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Trait resilience was measured with the Brief Resilience Scale, PI\/EA with the Acceptance and Action Questionnaire\u2010II and depressive symptoms with the Beck Depression Inventory\u2010IA. Questionnaires were completed at baseline and on 6\u2010month follow\u2010up by 337 study participants. Paired sample\n                    <jats:italic>t<\/jats:italic>\n                    \u2010tests were conducted to measure the change in the scale scores. Linear regression was used to assess the impact of the change in trait resilience on the change in depressive symptoms. Mediation analysis was performed to investigate the role of the change in PI\/EA in the association between the change in trait resilience and the change in depressive symptoms. The change in trait resilience predicted the change in depressive symptoms, which was mediated by the change in PI\/EA. Assessment of trait resilience and interventions focused on reducing PI\/EA are suggested for the alleviation of transdiagnostic depressive symptoms in outpatient adolescents.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70268","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T08:36:06Z","timestamp":1775723766000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Change in Trait Resilience Predicts the Alleviation of Transdiagnostic Depressive Symptoms in Outpatient Adolescents: The Mediating Role of the Change in Psychological Inflexibility\/Experiential Avoidance"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7915-9978","authenticated-orcid":false,"given":"Katriina\u00a0M.","family":"Sarnola","sequence":"first","affiliation":[{"name":"Department of Psychiatry Kuopio University Hospital  Kuopio Finland"},{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"V\u00e4litalo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kuopio University Hospital  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siiri\u2010Liisi","family":"Kraav","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, University of Eastern Finland, Kuopio Campus  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Therman","sequence":"additional","affiliation":[{"name":"Mental Health Unit, Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1360-4482","authenticated-orcid":false,"given":"Karoliina","family":"Kurkinen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7704-6176","authenticated-orcid":false,"given":"Sami\u2010Matti","family":"Ruuska","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kuopio University Hospital  Kuopio Finland"},{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virve","family":"Kekkonen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kuopio University Hospital  Kuopio Finland"},{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1200-4442","authenticated-orcid":false,"given":"Petri","family":"Kivim\u00e4ki","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soili\u00a0M.","family":"Lehto","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"},{"name":"R&amp;D Department, Division of Mental Health Services Akershus University Hospital  L\u00f8renskog Norway"},{"name":"Department of Psychiatry University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommi","family":"Tolmunen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kuopio University Hospital  Kuopio Finland"},{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.14689\/ejer.2023.105.008"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0234109"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa6703_13"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.04.011"},{"key":"e_1_2_12_6_1","first-page":"39","volume-title":"Development of Cognition, Affect and Social Relations: The Minnesota Symposia on Child Psychology","author":"Block J. 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