{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:45:42Z","timestamp":1787013942031,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2013,11]]},"abstract":"\n Background<\/jats:title>\n \n Difficulty identifying and describing feelings (\n DIDF<\/jats:styled-content>\n ) and psychological flexibility (\n PF<\/jats:styled-content>\n ) predict poor emotional adjustment.\n <\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n To examine the relationship between\n DIDF<\/jats:styled-content>\n and\n PF<\/jats:styled-content>\n and whether\n DIDF<\/jats:styled-content>\n and low\n PF<\/jats:styled-content>\n would put men undergoing cancer screening at risk for poor adjustment.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Longitudinal self\u2010report survey.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Two hundred and one\n HIV<\/jats:styled-content>\n \u2010infected men who have sex with men participated in anal cancer screening at two time points over 14\u00a0weeks. Psychological flexibility was assessed by the\n A<\/jats:styled-content>\n cceptance and\n A<\/jats:styled-content>\n ction\n Q<\/jats:styled-content>\n uestionnaire\n II<\/jats:styled-content>\n and\n DIDF<\/jats:styled-content>\n by the\n T<\/jats:styled-content>\n oronto\n A<\/jats:styled-content>\n lexithymia\n S<\/jats:styled-content>\n cale\u201020. We also measured depression, anxiety, stress (\n DASS<\/jats:styled-content>\n ) and health\u2010related quality of life (\n QOL<\/jats:styled-content>\n ;\n SF<\/jats:styled-content>\n \u201012).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Both\n DIDF<\/jats:styled-content>\n and\n PF<\/jats:styled-content>\n were reliable predictors of mental health. When levels of baseline mental health were controlled, greater\n DIDF<\/jats:styled-content>\n predicted increases in\n T<\/jats:styled-content>\n ime 2 depression, anxiety and stress and decreases in mental and physical\n QOL<\/jats:styled-content>\n . The link between\n PF<\/jats:styled-content>\n and mental health was entirely mediated by\n DIDF<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Being chronically low in\n PF<\/jats:styled-content>\n could lead to greater\n DIDF<\/jats:styled-content>\n and thereby worse mental health. Having more\n PF<\/jats:styled-content>\n promotes the ability to identify and differentiate the nuances of pleasant and unpleasant emotions, which enhances an individual's mental health. Intentionally enhancing men's ability to identify and describe feelings or\n PF<\/jats:styled-content>\n may assist them to better manage a range of difficult life experiences such as health screenings and other potentially threatening information.\n <\/jats:p>\n <\/jats:sec>\n \n Statement of contribution<\/jats:title>\n \n \n What is already known on this subject?<\/jats:bold>\n <\/jats:italic>\n Difficulties identifying and describing feelings (DIDF); components of alexithymia and psychological flexibility (PF) both predict emotional adjustment. A cross\u2010sectional study has identified that alexithymia and PF are related concepts. Cancer screening programmes can have difficult psychological impacts.\n <\/jats:p>\n \n \n What does this study add?<\/jats:bold>\n <\/jats:italic>\n The longitudinal design supported cross\u2010sectional findings that DIDF and PF are related concepts. The link between PF and mental health was mediated by DIDF. Enhancing DIDF or PF may assist psychological responses to health screening.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjhp.12026","type":"journal-article","created":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T12:15:08Z","timestamp":1359720908000},"page":"844-857","source":"Crossref","is-referenced-by-count":29,"title":["Identifying and describing feelings and psychological flexibility predict mental health in men with\n HIV<\/scp>"],"prefix":"10.1111","volume":"18","author":[{"given":"Jodie M. 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