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Journals / Klinik Psikoloji Dergisi / 2025 / Cilt: 9 Sayı: 3

Experiential avoidance, self-efficacy, rejection sensitivity, and psychological symptoms in individuals with and without chronic illness

Kronik hastalığı olan ve olmayan bireylerde deneyimsel kaçınma, öz-yeterlik, reddedilme duyarlılığı ve psikolojik belirtiler

Gizem Gerdan(İzmir Democracy University)0000-0001-6066-7059
Yılmaz Orhun Gürlük(EGE ÜNİVERSİTESİ, EDEBİYAT FAKÜLTESİ)0000-0002-1134-3776
Pages
359–374
Publication Date
2025-12-12
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Implications for clinical practice were discussed, suggesting the importance of a holistic perspective and psychological interventions for individuals with chronic illness, as well as the potential functionality of interventions that address experiential avoidance in the relationship between self-efficacy, rejection sensitivity, and psychological health among these individuals.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The comorbidities of chronic physical illnesses and mental disorders are quite common, and the interaction of mental health issues with other health conditions indicates the need to examine psychological factors for effective intervention methods.
📊
Key Findings & Data:The sample comprised 221 volunteer participants (109 with chronic illness, 112 without chronic illness).
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Conclusion & Impact:Implications for clinical practice were discussed, suggesting the importance of a holistic perspective and psychological interventions for individuals with chronic illness, as well as the potential functionality of interventions that address experiential avoidance in the relationship between self-efficacy, rejection sensitivity, and psychological health among these individuals.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:kronik hastalık · deneyimsel kaçınma · öz yeterlik

Abstract

The comorbidities of chronic physical illnesses and mental disorders are quite common, and the interaction of mental health issues with other health conditions indicates the need to examine psychological factors for effective intervention methods. This study aims to investigate the differences between individuals with and without chronic illness in terms of experiential avoidance, self-efficacy, rejection sensitivity, and psychological symptoms (anxiety and depression), as well as to test the mediating role of experiential avoidance in the relationship between self-efficacy, rejection sensitivity, and psychological symptoms among individuals with chronic illness. The sample comprised 221 volunteer participants (109 with chronic illness, 112 without chronic illness). Individuals with chronic illness exhibited higher levels of experiential avoidance, rejection sensitivity, anxiety, and depression, as well as lower self-efficacy, compared to those without chronic illness. The effect sizes of the differences between the groups ranged from medium to large. In the chronic illness group, self-efficacy and rejection sensitivity predicted psychological symptoms through the full mediation of experiential avoidance. The model explained 31.2% of experiential avoidance and 34.4% of the psychological symptoms. Additionally, causal mediation analyses and sensitivity analyses affirmed the robustness of these mediation effects. Implications for clinical practice were discussed, suggesting the importance of a holistic perspective and psychological interventions for individuals with chronic illness, as well as the potential functionality of interventions that address experiential avoidance in the relationship between self-efficacy, rejection sensitivity, and psychological health among these individuals.

Özet

Kronik fiziksel hastalıklar ve ruh sağlığı sorunlarının komorbiditeleri oldukça yaygın görülmekle birlikte, ruh sağlığı sorunlarının diğer sağlık koşullarıyla etkileşime girmesi, etkili müdahale yöntemleri için psikolojik faktörlerin incelenmesine işaret etmektedir. Bu çalışmanın amacı, kronik hastalığı olan ve olmayan bireyler arasındaki deneyimsel kaçınma, öz yeterlilik, reddedilme duyarlılığı ve psikolojik semptomlar (anksiyete ve depresyon) açısından farklılıkları inceleme ve kronik hastalığı olan bireylerde öz yeterlilik, reddedilme duyarlılığı ve psikolojik semptomlar arasındaki ilişkide deneyimsel kaçınmanın aracılık rolünü test etmektedir. Örneklem 221 gönüllü katılımcıdan oluşmaktadır (109'u kronik hastalığı olan, 112'si kronik hastalığı olmayan). Kronik hastalığı olan bireyler, kronik hastalığı olmayanlara göre daha yüksek düzeyde deneyimsel kaçınma, reddedilme duyarlılığı, anksiyete ve depresyon belirtileri gösterirken, öz yeterlilikleri daha düşük bulunmuştur. Gruplar arasındaki farklılıklar orta ve yüksek düzey arasında istatistiksel etki göstermektedir. Kronik hastalığı olan bireylerde, öz yeterlilik ve reddedilme duyarlılığı, deneyimsel kaçınmanın tam aracılığı ile psikolojik semptomları yordamıştır. Modelin deneyimsel kaçınmanın %31.2'sini ve psikolojik semptomların %34.4'ünü açıkladığı görülmüştür. Ayrıca, nedensel aracılık analizleri ve duyarlılık analizleri bu etkilerin sağlamlığını doğrulamıştır. Klinik uygulamalar için çıkarımlar tartışılmış olup, kronik hastalığı olan bireyler için bütünsel bir bakış açısının ve psikolojik müdahalelerin önemi vurgulanmıştır. Ayrıca, kronik hastalığı olan bireylerde öz yeterlilik, reddedilme duyarlılığı ve psikolojik sağlık arasındaki ilişkide deneyimsel kaçınmayı hedef alan müdahalelerin potansiyel işlevselliğine de değinilmiştir.

🔖

Cite This Article

Gerdan, G., Gürlük, Y. O. (2025). Experiential avoidance, self-efficacy, rejection sensitivity, and psychological symptoms in individuals with and without chronic illness. Klinik Psikoloji Dergisi, Cilt: 9 Sayı: 3, 359–374. https://doi.org/10.57127/kpd.26024438.1570236

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