جستجوی مقالات مرتبط با کلیدواژه "distress tolerance" در نشریات گروه "پزشکی"

 Infertility is one of the major reproductive problems and is defined as the inability to conceive after one year of sexual intercourse without using any method of pregnancy prevention. The current study aimed to investigate the effectiveness of designing a cognitive-behavioral coping training package for infertile women, specifically focusing on the impact of infertility stress on distress tolerance and cognitive regulation of emotion.

This was a quasi-experimental design that involved a pre-test, a post-test, and a two-month follow-up. The participants were infertile women who were referred to infertility centers and the offices of gynecologists for infertility treatment in Kermanshah city in 2021. Sixty people were selected as a sample using the purposeful sampling method based on informed consent and randomly divided into three groups (two experimental groups and one control group), and each experimental group trained in 12 sessions using a cognitive-behavioral coping training package with Ghobadi infertility stress. Data collection forms included Perceived Infertility Stress (PIS), Distress Tolerance Scale (DTS), and Cognitive Emotion Regulation (CER). The statistical tests consisted of chi-square and repeated measure ANOVA, which were analyzed by SPSS V.24, and the level of significance was considered less than 0.05.

There is a difference between the three stages of pre-test, post-test, and follow-up in the Distress Tolerance scale (P<0.001) and Cognitive Emotion Regulation’s scores (P<0.001). Also, these differences were significant between groups during the follow-up stage (P<0.001).

The cognitive-behavioral coping training package with infertility stress can be effective in decreasing the distress tolerance and cognitive emotion regulation of infertile women's emotions.

Given the severity of the disease's spread, the World Health Organization declared a state of emergency on February 4, 2020, and many countries subsequently announced national quarantine. An epidemic of a disease is not only a physical phenomenon but also affects individuals and communities on many levels. Fear of illness, death, the spread of false news and rumors, disruption of daily activities, implementation of restrictive measures preventing public presence, going to places or meeting with other families, creating job–related issues and their consequences, and putting the mental health of individuals at risk in society. In addition, quarantine and restrictions are forms of isolation that are psychologically unpleasant and distressing. Based on previous research, cognitive processes can help individuals manage their emotions after experiencing difficult life events. Therefore, the present study aimed to determine the role of cognitive–emotional regulation and distress tolerance in predicting the psychological well–being of hospitalized patients with COVID–19 during quarantine.

We conducted descriptive–analytical research of correlational type. The statistical population comprised all outpatients with COVID–19 during quarantine in 2019. According to Green's model (2003), a minimum sample size of 106 was necessary to achieve better results and prevent bias. However, 150 individuals were selected using convenience sampling, based on their availability and meeting the inclusion criteria, through online platforms and virtual applications (WhatsApp & Telegram). The inclusion criteria were as follows: being infected with the COVID–19 disease on an outpatient basis and spending time in quarantine, being older than 18 years, being literate more than junior high school level, and providing written consent to participate in the research. The exclusion criteria were hospitalization of the affected person, age range less than 18 years, literacy level lower than junior high school, and not consenting to participate in the research. The research tools included the Cognitive–Emotional Regulation Questionnaires (Garnefski & Kraaij, 2006), the Distress Tolerance Scale (Simmons & Gaher, 2005), and the Psychological Well–Being Scale–Short–Form (Ryff, 1989). The research data were analyzed using SPSS software. The Pearson correlation and linear multiple regression analysis were performed at a significance level of less than 0.05.

The results of the Pearson correlation showed a positive and significant relationship between emotional cognitive regulation (and its subscales) (r=0.771) and distress tolerance (and its subscales) (r=0.677) with psychological well–being in outpatients with COVID–19 (p<0.001). The results of the multiple regression analysis with the simultaneous model showed that both variables of distress tolerance and cognitive–emotional regulation together predict psychological well–being by 73%. Also, cognitive emotional regulation (p<0.001, β=0.493) and distress tolerance (p=0.005, β=0.275) positively and meaningfully predict psychological well–being. In addition, cognitive–emotional regulation (Beta=0.493), with a higher beta value, was considered a stronger predictor of psychological well–being.

According to the research results, emotional cognitive regulation and distress tolerance significantly predict the psychological well–being of hospitalized patients with COVID–19 during quarantine.

considering the lack of RCT’s and the importance of the subject it was necessary to examine the effectiveness of capacity building Dynamic Psychotherapy on emotion dysregulation and distress tolerance of boatrderline personality disorder patients.

this was a randomized controlled trial and from all BPD patients with high levels of emotion dysregulation and low levels of distress tolerance of neuropsychiatric clinics in Qom during fall 2023, 30 eligible individuals were selected using randomized clustered sampling and were randomly assigned into intervention and control group. The data from Difficulties in Emotion Regulation Scale (DERS) and Distress Tolerance Scale (DTS) in pretest and posttest were analyzed via SPSS-26 through analyze of covariance (ANCOVA).

the ANCOVA results showed that the differences between groups in emotion dysregulation (F=75/66, p=0/04) and distress tolerance (F=86/15, p=0/02) were significant.

Capacity Building Dynamic Psychotherapy can be considered as an effective intervention for reducing emotion dysregulation and improving distress tolerance in BPD patients.

Cardiovascular disease is one of the most common causes of death among non-communicable diseases.

The present study was conducted to determine the effectiveness of acceptance and commitment therapy on distress tolerance and compassion in women with cardiovascular problems.

The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population consisted of female patients suffering from cardiovascular problems referred to the heart department of Imam Reza (AS) Amol Hospital in 1401-1402, 30 of whom were selected by available sampling method and divided into two treatment groups: acceptance and commitment (15 people) and control group (15). people) were placed. To collect data, Simon and Gaher (2005) distress tolerance scale and Neff (2003) compassion scale were used. The training group received Hayes et al.'s (2011) acceptance and commitment therapy for 8 sessions of 45 minutes. The data was analyzed using covariance analysis method with spss software version 22.

The results of covariance analysis showed that there is a significant difference between the scores of the control and experimental groups (P=0.001). So that the treatment of acceptance and commitment led to an increase in distress tolerance and compassion in women with cardiovascular problems (P<0.05).

Based on the obtained results, acceptance and commitment therapy was a suitable method to improve distress tolerance and compassion-exercise in women with cardiovascular problems. Due to the effectiveness of this method, it is suggested to be used along with other treatment methods to improve these variables in these women.

Family is the foundation of both individual and social life and the core of married life.

The present research aimed to determine the effectiveness of mindfulness-based training on the dimensions of alexithymia and distress tolerance in women prone to emotional divorce.

This research was a semi-experimental pretest-posttest design with a control group. The study population consisted of married women prone to emotional divorce referring to psychological counseling centers in the city of Babol during the first quarter of 2023. A total of 30 patients were selected through a convenience sampling method and were randomly assigned to two groups: Experimental (n=15) and control (n=15). The Couple Burnout Measure (Pines, 1996), the Alexithymia Scale (Bagby et al., 1994), and the Distress Tolerance Scale (Simons and Ghaher, 2005) were used to collect data. The mindfulness-based training program, based on the Segal et al.’s (2002) model, was administered merely in the experimental group for eight 90-minute sessions. Data were analyzed via multivariate analysis of covariance (MANCOVA) using SPSS version 24.

The results demonstrated a significant difference between the pretest and posttest scores of the experimental and control groups regarding alexithymia, distress tolerance, and their components in women prone to emotional divorce (p<0.01). Overall, mindfulness-based training had a significant effect on both alexithymia and distress tolerance (p < 0.01).

Based on the results, mindfulness training had a significant effect on alexithymia and distress tolerance in women prone to emotional divorce. Therefore, this program can be utilized to help women prone to emotional divorce

The aim of the present study was to the effectiveness of acceptance and commitment therapy (ACT) on negative emotion regulation, distress tolerance, and psychological flexibility of women with migraine.

The current research design was semi-experimental and pre-test-post-test-follow-up with a control group. This clinical trial was conducted on women aged 20-50 with migraine who were referred to public and private treatment centers in Ahvaz in 2022 (N=100). Using the sampling formula, 72 people were selected as the sample size and were randomly replaced into two treatment groups based on acceptance and commitment and the control group (36 people in each group). The present study was one-way blind so that the data analyst knew how to allocate the studied groups. The research tools were Garneffsky et al.'s Cognitive Emotion Regulation Questionnaire (2002), Dennis and Vanderwaal's Cognitive Flexibility Inventory (2011), and Simon and Gaher's Distress Tolerance Questionnaire (2005). Data were analyzed using analysis of covariance.

The findings showed that the approach based on acceptance and commitment treatment increased emotional regulation, distress tolerance, and psychological flexibility of women with migraine (P< 0.05). Also, the results of the follow-up phase showed that the effectiveness of acceptance and commitment therapy in increasing emotional regulation, distress tolerance, and psychological flexibility of women with migraine was stable.

The results emphasize the importance of using acceptance and commitment therapy in improving the emotional regulation, distress tolerance, and psychological flexibility of women with migraine headaches.

Sexual function is an important part of the life of postmenopausal women with type 2 diabetes and changes in it, especially in menopause, can affect their health. The sexual function of these women can be affected by various factors. The purpose of the present study was to investigate the mediating role of distress tolerance in the relationship between anxiety and depression and sexual function in postmenopausal women with type 2 diabetes.

The present research is descriptive. The statistical population in this research included postmenopausal women with type 2 diabetes in Tehran City in 2023. A sample size of 300 people was selected based on Kline model and by convenience sampling. Data collection tools included Isidori’s Female Sexual Function Index, Beck’s Depression Inventory-II, Beck’s Anxiety Inventory, and Simons and Gaher’s Distress Tolerance Scale. The data were analyzed using structural equations modelling.

The findings showed that the direct effects of anxiety, depression, and distress tolerance on sexual function were significant (p=0.001). Also, the results showed that distress tolerance has a mediating role in the relationship between anxiety and depression and sexual function.

According to the results of the current study, sexual function of postmenopausal women with type 2 diabetes can be affected by anxiety, depression, and distress tolerance. It is concluded that anxiety and depression 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 anxiety and depression in psychological interventions for these women.

Infertility is a stressful event in human life and nowadays it is a relatively common problem among couples. The purpose of this research is the effectiveness of the cognitive-behavioral coping training package with the stress of infertility on hope and tolerance of distress in infertile women

  This study was a semi-experimental type with a control group, with a pre-test-post-test design and a two-month follow-up. The statistical population of this research was infertile women who referred to infertility centers and the office of gynecologists and infertility treatment in Kermanshah city in 2022. Among the infertile women and in order to control the effect, 60 people were selected using the available sampling method based on informed consent as a sample and randomly selected in three groups (2 experimental groups under cognitive-behavioral coping training with infertility stress and 1 control group ) were replaced and the experimental groups were trained in 12 sessions using the cognitive-behavioral coping training package with infertility stress (Ghobadi, Kakabraei and Guderzi, 2024). In this research, to measure the scales, from the infertility stress questionnaire of Newton et al. The data collection tool is Newton et al.'s infertility stress questionnaire (1999), Simmons and Gaher's emotional distress tolerance (2005) and Schneider's hope (1991). Data analysis in SPSS-24 software is from repeated measurement analysis of variance and checking its defaults.

Examining the effectiveness of the educational package on the tolerance of distress and hope of infertile women showed that there is a difference between the three stages of pre-test, post-test and follow-up in tolerance of distress and hope and their components (p=0/001), and this significant difference continued until the follow-up stage (p=0/001). The size of the effect of education on hope and distress tolerance is equal to 0.831 and 0.967, respectively.

The cognitive-behavioral coping training package with infertility stress of infertile women can be effective in bearing the distress and hope of infertile women, and this program can be used to reduce the stress of infertile women

Multiple sclerosis (MS) is a chronic disease that weakens the body's immune system. The present study was conducted with the aim of determining the effectiveness of the positive psychology approach on the tolerance of distress and feeling trapped in women with multiple sclerosis.

The research method was semi-experimental, with a pre-test and post-test design, and with a control group. The statistical population included all MS patients who were members of the MS Association of Arak in 2023. 30 people were selected by a targeted method and randomly assigned in to two experimental and control groups (15 people). The positive intervention approach Seligman was held during 8 sessions of 60 minutes and the control group did not receive any intervention. The data were collected from the Distress Tolerance Scale and the Feeling of Distress scale and analyzed using the analysis of covariance test with SPSS version 26 software.

The positive psychological approach in the experimental group has been effective and significant for improving distress tolerance (P<0.05) and the feeling of distress (P<0.01). Also, the eta coefficient of the positive psychological approach to reduce the feeling of distress in women with MS was equal to 48.7%.

In this research with considering the effectiveness of the positive psychology approach, this approach is suggested to be used in the centers of providing psychological services to people with MS.

The care of children with autism spectrum disorder (ASD) pose a significant challenge for parents, especially mothers as their primary caregivers. Mothers of ASD children often feel shame and low psychological distress. The present study aimed to investigate the effect of group compassion-focused therapy on shame and distress tolerance of mothers of children with ASD. 

This is a quasi-experimental study with pre-test/post-test/follow-up design. The study population of consists of all mothers of children with ASD in Tehran, Iran, covered by the Iran Autism Association. The samples were selected using convenience and snowball sampling methods. Thirty mothers were randomly assigned to two groups of 15, including intervention and control. The internalized shame scale by Cook (1993), the Others as Shamer Scale by Goss (1994), and the Distress Tolerance Scale by Simons and Gaher (2005) were completed by both groups at pre-test, post-test, and one-month follow-up phases. The intervention group received eight one-hour sessions of group compassion-focused therapy. The data were analyzed using repeated measures ANOVA in SPSS version 28.

The group compassion-focused therapy had a significant effect on reducing internalized shame, external shame, and increasing distress tolerance (P<0.01). The intervention had the greatest effect on distress tolerance with an effect size of 0.571, followed by internalized shame and external shame with effect sizes of 0.419 and 0.417, respectively.

The group compassion-focused therapy can reduce shame and improve distress tolerance of mothers of children with ASD.

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.

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.

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(.

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

Feeling alone and enduring distress are risk factors for suicidal thoughts, while parental bonds are protective factors. However, the complex mechanisms behind these factors have not been identified among people with a history of suicide attempts. Therefore, the present study aimed to predict suicide attempts through distress tolerance, feeling alone, and parental bonds in people with a history of suicide attempts.

The current research is a descriptive-correlational study, and the statistical population included all people with a history of suicide attempts in Isfahan, Iran, from among whom 120 people were selected through convenience sampling. The research tools included parental bond questionnaires by Parker et al. (1979), distress tolerance by Simmons and Gaher (2005), feelings of loneliness by Russell et al. (1980), and attempted suicide was made by the researcher. The collected data was analyzed using descriptive methods, including Mean and Standard deviation and inferential statistics (e.g., Pearson's correlation coefficient and stepwise regression analysis) using the SPSS software (version 27) and PLS3 statistical software.

The results showed that among the predictor variables, feeling alone had the highest predictive power (64.7%), and in the second step, with the addition of parental bond with the mother, it increased to 0.701%, and in the third step, with the addition of Parenting bond with father reached 0.729%, and in fourth step with the addition of distress tolerance, it reached 0.743%, all of which are statistically significant.

Based on the findings of the present research, we can point out the influential role of feeling alone in predicting suicide attempts, and the need for families and policy-makers to pay attention to this prominent factor can play a major role in reducing suicide rate.