{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:34:47Z","timestamp":1780389287036,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T00:00:00Z","timestamp":1688601600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Empty nest syndrome (ENS) is a mental condition that affects both parents. When children leave their parents' home, the parents experience such feelings as unhappiness, loss, fear, inability, difficulty in adjusting roles, and changing their relationships. The present study aimed to evaluate the cognitive flexibility and emotional self\u2010regulation of the elderly with ENS: benefits of Acceptance and Commitment Therapy (ACT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The research method was quasi\u2010experimental where a pretest\u2010posttest design was used with a control group. The statistical population included all the elderly with the ENS in Tehran in the academic year of 2019\u20132020. Thirty of them were selected by convenience sampling method and then stochastically placed in two experimental and control groups. Dennis and VanderWal's Cognitive Flexibility Inventory, and Hofmann and Kashdan's Emotional Self\u2010Regulatory Questionnaire for data collection in the pretest and posttest phases. Group\u2010based ACT was implemented on experimental group members in 8 sessions of 90\u2009min, while controls received no intervention. The collected data were analyzed by SPSS version 25 and analysis of covariance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results showed a significant difference between the posttest scores of the experimental and control groups so the group\u2010based ACT increased the cognitive flexibility and emotional self\u2010regulation of the experimental group members (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>According to our results, therapists and health professionals can use ACT for interventions related to the health of the elderly with ENS, especially to improve cognitive flexibility and emotional self\u2010regulation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.1397","type":"journal-article","created":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T12:32:11Z","timestamp":1688646731000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cognitive flexibility and emotional self\u2010regulation of the elderly with Empty nest syndrome: Benefits of acceptance and commitment therapy"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3339-0466","authenticated-orcid":false,"given":"Abdolbaset","family":"Mahmoudpour","sequence":"first","affiliation":[{"name":"Department of Counseling Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8711-6412","authenticated-orcid":false,"given":"Kimia","family":"Ferdousi Kejani","sequence":"additional","affiliation":[{"name":"Department of Psychology Tehran East Branch, Islamic Azad University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4650-088X","authenticated-orcid":false,"given":"Mina","family":"Karami","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Medical Science Branch, Azad University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0491-4144","authenticated-orcid":false,"given":"Maryam","family":"Toosi","sequence":"additional","affiliation":[{"name":"Department of Psychology Islamic Azad University Buin Zahra Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4010-3496","authenticated-orcid":false,"given":"Soliman","family":"Ahmadboukani","sequence":"additional","affiliation":[{"name":"Department of Counseling Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016091"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.22365\/jpsych.2019.304.329"},{"issue":"2","key":"e_1_2_11_4_1","first-page":"135","article-title":"The empty nest syndrome: critical clinical considerations. 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