Online Photovoice (OPV) methodology. International Journal of Education and Literacy Studies, 9(2), 161-169.

[43]. Pappas, G., Kiriaze, I. J., Giannakis, P., & Falagas, M. E. (2009). Psychosocial consequences of infectious diseases. Clinical Microbiology and Infection, 15(8), 743-747.

[44]. Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry, 33(2), 1-15.

[45]. Rajeswari, S., & Sanjeeva Reddy, N. (2020). Efficacy of progressive muscle relaxation on pregnancy outcome among anxious Indian primi mothers. Iranian Journal of Nursing and Midwifery Research, 25(1), 23-30.

[46]. Savci, M., & Aysan, F. (2016). Relationship between impulsivity, social media usage and loneliness. Educational process: International Journal, 5(2), 106-115.

[47]. Simon, E., & Verboon, P. (2016). Psychological inflexibility and child anxiety. Journal of Child and Family Studies, 25(12), 3565-3573.

[48]. Soysa, C. K., & Wilcomb, C. J. (2015). Mindfulness, selfcompassion, self-efficacy, and gender as predictors of depression, anxiety, stress, and well-being. Mindfulness, 6(2), 217-226.

[49]. Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., & Penninx, B. W. (2016). Is experiential avoidance a mediating, moderating, independent, overlapping, or proxy risk factor in the onset, relapse and maintenance of depressive disorders?. Cognitive Therapy and Research, 40(2), 150-163.

[50]. Steel, Z., Marnane, C., Iranpour, C., Chey, T., Jackson, J. W., Patel, V., & Silove, D. (2014). The global prevalence of common mental disorders: A systematic review and meta-analysis 1980-2013. International Journal of Epidemiology, 43(2), 476-493.

[51]. Subasi, Y., Adalar, H., Tanhan, A., Arslan, G., & Allen, K., Boyle, C., Lissack, K., & Collett, K. (2021). College students' experiences of distance education in the context of COVID-19 through Online Photovoice (OPV). Manuscript under review.

[52]. Tanhan, A. (2019). Acceptance and commitment therapy with ecological systems theory: Addressing Muslim mental health issues and wellbeing. Journal of Positive Psychology and Wellbeing, 3(2), 197-219.

[53]. Tanhan, A. (2020). COVID-19 sürecinde Online Seslifoto (OSF) yöntemiyle biyopsikososyal manevi ve ekonomik meseleleri ve genel iyi oluş düzeyini ele almak: OSF'nin Türkçeye uyarlanması. [Utilizing Online Photovoice (OPV) methodology to address biopsychosocial spiritual economic issues and wellbeing during COVID-19: Adapting OPV to Turkish.] Turkish Studies, 15(4), 1029-1086.

[54]. Tanhan, A., Arslan, G., Yavuz, K. F., Young, J. S., Çiçek, İ., Akkurt, M. N., Ulus, İ. Ç., Görünmek, E. T., Demir, R., Kürker, F., Çelik, C., Akça, M. Ş., Ünverdi, B., Ertürk, H., & Allen, K. (2021). A constructive understanding of mental health facilitators and barriers through Online Photovoice (OPV) during COVID-19. ESAM Ekonomik ve Sosyal Araştırmalar Dergisi, 2(2).

[55]. Tanhan, A., & Francisco, V. T. (2019). Muslims and mental health concerns: A social ecological model perspective. Journal of Community Psychology, 47(4), 964-978.

[56]. Tanhan, A., & Strack, R. W. (2020). Online photovoice to explore and advocate for Muslim biopsychosocial spiritual wellbeing and issues: Ecological systems theory and ally development. Current Psychology, 39(6), 2010-2025.

[57]. Tanhan, A..,Yavuz, K. F., Young, J.S, Nalbant, A., Arslan, G., Yıldırım, M., Ulusoy, S., Genç, E., Uğur, E., & Çiçek, İ. (2020). A proposed framework based on literature review of online contextual mental health services to enhance wellbeing and address psychopathology during COVID-19. Electronic Journal of General Medicine, 17 (6), 1-11.

[58]. Tanhan, A. & Young, J. S. (2021a). Approaching mental health: Social ecological model and theory of planned behavior/theor y of reasoned action. International Journal of Eurasian Education and Culture, 6(14), 1967-2015.

[59]. Tanhan, A., & Young, J. S. (2021). Muslims and mental health services: A concept map and a theoretical framework. Journal of Religion and Health, 1-41.

[60]. Team, R. C. (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria.

[61]. Tümkaya, S., Kuşdemir Kayıran, B., Tanhan, A., & Arslan, Ü. (2021). Using Online Photovoice (OPV) to understand youths' perceptions of distance education during COVID-19. Manuscript in preparation.

[62]. Uğur, E., Kaya, Ç., & Tanhan, A. (2020). Psychological inflexibility mediates the relationship between fear of negative evaluation and psychological vulnerability. Current Psychology, 1-13.

[63]. Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). The Beck anxiety inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-172.

[64]. Webster, D. M., & Kruglanski, A. W. (1994). Individual differences in need for cognitive closure. Journal of Personality and Social Psychology, 67(6), 1049–1062.

[65]. Wenzlaff, R. M., & Wegner, D. M. (2000). Thought suppression. Annual Review of Psychology, 51(1), 59-91.

[66]. Wolgast, M. (2014). What does the Acceptance and Action Questionnaire (AAQ-II) really measure?. Behavior Therapy, 45(6), 831-839.

[67]. Woodruff, S. C.,Glass, C. R., Arnkoff, D. B., Crowley, K. J., Hindman, R. K., & Hirschhorn, E. W. (2014). Comparing self-compassion, mindfulness, and psychological inflexibility as predictors of psychological health. Mindfulness, 5(4), 410-421.

[68]. Yavuz, F., Ulusoy, S., Iskin, M., Esen, F. B., Burhan, H. S., Karadere, M. E., & Yavuz, N. (2016). Turkish version of Acceptance and Action Questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 26(4), 397-408.

[69]. Yıldırım, M., & Arslan, G. (2020). Exploring the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. Current Psychology, 1-11.

[70]. Yıldırım, M., Arslan, G., & Özaslan, A. (2020). Perceived risk and mental health problems among healthcare professionals during COVID-19 pandemic: Exploring the mediating effects of resilience and coronavirus fear. International Journal of Mental Health and Addiction, 1-11.

[71]. Yıldırım, M., Çiçek, İ., & Şanlı, M. E. (2021). Coronavirus stress and COVID-19 burnout among healthcare staffs: The mediating role of optimism and social connectedness. Current Psychology, 1-9.

[72]. Yıldırım, M., & Çiçek, İ. (2021). Optimism and pessimism mediate the association between parental coronavirus anxiety and depression among healthcare professionals in the era of COVID-19. Psychology, Health & Medicine, 1-9.

Psychological Inflexibility Predicts Depression and Anxiety During Covid-19 Pandemic

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