Üniversite Öğrencilerinde Psikolojik Esneklik ve Anksiyete İlişkisinde Belirsizliğe Tahammülsüzlük ve Duygu Düzenleme Güçlüğünün Rolü
DOI:
https://doi.org/10.5281/zenodo.22182399Anahtar Kelimeler:
Anksiyete, Duygu Düzenleme Güçlüğü, Belirsizliğe Tahammülsüzlük, Psikolojik EsneklikÖzet
Çalışmanın amacı, üniversite öğrencilerinde psikolojik esneklik ve anksiyete arasındaki ilişkiyi incelemek ve belirsizliğe tahammülsüzlüğün ve duygu düzenleme güçlüğünün bu ilişkideki rolünü tespit etmektir. Araştırma kapsamında, psikolojik esneklik ve anksiyete arasındaki ilişkiyle birlikte, belirsizliğe tahammülsüzlüğün aracılık ve duygu düzenleme güçlüğünün de aracılık ve düzenleyicilik rolleri araştırılmıştır. Veriler, anket yöntemi ile çevrimiçi olarak toplanmıştır. Araştırmanın hedef kitlesi üniversite öğrencileri olup bu doğrultuda toplam 202 üniversite öğrencisine ulaşılmış ve elde edilen veriler SPSS 26 programı kullanılarak hiyerarşik regresyon analizleri, Hayes’in PROCESS Macro’su ile düzenleyici etkili aracılık (Model 7), aracılık (Model 4), düzenleyicilik (Model 1), ve paralel aracılık (Model 4) gibi yöntemler ile incelenmiştir. Analizler sonucunda psikolojik esneklik ve anksiyete arasında negatif ilişkinin varlığı belirlenmiş ve belirlenen negatif ilişkide belirsizliğe tahammülsüzlüğün aracı rolünün olduğu bulunurken, duygu düzenleme güçlüğünün düzenleyici rolü olmadığı bulunmuştur. Ek analiz olarak yapılan paralel aracılık analizinde de duygu düzenleme güçlüğü ve belirsizliğe tahammülsüzlüğün her ikisinin birden psikolojik esneklik ve anksiyete arasında aracı değişken rolüne sahip olduğu görülmüştür. Psikolojik esneklik ve anksiyete arasındaki negatif ilişkide bu iki değişkenin aracı değişken olarak bulunması, anksiyetesi olan üniversite öğrencilerine klinik olarak erişim sağlanabildiğinde dikkat edilmesi gereken önemli bir bulgu olarak değerlendirilmiştir. Çalışmanın sonuçları, tedavide belirsizliğe tahammülsüzlüğün ve duygu düzenleme güçlüğünün hedef alınmasının, psikolojik esneklik temelli müdahalelerin etkinliğini artırabileceğini ve kaygıyı azaltmada etkili olabileceğini düşündürmektedir.
Referanslar
Ahmed, I., Hazell, C. M., Edwards, B., Glazebrook, C., & Davies, E. B. (2023). A systematic review and meta-analysis of studies exploring prevalence of non-specific anxiety in undergraduate university students. BMC Psychiatry, 23(1), 240. https://doi.org/10.1186/s12888-023-04645-8
Aldao, A. (2013). The future of emotion regulation research: Capturing context. Perspectives on Psychological Science, 8(2), 155-172. https://doi.org/10.1177/1745691612459518
Aldao, A., Gee, D. G., De Los Reyes, A., & Seager, I. (2016). Emotion regulation as a transdiagnostic factor in the development of internalizing and externalizing psychopathology: Current and future directions. Development and Psychopathology, 28(4pt1), 927-946. https://doi.org/10.1017/ S095457 9416000638
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. https://doi.org/10.1016/j.cpr.2009.11.004
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173. https://doi.org/10.1037/0022-3514.51.6.1173
Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Social Psychiatry And Psychiatric Epidemiology, 43(8), 667-672. https://doi.org/10.1007/s00127-008-0345-x
Berking, M., Poppe, C., Luhmann, M., Wupperman, P., Jaggi, V., & Seifritz, E. (2012). Is the association between various emotion-regulation skills and mental health mediated by the ability to modify emotions? Results from two cross-sectional studies. Journal of Behavior Therapy and Experimental Psychiatry, 43(3), 931-937. https://doi.org/10.1016/j.jbtep.2011.09.009
Binder, F. P., Pöhlchen, D., Zwanzger, P., & Spoormaker, V. I. (2022). Facing your fear in immersive virtual reality: Avoidance behavior in specific phobia. Frontiers in Behavioral Neuroscience, 16, 827673. https://doi.org/10.3389/fnbeh.2022.827673
Birrell, J., Meares, K., Wilkinson, A., & Freeston, M. (2011). Toward a definition of intolerance of uncertainty: A review of factor analytical studies of the Intolerance of Uncertainty Scale. Clinical Psychology Review, 31(7), 1198-1208. https://doi.org/10.1016/j.cpr.2011.07.009
Boswell, J. F., Thompson‐Hollands, J., Farchione, T. J., & Barlow, D. H. (2013). Intolerance of uncertainty: A common factor in the treatment of emotional disorders. Journal of Clinical Psychology, 69(6), 630-645. https://doi.org/10.1002/jclp.21965
Budner, S. (1962). Tolerance for ambiguity scale. Journal of Personality, 30(1), 29-50. https://doi.org/10.1111/j.1467-6494.1962.tb02303.x
Büyüköksüz, E., & Kayaalp-pehlivan, R. (2025). Psychological Inflexibility, Mindfulness, Emotion Regulation, Self-compassion, and Anxiety in Adults: A Serial Mediation Model. Muğla Sıtkı Koçman Üniversitesi Eğitim Fakültesi Dergisi, 12(1), 107-134. https://doi.org/10.21666/muefd.1643883
Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12(8), 937-947. https://doi.org/10.1586/ern.12.82
Carleton, R. N., Sharpe, D., & Asmundson, G. J. (2007). Anxiety sensitivity and intolerance of uncertainty: Requisites of the fundamental fears?. Behaviour Research And Therapy, 45(10), 2307-2316. https://doi.org/10.1016/j.brat.2007.04.006
Chen, S., Yao, N., & Qian, M. (2018). The influence of uncertainty and intolerance of uncertainty on anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 61, 60-65. https://doi.org/10.1016/j.jbtep.2018.06.005
Ciarrochi, J., Bilich, L., & Godsell, C. (2010). Psychological flexibility as a mechanism of change in acceptance and commitment therapy. Assessing mindfulness and acceptance processes in clients: Illuminating the Theory and Practice of Change Acceptance and Commitment Therapy, 2010, 51-75. https://doi.org/10.4324/9780203834688-17
DeRoma, V. M., Martin, K. M., & Kessler, M. L. (2003). The relationship between tolerance for ambiguity and need for course structure. Journal of Instructional Psychology, 30(2), 104.
Desrosiers, A., Vine, V., Klemanski, D. H., & Nolen‐Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depression and Anxiety, 30(7), 654-661. https://doi.org/10.1002/da.22124
Dogan, T. (2012). A long‐term study of the counseling needs of Turkish university students. Journal of Counseling & Development, 90(1), 91-96. https://doi.org/10.1111/j.1556-6676.2012.00012.x
Doruk, A., Dugenci, M., Ersöz, F., & Öznur, T. (2015). Intolerance of uncertainty and coping mechanisms in nonclinical young subjects. Nöro Psikiyatri Arşivi, 52(4), 400. https://doi.org/10.5152/npa. 2015.8779
Dugas, M. J., Hedayati, M., Karavidas, A., Buhr, K., Francis, K., & Phillips, N. A. (2005). Intolerance of uncertainty and information processing: Evidence of biased recall and interpretations. Cognitive Therapy and Research, 29(1), 57-70. https://doi.org/10.1007/s10608-005-1648-9
Dyson, R., & Renk, K. (2006). Freshmen adaptation to university life: Depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62(10), 1231-1244. https://doi.org/10.1002/jclp.20295
Ferreira, M. G., Mariano, L. I., de Rezende, J. V., Caramelli, P., & Kishita, N. (2022). Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. Journal of Affective Disorders, 309, 297-308. https://doi.org/10.1016/j.jad.2024.03.155
Frenkel-Brunswik, E. (1949). Intolerance of ambiguity as an emotional and perceptual personality variable. Journal of Personality, 18, 108–143. https://doi.org/10.1111/j.1467-6494.1949.tb01236.x
Gao, Z. H., & Li, J. (2024). Intolerance of uncertainty and mental health in China “Post-pandemic” age: The mediating role of difficulties in emotion regulation. Plos One, 19(2), e0298044. https://doi.org/10.1371/journal.pone.0298044
Geçgin, F. M., & Sahranç, Ü. (2017). The relationships between intolerance of uncertainty and psychological well-being. Sakarya University Journal of Education, 7(4), 739-756. https://doi.org/10.19126/suje.383737
Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181-192. https://doi.org/10.1016/j.jcbs.2020.09.009
Godara, M., Everaert, J., Sanchez-Lopez, A., Joormann, J., & De Raedt, R. (2023). Interplay between uncertainty intolerance, emotion regulation, cognitive flexibility, and psychopathology during the COVID-19 pandemic: a multi-wave study. Scientific Reports, 13(1), 9854. https://doi.org/10.1038/s41598-023-36211-3
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
Greco, V., & Roger, D. (2003). Uncertainty, stress, and health. Personality and Individual Differences, 34(6), 1057-1068. https://doi.org/10.1016/S0191-8869(02)00091-0
Grenier, S., Barrette, A. M., & Ladouceur, R. (2005). Intolerance of uncertainty and intolerance of ambiguity: Similarities and differences. Personality and Individual Differences, 39(3), 593-600. https://doi.org/10.1016/j.paid.2005.02.014
Gross, J. J. (2014). Emotion regulation: conceptual and empirical foundations. Emotion Regulation Book Chapter. The Guilford Press. New York London.
Gu, Y., Gu, S., Lei, Y., & Li, H. (2020). From uncertainty to anxiety: How uncertainty fuels anxiety in a process mediated by intolerance of uncertainty. Neural Plasticity, 2020. https://doi.org/10.1155/ 2020/8866386
Gudarzi, T., & Cervin, M. (2024). Emotion dysregulation and psychological inflexibility in adolescents: Discriminant validity and associations with internalizing symptoms and functional impairment. Journal of Contextual Behavioral Science, 34, 100847. https://doi.org/10.1016/ j.jcbs.2024.100847
Gullo, S., Gelo, O. C. G., Bassi, G., Lo Coco, G., Lagetto, G., Esposito, G., ... & Di Blasi, M. (2023). The role of emotion regulation and intolerance to uncertainty on the relationship between fear of COVID-19 and distress. Current Psychology, 42(23), 19658-19669. https://doi.org/10.1007/s12144-022-03071-5
Hantsoo, L., & Epperson, C. N. (2017). Anxiety disorders among women: a female lifespan approach. Focus, 15(2), 162-172. https://doi.org/10.1176/appi.focus.20160042
Hayes S. C., Wilson K. G., Gifford E. V., Follette V. M., Strosahl K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152
Hayes, A. F. (2012). Process: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling 1. Psychology, 4-6.
Hayes, A. F. (2013). Mediation, moderation, and conditional process analysis. Introduction to mediation, moderation, and conditional process analysis: A Regression-based Approach, 1(6), 12-20. https://doi.org/10.61700/g3k1z8egr15e01173
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. https://doi.org/10.1016/j.brat.2005.06.006
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2nd ed.). Guilford Press.
Hofmann, S. G., & Hay, A. C. (2018). Rethinking avoidance: Toward a balanced approach to avoidance in treating anxiety disorders. Journal of Anxiety Disorders, 55, 14-21. https://doi.org/10.1016/ j.janxdis.2018.03.004
Karakuş, S., & Akbay, S. E. (2020). Psikolojik Esneklik Ölçeği: Uyarlama, Geçerlik ve Güvenirlik Çalışması. Mersin Üniversitesi Eğitim Fakültesi Dergisi, 16(1), 32-43. https://doi.org/10.17860/ mersinefd.665406
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878. https://doi.org/10.1016/j.cpr.2010.03.001
Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., & McKnight, P. E. (2020). Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Psychological Assessment, 32(9), 829. https://doi.org/10.1037/pas0000834
Kennedy, C., Deane, F. P., & Chan, A. Y. (2021). Intolerance of uncertainty and psychological symptoms among people with a missing loved one: Emotion regulation difficulties and psychological inflexibility as mediators. Journal of Contextual Behavioral Science, 21, 48-56. https://doi.org/10.1016/j.jcbs.2021.05.006
Keulen, J., Deković, M., Matthijssen, D., Schraven, J., & Bodden, D. (2025). Psychological Flexibility, Adaptive Emotion Regulation, Self-Compassion and Autonomy as Mechanisms of Change in Acceptance and Commitment Therapy for Transitional-Age Youth. Behavior Therapy. https://doi.org/10.1016/j.beth.2025.10.004
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., ... & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763-771. https://doi.org/10.1016/j.cpr.2013.05.005
Kirk, A., Meyer, J. M., Whisman, M. A., Deacon, B. J., & Arch, J. J. (2019). Safety behaviors, experiential avoidance, and anxiety: A path analysis approach. Journal of Anxiety disorders, 64, 9-15. https://doi.org/10.1016/j.janxdis.2019.03.002
Lee, J. K., Orsillo, S. M., Roemer, L., & Allen, L. B. (2010). Distress and avoidance in generalized anxiety disorder: Exploring the relationships with intolerance of uncertainty and worry. Cognitive Behaviour Therapy, 39(2), 126-136. https://doi.org/10.1080/16506070902966918
Lewczuk, K., Kobylińska, D., Marchlewska, M., Krysztofiak, M., Glica, A., & Moiseeva, V. (2021). Adult attachment and health symptoms: The mediating role of emotion regulation difficulties. Current Psychology, 40(4), 1720-1733. https://doi.org/10.1007/s12144-018-0097-z
Li, J., Xia, Y., Cheng, X., & Li, S. (2020). Fear of uncertainty makes you more anxious? Effect of intolerance of uncertainty on college students’ social anxiety: A moderated mediation model. Frontiers in Psychology, 11, 565107. https://doi.org/10.3389/fpsyg.2020.565107
Liu, C. (2015). Relevant researches on tolerance of ambiguity. Theory and Practice in Language Studies, 5(9), 1874-1882. https://doi.org/10.17507/tpls.0509.15
Masuda, A., & Tully, E. C. (2012). The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. Journal of Evidence-Based Complementary & Alternative Medicine, 17(1), 66-71. https://doi.org/10.1177/ 2156587211423400
Masuda, A., Anderson, P. L., Wendell, J. W., Chou, Y. Y., Price, M., & Feinstein, A. B. (2011). Psychological flexibility mediates the relations between self-concealment and negative psychological outcomes. Personality and Individual Differences, 50(2), 243-247. https://doi.org/ 10.1016/j.paid.2010.09.037
Masuda, A., Price, M., Anderson, P. L., & Wendell, J. W. (2010). Disordered eating-related cognition and psychological flexibility as predictors of psychological health among college students. Behavior Modification, 34(1), 3-15. https://doi.org/10.1177/0145445509351569
McClelland, G. H., & Judd, C. M. (1993). Statistical difficulties of detecting interactions and moderator effects. Psychological Bulletin, 114(2), 376. https://doi.org/10.1037/0033-2909.114.2.376
Monat, A., Averill, J. R., & Lazarus, R. S. (1972). Anticipatory stress and coping reactions under various conditions of uncertainty. Journal of Personality and Social Psychology, 24(2), 237. https://doi.org/ 10.1037/h0033297
Näsling, J., Åström, E., Jacobsson, L., & Ljungberg, J. K. (2024). Effect of psychotherapy on intolerance of uncertainty: a systematic review and meta‐analysis. Clinical Psychology & Psychotherapy, 31(4), e3026. https://doi.org/10.1002/cpp.3026
Okayama, S., Minihan, S., Andrews, J. L., Daniels, S., Grunewald, K., Richards, M., ... & Schweizer, S. (2024). Intolerance of uncertainty and psychological flexibility as predictors of mental health from adolescence to old age. Social Psychiatry and Psychiatric Epidemiology, 59(12), 2361-2368. https://doi.org/10.1007/s00127-024-02724-z
Orouji, F., Abdi, R., & Chalabianloo, G. (2022). Mediating role of psychological inflexibility as transdiagnostic factor in the relationship between emotional dysregulation and sleep problems with symptoms of emotional disorders. Frontiers in Psychology, 13, 800041. https://doi.org/10.3389/ fpsyg.2022.800041
Öztekin, G. G., Gómez-Salgado, J., & Yıldırım, M. (2025). Future anxiety, depression and stress among undergraduate students: psychological flexibility and emotion regulation as mediators. Frontiers in Psychology, 16, 1517441. https://doi.org/10.3389/fpsyg.2025.1517441
Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879
Pruessner, L., Timm, C., Kalmar, J., Bents, H., Barnow, S., & Mander, J. (2024). Emotion regulation as a mechanism of mindfulness in individual cognitive‐behavioral therapy for depression and anxiety disorders. Depression and Anxiety, 2024(1), 9081139. https://doi.org/10.1155/2024/9081139
Reizer, A., Galperin, B. L., Chavan, M., Behl, A., & Pereira, V. (2022). Examining the relationship between fear of COVID-19, intolerance for uncertainty, and cyberloafing: A mediational model. Journal of Business Research, 145, 660-670. https://doi.org/10.1016/j.jbusres.2022.03.037
Robichaud, M., & Dugas, M. J. (2008). Psychological Treatment of Generalized 27 Anxiety Disorder. Oxford Handbook of Anxiety and Related Disorders, 364. https://doi.org/10.1093/ oxfordhb/9780195307030.013.0027
Sahib, A., Chen, J., Cárdenas, D., & Calear, A. L. (2023). Intolerance of uncertainty and emotion regulation: A meta-analytic and systematic review. Clinical Psychology Review, 101, 102270. https://doi.org/10.1016/j.cpr.2023.102270
Sakin Özen, N., Ercan, I., Irgil, E., & Sigirli, D. (2010). Anxiety prevalence and affecting factors among university students. Asia Pacific Journal of Public Health, 22(1), 127-133. https://doi.org/10.1177/1010539509352803
Sarıçam, H., Erguvan, F. M., Akın, A. & Akça, M. Ş. (2014). Belirsizliğe Tahammülsüzlük Ölçeği (BTÖ-12) Türkçe Formu: Geçerlik ve güvenirlik çalışması. Route Educational and Social Science Journal, 1(3), 148-157. https://doi.org/10.17121/ressjournal.109
Seligowski, A. V., & Orcutt, H. K. (2015). Examining the structure of emotion regulation: A factor‐analytic approach. Journal of Clinical Psychology, 71(10), 1004-1022. https://doi.org/10.1002/ jclp.22197
Talkovsky, A. M., & Norton, P. J. (2016). Intolerance of uncertainty and transdiagnostic group cognitive behavioral therapy for anxiety. Journal of Anxiety Disorders, 41, 108-114. https://doi.org/10.1016/ j.janxdis.2016.05.002
Tan, G. X., Soh, X. C., Hartanto, A., Goh, A. Y., & Majeed, N. M. (2023). Prevalence of anxiety in college and university students: An umbrella review. Journal of Affective Disorders Reports, 14, 100658. https://doi.org/10.1016/j.jadr.2023.100658
Tirch, D. D., Leahy, R. L., Silberstein, L. R., & Melwani, P. S. (2012). Emotional schemas, psychological flexibility, and anxiety: The role of flexible response patterns to anxious arousal. International Journal of Cognitive Therapy, 5(4), 380-391. https://doi.org/10.1521/ijct.2012.5.4.380
Torbit, L., & Laposa, J. M. (2016). Group CBT for GAD: The role of change in intolerance of uncertainty in treatment outcomes. International Journal of Cognitive Therapy, 9(4), 356-368. https://doi.org/ 10.1521/ijct_2016_09_17
Turgut, E. T., & Soyer, M. K. (2026). The effect of psychological flexibility and intolerance of uncertainty on decision-making styles in university students. International Journal of Turkish Education Sciences, 14(1), 284-301. https://doi.org/10.46778/goputeb.1713507
Ulusoy, M. (1993). Beck Anksiyete Envanteri-Geçerlik ve Güvenirlik Çalışması (Yayınlanmamış uzmanlık tezi). Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul. https://doi.org/10.26650/sp2021-860079
Wang, J., Fang, S., Yang, C., Tang, X., Zhu, L., & Nie, Y. (2023). The relationship between psychological flexibility and depression, anxiety and stress: A latent profile analysis. Psychology Research and Behavior Management, 997-1007. https://doi.org/10.2147/PRBM.S400757
Wilson, E. J., Abbott, M. J., & Norton, A. R. (2023). The impact of psychological treatment on intolerance of uncertainty in generalized anxiety disorder: A systematic review and meta-analysis. Journal of Anxiety Disorders, 97, 102729. https://doi.org/10.1016/j.janxdis.2023.102729
Wojtaszek, J. A., & Saules, K. K. (2024). The moderating effects of intolerance of uncertainty and social connectedness on college students’ addictive behaviors and mental health symptoms during the COVID-19 pandemic. Journal of American College Health, 72(5), 1551-1560. https://doi.org/10.1080/07448481.2022.2082848
Yiğit, İ., & Guzey Yiğit, M. (2019). Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology, 38(6), 1503-1511. https://doi.org/ 10.1007/s12144-017-9712-7
Zou, Y., Wang, R., Xiong, X., Bian, C., Yan, S., & Zhang, Y. (2025). Effects of acceptance and commitment therapy on negative emotions, automatic thoughts and psychological flexibility for depression and its acceptability: a meta-analysis. BMC psychiatry, 25(1), 602. https://doi.org/ 10.1186/s12888-025-07067-w
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