Psychological flexibility, cognitive emotion regulation and mental health outcomes among patients with asthma in Pakistan

Author:

Hussain Samavia1,Khawar Rabia1,Amin Rizwana2,Hamdani Asma3,Majeed Asma4

Affiliation:

1. Department of Applied Psychology, Faculty of Arts and Social Sciences, Government College University, Faisalabad, Faisalabad, Punjab, Pakistan

2. Department of Professional Psychology Bahria University, Islamabad Campus Pakistan, Bahria University Islamabad Campus, Islamabad, Punjab, Pakistan

3. Department of Applied Psychology, Faculty of Arts and Social Sciences, Government College University, Faisalabad, Faisalabad, Pakistan

4. Department of Applied Psychology, Kinnaird College for Women, Lahore, Lahore, Punjab, Pakistan

Abstract

Background/Objective Adults with asthma who experience difficulties in emotion regulation are prone to developing psychopathological symptoms that may affect their self-management activities and symptom control. The current research investigated the role of psychological flexibility and cognitive emotion regulation strategies in relation to mental health outcomes (psychological distress and quality of life) among patients with asthma in Pakistan. Method A sample of 200 adults, diagnosed with asthma (32% men, 68% women; Mage = 42.32, SDage = 16.99), completed the acceptance and action questionnaire (AAQ-II) cognitive emotion regulation questionnaire (CERQ), depression, anxiety, stress scale-21 (DASS-21), asthma-related quality of life questionnaire (AQLQ) and a self-structured demographic sheet. Results Results of Pearson product moment correlation showed that most of the adaptive cognitive emotion regulation strategies (positive refocusing, refocus on planning, and positive reappraisal) were positively correlated with psychological flexibility and quality of life, whereas negatively correlated with psychological distress. All the maladaptive strategies of cognitive emotion regulation had a significant inverse relationship with psychological flexibility and quality of life, while positively correlated with psychological distress. Results of serial mediation analysis through PROCESS MACRO showed that catastrophising and anxiety fully mediated the relationship between psychological flexibility and asthma-related quality of life. Conclusion Evidence-based interventions should focus on developing psychological flexibility and identifying maladaptive patterns of cognitive emotion regulation strategies for improved mental health and quality of life outcomes for adults with asthma.

Publisher

PeerJ

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

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