COVID-19 Health Distress among Autistic Adults: Does Psychological Flexibility Explain Effects of Health Distress on Mental Health Concerns?

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Bibliographic Details
Title: COVID-19 Health Distress among Autistic Adults: Does Psychological Flexibility Explain Effects of Health Distress on Mental Health Concerns?
Language: English
Authors: Ty B. Aller (ORCID 0000-0001-8461-6061), Heather H. Kelley (ORCID 0000-0003-3778-3689), Audrey Juhasz, Benjamin Covington (ORCID 0000-0003-4731-814X)
Source: Autism: The International Journal of Research and Practice. 2025 29(5):1359-1363.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 5
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: COVID-19, Pandemics, Autism Spectrum Disorders, Adults, Mental Health, Stress Variables, Cognitive Processes, Correlation, Depression (Psychology), Anxiety, Psychological Patterns, Individual Characteristics
Assessment and Survey Identifiers: Depression Anxiety and Stress Scales, Impact of Event Scale
DOI: 10.1177/13623613241313403
ISSN: 1362-3613
1461-7005
Abstract: The COVID-19 pandemic caused significant health distress among autistic adults in the United States. While there is considerable evidence that autistic adults' COVID-19 health distress was related to increases in mental health concerns (e.g. depression, anxiety, and stress), there is a less clear understanding of the possible mechanisms by which this process occurs. Accordingly, our participatory action research team assessed whether psychological flexibility, a strengths-based mechanism from acceptance and commitment therapy, mediated the association between COVID-19-related health distress and mental health concerns (e.g. depression, anxiety, and stress). We found that among 281 autistic adults the positive relationship between COVID-19 health distress and mental health concerns was partially mediated by values progress (a component of psychological flexibility) and values obstruction (a component of psychological inflexibility). Results provide preliminary support that the strengths-based mechanism of psychological flexibility might be a salient therapeutic target to improve mental health among autistic adults experiencing health distress.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1469268
Database: ERIC
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Description
Abstract:The COVID-19 pandemic caused significant health distress among autistic adults in the United States. While there is considerable evidence that autistic adults' COVID-19 health distress was related to increases in mental health concerns (e.g. depression, anxiety, and stress), there is a less clear understanding of the possible mechanisms by which this process occurs. Accordingly, our participatory action research team assessed whether psychological flexibility, a strengths-based mechanism from acceptance and commitment therapy, mediated the association between COVID-19-related health distress and mental health concerns (e.g. depression, anxiety, and stress). We found that among 281 autistic adults the positive relationship between COVID-19 health distress and mental health concerns was partially mediated by values progress (a component of psychological flexibility) and values obstruction (a component of psychological inflexibility). Results provide preliminary support that the strengths-based mechanism of psychological flexibility might be a salient therapeutic target to improve mental health among autistic adults experiencing health distress.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613241313403