{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T18:01:03Z","timestamp":1780768863351,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Anxiety has protective functions and could be considered evolutionarily adaptive. Yet, anxiety can also become problematic, and anxiety\n                      <jats:italic>disorders<\/jats:italic>\n                      are common and costly. The present study tested a transdiagnostic conceptualization of anxiety disorders that suggests anxiety disorders are associated with inflexible responding to anxiety, even after controlling for anxiety symptom severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 1118 participants across two samples (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009853 undergraduates;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009265 community members) completed a battery of self\u2010report measures, including demographics, anxiety (DASS\u201021), psychological inflexibility (MPFI), and reported lifetime anxiety\u2010related diagnoses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A series of logistic regressions in each sample showed that anxiety was associated with increased odds of endorsing any and each additional lifetime anxiety\u2010related diagnosis, and that psychological inflexibility was incrementally associated above and beyond anxiety severity with greater odds of endorsing any and each additional disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings replicated across samples, supporting the conceptualization that one's response to anxiety, beyond how severe that anxiety is, may be an important factor for understanding the degree to which anxiety would interfere in someone's life (i.e., anxiety disorder). Clinically targeting one's response to anxiety may be an important component of mitigating anxiety\u2010related suffering.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70130","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:32:40Z","timestamp":1774445560000},"page":"1069-1077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Inflexibility's Associations With Lifetime Anxiety Disorders"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5906-3992","authenticated-orcid":false,"given":"Max Z.","family":"Roberts","sequence":"first","affiliation":[{"name":"Department of Psychology University at Albany, State University of New York Albany New York USA"},{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James F.","family":"Boswell","sequence":"additional","affiliation":[{"name":"Department of Psychology University at Albany, State University of New York Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda M.","family":"Merwin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia A.","family":"Lucksted","sequence":"additional","affiliation":[{"name":"VA VISN\u20105 Mental Illness Research Education and Clinical Center (MIRECC) Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Forsyth","sequence":"additional","affiliation":[{"name":"Department of Psychology University at Albany, State University of New York Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"American Psychological Association (APA).2019.Acceptance and Commitment Therapy for Mixed Anxiety Disorders: Society of Clinical Psychology. 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