Research Article

The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students

Volume: 9 Number: 3 May 19, 2026

The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students

Abstract

Aims: The aim of this study was to examine the relationship between emotional self-awareness and self-regulation among medical students and to evaluate the mediating role of cognitive flexibility in this relationship. Methods: This cross-sectional study included 151 medical students aged 18 years and older. Data were collected via an online survey using the Emotional Self-Awareness Scale (ESAS), the Cognitive Flexibility Inventory (CFI), and the Self-Regulation Scale (SRS). Relationships among variables were examined using correlation analyses, and the mediating role of cognitive flexibility was tested. Age and gender were controlled as covariates in the analyses. Results: Significant and positive relationships were found among emotional self-awareness, cognitive flexibility, and self-regulation. Mediation analysis revealed that cognitive flexibility played a partial mediating role in the effect of emotional self-awareness on self-regulation. The model explained approximately 50% of the variance in self-regulation, and the magnitude of the mediating effect of cognitive flexibility was large (K²=0.246). Subdimension analyses indicated that the control dimension of cognitive flexibility exhibited a stronger mediating effect compared to the alternatives dimension. Conclusion: The findings indicate that self-regulation among medical students is strengthened not only by emotional awareness itself but also by the cognitively flexible processing of this awareness. Cognitive flexibility, particularly through perceived control, can be considered a critical mechanism in transforming emotional self-awareness into functional self-regulatory behaviors.

Keywords

References

  1. Agyapong-Opoku N, Agyapong-Opoku F, Agyapong B, Greenshaw AJ. Anxiety and depressive symptoms among medical students: a scoping review of systematic reviews and meta-analyses. Front Public Health. 2026;13:1710333. doi:10.3389/fpubh.2025.1710333
  2. Wright RN, Adcock RA, LaBar KS. Learning emotion regulation: an integrative framework. Psychol Rev. 2025;132(1):173-203. doi:10.1037/rev0000506
  3. Van Beveren ML, Goossens L, Volkaert B, et al. How do I feel right now? Emotional awareness, emotion regulation, and depressive symptoms in youth. Eur Child Adolesc Psychiatry. 2019;28(3):389-398. doi:10.1007/s00787-018-1203-3
  4. Colonnello V, Castellano P, Mazzetti M, Russo PM. Specific emotion regulation difficulties mediate the relationship between personal distress and depressive symptoms in medical students. Front Psychol. 2024;15:1432318. doi:10.3389/fpsyg.2024.1432318
  5. Baumeister RF, Tice DM, Vohs KD. The strength model of self-regulation: conclusions from the second decade of willpower research. Perspect Psychol Sci. 2018;13(2):141-145. doi:10.1177/1745691617716946
  6. Dennis JP, Vander Wal JS. The Cognitive Flexibility Inventory: instrument development and estimates of reliability and validity. Cognit Ther Res. 2010;34(3):241-253. doi:10.1007/s10608-009-9276-4
  7. Kiye S, Çiçek Habeş E. The mediating role of cognitive emotion regulation in the relationship between cognitive flexibility and psychological well-being. İnönü Üniv Eğit Fak Derg. 2024;25(3):1292-1310. doi:10.17679/inuefd.1481952
  8. Kimhy D, Vakhrusheva J, Jobson-Ahmed L, Tarrier N, Malaspina D, Gross JJ. Emotion awareness and regulation in individuals with schizophrenia: implications for social functioning. Psychiatry Res. 2012;200(2-3):193-201. doi:10.1016/j.psychres.2012.05.029

Details

Primary Language

English

Subjects

Psychiatry

Journal Section

Research Article

Publication Date

May 19, 2026

Submission Date

January 9, 2026

Acceptance Date

May 8, 2026

Published in Issue

Year 2026 Volume: 9 Number: 3

APA
Göksel, P., & Korkmaz, U. (2026). The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students. Journal of Health Sciences and Medicine, 9(3), 603-607. https://doi.org/10.32322/jhsm.1854364
AMA
1.Göksel P, Korkmaz U. The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students. J Health Sci Med / JHSM. 2026;9(3):603-607. doi:10.32322/jhsm.1854364
Chicago
Göksel, Pelin, and Ulaş Korkmaz. 2026. “The Mediating Role of Cognitive Flexibility in the Relationship Between Emotional Self-Awareness and Self-Regulation Among Medical Students”. Journal of Health Sciences and Medicine 9 (3): 603-7. https://doi.org/10.32322/jhsm.1854364.
EndNote
Göksel P, Korkmaz U (May 1, 2026) The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students. Journal of Health Sciences and Medicine 9 3 603–607.
IEEE
[1]P. Göksel and U. Korkmaz, “The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students”, J Health Sci Med / JHSM, vol. 9, no. 3, pp. 603–607, May 2026, doi: 10.32322/jhsm.1854364.
ISNAD
Göksel, Pelin - Korkmaz, Ulaş. “The Mediating Role of Cognitive Flexibility in the Relationship Between Emotional Self-Awareness and Self-Regulation Among Medical Students”. Journal of Health Sciences and Medicine 9/3 (May 1, 2026): 603-607. https://doi.org/10.32322/jhsm.1854364.
JAMA
1.Göksel P, Korkmaz U. The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students. J Health Sci Med / JHSM. 2026;9:603–607.
MLA
Göksel, Pelin, and Ulaş Korkmaz. “The Mediating Role of Cognitive Flexibility in the Relationship Between Emotional Self-Awareness and Self-Regulation Among Medical Students”. Journal of Health Sciences and Medicine, vol. 9, no. 3, May 2026, pp. 603-7, doi:10.32322/jhsm.1854364.
Vancouver
1.Pelin Göksel, Ulaş Korkmaz. The mediating role of cognitive flexibility in the relationship between emotional self-awareness and self-regulation among medical students. J Health Sci Med / JHSM. 2026 May 1;9(3):603-7. doi:10.32322/jhsm.1854364

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