The effect of self-perception on mental vulnerability mediated by emotional distress tolerance in people with depressive disorder

Subject Areas : Clinical

faezeh noroozi ¹ , Mahbobeh Zare Marzoni ²

1 - Department of Psychology, Bandargaz Branch, Islamic Azad University, Bandargaz, Iran
2 - Department of Psychology, Bandargaz Branch, Islamic Azad University, Bandargaz, Iran

Received: 2021-06-18 Accepted : 2021-09-28 Published : 2023-11-22

Keywords: emotional distress tolerance, self-perception, Depression, Vulnerability,

Abstract :

The purpose of this study was to investigate the effect of self-perception on mental vulnerability mediated by emotional distress tolerance in people with depressive disorder. The research was a descriptive correlation based on Path analysis. The statistical population of the present study consisted of all women with depressive disorder with a record in 27 counseling and treatment centers for psychological disorders under the supervision of the Welfare Organization in Gorgan in 2020. In this study, 260 women with depressive disorder were selected as the sample size available. The research instruments included Mental Vulnerability Questionnaire of Najarian and Davoodi (2001), Self-Perception Questionnaire of Pourhossein (2009) and Emotional Distress Tolerance Questionnaire Simmons and Gahr (2005). Data analysis was performed by structural equation modeling based on multivariate regression and 18SPSS software, 23 Amos. Findings showed that self-perception of -0.32 and emotional distress tolerance -0.23 had a direct effect on mental vulnerability (P<0/001). The indirect effect of self-perception on the mediation of emotional distress tolerance on mental vulnerability was confirmed (P<0/001). In general, 0.38 of the mental vulnerability variable can be explained by self-perception through the mediation of emotional distress tolerance. The results of this study provide practical implications for reducing psychological harm with respect to the components of emotional distress tolerance and self-perception in depressed people.

References:

Akın, A., Demirci, İ., & Yıldız, E. (2015). Personal Self-Concept as Mediator and Moderator of the Relationship between Insight and Psychological Vulnerability. International Online Journal of Educational Sciences, 7(1).‏

Alavi, K., Modarres, G. M., Amin, Y. S. A., & Salehi, F. J. (2011). Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students.‏ [Persian]

Alipour, Z., Ahadi, H., Hatami, H., malihi-alzakerini, S. (2018). Structural Equations of Emotional Self-Regulation, Behavioral Activation/Inhibition Systems by Mediating Thinking Styles in Addicted Patients' Psychological Well-being. Etiadpajohi. 12 (47): 245-268. ­[Persian]

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 4^th Edn, Washington D.C: APA.

Bachmann, A. S., Zaunbauer, A. C., Tolke, A. M., Siniatchkin, M., Kluck, C., Wiltfang, J., & Hertrampf, K. (2018). Well-being and quality of life among oral cancer patients–Psychological vulnerability and coping responses upon entering initial treatment. Journal of Cranio-Maxillofacial Surgery, 46 (9), 1637-1644.

Bechard, M., VanderLaan, D. P., Wood, H., Wasserman, L., & Zucker, K. J. (2017). Psychosocial and psychological vulnerability in adolescents with gender dysphoria: A “proof of principle” study. Journal of sex & marital therapy, 43(7), 678-688.‏

Crescimbene, M., La Longa, F., Peruzza, L., Pessina, V., & Pino, N. A. (2016, June). The seismic risk perception in Italy compared to some hazard, exposure and vulnerability indicators. In International Conference of Urban Risk.‏

Ciavaldini-Cartaut, S., Marquie-Dubie, H., & d’Arripe-Longueville, F. (2017). Psychosocial arduousness of teacher’s work, coping strategies and defense mechanisms of preservice teachers: another look at vulnerability and professional attrition.

Den hollander, G. C., Browne, J. L., Arhinful, D., van der Graaf, R., & Klipstein‐Grobusch, K. (2018). Power Difference and Risk Perception: Mapping Vulnerability within the Decision Process of Pregnant Women towards Clinical Trial Participation in an Urban Middle‐Income Setting. Developing world bioethics, 18(2), 68-75.‏

Esmaeilinasab, M., Andami Khoshk, A., Azarmi, H., Samar Rakhi, A. (2014). The Predicting Role of Difficulties in Emotion Regulation and Distress Tolerance in Students’ Addiction Potential. Etiadpajohi. 8 (29): 49-63. [Persian]

Forouzanfar, A. (2017). Distress tolerance: Theory, Mechanism and Relation to Psychopathology. Rooyesh. 2017; 6 (2): 239-262. [Persian]

Gilson, E. C. (2018). Beyond Bounded Selves and Places: The Relational Making of Vulnerability and Security. Journal of the British Society for Phenomenology, 49(3), 229-242.‏

Hair Jr, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. European business review, 26, 2, 106-121.

Hoffman, G. J., & Wallace, S. P. (2018). The cost of caring: Economic vulnerability, serious emotional distress, and poor health behaviors among paid and unpaid family and friend caregivers. Research on aging, 40(8), 791-809.‏

Leonidou, C., Panayiotou, G., Bati, A., & Karekla, M. (2019). Coping with psychosomatic symptoms: The buffering role of psychological flexibility and impact on quality of life. Journal of health psychology, 24(2), 175-187.

Leahy, Robert L., Dennis, D. Tirch, & Lisa A. Napolitano. (2012). Emotion regulation in psychotherapy: A practitioner's guide. New York: Guilford press.

Macatee, R. J., Correa, K. A., Carrillo, V. L., Berenz, E., & Shankman, S. A. (2020). Distress Tolerance as a Familial Vulnerability for Distress-Misery Disorders. Behavior Therapy.

Mardpour, A.,Shahr Ashob, N. (2018). Investigating the Relationship between Cognitive Distortions and Psychological Vulnerability with the Mediating Role of Emotional Dysfunction in Students of Yasouj Islamic Azad University. Sixth Scientific Conference on Educational Sciences and Psychology, Social and Cultural Injuries of Iran, Tehran, Association for Development and Promotion of Basic Sciences and Technologies. [Persian]

Marshall-Berenz, E. C., Vujanovic, A. A., MacPherson, L. (2011). Impulsivity and alcohol use coping motives in a trauma-exposed sample: The mediating role of distress tolerance. Personality and Individual Differences, 50, 588-592.

Miles, M. P., Lewis, G. K., Hall-Phillips, A., Morrish, S. C., Gilmore, A., & Kasouf, C. J. (2016). The influence of entrepreneurial marketing processes and entrepreneurial self-efficacy on community vulnerability, risk, and resilience. Journal of Strategic Marketing, 24(1), 34-46.‏

Mohammad Khani, M., Cheraghi Doliskan, Z. (2019). Predicting Psychological Vulnerability in Payame Noor Students Based on Emotional Intelligence, Emotion Regulation and Emotional Dysfunction. 3rd National Conference on Strategies for Achieving Sustainable Development in Iranian Educational Sciences and Psychology, Tehran-Iran Sustainable Development Conference Center, Center for Sustainable Development Strategies. [Persian]

Morris, L., Stander, J., Ebrahim, W., Eksteen, S., Meaden, O. A., Ras, A., & Wessels, A. (2018). Effect of exercise versus cognitive behavioural therapy or no intervention on anxiety, depression, fitness and quality of life in adults with previous methamphetamine dependency: a systematic review. Addiction science & clinical practice, 13(1), 4.

Najafi, M., Mohammadifar, M. A. (2015). Emotional dysfunction and tendency to substance abuse: The role of emotion regulation components, anxiety tolerance and excitement. Social Health and Addiction Quarterly, 2 (5): 53-68. [Persian]

Najarian, B., & Davodi, I. (2001). Development and validation of SCL-25. Journal of Psychology, 18, 137-49. [Persian]

Owusu, M., Nursey-Bray, M., & Rudd, D. (2019). Gendered perception and vulnerability to climate change in urban slum communities in Accra, Ghana. Regional Environmental Change, 19(1), 13-25.

Pourhossein, Reza. (2009). Estimating the validity of the Self-Perception test, Form 30 questions. Journal of Psychological Sciences. 31.1, 48-31. [Persian]

Ranjbari, T., Karimi, J., Mohammadi, A., Norouzi, M. R. (2018). An Evaluation of the Contributions of the Triple Vulnerability Model to the Prediction of Emotional Disorders. IJPCP. 23 (4): 408-423. [Persian]

Saxena, S., . Leckman, J. F., Stein D. J., Matsunaga, H. & Wilhelm, S. (2010). Hording disorder: A new diagnosis for DSM-V?. Depression and Anxiety. 27: 556–572

Stappenbeck, C. A., Gulati, N. K., & Fromme, K. (2016). Daily associations between alcohol consumption and dating violence perpetration among men and women: Effects of self-regulation. Journal of studies on alcohol and drugs, 77(1), 150-159.

Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83-102.‏

Stein, D.J., Philips, K. A., Bolton, D., Fulford, K. W., Sadler, J. D., Kendler, K. S. (2010). What is a mental/Psychiatric Disorder? From DSM-IV to DSM-V. Psychological Medicine, 40: 1759-1765.

Turner, H. A., Shattuck, A., Finkelhor, D., & Hamby, S. (2017). Effects of poly-victimization on adolescent social support, self-concept, and psychological distress. Journal of interpersonal violence, 32(5), 755-780.