The role of thought suppression and psychological inflexibility in older family caregivers’ psychological symptoms and quality of life
Lappalainen, P., Keinonen, K., Pakkala, I., Lappalainen, R., & Nikander, R. (2021). The role of thought suppression and psychological inflexibility in older family caregivers’ psychological symptoms and quality of life. Journal of Contextual Behavioral Science, 20, 129-136. https://doi.org/10.1016/j.jcbs.2021.04.005
Published inJournal of Contextual Behavioral Science
© 2021 the Authors
Background Family caregivers often report high levels of distress, including depressive symptoms, anxiety, and reduced quality of life. There is a need for a greater understanding of the factors influencing, explaining, and maintaining psychological distress in family caregivers. Aim The aim of this study was to examine whether avoidance strategies such as thought suppression (WBSI), psychological inflexibility (AAQ-II), and, and caregiver experiential avoidance (EACQ) predict psychological distress (BDI-II, GAD-7) and quality of life (WHOQOL) in family caregivers aged 60 and over. We hypothesized that these avoidance strategies would explain elevated levels of psychological symptoms and lower quality of life. Method Altogether, 149 family caregivers completed self-report measures of depressive symptoms, anxiety, quality of life, thought suppression, psychological inflexibility and caregiver experiential avoidance. We conducted correlation and regression analyses to assess the associations and the predictive ability of these constructs. Results Together, psychological inflexibility and thought suppression accounted for between 40 and 46% of the variance in the depression and anxiety outcomes and 15% of the variance in the physical domain of quality of life. Unwanted thoughts, the subcomponent of thought suppression, was strongly associated with symptoms of depression and anxiety, and with physical and psychological quality of life. Conclusion Thought suppression and psychological inflexibility played a significant role in explaining family caregivers’ symptoms of depression and anxiety. In addition, psychological inflexibility was significantly related to quality of life. This suggests the need for acceptance-based strategies to handle thought suppression and psychological inflexibility. ...
Publication in research information system
MetadataShow full item record
Additional information about fundingThe study was funded by the Social Insurance Institution (SII) of Finland, grant number 72/331/2016.
Showing items with similar title or keywords.
Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care Lappalainen, Päivi; Pakkala, Inka; Lappalainen, Raimo; Nikander, Riku (Routledge, 2021)Objectives: The objective of the present study was to investigate whether an acceptance and commitment therapy (ACT)-based web-intervention (Group 1, CareACT), or a standardized rehabilitation in a rehabilitation center ...
Adolescents with poorly controlled type 1 diabetes : psychological flexibility is associated with the glycemic control, quality of life and depressive symptoms Alho, Iina; Joro, Mirka; Juntunen, Laura; Muotka, Joona; Lappalainen, Raimo (Elsevier BV, 2021)This study investigates the role of psychological flexibility in relation to glycaemic control (HbA1c) and quality of life among adolescents with poorly-controlled diabetes. Adolescents (n = 65, aged 12–16 years) completed ...
Selenius, Jannica S.; Wasenius, Niko S.; Kautiainen, Hannu; Salonen, Minna; von Bonsdorff, Mikaela; Eriksson, Johan G. (BMJ Publishing Group Ltd, 2020)Introduction: This study aims to investigate whether the associations between impaired glucose regulation and health-related quality of life are modified by severity or type of depressive symptoms. Research design and ...
The relationship between health-related quality of life and melancholic depressive symptoms is modified by brain insulin receptor gene network Selenius, Jannica S.; Silveira, Patricia P.; Salonen, Minna; Kautiainen, Hannu; von Bonsdorff, Mikaela; Kajantie, Eero; Lahti, Jari; Eriksson, Johan G.; Wasenius, Niko S. (Nature Publishing Group, 2021)To investigate whether expression-based polygenic risk scores for the insulin receptor gene network (ePRS-IRs) modifiy the association between type of depressive symptoms and health-related quality of life (HRQoL). This ...
Associations of hearing difficulties, life-space mobility, quality of life and depressive symptoms among older adults Polku, Hannele (2020)Difficulty in hearing is common among older adults and may complicate engagement in everyday life situations, thereby reducing quality of life. In this study, I examined cross-sectional and longitudinal associations between ...