جستجوی مقالات مرتبط با کلیدواژه « distress tolerance » در نشریات گروه « پزشکی »

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

Breast cancer patients experience high levels of distress due to fear of recurrence, worry about mortality and outcomes, anxiety related to treatment, as well as experiencing physical and financial problems. One of the intervention methods used for psychological support of cancer patients is mindfulness-based treatments. Therefore, the present study aimed to assess the effect of mindfulness training on emotional regulation and distress tolerance in women with breast cancer.

The present interventional study t was conducted on breast cancer patients in Birjand in 2023. this study recruited 30 subjects in two control and intervention groups (15 people in each group) using the convenience sampling method. Mindfulness training took place in the intervention group for eight weeks (one session per week and one to one and a half hours per session). The Gross and John (2003) emotion regulation questionnaire and the Simmons and Gaher (2005) emotional distress tolerance questionnaire were used to collect information. Data were analyzed in SPSS software (version 26) using independent t-tests and paired t-tests at a significance level of 0.05.

The mean age scores of patients in the control and intervention groups were 46.9±12.0 and 45.8±11.7 years, respectively, and no significant difference was observed between the two groups (P=0.795). The results of the present study demonstrated that after the mindfulness-based interventions, subjects in the intervention group obtained higher scores than the control group, which was statistically significant (58.1±6.2 vs. 50.1±7.3; p=0.003). Nonetheless, these interventions did not display a significant effect on distress tolerance scores in both control and intervention groups (6.4±33.8 vs. 6.6±31.5; P=0.334).

As evidenced by the results of the present study, the intervention based on mindfulness has significant effects on the regulation of emotions in patients with breast cancer; therefore, the implementation of educational programs based on mindfulness can be of great help in reducing the emotions of patients with breast cancer.

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.

 Breast cancer is the most common malignancy in women, and despite medical advances and the development of treatments, this disease continues to cause psychological and physical effects on the life dimensions of many affected people, such as the attitude to death and tolerance of distress, which should be taken into account. Therefore, the aim of this research was the effectiveness of emotional schema therapy on attitude towards death and distress tolerance of breast cancer patients.

Methods and Materials: 

The research method is semi-experimental with a pre-test-post-test design and follow-up with a control group. The statistical population included all patients diagnosed with breast cancer in government cancer treatment centers located in Isfahan. The sample consisted of 36 patients with breast cancer from Seyed al-Shohda Hospital (AS) in Isfahan and Alaa Cancer Prevention and Control Center, who were selected through targeted sampling and randomly divided into two experimental groups (18 people) and control groups (18 people). The experimental group was treated with emotional schema. The data in this research was collected The Death Attitude Profile (DAP-R) –Revised (Wang, Racker & Gasser,1994) and the Distress Tolerance Scale (DTS) by (Simons& Gaher, 2005), in three stages: pre-test, post-test and follow-up, and it was done using proportional statistical tests and SPSS-26 software.

The results of the analysis of variance with repeated measurements showed that emotional schema therapy improved the attitude towards death and distress tolerance of the experimental group at a significant level (P<0.05).

The results of the present study showed that the effectiveness of emotional schema therapy can have a significant impact on the psychological characteristics of breast cancer patients, including the attitude towards death and distress tolerance, so it is suggested that this type of treatment be used to help breast cancer patients.

Psoriasis is one of the physical and mental diseases that psychological factors have a significant impact on its severity. Modifying behavioral and psychological patterns can be an important step in controlling and reducing this disease. Therefore, the aim of this study was to compare the effectiveness of Mindfulness-Based Stress Reduction Therapy and emotional therapy schematics on perceived stress and distress tolerance of women undergoing drug therapy with psoriasis in Ahvaz.

The field semi-experimental study method of the pre-test type-then the multi-group test. The statistical community of this study includes all female patients with psoriasis in Ahvaz, who were targeted sampling methods to choose a sample, in the form of religion, which was first obtained and contacted during a call with the Psoriasis Association of Iran, the list of female patients with psoriasis who live in Ahvaz, along with their contact number. Of the 127 female patients nominated, only 100 announced their readiness to select a research sample, and all 100 patients were sent online questionnaires on perceived stress and distress tolerance. Finally, 70 qualified female patients (patients who scored a high score of 28 on perceived stress questionnaires and a low score of 29 to endure distress) were selected, 10 of whom were later reluctant to participate. Eventually 60 women with psoriasis are considered as samples, with 20 in the first experimental group, 20 in the second experimental group and 20 in the witness group being randomly simplified. Research tools included Cohen et al. ' s perceived stress questionnaire (1983 and Simmons & Gahr's distress tolerance scale (2005). The data were examined using multivariate covariance analysis (MANCOVA) and one-variable covariance analysis (ANCOVA).

Results showed that both treatments had an effect on perceived stress and distress tolerance of women undergoing drug therapy with psoriasis (P<0.05). On the other hand, Mindfulness-Based Stress Reduction Therapy based on perceived stress and distress tolerance of women undergoing drug therapy with psoriasis has been more effective than emotional therapy schematics (P<0.05).

According to the results of the present study, mindfulness-based stress reduction intervention can be more efficient to improve perceived stress and tolerate distress in women with psoriasis. Therefore, it is recommended that psychotherapists use this treatment to improve perceived stress and tolerate distress in psoriasis patients alongside other therapeutic interventions.

Anxiety is one of the common symptoms in patients with chronic respiratory disorders, including chrona, which negatively affects health and quality of life by weakening the immune system. The aim of this study was to investigate the effectiveness of the treatment focused on compassion on tolerance, chronic pain and anxiety caused by Corona in Gorgan's teachers in 2022.

The research method was a semi-experimental pre-test-post-test type with a control group. The statistical population of the research was all the third grade teachers in the city of Gorgan in the academic year 2021-2022, of which 30 people were selected as a sample using available sampling method and randomly placed in 2 experimental and control groups (15 people in each group). The experimental group received compassion-focused therapy, and the control group did not receive any intervention until the end of the study. The research tools included Alizadeh Fard et al.'s anxiety questionnaires, McGill's pain and distress tolerance questionnaires by Simmons and Gaher. The research data were analyzed by multivariate analysis of covariance test.

The results showed that the results generally showed that there was a significant difference between the experimental group and the evidence of distress tolerance, chronic pain, and anxiety caused by Corona (P <0.0001). Central treatment focused on compassion is an important factor in increasing distress tolerance and reducing chronic pain and anxiety caused by chrona in teachers.

Based on the results of therapists, counselors, and psychologists, along with other therapies, use the treatment focused on compassion to promote teachers' psychological status.

It is important and necessary to examine the factors affecting nurses' distress tolerance, the present study was conducted with the aim of determining the role of metacognition and emotion regulation components in predicting the distress tolerance of nurses.

The present research method was descriptive-correlation. The research community included all the nurses of teaching hospitals in Tehran in the second six months of 2022, and 120 qualified people were selected as a sample using available sampling method. And they responded to Wells and Cartwright-Houghton metacognition questionnaires, Gross and John & emotion regulation, Simmons and Gaher distress tolerance questionnaires. To analyze the data, Pearson correlation and multiple regression were used with the help of SPSS version 22 software.

The results showed that the correlation between metacognition (r=0.570) and emotion regulation components including reappraisal (r=0.304) and suppression (r=0.569) with distress tolerance was positive and significant (01/01). 0>p). And the components of metacognition and emotion regulation had 32.8% ability to predict changes in distress tolerance.

It is necessary to pay attention to the role of metacognition and emotion regulation in order to improve and promote nurses' distress tolerance.

Considering the consequences of depression in academic (academic engagement) and personal (distress tolerance), empowering students is necessary, so the present study was conducted with the aim of determining the effectiveness of self-regulation training on distress tolerance and academic engagement of depressed students.

The current research was a semi-experimental type with a pre-test-post-test design with a control group. The statistical population of this research included all male students of the second secondary school in Zahedan city in the academic year of 2020-2021; Among them, 30 qualified people were selected by purposeful sampling and randomly divided into two groups of 15 people (experimental and control). Both groups responded to the Distress Tolerance Questionnaire of Simmons and Gaher (2005) and Academic Engagement by Ryu and Tseng (2011). The experimental group received Zimmerman and Pons (1990) self-regulation training as a group in 8 sessions of 60 minutes in two months, and the control group did not receive training. Data analysis was done with SPSS version 24 software and multivariate analysis of covariance test.

The results showed that by controlling the pre-test scores, in the experimental and control groups, self-regulation training increased distress tolerance and academic engagement of depressed students (P<0.01).

Based on the findings of the present study, self-regulation training can be used as an effective intervention to improve distress tolerance and academic engagement of depressed students.

Eating disorders are behavioral nutritional disorders with a psycho-social origin, and are considered as one of the global concerns. This study aims to investigate the relationship between perfectionism and binge eating disorder (BED) in female college students, mediated by distress tolerance. 

This is a descriptive-correlational study using structural equation modeling. The study population consists of all female college students in Isfahan, Iran, of whom 214 were selected as the samples by a convenience sampling method. They completed the Perfectionism Inventory, distress tolerance scale, and binge eating scale.

The results indicated a good fit of the study model. The total effect coefficient (sum of direct and indirect effect coefficients) between adaptive perfectionism and BED was negative and significant (P<0.01, β=-0.286), while the total path coefficient between non-adaptive perfectionism and BED was positive and significant (P<0.01, β=0.329). Therefore, distress tolerance negatively mediated the relationship between adaptive perfectionism and BED, and positively mediated the relationship between maladaptive perfectionism and BED.

It is important to pay attention to the mediating role of distress tolerance in the relationship between perfectionism and BED. The therapists should include this component in occupational therapy.

Researchers are interested in facilitating mechanisms in therapeutic interventions, including cultural mechanisms, therefore this study was conducted to compare the effectiveness of cognitive-behavioral therapy using Mowlana's parables and anecdotes and acceptance and commitment therapy in distress tolerance in mothers of children with cerebral palsy.

Methods and Materials: 

This applied study was conducted using a mixed method (using qualitative-quantitative data). The quantitative part of the research consisted of comparative content analysis and the quantitative phase consisted of a quasi-experiment with pretest-posttest design using intervention and control groups. Participants consisted of 48 mothers of children with cerebral palsy who were selected using purposeful sampling and were randomly allocated to two intervention and one control groups. To collect data, the Distress Tolerance Scale (Simmons and Gaher, 2005) were used. Data were analyzed in SPSS 23 using the repeated measures ANOVA and Bonferroni's post-hoc test.

The results showed that the difference in the effect of the two treatment methods on the components of tolerance (p=0.020), evaluation (p=0.037) and, accordingly, the total distress tolerance score (p=0.016) is significant, so that the treatment based on acceptance and commitment has increased the average scores of the two components of tolerance and evaluation more in addition to the total score of distress tolerance compared to cognitive behavioral therapy using Rumi's parables and anecdotes.

It can be concluded that the treatment based on acceptance and commitment is a more effective method to increase distress tolerance in mothers of children with cerebral palsy compared to cognitive behavioral therapy using Rumi's parables and anecdotes.

Medicine is one of the stressful fields that can threaten the mental health of students of this field. This study was conducted with the aim of evaluating the state of mental health, academic burnout and distress tolerance of medical students of Kashan University of Medical Sciences during their internship.

This cross-sectional study was conducted at Kashan University of Medical Sciences, Kashan, Iran. The statistical population included medical students (n=390) in the internship stage in the academic year of 2021-2022 who were enrolled by the census method. A total of 250 students completed the informed consent form and answered the questionnaires of general health (GHQ-28), distress tolerance (DTS) of Simon and Gaher, and Maslach academic burnout.

The mean of mental health was 25.47±8.02, distress tolerance was 45.62±11.8, and academic burnout was 39.42±16.03, which according to the cut-off points for each of the questionnaires, it can be said that 39.2% had no psychological symptoms, 52.8% had mild symptoms and 8% had moderate symptoms. Also, 47.2% of students reported low distress tolerance. Regarding academic burnout, 74.4% of students reported very high emotional exhaustion.

On average, the students had mild psychological symptoms, but despite relatively good distress tolerance, they suffered from high emotional exhaustion. Considering the role of emotional exhaustion in the occurrence of psychological problems in the future, it is important to find the factors affecting it and provide psychological services to reduce it and prevent the psychological problems.

The present study was conducted to compare the effectiveness of acceptance and commitment therapy and metacognition therapy on female students with premenstrual syndrome in Islamic Azad University, Durood branch.The present research is a semi-experimental pre-test-post-test study with a heterogeneous control group. The research population included all female students suffering from premenstrual syndrome in the Islamic Azad University of Dorud city in the academic year of 1400-1401 with the total number of 520 people, among whom 60 persons were selected by available sampling method and assigned randomly in three metacognitive, acceptance and commitment, and control groups. The tools of this research included premenstrual screening questionnaire by Steiner et al. (2003), Russell's Loneliness Scale (1996) and Distress Tolerance Scale (DTS) by Simmons and Gaher (2005) which were performed on the participants in three stages: pre-test, post-test and follow-up. The method of analysis of this research was analysis of variance test with repeated measurement using statistical software spss version 22. The results showed that the acceptance and commitment group and the metacognitive group significantly reduced the feeling of loneliness and distress tolerance compared to the control group, but of these two groups, the metacognitive group performed better than the acceptance and commitment one in the loneliness variable but there was no significant difference between the mentioned interventions in the variable of distress tolerance.