Developing a Relational Model of Mindfulness with Rumination and Distress Tolerance: The Mediating Role of Emotional Safety in Adolescents with Depressive Symptoms
Keywords:
Mindfulness , Rumination , Distress tolerance , Emotional safety , DepressionAbstract
The present study aimed to develop a relational model of mindfulness with rumination and distress tolerance, considering the mediating role of emotional safety in adolescents with depressive symptoms. This research is classified as fundamental in terms of purpose and employs a descriptive-correlational design using structural equation modeling. The sampling method used in this study was convenience sampling, whereby 100 individuals with depressive symptoms were identified after visiting counseling and psychotherapy centers in Ahvaz and were selected to participate in the study. The participants completed the relevant questionnaires. Data were collected using the Distress Tolerance Scale by Simmons and Gaher (2005), the Rumination Scale by Morrison and O'Connor (2008), the Mindfulness Scale by Brown and Ryan (2003), and the Emotional Safety Scale by Brunner (2008). Descriptive and inferential statistical methods, including Pearson correlation and path analysis, were used to analyze the data, utilizing SPSS version 26 and AMOS software. The results indicated that the predictive model of rumination and distress tolerance based on mindfulness, mediated by emotional safety in adolescents with depressive symptoms, demonstrated an acceptable fit. This finding suggests that within this model, rumination and distress tolerance in adolescents with depression can be significantly and adequately predicted based on mindfulness. Moreover, the mediating role of emotional safety in the interaction between the predictor and criterion variables was confirmed at a significant level.
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Amiri, M., Khosh Akhlagh, H., Sajadian, P. S., & Rezaie Jamalouei, H. (2023). The effectiveness of treatment based on acceptance and commitment on sexual performance and emotional safety in men with cardiovascular disease. Applied Family Therapy Journal (AFTJ), 4(4), 520-535. https://doi.org/10.61838/kman.aftj.4.4.29
Asli Azad, M., Manshaei, G., & Ghamrani, A. (2019). The Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation and Uncertainty Tolerance in Students with Obsessive-Compulsive Disorder. Journal of Exceptional Children, 9(36), 33-53.
Bischof, C., Hohensee, N., Alexandra Dietel, F., Doebler, P., Klein, N., & Buhlmann, U. (2023). Emotion Regulation in Obsessive-Compulsive Disorder: An Ecological Momentary Assessment Study. Behavior therapy, 1(2), 5-17. https://doi.org/10.1016/j.beth.2024.01.011
Borgohain, N. (2024). A Short Review on Practice of Mindfulness as Treatment in Obsessive-Compulsive Disorder. Journal of Applied Consciousness Studies, 12(1), 2-23. https://doi.org/10.4103/jacs.jacs_123_23
Brighton, C. H., Kloepper, L. N., Harding, C. D., Larkman, L., McGowan, K., Zusi, L., & Taylor, G. K. (2022). Raptors avoid the confusion effect by targeting fixed points in dense aerial prey aggregations. Nature Communications, 13(1), 4778. https://doi.org/10.1038/s41467-022-32354-5
Bunjak, A., Černe, M., & Schölly, E. L. (2022). Exploring the past, present, and future of the mindfulness field: A multitechnique bibliometric review. Frontiers in psychology, 13, 1-13. https://doi.org/10.3389/fpsyg.2022.792599
Chen, X., Huang, Z., & Lin, W. (2022). The effect of emotion regulation on happiness and resilience of university students: The chain mediating role of learning motivation and target positioning. Frontiers in psychology, 13.
Choopani, M., & Karami, M. (2022). Epidemiology of Psychosocial Injuries Based on the Family Life Cycle in Tehran.
Cruz, L. F. d. l., Isomura, K., Lichtenstein, P., Larsson, H., Kuja-Halkola, R., Chang, Z., D’Onofrio, B. M., Brikell, I.,
Rück, C., Sidorchuk, A., & Mataix-Cols, D. (2024). All cause and cause specific mortality in obsessivecompulsive disorder: nationwide matched cohort and sibling cohort study. bmj, 384, e077564. https://doi.org/10.1136/bmj-2023-077564
Darabpour, F., & Khanmohammadi, A. (2023). The Relationship between Rumination and Perfectionism with Obsessive Thoughts in Students. 3rd National Conference on Psychology, Tehran. https://civilica.com/doc/1928249
De Filippis, S., Erbuto, D., Gentili, F., Innamorati, M., Lester, D., Tatarelli, R., Martelletti, P., & Pompili, M. (2021). Mental turmoil, suicide risk, illness perception, and temperament, and their impact on quality of life in chronic daily headache. The Journal of Headache and Pain, 9(6), 349-357. https://doi.org/10.1007/s10194-008-0072-4
Faghih, H., & Bakhshpour Rodsari, A. (2023). Investigating the Relationship between Emotion Regulation and Resilience in Students: The Mediating Role of Self-Esteem. https://civilica.com/doc/1707462
Ferrández-Mas, J., Moreno-Amador, B., Marzo, J. C., Falcó, R., Molina-Torres, J., Cervin, M., & Piqueras, J. A. (2023). Relationship between Cognitive Strategies of Emotion Regulation and Dimensions of ObsessiveCompulsive Symptomatology in Adolescents. Children, 10(5), 1-15. https://doi.org/10.3390/children10050803
Godfrey, D. A., Heinrich, A., McIngvale, E., Sy, J., Wheaton, M. G., & Björgvinsson, T. (2024). Improvement in Distress Tolerance as a Mechanism of Symptom Reduction during Intensive Exposure and Response Prevention Based Treatment for OCD. Behavior therapy, 1(2), 5-15. https://doi.org/10.1016/j.beth.2023.12.006
Heidarian, A., Zahra Kar, K., & Mohsenzadeh, F. (2016). The Effectiveness of Mindfulness Training on Resilience and Rumination in Female Breast Cancer Patients: A Randomized Controlled Trial. Journal of Breast Diseases,9(2), 52-59.
Jodaki, H., Sabet, M., & Ahadi, H. (2021). The Effectiveness of Mindfulness-Based Cognitive Therapy on Rumination and Fatigue in Patients with Uterine Cancer. Journal of Rehabilitation Research in Nursing, 8(2),1-11.
Karami, T., Behbodi, M., & Jahangir, P. (2023). Modeling the Effect of Approach Motives, Self-Compassion and Mindfulness on Sexual Intimacy of Married Nurses With the Mediating Role of Alexithymia. Jarac, 5(3), 78-86.https://doi.org/10.61838/kman.jarac.5.3.11
Mahboob, M., Basharpour, S., Hajilou, N., Anbari, E., & Salvat, H. (2021). Causal Modeling of Bullying-related Behaviors based on the Experience of Child Abuse the Mediating Role of Emotional Safety. arumsj, 21(4), 402-415. https://doi.org/10.52547/jarums.21.4.402
Mahjoub, M. (2019). The Role of Parenting Styles, Child Abuse Experience, and Emotional Safety in BullyingRelated Behaviors among Students University of Mohaghegh Ardabili]. https://uma.ac.ir/find-31.8193.21772.fa.html
Mansouri, A., Bakhshi, A., Mahmoudalilou, M., Farnam, A., & Fakhari, A. (2021). Comparing Worry, Obsessive Thoughts, and Rumination in Patients with Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Major Depressive Disorder, and Healthy Individuals. Journal of Psychological Studies, 7(4), 2-13.
Mao, L., Li, P., Wu, Y., Luo, L., & Hu, M. (2023). The effectiveness of mindfulness-based interventions for ruminative thinking: A systematic review and meta-analysis of randomized controlled trials. Journal of affective disorders,321, 83-95. https://doi.org/10.1016/j.jad.2022.10.022
Mousavi, S. Z., & Seyed Tabaei, S. R. (2023). Predicting Obsessive-Compulsive Disorder Based on Rumination and Distress Tolerance during the COVID-19 Pandemic. Journal of Psychology, 12(4), 159-166.
Pseftogianni, F., Panagioti, M., Birtwell, K., & Angelakis, I. (2023). Mindfulness interventions for obsessivecompulsive and related disorders: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology: Science and Practice, 30(3), 233-243. https://doi.org/10.1037/cps0000132
Raines, A. M., Vidaurri, D. N., Portero, A. K., & Schmidt, N. B. (2021). Associations between rumination and obsessive-compulsive symptom dimensions. Personality and individual differences, 113, 63-67.https://doi.org/10.1016/j.paid.2017.03.001
Safari Dizaj, S., & Ali Panah, A. (2023). The Effectiveness of Schema Therapy on Distress Tolerance and Obsessive-Compulsive Symptoms in Patients with Obsessive-Compulsive Disorder. Journal of Sabzevar University of Medical Sciences, 30(3), 393-403.
Shahni Feiz, K., Yusefi Nik, A., Ghasemzadeh, S., & Dehui Qariyeh Musa, T. (2023). The Effectiveness of Mindfulness-Based Stress Reduction Program on Emotion Regulation and Obsessive-Compulsive Symptoms in Children with Obsessive-Compulsive Disorder. https://doi.org/10.61838/kman.aftj.4.3.6
Sharmi Alamdari, F., Mirzapour Alamdari, M., & Mir Tabar, S. M. (2023). The Role of Cognitive Emotion Regulation Strategies and Personality Traits in Predicting Obsessive-Compulsive Disorder in the COVID-19 Pandemic. 3rd National Conference on Psychology, Tehran. https://civilica.com/doc/1928317
Soffer-Dudek, N. (2023). Obsessive-compulsive symptoms and dissociative experiences: Suggested underlying mechanisms and implications for science and practice. Frontiers in psychology, 14, 1132800. https://doi.org/10.3389/fpsyg.2023.1132800
Taghipour, B., Sharifi, S. F., Seyed, S. N., & Ebadi, L. (2023). The Effectiveness of Mindfulness-Based Compassion Training on Tolerance of Distress and Emotional Inhibition in Students with Generalized Anxiety Disorder. Journal of New Research in Psychology, 18(70), 23-29.
Taghvaee Nia, A., & Zarei, F. (2022). The Effectiveness of Emotion Regulation Training on Improving Mental Health and Reducing Rumination in Divorced Women. Journal of Cognitive Psychology and Psychotherapy, 9(3), 44-55. https://doi.org/10.32598/shenakht.9.3.44
Tajeryan, Z., Afrooz, G. A., & Nouryghasemabadi, R. (2023). Emotion Regulation in Women with PTSD and Addiction. Psychology of Woman Journal, 4(2), 160-168. https://doi.org/10.61838/kman.pwj.4.2.19
Tolin, D. F. (2023). Mindfulness and acceptance for OCD: New direction or more of the same? Clinical Psychology: Science and Practice, 30(3), 248-250. https://doi.org/10.1037/cps0000142
Wong, S. M. Y., Chen, E. Y. H., Lee, M. C. Y., Suen, Y. N., & Hui, C. L. M. (2023). Rumination as a Transdiagnostic Phenomenon in the 21st Century: The Flow Model of Rumination. Brain Sciences, 13(7), 1-17. https://doi.org/10.3390/brainsci13071041
Zabet, M., Karami, J., & Yazdanbakhsh, K. (2021). The Effectiveness of Cognitive Emotion Regulation Training on Experimental Avoidance in Women with Obsessive-Compulsive Disorder. Journal of Psychological Studies,17(1), 129-144.
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