جستجوی مقالات مرتبط با کلیدواژه "تحمل پریشانی" در نشریات گروه "روانشناسی"

Providing mental health counseling and interventions for students is crucial to preventing or addressing psychological challenges in this vulnerable group and can play a significant role in supporting the university’s educational objectives. The present study aimed to determine the effectiveness of existential group counseling on distress tolerance and mental vitality in students. The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of this research included all male and female undergraduate students at Azarbaijan Shahid Madani University who were referred to the University Counseling Center to receive counseling services in the academic year 2023-2024. Among the interested students, 30 students were selected by available sampling 15 were randomly assigned to the experimental group, and 15 to the control group. The data collection tools in this research were Subjective Vitality Questionnaire (Ryan & Frederick, 1997) and Distress Tolerance Questionnaire (Simons & Gaher, 2005). The existential group counseling protocol was implemented in 10 sessions of 90 minutes, one session per week for the experimental group. Multivariate analysis of covariance was used to analyze the data. The research findings showed that the post-test mean of subjective vitality and distress tolerance in the experimental and control groups had a significant difference at 0.01. As a result, existential group counseling can be used as an effective intervention to promote subjective vitality and tolerance of students’ distress.

The purpose of the present study was to examine the mediating role of psychological capital in the relationship between positive and negative perfectionism with distress tolerance in students of the university. The research method was correlational based on structural equation modeling. The statistical population (4303 people) consisted of all the students of the psychology and educational sciences faculties of Tehran, Al-Zahra, and Allameh universities in the academic year 2022-2023. 321 individuals were selected through convenience sampling and online. The research participants answered the Simons & Gaher Distress Tolerance Scale (2005), Terry-Short Positive and Negative Perfectionism Questionnaires (1995), and Luthans Psychological Capital Questionnaires (2007). The data were analyzed by Pearson’s correlation and structural equation modeling. The finding indicated negative perfectionism had a direct and significant effect on distress tolerance and psychological capital (p < 0.001). Also, positive perfectionism had a direct and significant effect on psychological capital (p < 0.001). positive perfectionism did not have a direct and significant effect on distress tolerance (p > 0.05). Further psychological capital had a direct and significant effect on distress tolerance (p < 0.05). According to the findings, psychological capital plays a mediating role in the relationship between negative and positive psychological capital with distress tolerance (p < 0.001). So psychological capital can affect the relationship between positive and negative perfectionism distress tolerance.

This research was conducted with the aim of comparing the effectiveness of existential therapy and cognitive therapy based on mindfulness in coping with distress in adolescents with social anxiety disorder. The research method was semi-experimental including two experimental groups and a control group with a pre-test-post-test design and a three-month follow-up period. The statistical population of this research included all female students of the second year of middle school in Torbat Jam city in the academic year of 2023. The sample of the research was 45 students with social anxiety disorder, who were divided into two experimental groups and one control group (15 people in each group). Existential therapy in 8 sessions and cognitive therapy based on mindfulness was also implemented in 8 sessions for the experimental groups and the control group did not receive any training.The research tools were Paklak's Social Anxiety Questionnaire (1997), Simmons and Gaher's Distress Tolerance Scale (2005) and Wells and Davis' Anxiety Scale (1994). The data were analyzed using repeated measures analysis in SPSS software version 25. The results showed that both interventions had a significant effect on reducing anxiety and increasing distress tolerance of adolescents with social anxiety disorder. The follow-up phase was stable (P<0.05). The results of Tukey's follow-up test showed that cognitive therapy based on mindfulness had a greater effect on reducing anxiety and increasing emotional distress tolerance (0.05). Based on the findings of the research, it can be concluded that counselors and clinical psychologists can use existential therapy and cognitive therapy based on mindfulness as effective therapeutic approaches in the field of reducing anxiety and increasing distress tolerance of adolescents with Use social anxiety disorder.

 This study aimed to investigate the effectiveness of Mindfulness-Based Stress Reduction (MBSR) on hope and distress tolerance in mothers of children with physical disabilities.

Methods and Materials: 

This quasi-experimental study employed a pre-test, post-test, and follow-up design with a control group. The statistical population included mothers of children with physical disabilities who attended specialized schools in Tehran. A total of 24 mothers were purposefully selected and randomly assigned to experimental (n=12) and control (n=12) groups. The experimental group participated in an 8-session MBSR program, while the control group received no intervention. Data were collected using the Hope and Distress Tolerance Questionnaires and analyzed using repeated measures ANOVA and Bonferroni post-hoc tests.

 The ANOVA results showed significant differences between the experimental and control groups in the variables of hope (F(1, 22) = 45.67, p < 0.001) and distress tolerance (F(1, 22) = 37.89, p < 0.001). The Bonferroni post-hoc test revealed that the mean scores of hope in the experimental group increased by 13.33 points from pre-test to post-test (p < 0.001) and by 12.66 points from pre-test to follow-up (p < 0.001). Similarly, the mean scores of distress tolerance in the experimental group increased by 15.44 points from pre-test to post-test (p < 0.001) and by 14.11 points from pre-test to follow-up (p < 0.001). No significant changes were observed in the control group.

 The findings of this study indicate that Mindfulness-Based Stress Reduction significantly increases hope and distress tolerance in mothers of children with physical disabilities. This program can be used as an effective method to improve the psychological well-being and quality of life of these mothers.

The purpose of this study was to determine the effectiveness of Rogers' client-centered therapy on self-image and distress tolerance of women with depressive symptoms. The research method was semi-experimental with a pre-test-post-test design and a control group, and the statistical population of the research was all the women workers of a sewing company located in Yazd Industrial Town in 1401, and 30 of them were selected using the available sampling method and were randomly placed in two experimental (15 people) and control (15 people) groups. The measurement tools of this research were Rogers's RSS self-concept Questionnaire (1957) and DTS distress tolerance (Simmons and Gaher, 2005). Rogers' client-centered treatment was implemented for the experimental group during 8 sessions of 90 minutes. Multivariate analysis of covariance was used to analyze the data. The results showed that by controlling the Effect of the pre-test, there is a significant difference (P<0.05) between the post-test of the control and experimental groups in self-concept and distress tolerance. Therefore, it can be concluded that Rogers' client-centered treatment is one of the Effective methods in improving self-concept and bearing the distress of women with Depressive symptoms.

This research aimed to investigate the effectiveness of forgiveness therapy on distress tolerance and perceived stress of mothers with visually impaired children. The current research was conducted with a quasi-experimental method with a pre-test, post-test design with a control group. The total number of the statistical population was 90 people, 20 of the mothers were selected by convenience sampling method from schools for the blind in Isfahan city and were randomly replaced in a control group and an experimental group of 10 people. The experimental group participated in the forgiveness therapy program during 12 sessions of 60 minutes once a week, and the control group did not participate in this program. Research tools include the Perceived Stress Scale of Cohen, et al. and Distress Tolerance Scale of Simons & Gaher. Data were analyzed by univariate analysis of covariance. Findings showed that forgiveness therapy had a positive and significant effect on perceived stress and distress tolerance of participants. It is suggested that psychologists use forgiveness therapy as an effective intervention to improve the distress tolerance and perceived stress of parents with visually impaired children.

This research was conducted with the aim of effectiveness of cognitive therapy based on mindfulness on post-traumatic stress, distress tolerance and dysfunctional attitudes of mothers of children with cancer. The research method was semi-experimental with pre-test-post-test and control group. The statistical population of mothers with a child with cancer was in Dr. Sheikh Hospital in Mashhad in 2019, 30 of them were selected by purposeful sampling and randomly assigned to two experimental and control groups (15 people in each group). Research tools were PTSD questionnaires (Withers et al., 1993), distress tolerance (Simmons and Gaher, 2005) and dysfunctional attitudes (Weizman and Beck, 1978). The experimental group received eight 90-minute sessions of mindfulness-based cognitive therapy intervention (Siegel et al., 2000). Research data were analyzed using multivariate analysis of covariance test. The results indicated the effect of mindfulness on post-traumatic stress disorder symptoms, distress tolerance and dysfunctional attitudes of mothers with children with cancer. According to the results of this research, cognitive therapy based on mindfulness can be used to improve the psychological problems of mothers of children with cancer.

It seems that considering the role of emotions in distress tolerance and cognitive flexibility as two important dimensions of social anxiety disorder, which is one of the most debilitating anxiety disorders, using treatments that target emotions can be helpful.

The aim of the present study was to investigate the effectiveness of emotion-focused therapy on cognitive flexibility and distress tolerance married women with social anxiety disorder.

The research method was a semi-experimental pretest-posttest design with a 45-day follow-up strage by control group. The study population included all married women with social anxiety disorder referred to psychological counseling centers in the 18th district of Tehran in 2023 which among those 34 cases were selected through available sampling and according to the inclusion criteria and they were randomly divided into experimental and control groups. The Experimental group received emotion-focused therapy (Johnsano, 2008) sessions for nine 90-minutes sessions. All participants were assessed by the questionnaires of cognitive flexibility Inventory (Dennis & Vander Wal, 2010) and distress tolerance (Simons & Gaher, 2005). Data were analyzed by SPSS-24 software and MANOVA with repeated measure test.

The results indicated the effectiveness of emotion-focused therapy on improving cognitive flexibility and distress tolerance (p< 0.01) and maintaining its effectiveness in the follow-up stage (p< 0.01).

Considering to the effectiveness of emotion-focused therapy it is suggested to focus on this therapy as one of the auxiliary, supportive and rehabilitation therapy along with drug treatment in reducing the consequences of difficulties in distress tolerance and cognitive flexibility.

Obsessive symptoms, low distress tolerance, and heightened guilt represent prevalent characteristics within the clinical demographic of individuals suffering from obsessive-compulsive disorder (OCD). These features contribute significantly to the chronicity of this disorder, complicating the treatment trajectory and prolonging the therapeutic process. Consequently, the imperative to identify an appropriate treatment for OCD becomes more pronounced. The chronic nature of this condition inflicts substantial damage on various facets of life, including relationships, performance, work, and overall quality of life.

This study aimed to scrutinize the efficacy of schema mode therapy in ameliorating obsession symptoms, bolstering distress tolerance, and alleviating guilt among individuals diagnosed with obsessive-compulsive disorder.

The present research employed a single case study utilizing an ABA design. The statistical population encompassed all patients diagnosed with obsessive-compulsive disorder (OCD) attending psychological centers in Ahvaz city. The sampling method adopted for this study was Purposive, specifically selecting four individuals diagnosed with obsessive-compulsive disorder as the research sample. To assess and measure the participants, structured interviews based on DSM-5-TR criteria were conducted, along with employing the Yale-Brown Obsessive-Compulsive Symptoms Scale (Goodman et al., 1989), the Distress Tolerance Scale (Simons & Gaher, 2005), and the Guilt Scale (Kugler & Jones, 1992). The therapeutic intervention utilized in this study adhered to the schema mode therapy protocol as outlined by Ferrell et al. (2014). For data analysis, visual chart, percentage of non-overlapping data, recovery percentage and reliable change index were used.

The research findings revealed that schema mode therapy exhibited effectiveness in reducing symptoms of obsession, enhancing distress tolerance, and alleviating guilt among the subjects during both the intervention and follow-up stages. Furthermore, the reliability index value was statistically significant for all measured parameters (p< 0.05). Additionally, the percentage of recovery during the follow-up phase fell within the spectrum denoting treatment success, signifying the sustained efficacy and stability of this therapeutic intervention.

Given the obsession and chronic obsession, the necessity of an effective and sustainable treatment is important for these patients. Also, according to the results of the present study and the effectiveness of schema mode therapy on the symptoms of obsession, distress tolerance and guilt in patients with obsessive-compulsive disorder, the use of specific interventions and intervention techniques based on schema mentalities is suggested as a main and complementary method along with other main treatment techniques and concepts.

This study aimed to investigate the mediating role of emotion regulation in the relationship between distress tolerance and metacognitive beliefs with obsessive-compulsive disorder. The present research was a descriptive correlation. The statistical population of the research was people over 18 years of age in Tehran in 2023, and a sample of 200 people was selected and a questionnaire was distributed among them using the available sampling method from the third region. Research tools included: Yale-Brown Obsessive-Compulsive Scale (Y-BOCS & Goodman, et al, 1989), Distress Tolerance Scale (DTS, Simons & Gaher, 2005), Metacognition Questionnaire (MCQ, Wells & Cartwright-Hatton, 2005) and Emotion Regulation Questionnaire (ERQ, Gross & John, 2003). The path analysis method was used to analyze the data. The results of the path analysis method indicated that the model fit in well. The findings showed that distress tolerance and metacognitive beliefs were able to directly predict obsessive-compulsive disorder (p<0.001) and also distress tolerance indirectly through emotion regulation (reappraisal) could predict obsessive-compulsive disorder (p<0.001). It can be concluded that distress tolerance and emotion regulation play a key role in obsessive-compulsive disorder, and it is necessary to pay attention to these factors in interaction with each other in programs to improve the quality of life of obsessive-compulsive disorder.

The present study aimed to determine the prediction of alexithymia based on emotional cognitive regulation strategies and distress tolerance in drivers with substance abuse in Isfahan city in 1403 using a descriptive correlational method. The statistical population of this research was made up of 300 drivers with substance abuse, of which 50 were selected by available sampling method. Data collection tools include three questionnaires: Cognitive Regulation of Emotion Questionnaire (CERQ) by Garnafsgi & Krij (2006), Distress Tolerance Questionnaire (DTS) by Simmons & Gaher (2005) and alexithymia Questionnaire (TAS) by Bagby, Parker & Taylor (1994) based on a 5-point Likert scale, whose face validity was confirmed by several respondents and its reliability was confirmed using Cronbach's alpha coefficient, respectively, for alexithymia, non-compromised strategies, and compromised strategies and distress tolerance was estimated at 0.759, 0.712, 0.714 and 0.701. In order to analyze the findings of the research, statistical characteristics such as mean, standard deviation, minimum and maximum values were used in the descriptive statistics section, and simultaneous regression test was used in the inferential statistics section. The results of the analysis of the findings showed that non-compromised strategies of cognitive regulation of emotion positively and distress tolerance negatively can predict alexithymia, but the compromised strategies of cognitive regulation of emotion cannot predict alexithymia.

The aim of this study was to determine the effectiveness of compassion-focuced therapy on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles in patients with cancer in Isfahan. The method of this research was quasi-experimental with a pretest-posttest design with a control group. The statistical population included all patients with cancer in Isfahan province in 2019 that 30 patients with cancer were selected by convenience sampling and randomly asingment into experimental and control groups (n = 15). Cognitive Emotion Regulation Strategies Questionnaire (Garnefski & Kraaij, 2007), Distress Tolerance Questionnaire (Simons & Gaher, 2005), Self-Conscious Emotion Questionnaire (Tangney, Dearing, Wagner, & Gramzow, 1989), Conflict Resolution Questionnaire (Weeks, 1994), used as a pre-test, then experimental group underwent Compassion- Focuced Therapy in 8 sessions of 90 minutes for two months and the control group did not receive any intervention. At the end, post-test was performed on both groups and the data were analyzed using Spss-23 statistical software and analysis of covariance. Findings showed that therapeutic intervention decreased the score of self-blame and self-conscious emotion and increased the score of distress tolerance and conflict resolution styles in the experimental group compared to the control group (P <0.05). Therefore, one can conclud Compassion therapy is effective on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles of cancer patients in Isfahan. Therefore, it is suggested that it be used as an effective, selective, low-cost and feasible intervention and as a short and preventive way by counselors and psychotherapists to reduce the psychological problems of cancer patients.

The present study was conducted with the aim of explaining the structural pattern of the relationship between primary maladaptive schemas and self-injurious behaviors in students: the mediating role of distress tolerance.

The method of descriptive correlational research was structural equation modeling. The studied population in this research was all the students of the second period secondary schools of Bukan city in the academic year of 2022-2023. A sample of 370 people was selected using the multi-stage cluster sampling method. To collect data, Yang (2003) early maladaptive schema questionnaires, Sanson et al.'s (1998) and Simmons and Gaher's (2005) distress tolerance scale were used. For data analysis, Pearson correlation method and structural equation modeling and statistical software spss (version 25) and Amos (version 25) were used.

The findings of the research showed that the schema of cutting, self-directedness, directionality, limitation, and listening to the bell on self-injurious behaviors both directly and indirectly with the mediator role of distress tolerance have the ability to predict self-injurious behaviors.

According to the research findings, it can be concluded that this model can be used as an efficient model in counseling and psychotherapy centers to reduce self-harm behaviors.

Illness anxiety and generalized anxiety disorder are two relatively common disorders that, despite being in two separate diagnostic classes, have many similarities in psychological symptoms. This study was conducted to compare these two disorders in terms of distress tolerance, anxiety sensitivity, and emotional reactivity.

The present study was a case-control study. The study sample included 36 individuals with general anxiety, 36 individuals with illness anxiety, and 36 normal individuals. Data was collected using the Anxiety Sensitivity Inventory, Distress Tolerance Scale, and Emotional Reactivity Scale. Data analysis was conducted using SPSS-19 software and the analysis of variance test.

The study revealed that individuals with general anxiety and illness anxiety exhibit higher levels of anxiety sensitivity and lower distress tolerance compared to individuals without these conditions (P < 0.05). However, there was no significant difference in emotional reactivity between the two groups (F = 0.54, P = 0.58). Additionally, the findings indicated no variance in distress tolerance between individuals with general anxiety and illness anxiety (P = 0.06). Notably, individuals with general anxiety reported higher anxiety sensitivity levels than those with illness anxiety (P > 0.5).

Although anxiety sensitivity plays a more prominent role in generalized anxiety disorder, in general, distress tolerance and anxiety sensitivity seem to be common and trans-diagnostic characteristics in psychological disorders, including generalized anxiety disorder and illness anxiety.

The purpose of the present study was to investigate structural equation modeling of sexual function based on sleep quality with mediating role of distress tolerance in menopause women with type 2 diabetes. The present research is the correlation. The statistical population in this research included postmenopausal women with type 2 diabetes in Tehran city in year 2023. The sample size was selected based on Kline model (2023) and with convenience sampling of 300 people. Data collection tools included the female sexual function index (FSFI-6) of Isidori and et al (2010), Pittsburgh sleep quality index (PSQI) of Buysse and et al (1989) and distress tolerance scale (DTS) of Simons and Gaher (2005). Statistical analysis of data was performed using SPSS and AMOS-28 software. The findings showed that the direct effect of sleep quality and distress tolerance were significant on sexual function. Also, the results showed that distress tolerance has a mediating role in relationship between sleep quality with sexual function. Also, proposed model had an acceptable fitness to the data (RMSEA=0/056, P-value<0/05) and analyses also revealed that %90 of variance of sexual function was explained by sleep quality through the mediating role of distress tolerance. Therefore, it is concluded that sleep quality affect the distress tolerance and cause defects in the sexual function of postmenopausal women with type 2 diabetes, so it is suggested to reduce their sexual function in psychological interventions for these women.

Due to the importance of education in today's societies, school anxiety has been considered as a problem in the field of mental health of students. The purpose of this research was to present a model for predicting school anxiety based on schema modes difficulty in emotion regulation with the mediating role of distress tolerance in female students of the second year of high school in Ilam city. The method of descriptive correlational research was structural equation modeling. The statistical population of this research included all female students of the second year of high school in Ilam city in the academic year 2021-2022, which according to the education statistics, their number was 3521 in the form of 16 schools. According to the table of Karjesi and Morgan, the sample size of 361 people was selected using the multi-stage cluster sampling method. To collect data, the distress tolerance questionnaire of Simmons and Gaher (2005), the difficulty in regulating emotions questionnaire of Gratz and Romer (2004), the schema modes questionnaire of Lobstal et al. (2010) and the Phillips school anxiety questionnaire (1987) were used. Data were analyzed by structural equation modeling. The findings showed that there is a significant relationship between schema modes and difficulty in regulating emotions and distress tolerance with school anxiety (p<0.01). Also, the research model has a favorable fit, and schema modes and difficulty in emotion regulation directly and with the mediation of distress tolerance have an impact and predictably on school anxiety in students (RMSEA=0.073, GFI=0.906, CFI=0.921, NFI=0.913). It is concluded that students who have inconsistent schema modes and have difficulty in regulating their emotions, are not able to bear distress in challenging school situations and as a result suffer from anxiety.

The aim of the study was to investigate the effect of mindfulness based on stress reduction on self-reliance, self-compassion and distress tolerance in adolescent girls who are under the supervision of Shahrekord. The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the research included the bad girls of the head of Shahrekord city in 1401 who were covered by welfare. The sampling method was targeted in such a way that 30 girls with bad guardians who were diagnosed with psychological problems based on the welfare file and clinical interview were selected and randomly divided into two groups of 15 people, test and control. The research tools were Distress Tolerance Questionnaire (DTS) by Simmons and Gaher (2005), self-compassion scale by Neff (2003), unconditional self-acceptance questionnaire by Chamberlain and Haga (2001). Mindfulness sessions based on Kabat-Zinn's (2006) stress reduction were held for the experimental group in 8 sessions of 90 minutes and once a week. After the pre-test, the control group was waiting for treatment after the end of the intervention period, and they did not undergo any treatment during this period. After collecting and extracting the data, the participants' scores were analyzed using the analysis of covariance method. The results showed that mindfulness training based on stress reduction had a significant effect on self-reliance, self-compassion and distress tolerance of teenagers with bad guardians (P<0.0001).

Considering the high psycho-social burden of having a child with attention deficit hyperactivity symptoms and the importance of resilience in their mothers, the aim of this research is to investigate the relationship between resilience and distress tolerance in mothers of children with attention deficit hyperactivity symptoms by considering the mediating role of cognitive flexibility and difficulty in emotion regulation. The research method was correlation with path analysis method. The statistical population included all mothers of children suffering from attention deficit hyperactivity symptoms who referred to psychological clinics in Tehran, 426 of which answered the questionnaires by available sampling, and finally 400 packages of questionnaires were analyzed after the screening processes. questionnaires were Connor and Davidson’s resilience (2003), Simons & Gaher’s distress tolerance (2005), Martin and Rubin’s cognitive flexibility (1995) and Gratz’s difficulty in emotion regulation. results showed that distress tolerance directly (β = 0.244, p < 0.01) and indirectly (β = 0.240, p < 0.01) by the mediation of cognitive flexibility and difficulty in emotion regulation affects resilience and the proposed model has sufficient fitness (IFI, NFI, CFI, GFI > 0.9 and SRMR, RMSEA < 0/08). Results of the present study can be considered as a theoretical and practical model for understanding the relationship between resilience and distress tolerance in mothers of children with attention deficit hyperactivity symptoms by considering the mediating variables of cognitive flexibility and difficulty in emotion regulation.

IntroductionDiabetes is a chronic and costly disease that has a high prevalence throughout the world, Iran, and specifically in Yazd province. Considering the heavy psychological and economic costs of diabetes and its complications, it is important to pay attention to all the factors that can increase diabetes self-management. Since self-management is the main key to controlling diabetes and postponing the occurrence of diabetes complications, it is valuable to pay attention to distress tolerance and its affecting factors as one of the significant factors in diabetes self-management. Self-acceptance, self-actualization, and self-transcendence are proposed as three psychological factors that seem to improve people's distress tolerance. But evidence shows that self-acceptance can play a mediating role in the relationship between self-actualization, self-transcendence and distress tolerance in type 2 diabetic patients; however, few studies have investigated the relationship between these variables in diabetic people, which shows the necessity of conducting more studies. MethodThis is a descriptive-correlational study, performed using path analysis. A total of 207 questionnaires were administered by the available sampling method to type 2 diabetic patients living in Yazd province. The data was gathered using the Distress Tolerance Scale (Simmons & Gaher, 2005) and the Existential Fulfillment Scale (Loonstra, 2007). The Existential Fulfillment Scale is composed of three subscales: self-acceptance, self-actualization, and self-transcendence. The correlation and structural equation analysis were conducted to analyze the data using SPSS-23 and AMOS-24 software, respectively.  ResultsThe results showed that self-acceptance, self-actualization, and self-transcendence have a significant positive relationship with distress tolerance in diabetic patients. In other words, self-actualization has a positive and direct effect on distress tolerance (r =.22, p<.01), self-transcendence has a direct and significant effect on distress tolerance (r =.23, p<.05), and the direct effect of self-acceptance on distress tolerance is statistically positive and significant (r =.24, p<.001). The data also revealed that self-actualization has a direct and positive effect on self-acceptance (β=.29, p<.001), and the direct effect of self-transcendence on self-acceptance is statistically positive and significant (β=.21, p< 0.01). Also, self-acceptance plays a mediating role in the relationship between self-actualization and distress tolerance (Sobel test = 2.72, p<.01), and self-acceptance has a mediating role in the relationship of self-transcendence with distress tolerance (Sobel test = 2.45, p<.05) in diabetics. The distress tolerance of diabetic patients can be predicted up to 22% by the sum of self-actualization, self-transcendence, and self-acceptance (p<.01). ConclusionThe results showed that individuals with type 2 diabetes who have higher self-acceptance, self-actualization, and self-transcendence show higher distress tolerance. Considering the mediating role of self-acceptance in the proposed model, it is suggested that by trying to promote the self-actualization and self-transcendence of diabetic patients, their self-acceptance of diabetics is improved. Higher self-acceptance, in turn, leads to greater distress tolerance and ultimately better diabetes self-management.