Although the Sobel test did not significantly confirm full mediation between cognitive flexibility and parental stress ( z = −1.85, p = .06), results were almost significant and indicated a clear tendency towards a mediating effect of PRF (Cohen, 1994 ; Greenland et al., 2016 ).
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The association between executive functioning and parental stress and psychological distress is mediated by parental reflective functioning in mothers with substance use disorder.
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