Volume 21, Issue 2 (May 2023)
Nursing and Midwifery Journal 2023, 21(2): 141-152 |
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Sadeghzadeh M, Shariatnia K, Rasouli N. STRUCTURAL MODEL OF MINDFULNESS, EMOTIONAL DYSREGULATION, NEUROTICISM AND CONSCIENTIOUSNESS WITH MENTAL HEALTH WITH A MEDIATING ROLE OF DISTRESS TOLERANCE IN THE COVID-19 PANDEMIC. Nursing and Midwifery Journal 2023; 21 (2) :141-152
URL: http://unmf.umsu.ac.ir/article-1-4825-en.html
URL: http://unmf.umsu.ac.ir/article-1-4825-en.html
1- PhD student, Department of Psychology, Bojnord branch, Islamic Azad University, Bojnord, Iran
2- Assistant Professor, Department of Psychology, Faculty of Humanities, Azadshahr Branch, Islamic Azad University, Azadshahr, Iran (corresponding author) ,kazemshariatnia@yahoo.com
3- Assistant Professor, Department of Psychology, Kashmar branch, Islamic Azad University, Kashmar, Iran
2- Assistant Professor, Department of Psychology, Faculty of Humanities, Azadshahr Branch, Islamic Azad University, Azadshahr, Iran (corresponding author) ,
3- Assistant Professor, Department of Psychology, Kashmar branch, Islamic Azad University, Kashmar, Iran
Abstract: (1427 Views)
Background & Aim: By affecting people's psychological dimension and mental tension, the coronavirus led to many mental disorders, among which the medical staff was at high risk of suffering from mental disorders during this period. The researchers decided to conduct a study to provide a structural model of mindfulness, emotional dysregulation, neuroticism, and conscientiousness with the mental health of nurses with the mediating role of stress tolerance in the Corona situation.
Materials & Methods: The current research was correlation and path analysis, and 249 people were selected as the study sample by convenience sampling method. Participants completed the mindfulness questionnaire (Brown and Ryan, 2003), the emotional dysregulation questionnaire (Romer and Gratz, 2004), the distress tolerance questionnaire (Simmons and Gaher, 2005), and the five-factor personality inventory (Costa and McCree, 1987). To analyze the data, SPSS version 27 software was used, and due to the existence of the mediator variable, path analysis and Lisrel software were used.
Results: The results of the path analysis test showed that the research model has a moderate to good fit. The results showed that the model's predictor variables (mindfulness, emotion dysregulation, neuroticism, and conscientiousness) and mediator (distress tolerance) could explain 68% of the variance of the mental health criterion variable. According to the results, the two variables of mindfulness and emotion dysregulation were effective on nurses' mental health both directly and through the mediation of distress tolerance. Neuroticism was only directly effective on mental health, and conscientiousness had no direct or indirect effect on mental health (P > 0.05).
Conclusion: Considering the importance of mental health in the work environment, it is concluded that low mindfulness, emotional dysregulation and high neurotic personality traits, low conscientiousness, and intolerance in nurses have many problems on nurses’ health., and reduce the optimal performance of nurses in the work environment and disturbs their mental health.
Materials & Methods: The current research was correlation and path analysis, and 249 people were selected as the study sample by convenience sampling method. Participants completed the mindfulness questionnaire (Brown and Ryan, 2003), the emotional dysregulation questionnaire (Romer and Gratz, 2004), the distress tolerance questionnaire (Simmons and Gaher, 2005), and the five-factor personality inventory (Costa and McCree, 1987). To analyze the data, SPSS version 27 software was used, and due to the existence of the mediator variable, path analysis and Lisrel software were used.
Results: The results of the path analysis test showed that the research model has a moderate to good fit. The results showed that the model's predictor variables (mindfulness, emotion dysregulation, neuroticism, and conscientiousness) and mediator (distress tolerance) could explain 68% of the variance of the mental health criterion variable. According to the results, the two variables of mindfulness and emotion dysregulation were effective on nurses' mental health both directly and through the mediation of distress tolerance. Neuroticism was only directly effective on mental health, and conscientiousness had no direct or indirect effect on mental health (P > 0.05).
Conclusion: Considering the importance of mental health in the work environment, it is concluded that low mindfulness, emotional dysregulation and high neurotic personality traits, low conscientiousness, and intolerance in nurses have many problems on nurses’ health., and reduce the optimal performance of nurses in the work environment and disturbs their mental health.
Keywords: Conscientiousness, Corona, Distress Tolerance, Emotion Dysregulation, Mindfulness, Neuroticism
References
1. Staneva A, Carmignani F, Rohde N. Personality, gender, and age resilience to the mental health effects of COVID-19. Soc Sci Med 2022;301:114884. [DOI:10.1016/j.socscimed.2022.114884] [PMID] [PMCID]
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 Educ 2022;01;47(3):184-9.
https://doi.org/10.1097/NNE.0000000000001106 [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. Front Psychiatry 2022;29;13:798406. [DOI:10.3389/fpsyt.2022.798406] [PMID] [PMCID]
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. J Interpers Violence 2021;36(15-16):7249-73. [DOI:10.1177/0886260519835002] [PMID]
5. Carpenter JK, Sanford J, Hofmann SG. The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. Behav Ther 2019;50(3):630-45. [DOI:10.1016/j.beth.2018.10.003] [PMID] [PMCID]
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. Mult Scler 2019;25(8):1178-88. [DOI:10.1177/1352458518786650] [PMID] [PMCID]
7. Mioduszewski O, MacLean H, Poulin PA, Smith AM, Walker LAS. Trait Mindfulness and Wellness in Multiple Sclerosis. Can J Neurol Sci 2018:45(5):580-2. [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. [DOI:10.1002/shi.90]
9. Badai A, Waziri Sh, Lotfi Kashani F. The contribution of emotional regulation, defense mechanisms and attachment in predicting psychosomatic symptoms with the moderation of gender and anxiety level. Med J I Iran 2021;39(1):30-8. http://jmciri.ir/article-1-3067-fa.html [URL]
10. Conway CC, Naragon-Gainey K, Harris MT. The Structure of Distress Tolerance and Neighboring Emotion Regulation Abilities. Assessment 2021;28(4):1050-64. [DOI:10.1177/1073191120954914] [PMID]
11. 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. App Educ Res 2022;4(4):32-42. [DOI:10.22034/naes.2022.345020.1214]
12. 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. URL: http://feyz.kaums.ac.ir/article-1-3866-fa.html [Google Scholar]
13. O'Bryan EM, McLeish AC, Johnson AL. The Role of Emotion Reactivity in Health Anxiety. Behav Modif 2017;41(6):829-45. [DOI:10.1177/0145445517719398] [PMID]
14. Khosravi N, Koshki Sh, Oraki M., Nemat-Tavoosi 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. J Primary Health Care 2019;7(24):72-81. http://npwjm.ajaums.ac.ir/article-1-725-fa.html [URL]
15. 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. Pers Individ Dif 2022:184:111223. [DOI:10.1016/j.paid.2021.111223] [PMID] [PMCID]
16. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 2003;84(4):822-48. [DOI:10.1037/0022-3514.84.4.822] [PMID]
17. Nejati V, Zabihzadeh A, Nik Farjam M¬R. The relationship between mindfulness and the functions of sustained and selective attention. J Cognit Ther Res 2011;2(2):31-42. [URL]
18. Roemer L, Gratz KL. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004;26(1):41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]
19. Azizi A, Mirzaei A, Shams J. Correlation between Distress Tolerance and Emotional Regulation With Students Smoking Dependence. Hakim 2010;13(1):11-8. http://hakim.tums.ac.ir/article-1-608-fa.html [Google Scholar]
20. Simons JS, Gaher RM. The distress tolerance scale: development and validation of a self-report measure. Motiv Emot 2005;29:83-102. [DOI:10.1007/s11031-005-7955-3]
21. 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]
22. Schlam TR, Baker TB, Smith SS, Cook JW, Piper ME. Anxiety Sensitivity and Distress Tolerance in Smokers: Relations With Tobacco Dependence, Withdrawal, and Quitting Success†. Nicotine Tob Res 2020:27;22(1):58-65. [DOI:10.1093/ntr/ntz070] [PMID] [PMCID]
23. Alavi Kh, Modares-Gharavi M, Yazidi SA, & Salehi J. Effectiveness of group dialectical behavior therapy (based on the core of mindfulness, tolerance, anxiety and emotion regulation components) on depression symptoms in students. J Ment Health 2011;2(50):124-35. []
24. McCrae RR, Costa PT Jr. Validation of the five-factor model of personality across instruments and observers. J Pers Soc Psychol 1987;52(1):81-90. [DOI:10.1037//0022-3514.52.1.81] [PMID]
25. Farrokhnia E, Soleimani M. The Role of Personal Traits and Primary Maladaptive Schemas in Predicting Students' Mental Health. J Disabil Stud 2015;4(4):33-42. http://jdisabilstud.org/article-1-391-fa.html. [Google Scholar]
26. Farshi G, Mehyar A., & Tabatabai M. The use of a new neo-personality test and the analysis of its characteristics and factor structure among Iranian university students. Al-Zahra Univ Sci-Res Q J 2002;11(39):173-98. [URL]
27. Amani A, Isa-nejad O, & Azizi A. Investigating the structural relationships of primary maladaptive schemas and personality factors with marital adjustment. Q J Exp Psychol 2015;10(37):70-45. [URL]
28. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979;9(1):139-45.
https://doi.org/10.1017/S0033291700021644 [DOI:10.1017/s0033291700021644] [PMID]
29. Saatchi M, Kamkari K, & Askarian M. Psychological tests. Publishing edit. 2019.
30. 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. http://frooyesh.ir/article-1-2644-fa.html [Google Scholar]
31. Arfai FS, Rashidi A, Tabesh R. Anxiety tolerance in the elderly: the role of experiential avoidance, rumination and mindfulness. Psychol Aging 2021;7(1):1-12. [URL]
32. Babakhani V. The effectiveness of Acceptance and Commitment Therapy (ACT) on enduring the distress and self-control of betrayed women. J Fam Psychol 2021;7(1):121-32. [DOI:10.52547/ijfp.7.1.121]
33. Ethni Ashran S, Yazdakhasi F., & Arisi H. The effect of dialectical therapeutic behavior on the emotional regulation and tolerance of addicted women in Turkey: the mediating role of mindfulness, communication and emotional regulation strategies. J Appl Psychol 2021;22(2):1-12. [URL]
34. 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 lability. Eat Behav 2021;43:101561. [DOI:10.1016/j.eatbeh.2021.101561] [PMID] [PMCID]
35. Reilly ME, Hines DA. Distress Tolerance as a Mediator of the Association Between Borderline Personality Symptoms and Obsessive Relational Intrusion: An Exploratory Analysis. J Interpers Violence 2020;35(19-20):3833-48. [DOI:10.1177/0886260517712274] [PMID]
36. Chowdhury N, Kevorkian S, Hawn SE, Amstadter AB, Dick D, Kendler KS, Berenz EC. Associations Between Personality and Distress Tolerance Among Trauma-Exposed Young Adults. Pers Individ Dif 2018;120:166-70. [DOI:10.1016/j.paid.2017.08.041] [PMID] [PMCID]
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