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EV0122

The relationship between sensory processing sensitivity and psychological resilience in individuals diagnosed with an anxiety disorder: the mediating role of emotional reactivity

THE CORRELATION BETWEEN SENSORY PROCESSING SENSITIVITY AND PSYCHOLOGICAL RESILIENCE IN INDIVIDUALS DIAGNOSED WITH ANXIETY DISORDERS: THE MEDIATING ROLE OF EMOTIONAL REACTIVITY

In individuals with an anxiety disorder, the effect of sensory processing sensitivity on psychological resilience is fully mediated by emotional reactivity.

The aim of this study was to examine the mediating effect of emotional reactivity on the relationship between sensory processing sensitivity and psychological resilience in individuals diagnosed with an anxiety disorder. Using a descriptive correlational design, the study recruited 130 participants aged 18 to 65 who had been diagnosed with an anxiety disorder according to DSM-5 criteria and were receiving outpatient care at the psychiatry clinics of a public hospital in Türkiye. Participants completed a Personal Information Form, the Sensory Processing Sensitivity Scale (SPSS), the Emotional Reactivity Scale (ERS), and the Psychological Resilience Scale (PRS), and the data were analyzed using Pearson correlation and structural equation modeling. Mean scores were 134.51±19.31 for the SPSS, 49.40±7.03 for the ERS, and 14.47±3.49 for the PRS. Participants reported high sensory processing sensitivity and above-average emotional reactivity, while psychological resilience remained moderate. In Model 1, the total effect of SPSS on PRS was significant (B=-0.021, SE=0.008, p<0.001, R2=0.126), the effect of SPSS on ERS was positive and significant (B=0.022, SE=0.005, p<0.001, R2=0.305), and the effect of ERS on PRS was negative and significant (B=-0.770, SE=0.228, p<0.001, R2=0.318). Although the direct effect of SPSS on PRS was not significant (B=-0.004, SE=0.007, p>0.05), its indirect effect through ERS was significant (B=-0.017, SE=0.007, p<0.001, 95% CI [-0.035, -0.004]), which was interpreted as full mediation; five alternative models were tested, and Model 1 was accepted on theoretical grounds. The authors recommend psychosocial interventions such as cognitive behavioral therapy, dialectical behavior therapy, and acceptance and commitment therapy, along with mindfulness practices, meditation, relaxation techniques, and psychoeducation programs, to strengthen emotion regulation skills and psychological resilience in individuals with high sensory processing sensitivity.

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