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Volume 25, Issue 4 (winter 2024)                   JHC 2024, 25(4): 312-324 | Back to browse issues page

Ethics code: IR.IAU.BOJNOURD.REC.1400.026


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Sadeghzadeh M, Shariatnia K, Rasouli N. Presenting a Structural Model of Mindfulness, Emotional Dysregulation and Neuroticism on Mental Health with the Mediating Role of Distress Tolerance in the COVID Situation. JHC 2024; 25 (4) :312-324
URL: http://hcjournal.arums.ac.ir/article-1-1507-en.html
Department of Educational Sciences & Psychology, Branch Azadshahr, Islamic Azad University of Azadshahr, Azadshahr, Iran
Abstract:   (286 Views)
Background: Mental health is significantly related to emotional states such as feelings, stress responses, motivation and mood. These states shape the way of thinking, feeling and behavior and most of them support adaptive performance. This study aims to provide a structural model of mindfulness, emotional dysregulation and neuroticism on mental health with the mediating role of distress tolerance in the COVID situation.
Methods: The present study was a correlational and structural equation. A sample of 249 people from all nurses working in Bojnord hospitals (N=700) in 2021 was selected using the convenience sampling method. In this study, the mindfulness, emotional dysregulation, anxiety tolerance and five personality traits questionnaires were used for data collection. Data analysis was performed using Pearson correlation coefficient and structural equation modeling using SPSS version 27 and LISREL version 9.5, respectively.
Results: The results showed that the research model is fit at a moderate to appropriate level. Furthermore, the predictor variables (mindfulness, emotional dysregulation and neuroticism) and mediator variable (distress tolerance) in the model were able to explain 68% of the variance in the mental health criterion variable. According to the results, both mindfulness and emotional dysregulation variables had both direct effects on mental health and through the mediation of distress tolerance. While neuroticism had only direct effectiveness on mental health (p<0.05(.
Conclusion: It was concluded that low mindfulness, emotional dysregulation, high neuroticism personality and distress intolerance in nurses leads to their mental health disturbance. These results can provide valuable information in the field of using new psychological methods for hospital staff. Furthermore, it encourages working professionals to use efficient methods to improve people's performance and to use adaptive strategies to regulate emotions and enhance the psychological well-being of nurses
 
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Type of Study: article | Subject: Psychiatric Nursing
Received: 2023/09/20 | Accepted: 2024/02/19 | Published: 2024/01/30

References
1. Staneva A, Carmignani F, Rohde N. Personality, gender, and age resilience to the mental health effects of COVID-19. Social Science & Medicine. 2022;6(301):114884. [DOI:10.1016/j.socscimed.2022.114884] [PMID] []
2. Niedermeier J, Mumba MN, Barron K, Andrabi M, Martin R, McDiarmid A. Relationships among exercise, mindfulness, mental health, and academic achievement among prelicensure nursing students. Nurse Educator. 2022;47(3):184-89. [DOI:10.1097/NNE.0000000000001106] [PMID]
3. Chen S, Zhou W, Luo T, Huang L. Relationships between mental health, emotion regulation, and meaning in life of frontline nurses during the COVID-19 outbreak. Frontiers in Psychiatry. 2022;29(13):798406. [DOI:10.3389/fpsyt.2022.798406] [PMID] []
4. Robinson M, Ross J, Fletcher S, Burns CR, Lagdon S, Armour C. The mediating role of distress tolerance in the relationship between childhood maltreatment and mental health outcomes among university students. Journal of Interpersonal Violence. 2019;36(15):7249-73. [DOI:10.1177/0886260519835002] [PMID]
5. Carpenter k, Sanford J, Hofmann S. The effect of a brief mindfulness training on distress tolerance and stress reactivity. Behavior Therapy. 2019;50(3):630-45. [DOI:10.1016/j.beth.2018.10.003] [PMID] []
6. Senders A, Hanes D, Bourdette D, Carson K, Marshall LM, Shinto L. Impact of mindfulness-based stress reduction for people with multiple sclerosis at 8 weeks and 12 months: a randomized clinical trial. Multiple Sclerosis Journal. 2012;25(8):1178-88. [DOI:10.1177/1352458518786650] [PMID] []
7. Mioduszewski O, MacLean H, Poulin PA, Smith AM, Walker LA. Trait mindfulness and wellness in multiple sclerosis. Canadian Journal of Neurological Sciences. 2018;45(5):580-82. [DOI:10.1017/cjn.2018.51] [PMID]
8. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press; 2002.
9. Dehlani R, Sori A. Predicting the psychological well-being of psychology students of Karaj Branch of Azad University based on psychological flexibility and distress tolerance. New Approach in Educational Sciences. 2022;4(4):32-42.
10. Moghbeli-Hanzaii M, Omidi A, Zanjani Z. The comparison of distress tolerance and experiential avoidance in people with health anxiety and normal people. Feyz. 2019;23(6):689-97 [Persian].
11. O'Bryan EM, McLeish AC, Johnson AL. The role of emotion reactivity in health anxiety. Behaviour Modification. 2017;41(6):829-45. [DOI:10.1177/0145445517719398] [PMID]
12. Liu T, Liu Z, Zhang L, Mu S. Dispositional mindfulness mediates the relationship between conscientiousness and mental health-related issues in adolescents during the COVID-19 pandemic. Personalityand Individual Differences. 2022;184:111223. [DOI:10.1016/j.paid.2021.111223] [PMID] []
13. Badai A, Vaziri Sh, Lotfi KF. The contribution of emotional regulation, defense and attachment mechanisms in predicting psychosomatic symptoms with the moderation of gender and distress level. Scientific Journal of Medical Organization of the Islamic Republic of Iran. 2021;39(1):30-38 [Persian].
14. Conway CC, Naragon-Gainey K, Harris MT. The structure of distress tolerance and neighboring emotion regulation abilities. Assessment. 2021;28(4):1050-64 [Persian]. [DOI:10.1177/1073191120954914] [PMID]
15. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology. 2003;84:822-48. [DOI:10.1037/0022-3514.84.4.822] [PMID]
16. Nejati V, Zabihzadeh A, Nik Farjam MR. The relationship between mindfulness and sustained and selective attention functions. Cognitive and Behavioral Science Research. 2011;2(2):31-42 [Persian].
17. Roemer L, Gratz KL. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 2004;26(1):41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]
18. Azizi A, Mirzaei A, Shams J. Correlation between distress tolerance and emotional regulation with students smoking dependence. Hakim. 2010;13(1):11-18 [Persian].
19. Simons JS, Gaher RM. The distress tolerance scale: development and validation of a self-report measure. Motivation and Emotion. 2005;29:83-102. [DOI:10.1007/s11031-005-7955-3]
20. Veilleux JC, Pollert GA, Zielinski MJ, Shaver JA, Hill MA. Behavioral assessment of the negative emotion aspect of distress tolerance: tolerance to emotional images. Assessment. 2019;26(3):386-403. [DOI:10.1177/1073191116689819] [PMID]
21. Schlam TR, Bakern TB, Smith SS, Cook JW, Piper ME. Anxiety sensitivity and distress tolerance in smokers: relations with tobacco dependence, withdrawal, and quitting success. Nicotine and Tobacco Research. 2020;22(1):58-65. [DOI:10.1093/ntr/ntz070] [PMID] []
22. Alavi Kh, Modares Gharavi M, Amin Yazdis SA, Salehi Faderdi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Journal of Fundamentals of Mental Health. 2011;13(50): 124-35.
23. Grossi Farshi M, Ghazi Tabatabai M, Mahdiar MH. Application of the New Personality Test (NEO) and an analytical study of its characteristics and factor structure among Iranian university students. Al-Zahra University's Scientific-Research Quarterly. 2009;11(39):173-98 [Persian].
24. Amani A, Eisanejad O, Azizi A. Study of the structural relations of early maladaptive schemas, personality factors and marital adjustment. Journal of Modern Psychological Researches. 2015;10(37):45-70 [Persian].
25. Goldberg DP. A scaled version of the General Health Questionnaire. Psychological Medicine.1979;9(1):139-45. [DOI:10.1017/S0033291700021644] [PMID]
26. Saatchi M, Kamkari K, Askarian M. Psychological Tests. Tehran: Nashr Virayesh; 2010.
27. Byrne BM. Structural equation modeling with AMOS: basic concepts, applications, and programming. 2nd ed. New York: Routledge; 2010.
28. Mehdikhani M, Hassanzadeh R, Ghanadzadegan H. Comparison of the effectiveness of mindfulness-based stress reduction and relaxation on distress tolerance in females with Multiple Sclerosis (MS). Rooyesh. 2021;10(4):13-24 [Persian].
29. Arfai FS, Rashidi A. Tabesh R. Anxiety tolerance in the elderly: the role of experiential avoidance, rumination and mindfulness. Psychology of Aging. 2021;7(1):1-12 [Persian].
30. Babakhani V. The effectiveness of therapy based on acceptance and commitment on tolerance of distress and self-control of betrayed women. Family Psychology. 2020;7(1):121-32 [Persian].
31. Ethni Eshran S, Yazdakhasi F, Ereghi S, Orayzi H. The effect of Dialectical Behavior Therapy (DBT) on emotional regulation and distress tolerance of addicted women leaving: the mediating role of mindfulness, effective communication and emotional cognitive regulation strategies. Knowledge and Research in Applied Psychology. 2021;22(2):1-12 [Persian].
32. Khosravi N, Kushki S, Oraki M, Nemat Tavossi M. Structural patterns of personality characteristics and cognitive emotional regulation with distress tolerance in mothers with a child with cancer: mediating role of coping strategies. NPWJM. 2019;7(24):72-81 [Persian].
33. Burr EK, Dvorak RD, Stevenson BL, Schaefer LM, Wonderlich SA. Ability to tolerate distress moderates the indirect relationship between emotion regulation difficulties and loss-of-control over eating via affective. Journal of Eating Behavioral. 2021;4;43:101561. [DOI:10.1016/j.eatbeh.2021.101561] [PMID] []
34. Reilly ME, Hines DA. Distress tolerance as a mediator of the association between borderline personality symptoms and obsessive relational intrusion: an exploratory analysis. Journal of Interpersonal. 2020;35(19-20):3833-48. [DOI:10.1177/0886260517712274] [PMID]
35. Chowdhury N, Kevorkian S, Hawn SE, Amstadter AB, Dick D, Kendler KS, et al. Associations between personality and distress tolerance among trauma-exposed young adults. Personality and Individual Differences. 2018;120:166-70. [DOI:10.1016/j.paid.2017.08.041] [PMID] []

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