A systematic review and narrative synthesis of the complex interplay between psychological flexibility and sleep health

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-01-01 DOI:10.1016/j.jcbs.2025.100871

Emma Ryan, Denisha O'Neill, Sinéad Smyth

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引用次数: 0

Abstract

Background

Sleep has been recognised as a growing health concern, with research suggesting a link between psychological flexibility, a core concept in Acceptance and Commitment Therapy (ACT), and sleep-related outcomes. While previous work has outlined correlational associations, the complexity of these relationships remains poorly understood. Our systematic review aims to comprehensively elucidate the nuanced interplay between psychological flexibility and sleep health alongside implications of their relationships across diverse populations.

Methods

We carried out searches in four electronic databases (PsycInfo, MEDLINE, EMBASE, and CINAHL) on February 9th, 2024. Following title and abstract screening, 209 full texts were screened and 29 studies that met our inclusion criteria were identified. A narrative synthesis was conducted to synthesise data from the included studies.

Results

Psychological flexibility was identified as an important predictor of sleep health, with acceptance and cognitive defusion emerging as particularly critical components of psychological flexibility. The majority of studies examined psychological flexibility as a predictor, mediator, and moderator, with a minority exploring the role of sleep as a risk and protective factor. Moreover, there was evidence of additional risk factors beyond flexibility, namely anxiety sensitivity dimensions, in predicting poor sleep-related outcomes.

Conclusion

Our review highlights the complexity of the relationships between psychological flexibility and sleep health. Despite measurement considerations impacting the interpretation of findings, our results provide foundations for future research endeavours aimed at refining theoretical models, designing targeted interventions, and ultimately improving sleep health, psychological flexibility, and mental well-being for individuals facing various psychological and physiological challenges.

查看原文本刊更多论文

心理灵活性和睡眠健康之间复杂相互作用的系统综述和叙事综合

睡眠已被认为是一个日益严重的健康问题，研究表明心理灵活性（接受与承诺疗法（ACT）的核心概念）与睡眠相关的结果之间存在联系。虽然以前的工作已经概述了相关关系，但这些关系的复杂性仍然知之甚少。我们的系统综述旨在全面阐明心理灵活性和睡眠健康之间微妙的相互作用，以及它们在不同人群中的关系。方法于2024年2月9日在PsycInfo、MEDLINE、EMBASE、CINAHL 4个电子数据库中进行检索。在标题和摘要筛选之后，我们筛选了209篇全文，并确定了29项符合我们纳入标准的研究。对纳入研究的数据进行叙事综合。结果心理灵活性被认为是睡眠健康的重要预测因素，接受和认知融合是心理灵活性的重要组成部分。大多数研究将心理灵活性作为预测、调节和调节因素，少数研究探索睡眠作为风险和保护因素的作用。此外，有证据表明，在预测与睡眠相关的不良结果时，除了灵活性之外，还有其他风险因素，即焦虑敏感性维度。结论本综述强调心理灵活性与睡眠健康之间关系的复杂性。尽管测量因素影响了研究结果的解释，但我们的结果为未来的研究工作提供了基础，旨在完善理论模型，设计有针对性的干预措施，并最终改善面临各种心理和生理挑战的个体的睡眠健康，心理灵活性和心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.