| Introduction: Psychosomatic disorders are a category of psychological disorders that have psychological roots but manifest in the physical domain. Cognitive and attachment factors play a role in their development. Therefore, the present study aimed to investigate the mediating role of cognitive flexibility in the relationship between attachment styles and psychosomatic disorders in a clinical population. Methods: The present study employed a descriptive-correlational design. The study population consisted of 180 patients with psychosomatic disorders who were referred to a psychiatric clinic in Isfahan in 2024. The research instruments included the Collins and Read Adult Attachment Style Questionnaire, the Psychosomatic Complaints Scale (PCS), and the Cognitive Flexibility Inventory (CFI). Data were analyzed using Pearson’s correlation coefficient and structural equation modeling with SPSS and SmartPLS software. Results: Secure and ambivalent attachment styles had significant relationships with psychosomatic disorders (p<0.01). However, avoidant attachment style did not have a significant relationship with psychosomatic disorders (p>0.05). Cognitive flexibility had a significant direct and negative effect on psychosomatic disorders (p<0.01). The results of path analysis showed that cognitive flexibility mediated the relationships of secure and avoidant attachment styles with psychosomatic disorders (p<0.01). The indirect effect of ambivalent attachment style on psychosomatic disorders through cognitive flexibility was not significant (p>0.05). Conclusion: The findings emphasize the importance of enhancing cognitive flexibility and improving secure attachment in psychological interventions aimed at reducing psychosomatic disorders. An individual's cognitive abilities and the quality of their early interpersonal relationships not only affect mental health but also modify the severity of psychosomatic symptoms and play an essential role in the prevention and treatment of psychosomatic disorders. |
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