Ong Clarissa W, Krafft Jennifer, Levin Michael E, Twohig Michael P
Utah State University, Logan, Utah
Utah State University, Logan, Utah.
J Cogn Psychother. 2018 Jun;32(2):97-111. doi: 10.1891/0889-8391.32.2.97.
Hoarding is associated with functional impairment and impacts quality of life. One process that has been theorized to explain how hoarding develops and leads to impairment is psychological inflexibility, in which behavior is rigidly controlled by a perceived need to regulate internal experiences, at the expense of more effective, valued actions. The present study aimed to test the mediational role of psychological inflexibility in the development of hoarding and its impact on life satisfaction with a sample of 489 college students completing an online survey. Results indicated that multiple measures of psychological inflexibility (overall inflexibility, inattention, and values obstruction) mediated the relationship between distress and hoarding. Other measures of psychological inflexibility (overall inflexibility, cognitive fusion, and lack of values progress) mediated the link between hoarding severity and life satisfaction. These findings suggest that how one responds to distress and hoarding symptoms can influence symptom severity and life satisfaction, and that psychological flexibility may promote more adaptive outcomes. Thus, current interventions for problematic hoarding may be strengthened by targeting psychological inflexibility and related processes.
囤积行为与功能损害相关，并影响生活质量。有一种理论认为，心理灵活性不足是解释囤积行为如何发展并导致损害的一个过程，在这种情况下，行为受到调节内心体验的感知需求的严格控制，而以更有效、更有价值的行为为代价。本研究旨在以489名完成在线调查的大学生为样本，检验心理灵活性不足在囤积行为发展及其对生活满意度影响中的中介作用。结果表明，心理灵活性不足的多种测量指标（总体灵活性不足、注意力不集中和价值观阻碍）介导了痛苦与囤积行为之间的关系。心理灵活性不足的其他测量指标（总体灵活性不足、认知融合和价值观进步缺失）介导了囤积严重程度与生活满意度之间的联系。这些发现表明，一个人对痛苦和囤积症状的反应方式会影响症状严重程度和生活满意度，并且心理灵活性可能会促进更具适应性的结果。因此，针对有问题的囤积行为的当前干预措施可能通过针对心理灵活性不足及相关过程而得到加强。
