The role of psychological inflexibility in Beck’s cognitive model of depression

  • Francisco J. Ruizq Fundación Universitaria Konrad Lorenz
  • Paula Odriozola-González Universidad de Oviedo
Keywords: cognitive therapy, acceptance and commitment therapy, psychological inflexibility, experiential avoidance, depressogenic schemas


Beck’s cognitive model of depression proposes that depressogenic schemas have an effect on depressive symptoms by increasing the frequency of negative automatic thoughts in response to negative life events. We aimed to test a moderated, serial mediation model where psychological inflexibility, a core concept of the Acceptance and Commitment Therapy (ACT) model of psychopathology, both mediates and moderates the relationship between depressogenic schemas and the frequency of negative automatic thoughts. A cross-sectional design was used in which 210 undergraduates responded to questionnaires assessing the constructs of interest. Results supported the proposed moderated mediation model. Both psychological inflexibility and negative automatic thoughts were significant mediators of the relationship between depressogenic schemas and depressive symptoms, and psychological inflexibility also moderated the effect of depressogenic schemas on negative automatic thoughts. We conclude that the role of psychological inflexibility in the cognitive model of depression deserves more attention.


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Barnett, P. A., & Gotlib, I. H. (1990). Cognitive vulnerability to depressive symptoms among men and women. Cognitive Therapy and Research, 14, 47–61.

Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165, 969-977.

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: The Psychological Corporation.

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., . . . Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire – II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676-688.

Cano-García, F. J., & Rodríguez-Franco, L. (2002). Evaluación del lenguaje interno ansiógeno y depresógeno en la experiencia de dolor crónico [Assessment of anxious and depressive self-talk in chronic pain experience]. Apuntes de Psicología, 20, 329-346.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edition). Hillsdale, NJ: Erlbaum.

Cristea, I. A., Montgomery, G. H., Szamoskozi, S, & David, D. (2013). Key constructs in “classical” and “new wave” cognitive behavioral psychotherapies: Relationships among each other and with emotional distress. Journal of Clinical Psychology, 69, 584-599.

Cui, L., Shi, G., & Oei, T. P. S. (2013). A study of cognitive vulnerability-stress model of depressive symptoms among Chinese adolescents. Stress and Health, 29, 383-391.

De Graaf, L. E., Roelofs, J., & Huibers, M. J. H. (2009). Measuring dys-functional attitudes in the general population: The Dysfunctional Attitude Scale (form A) Revised. Cognitive Therapy and Research, 33, 345-355.

Estévez, A., & Calvete, E. (2009). Mediación a través de pensamientos automáticos de la relación entre esquemas y síntomas de depresión [Mediation through automatic thoughts of the relationship between schemas and depressive symptoms]. Anales de Psicología, 25, 27-35.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. A regression-based approach. NY: Guilford Press.

Hayes, A. F., & Matthes, J. (2009). Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior Research Methods, 41, 924-936.

Hayes, S. C., Masuda, A., Shenk, C., Yadavaia, J. E., Boulanger, J., Vilardaga, R., … Hildebrandt, M. J. (2007). Applied extensions of behavior principles: Applied behavioral concepts and behavioral theories. In D. W. Woods & J. W. Kanter (Eds.), Understanding behavior disorders. A contemporary behavioral perspective (pp. 47-80). Reno, NV: Context Press.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Com-mitment Therapy. An experiential approach to behavior change. New York: Guilford.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. D. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.

Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383-395.

Jacobs, R. H., Reinecke, M. A., Gollan, J. K., & Kane, P. (2008). Empirical evidence of cognitive vulnerability for depression among children and adolescents: A cognitive science and developmental perspective. Clinical Psychology Review, 28, 759-782.

Kenny, D. A. (2011). Mediation (August, 2011). Retrieved September 5, 2011 at

Kenny, D. A. (2013). Moderation (May, 2013). Retrieved at

Kitamura, T., & Tanaka, N. (2012). Contribution of perceived rearing to depression: The role of cognitive patterns as a mediator. The Open Psychology Journal, 5, 38-43.

Kramer, H. C., Kiernan, M., Essex, M., & Kupfer, D. J. (2008). How and why criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches. Health Psychology, 27, S101-108.

Kwon, S. M., & Oei, T. P. S. (1992). Differential causal roles of dysfunctional attitudes and automatic thoughts in depression. Cognitive Therapy and Research, 16, 309-328.

Kwon S. M., & Oei, T. P. S. (1994). The roles of two levels of cogni-tions in the development, maintenance and treatment of depression. Clinical Psychology Review, 14, 331–358.

Luciano, C., Valdivia-Salas, S., & Ruiz, F. J. (2012). The self as the con-text for rule-governed behavior. In L. McHugh, & I. Stewart (Eds.), The self and perspective taking: Research and applications (pp. 143-160). Oakland, CA: Context Press.

Mera-Rosales, A., Hernández-Pozo, M. R., Gómez-Reséndez, J. L., Ramírez-Guerrero, N., & Mata-Mendoza, M. A. (2012). Características psicométricas del Cuestionario de Pensamientos Automáticos Negativos (ATQ-30) en población mexicana [Psychometric properties of the Negative Automatic Thoughts Questionnaire (ATQ-30) in Mexican population]. Journal of Behavior, Health & Social Issues, 3, 61-75.

Preacher, K. J., & Hayes, A. F. (2008). Contemporary approaches to as-sessing mediation in communication research. In A. F. Hayes, M. D. Slater, & L. B. Snyder (Eds.), The Sage sourcebook of advanced data analysis methods for communication research (pp. 13-54). Thousand Oaks, CA: Sage.

Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16, 93-115.

Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypothesis: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185-227.

Ruiz, F. J. (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125-162.

Ruiz, F. J., Langer, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish translation of the Acceptance and Action Questionnaire. Psicothema, 25, 123-129.

Ruiz, F. J., & Odriozola-González, P. (2015). Comparing the cognitive, metacognitive, and acceptance and commitment therapy models of depression: A longitudinal study survey. Spanish Journal of Psychology, 18, e39, 1-9.

Sanz, J., Perdigón, A. L., & Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II). Propiedades psicométricas en población general. [The Spanish adaptation of Beck´s Depression Inventory- II (BDI-II): Psychometric properties in the general population]. Clínica y Salud, 14, 249-280.

Sanz, J., & Vázquez, C. (1993). Adaptación española de la Escala de Actitudes Disfuncionales (DAS) de Weissman and Beck: Propiedades psicométricas y clinicas [Weissman and Beck’s Dysfunctional Attitudes Scale Spanish adaptation: Psychometric and clinical properties]. Análisis y Modificación de Conducta, 19, 705-750.

Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25, 487-510.

Şenormanci, Ö., Yilmaz, A. E., Saraçlı, Ö., Atasoy, N., Şenormanci, G., & Atik, L. (2014). The mediator role of ruminative thinking style in the relationship between dysfunctional attitudes and depression. Comprehensive Psychiatry, 55, 1556-1560.

Vanderhasselt, M. A., Koster, E. H. W., Onraedt, T., Bruyneel, L., Goubert, L., & De Raedt, R. (2014). Adaptive cognitive emotion regulation moderates the relationship between dysfunctional attitudes and depressive symptoms during a stressful life period: A prospective study. Journal of Behavior Therapy and Experimental Psychiatry, 45, 291-296.

Weissmann, A., & Beck, A. T. (1978, November). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Paper presented at the Annual Meeting of the American Educational Research Association, Toronto, Canada.

Wilson, K. G., & DuFrene, T. (2009). Mindfulness for two: An Acceptance and Commitment Therapy approach to mindfulness in psychotherapy. Oakland, CA: New Harbinger.

Wilson, K. G., & Luciano, M. C. (2002). Terapia de aceptación y compromiso (ACT). Un tratamiento conductual orientado a los valores [Acceptance and commitment therapy (ACT). A behavioral treatment oriented to personal values]. Madrid: Pirámide.

How to Cite
Ruizq, F. J., & Odriozola-González, P. (2016). The role of psychological inflexibility in Beck’s cognitive model of depression. Anales De Psicología / Annals of Psychology, 32(2), 441-447.
Clinical and Health Psychology