The Effect of Distress Tolerance and Emotional Self-Regulation on Complicated Grief with the Mediating Role of Social Support in Survivors of Kermanshah Earthquake

Document Type : Original Article

Authors

1 Department of health psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.

2 Department of clinical psychology, Shahed University, Tehran, Iran.

3 Department of psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

Abstract

Background: Bereavement is a person's response to loss that has a physical, psychological, or social aspect.
Objectives: This study aimed to determine the effect of distress tolerance and emotional self-regulation on complicated grief with the mediating role of social support.
Methods: The research method was descriptive and the research design was a structural equation modeling. The statistical population consisted of all survivors of the Kermanshah earthquake who are suffering from complicated grief in 2019 and are selected by convenience sampling method. Data obtained by Grief Experience Questionnaire (GEQ), Social Support Scale (MOS-SSS), Emotional self-regulation questionnaire and Distress Tolerance Questionnaire. Data were analyzed by the Pearson correlation coefficient and structural equation modeling using SPSS.22 and PLS2-SMART software.
Results: The results of this study showed that the relationship between the variables of the study was significant, and distress tolerance, self-regulation, and social support have the ability to predict complicated grief (p <0.001). Also, social support has the mediating variable between distress tolerance and emotional self-regulation on complicated grief (p <0.001).
Conclusion: According to the results of this study, earthquake survivors should be able to control the tolerance of grief after the earthquake by increasing their distress tolerance and emotional self-regulation and with social support from others.

Keywords


  1. Kiani A, Fathi D, Honarmand P, Abdi S. The relationship between attachment styles, social support and copping styles with psychological resiliency in groups with grief experience: Path analysis. Counseling Culture and Psycotherapy. 2020 Mar 20;11(41):157-80.
  2. Chamani Ghalandari R, Dokaneifard F, Rezaei R. The effectiveness of semantic therapy training on psychological resilience and psychological well-being of mourning women. Shenakht Journal of Psychology and Psychiatry. 2019; 6 (4) :26-36
  3. Freedy J. 9 Understanding Trauma and Grief Complications. Understanding Child and Adolescent Grief: Supporting Loss and Facilitating Growth. 2017 Oct 12.
  4. Sidaway JD. Deathscapes: Spaces for death, dying, mourning and remembrance. Routledge; 2016 May 13.
  5. Robben AC, editor. Death, mourning, and burial: a cross-cultural reader. John Wiley & Sons; 1991 Jan 16.
  6. Alipour Dehaghani, F. An Investigation into the Impact of Group Counseling and Treatment of Grief with an Islamic Approach on the Improvement of the Quality of Life of the Holy Shrine Defender Martyrs' Wives. Military Psychology, 2020; 11(41): 5-16.
  7. Ysefpoor N, Ahi, Nasri. Investigation of the effect of psychotherapy based on life quality improvement on the anxiety of those suffering from complicated grief. J Birjand Univ Med Sci.. 2015; 22 (2) :145-153
  8. 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. Personality and individual differences. 2018 Jan 1;120:166-70.
  9. Rabani Z. Comparison of Coping Styles, Distress Tolerance and Religious Adherence in Mothers of Children with Physical-Motor Disabled and Normal. IJRN. 2020; 6 (4) :10-18.
  10. Peraza N, Smit T, Garey L, Manning K, Buckner JD, Zvolensky MJ. Distress tolerance and cessation-related cannabis processes: The role of cannabis use coping motives. Addictive behaviors. 2019 Mar 1;90:164-70.
  11. Schoenefeld SJ, Webb JB. Self-compassion and intuitive eating in college women: Examining the contributions of distress tolerance and body image acceptance and action. Eating Behaviors. 2013 Dec 1;14(4):493-6.
  12. Mohammadverdi O, Sharifi M, Fathabadi J, Nejati V. The Effect of Self-regulation Strategies on Math and Memory Performance of High School Students. Educ Strategy Med Sci. 2019;12(1):144-151.
  13. Slonim T. The polyvagal theory: Neuropsychological foundations of emotions, attachment, communication, & self-regulation. International Journal of Group Psychotherapy. 2014 Oct 1;64(4):593-600.
  14. DeLisi M. Low self-control is a brain-based disorder. The nurture versus biosocial debate in criminology: On the origins of criminal behavior and criminality. 2014 Jan 31:172-84.
  15. Li D, Li D, Wu N, Wang Z. Intergenerational transmission of emotion regulation through parents' reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects. Children and Youth Services Review. 2019 Jun 1;101:113-22.
  16. Fathi Azar E, Taghipour K, Haj Agaie Khiabani A. The effectiveness of Teaching Philosophy for Children on emotional self-regulation in labor children. Thinking and Children. 2020 Feb 20;10(2):1-30.
  17. Henry A, Tourbah A, Camus G, Deschamps R, Mailhan L, Castex C, Gout O, Montreuil M. Anxiety and depression in patients with multiple sclerosis: The mediating effects of perceived social support. Multiple sclerosis and related disorders. 2019 Jan 1;27:46-51.
  18. Yoo SJ, Ryu S, Kim S, Han HS, Moon C. Reference module in neuroscience and biobehavioral psychology. Elsevier; 2017.
  19. Yosefi N, Sharifi HP, Sharifi N. Structural model of academic burnout based on perceived social support, educational justice, and academic motivation variables of students. Quarterly of Applied Psychology. 2018 Jan 1;12(3):418-38.
  20. Steine IM, Winje D, Krystal JH, Milde AM, Bjorvatn B, Nordhus IH, Grønli J, Pallesen S. Longitudinal Relationships between Perceived Social Support and Symptom Outcomes: Findings from a sample of Adult Survivors of Childhood Sexual Abuse. Child Abuse & Neglect. 2020 Sep 1;107:104566.
  21. Molaie A, Abedin A. Effectiveness of Group movie therapy (GMT) on reduction of grief experience intensity in bereaved adolescent girls. Iranian Journal of Psychiatry and Behavioral Sciences. 2011 Jan 15;5(1):25-32.
  22. Holden L, Lee C, Hockey R, Ware RS, Dobson AJ. Validation of the MOS Social Support Survey 6-item (MOS-SSS-6) measure with two large population-based samples of Australian women. Quality of Life Research. 2014 Dec 1;23(10):2849-53.
  23. Gómez-Ortiz O, Romera EM, Ortega-Ruiz R, Cabello R, Fernández-Berrocal P. Analysis of emotion regulation in Spanish adolescents: Validation of the Emotion Regulation Questionnaire. Frontiers in psychology. 2016 Jan 7;6:1959.
  24. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion. 2005 Jun 1;29(2):83-102.
  25. Aslipoor A, Kalantari M, Samavatyan H, Abedi A. The Lived Experience of Mothers in the Field of Affective Factors in Emotional Behavioral Problems of Grief Children. Clinical Psychology Studies. 2019 Oct 23;9(36):83-116.
  26. Irom M, ZAREI A, TOJARI F. Relationship between Social Support and Self-Regulation with Leisure Time Physical Activities (LTPA) of Iranian Workers. Journal of Strategic Studies in Sports and Youth, 40:115-105.