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Updated: May 22, 2026

Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
Impact of sleep and psychological flexibility on young adults' physical and mental well-being
Miho Ishii1,2, Miyu Hakoda3, Isa Okajima4
1Senzoku Stress Coping Support Office, 2-29-4, Kitasenzoku, Ota, Tokyo, Japan.
Abstract:
Young adults frequently report sleep issues, especially insomnia, delayed sleep phase, and sleep debt (Trisleep), with each of these contributing to distinct physical and mental well-being issues. Psychological flexibility (Hexaflex) has likewise been shown to relate to both physical and mental well-being. This study explored the Trisleep and Hexaflex among young adults, analyzing their association with physical and mental well-being. All questionnaire data were collected online from 525 university students in Japan (Mage = 19.96 ± 1.42 years). In a cluster analysis, four Trisleep types (good sleep, sleep-wake rhythm problems, sleep debt, and compound problems) and four Hexaflex types (flexibility, medium-flexibility, mild-flexibility, and inflexibility), differentiated by overall levels rather than distinct features were identified. Trisleep types (Deviance = 75.26, p < 0.0001), especially compound sleep problems, strongly affected physical well-being (t = - 6.97, p < 0.0001). The interaction between Trisleep and Hexaflex types significantly predicted mental well-being (Deviance = 20.81, p = 0.033). Across all sleep types, the Inflexibility type consistently had a stronger negative effect on mental well-being than the Flexibility type (ps < 0.05). The findings underscore the importance of addressing both biological and psychological factors to enhance physical and mental well-being, with targeted interventions for sleep and psychological flexibility, potentially yielding effective outcomes for young adults.
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