Abstract
The study of Time has a long history, dating back to the earliest days of psychological science in the late 1800s. However, the conceptualization of time perspective has led to a better understanding of individuals' healthy and pathological attitudes toward time dimensions. Similarly, articulated psychological inflexibility components (i.e., Experiential Avoidance (EA) and Cognitive Fusion (CF)) have been found to have solid links with psychopathology, specifically psychological distress. The purpose of this study was to examine the serial mediating functions of EA and CF in the association between Deviation from Balanced Time Perspective (DBTP) and Depression and Anxiety symptoms. Also, a reversed model of serial mediation was tested. A total of 203 participants (155 female) aged between 17–73 (M = 28.45, SD = 11.43) completed measures of time perspective, CF, EA, anxiety, and depression. CF and EA functioned as mediators between DBTP and depression/anxiety in the first mediation model. However, in the reversed model, only the mediation effect for depression was observed. These results emphasize the need for tailoring treatments to the requirements of patients struggling with anxiety and depression symptoms, who may be more susceptible to imbalanced time perspectives and time-entrapped cognitive processes.
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References
Akirmak, U. (2021). The validity and reliability of the Zimbardo time perspective inventory in a Turkish sample. Current Psychology, 40(5), 2327–2340.
Akirmak, U., & Ayla, P. (2021). How is time perspective related to burnout and job satisfaction? A conservation of resources perspective. Personality and Individual Differences, 181, 109667.
American Psychiatric Association & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA.
Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750.
A-tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30–36.
Augustine, S. (1960). The confessions of St. Augustine (JK Ryan, Trans.). Garden City.
Bardeen, J., & Fergus, T. (2016). The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of Contextual Behavioral Science, 5,. https://doi.org/10.1016/j.jcbs.2016.02.002
Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford press.
Berghoff, C. R., Forsyth, J. P., Ritzert, T. R., Eifert, G. H., & Anderson, D. A. (2018). Evaluation of the contribution of values clarification to a brief mindfulness meditation intervention for anxiety. Journal of Clinical Psychology, 74(9), 1387–1402. https://doi.org/10.1002/jclp.22610
Bjornsson, A., Carey, G., Hauser, M., Karris, A., Kaufmann, V., Sheets, E., & Craighead, W. E. (2010). The effects of experiential avoidance and rumination on depression among college students. International Journal of Cognitive Therapy, 3(4), 389–401.
Blackledge, J., & Hayes, S. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology. https://doi.org/10.1002/1097-4679(200102)57:2%3c243::AID-JCLP9%3e3.0.CO;2-X
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & 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.
Boniwell, I., Osin, E., Alex Linley, P., & Ivanchenko, G. V. (2010). A question of balance: Time perspective and well-being in British and Russian samples. The Journal of Positive Psychology, 5(1), 24–40.
Boniwell, I., & Zimbardo, P. G. (2004). Balancing time perspective in pursuit of optimal functioning. In Positive psychology in practice (pp. 165–178). John Wiley & Sons, Inc.
Brockmeyer, T., Holtforth, M. G., Krieger, T., Altenstein, D., Doerig, N., Zimmermann, J., Backenstrass, M., Friederich, H., & Bents, H. (2015). Preliminary evidence for a nexus between rumination, behavioural avoidance, motive satisfaction and depression. Clinical Psychology & Psychotherapy, 22(3), 232–239. https://doi.org/10.1002/cpp.1885
Camcı, N., Bas, M., & Buyukkaragoz, A. H. (2014). The psychometric properties of the Child Feeding Questionnaire (CFQ) in Turkey. Appetite, 78, 49–54.
Carelli, M. G., Wiberg, B., & Wiberg, M. (2011). Development and construct validation of the Swedish Zimbardo time perspective inventory. European Journal of Psychological Assessment.
Carelli, M. G., & Wiberg, B. (2012). Time out of mind: Temporal perspective in adults with ADHD. Journal of Attention Disorders, 16(6), 460–466.
Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63(9), 871–890. https://doi.org/10.1002/jclp.20400
Cookson, C., Luzon, O., Newland, J., & Kingston, J. (2020). Examining the role of cognitive fusion and experiential avoidance in predicting anxiety and depression. Psychology and Psychotherapy: Theory, Research and Practice, 93(3), 456–473.
Craske, M. G., Treanor, M., Conway, C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. https://doi.org/10.1016/j.brat.2014.04.006
Cribb, G., Moulds, M. L., & Carter, S. (2006). Rumination and experiential avoidance in depression. Behaviour Change, 23(3), 165–176. https://doi.org/10.1375/bech.23.3.165
Dinis, A., Carvalho, S., Pinto-Gouveia, J., & Estanqueiro, C. (2015). Shame memories and depression symptoms: The role of cognitive fusion and experiential avoidance. International Journal of Psychology and Psychological Therapy, 1(15), 63–86. https://estudogeral.sib.uc.pt/handle/10316/47246
Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders: A practitioner’s treatment guide to using mindfulness, acceptance, and values-based behavior change strategies (pp. xii, 287). New Harbinger Publications.
Farris, S. G., Zvolensky, M. J., & Schmidt, N. B. (2015). Smoking-specific experiential avoidance cognition: Explanatory relevance to pre-and post-cessation nicotine withdrawal, craving, and negative affect. Addictive Behaviors, 44, 58–64.
Faustino, B. (2021). Transdiagnostic perspective on psychological inflexibility and emotional dysregulation. Behavioural and Cognitive Psychotherapy, 49(2), 233–246.
Forsyth, J. P., Eifert, G. H., & Barrios, V. (2006). Fear conditioning in an emotion regulation context: A fresh perspective on the origins of anxiety disorders.
Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire. Psychological Assessment, 23(3), 692.
Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., & Ferenbach, C. (2014). The development and initial validation of the cognitive fusion questionnaire. Behavior Therapy, 45(1), 83–101.
Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the avoidance and fusion questionnaire for youth. Psychological Assessment, 20(2), 93.
Güleç, M. Y., Güleç, H., Şimşek, G., Turhan, M., & Sünbül, E. A. (2012). Psychometric properties of the Turkish version of the patient health questionnaire–somatic, anxiety, and depressive symptoms. Comprehensive Psychiatry, 53(5), 623–629.
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications.
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(6), 1152.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., & Bergan, J. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.
Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976–1002. https://doi.org/10.1177/0011000012460836
Hekmati, I., Ranjbar, H. A., & HajiSaghati, R. (2020). Persian adaptation of avoidance and fusion questionnaire for youth (AFQ-Y): A preliminary examination of its psychometric properties. Journal of Contextual Behavioral Science, 17, 46–54. https://doi.org/10.1016/j.jcbs.2020.05.004
Hekmati, I., Ranjbar, H. A., Eskin, M., Drake, C. E., & Jobson, L. (2021). The moderating role of experiential avoidance on the relationship between cognitive fusion and psychological distress among Iranian students. Current Psychology, 1–8.
Hosseini Ramaghani, N. A., Rezaei, F., Sepahvandi, M. A., Gholamrezaei, S., & Mirderikvand, F. (2019). The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms. European Journal of Psychotraumatology, 10(1), 1648173.
James, W., Burkhardt, F., Bowers, F., & Skrupskelis, I. K. (1890). The principles of psychology (Vol. 1, Issue 2). Macmillan London.
Jankowski, K. S., Zajenkowski, M., & Stolarski, M. (2020). What are the optimal levels of time perspectives? Deviation from the Balanced Time Perspective-Revisited (DBTP-r). Psychologica Belgica, 60(1), 164.
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. https://doi.org/10.1016/j.brat.2005.10.003
Konkan, R., Þenormanci, Ö., Güçlü, O., Aydin, E., Sungur, Z., & M. (2013). Yaygýn Anksiyete Bozukluðu-7 (YAB-7) Testi Türkçe Uyarlamasý. Geçerlik ve Güvenirliði. Nöro Psikiyatri Arþivi, 50(1), 53–58. https://doi.org/10.4274/npa.y6308.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Lewin, K. (1951). Field theory in social science: Selected theoretical papers (Edited by Dorwin Cartwright.) (pp. xx, 346). Harpers. https://doi.org/10.1177/000271625127600135
Lillis, J., Hayes, S. C., & Levin, M. E. (2011). Binge eating and weight control: The role of experiential avoidance. Behavior Modification, 35(3), 252–264. https://doi.org/10.1177/0145445510397178
Luoma, J. B., & Hayes, S. C. (2009). 16 COGNITIVE DEFUSION. General principles and empirically supported techniques of cognitive behavior therapy, 181.
Machell, K. A., Goodman, F. R., & Kashdan, T. B. (2015). Experiential avoidance and well-being: A daily diary analysis. Cognition and Emotion, 29(2), 351–359. https://doi.org/10.1080/02699931.2014.911143
Maxwell, S. E., Cole, D. A., & Mitchell, M. A. (2011). Bias in cross-sectional analyses of longitudinal mediation: Partial and complete mediation under an autoregressive model. Multivariate Behavioral Research, 46(5), 816–841. https://doi.org/10.1080/00273171.2011.606716
McCracken, L. M., DaSilva, P., Skillicorn, B., & Doherty, R. (2014). The Cognitive Fusion Questionnaire: A preliminary study of psychometric properties and prediction of functioning in chronic pain. The Clinical Journal of Pain, 30(10), 894–901. https://doi.org/10.1097/AJP.0000000000000047
Mooney, A., Earl, J. K., Mooney, C. H., & Bateman, H. (2017). Using balanced time perspective to explain well-being and planning in retirement. Frontiers in Psychology, 8(OCT). Scopus. https://doi.org/10.3389/fpsyg.2017.01781
Moroz, M., & Dunkley, D. M. (2015). Self-critical perfectionism and depressive symptoms: Low self-esteem and experiential avoidance as mediators. Personality and Individual Differences, 87, 174–179. https://doi.org/10.1016/j.paid.2015.07.044
Papastamatelou, J., Unger, A., Giotakos, O., & Athanasiadou, F. (2015). Is time perspective a predictor of anxiety and perceived stress? Some preliminary results from Greece. Psychological Studies, 60(4), 468–477. https://doi.org/10.1007/s12646-015-0342-6
Pyszkowska, A., & Rönnlund, M. (2021). Psychological flexibility and self-compassion as predictors of well-being: Mediating role of a balanced time perspective. Frontiers in Psychology, 12. https://www.frontiersin.org/article/10.3389/fpsyg.2021.671746
Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76(6), 1083. https://doi.org/10.1037/a0012720
Rönnlund, M., Åström, E., & Carelli, M. G. (2017). Time perspective in late adulthood: Aging patterns in past, present and future dimensions, deviations from balance, and associations with subjective well-being. Timing & Time Perception, 5(1), 77–98. https://doi.org/10.1163/22134468-00002081
Rueda, B., & Valls, E. (2016). Relationships among stress, experiential avoidance and depression in psychiatric patients. The Spanish Journal of Psychology, 19, E27. https://doi.org/10.1017/sjp.2016.32
Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., & Penninx, B. W. (2014). A longitudinal study of experiential avoidance in emotional disorders. Behavior Therapy, 45(6), 840–850. https://doi.org/10.1016/j.beth.2014.07.001
Spinhoven, P., van Hemert, A. M., & Penninx, B. W. J. H. (2017). Experiential avoidance and bordering psychological constructs as predictors of the onset, relapse and maintenance of anxiety disorders: One or many? Cognitive Therapy and Research, 41(6), 867–880. https://doi.org/10.1007/s10608-017-9856-7
Spira, A. P., Beaudreau, S. A., Jimenez, D., Kierod, K., Cusing, M. M., Gray, H. L., & Gallagher-Thompson, D. (2007). Experiential avoidance, acceptance, and depression in dementia family caregivers. Clinical Gerontologist: The Journal of Aging and Mental Health, 30(4), 55–64. https://doi.org/10.1300/J018v30n04_04
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Stolarski, M., Bitner, J., & Zimbardo, P. G. (2011). Time perspective, emotional intelligence and discounting of delayed awards. Time & Society, 20(3), 346–363. https://doi.org/10.1177/0961463X11414296
Stolarski, M., Zajenkowski, M., Jankowski, K. S., & Szymaniak, K. (2020). Deviation from the balanced time perspective: A systematic review of empirical relationships with psychological variables. Personality and Individual Differences, 156, 109772. https://doi.org/10.1016/j.paid.2016.06.055
Stolarski, M., & Cyniak-Cieciura, M. (2016). Balanced and less traumatized: Balanced time perspective mediates the relationship between temperament and severity of PTSD syndrome in motor vehicle accident survivor sample. Personality and Individual Differences, 101, 456–461. https://psycnet.apa.org/doi/10.1016/j.paid.2016.06.05
Taylor, A. B., Mackinnon, D., & Tein, J.-Y. (2008). Tests of the three-path mediated effect. Organizational Research Methods, 11(2), 241–269. https://doi.org/10.1177/1094428107300344
Tseferidi, S.-I., Griva, F., & Anagnostopoulos, F. (2017). Time to get happy: Associations of time perspective with indicators of well-being. Psychology, Health & Medicine, 22(5), 618–624. https://doi.org/10.1080/13548506.2016.1226508
Vasiliou, V. S., Karademas, E. C., Christou, Y., Papacostas, S., & Karekla, M. (2021). Acceptance and commitment therapy for primary headache sufferers: A randomized controlled trial of efficacy. The Journal of Pain, 22(2), 143–160. https://doi.org/10.1016/j.jpain.2020.06.006
Wenzlaff, R. M., & Wegner, D. M. (2000). Thought suppression. Annual Review of Psychology, 51, 59–91. https://doi.org/10.1146/annurev.psych.51.1.59.10.1146/annurev.psych.51.1.59
Worrell, F. C., & Mello, Z. R. (2007). The reliability and validity of Zimbardo Time Perspective Inventory scores in academically talented adolescents. Educational and Psychological Measurement, 67(3), 487–504. https://psycnet.apa.org/doi/10.1177/0013164406296985
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. https://doi.org/10.5455/bcp.20160223124107
Zhang, J. W., Howell, R. T., & Stolarski, M. (2013). Comparing three methods to measure a balanced time perspective: The relationship between a balanced time perspective and subjective well-being. Journal of Happiness Studies, 14(1), 169–184. https://doi.org/10.1007/s10902-012-9322-x
Zimbardo, P. G., & Boyd, J. N. (1999). Putting time in perspective: A valid, reliable individual-differences metric. Journal of Personality and Social Psychology, 77(6), 1271–1288. https://doi.org/10.1037/0022-3514.77.6.1271
Zimbardo, P., & Boyd, J. (2008). The time paradox: The new psychology of time that will change your life. Simon and Schuster.
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Ranjbar, H.A., Abdulcebbar, A., Yilmaz, E. et al. Deviation from balanced time perspective and psychological distress: The mediating roles of cognitive fusion and experiential avoidance. Curr Psychol 42, 20905–20915 (2023). https://doi.org/10.1007/s12144-022-03203-x
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DOI: https://doi.org/10.1007/s12144-022-03203-x