Relationship between daily psychological (in)flexibility and affect following hematopoietic cell transplantation

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dc.abstract.enObjective: Psychological flexibility (the ability to be fully present and open to experience and engage in values-based activities) and inflexibility (the absence of this ability) may affect patients' emotional well-being after cancer treatment. However, understanding the impact of psychological (in)flexibility in the daily lives of cancer survivors remains limited. This study aimed to distinguish between between-person and within-person effects of psychological (in)flexibility subprocesses, examining whether psychological flexibility (PF) has favorable and inflexibility (PI) has unfavorable outcomes on daily affect, both between- and withinperson. Methods: Participants included 155 patients (mean age 45.74±12.38 years; 55.5% male) after hematopoietic cell transplantation (HCT). Survivors completed daily assessments of PF subprocesses (contact with the present moment, self as context, acceptance, defusion, values, committed actions), their PI counterparts, and affect (positive and negative) for 14 consecutive days after hospital discharge. Multilevel structural equation modeling was used to distinguish between- and within-person associations. Results: Results showed that contact with values had between- and within-person affective benefits, while the effects of contact with the present moment were opposite. Committed action and acceptance were associated with better affect at the between- and within-person level, respectively. The effects of PI subprocesses were in line with expectations. Conclusion: In HCT survivors, psychological (in)flexibility subprocesses had diverse correlates with emotional well-being, both between- and within-person. These findings provide useful insights for creating interventions that improve survivor well-being based on strengthening psychological flexibility.
dc.affiliationWydziaƂ Psychologii w Warszawie
dc.affiliationInstytut Psychologii
dc.contributor.authorKroemeke, Aleksandra
dc.contributor.authorDudek, Joanna
dc.contributor.authorKijowska, Marta
dc.contributor.authorOwen, Ray
dc.contributor.authorSobczyk-Kruszelnicka, MaƂgorzata
dc.date.access2026-08-05
dc.date.accessioned2026-08-10T06:21:59Z
dc.date.available2026-08-10T06:21:59Z
dc.date.created2026-08-04
dc.description.accesstimebefore_publication
dc.description.grantnumber2020/39/B/HS6/01927
dc.description.granttitleProces przywracania znaczenia w chorobie nowotworowej: rola elastycznoƛci psychologicznej. Badania intensywne podƂuĆŒne i eksperymentalne
dc.description.sdgGoodHealthAndWellBeing
dc.description.versionfinal_author
dc.identifier.doi10.1002/jclp.70210
dc.identifier.eissn1097-4679
dc.identifier.issn0021-9762
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/2477
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsOther
dc.rights.questionYes_rights
dc.share.articleOPEN_REPOSITORY
dc.subject.encceptance and commitment therapy
dc.subject.enaffect
dc.subject.encancer
dc.subject.enhematopoietic stem cell transplantation
dc.subject.enmultilevel analysis
dc.subject.enoncology
dc.swps.sciencecloudnosend
dc.titleRelationship between daily psychological (in)flexibility and affect following hematopoietic cell transplantation
dc.title.journalJournal of Clinical Psychology
dc.typeJournalArticle
dspace.entity.typeArticle