Islamic lifestyle with a focus on health

Islamic lifestyle with a focus on health

The Mediating Role of Distress Tolerance in the Relationship Between Dysfunctional Attitudes and Loneliness: A Structural Equation Modeling Approach

Document Type : Original Article

Authors
1 . Ph.D, Student in General Psychology, Research Institute of Hawzah and University, Qom, Iran.
2 Department of General Psychology, Faculty of Psychology and Educational Sciences, University of Religions and Denominations, Qom, Iran
Abstract
Introduction: The present study was designed to test the mediating role of "distress tolerance" in the relationship between "dysfunctional attitudes" and "feelings of loneliness" in teachers in Qom.
Method: The research method was descriptive correlational and based on structural equation modeling. The research sample consisted of 137 teachers (mean age = 43.53 years, 66% female) which was conducted by convenience sampling method. Data were collected using Dysfunctional Attitudes Scale (DAS-26), Distress Tolerance Scale (DTS), and Social Emotional Loneliness Scale (SELSA-S).
Results: The analyses showed that dysfunctional attitudes were positively and significantly associated with the intensity of loneliness and negatively and significantly associated with distress tolerance. In addition, distress tolerance was significantly negatively associated with loneliness. Baron and Kenny's mediation test indicated the incomplete mediating role of distress tolerance in mediating the effect of dysfunctional attitudes on loneliness; so that approximately 28% of the direct effect of dysfunctional attitudes on loneliness is transmitted through reduced distress tolerance. R² values ​​showed that the variables have adequate explanatory power for loneliness (43%) and distress tolerance (40%).
Discussion and conclusion: The results of this study emphasize that to reduce feelings of loneliness and improve teachers' mental health, it is necessary to design and implement special training and educational programs to enhance distress tolerance, in addition to cognitive therapy interventions to correct ineffective attitudes.
 
Keywords

1-      Vanhalst J, Luyckx K, Van Petegem S, Soenens B. The detrimental effects of adolescents’ chronic loneliness on motivation and emotion regulation in social situations. J Youth Adolesc. 2018;47:162–76. . https://doi.org/10.1007/s10964-017-0686-4
2-      Seemann A. The psychological structure of loneliness. Int J Environ Res Public Health. 2022;19(3):1061.https://doi.org/10.3390/ijerph19031061
3-      Cacioppo JT, Hawkley LC, Crawford LE, Ernst JM, Burleson MH, Kowalewski RB, Malarkey WB, Van Cauter E, Berntson GG. Loneliness and health: Potential mechanisms. Biopsychosocial Science and Medicine. 2002 May 1;64(3):407-17.https://doi.org/10.1097/00006842-200205000-00005
4-      Hawkley LC, Cacioppo JT. Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Ann Behav Med. 2010;40(2):218–27. https://doi.org/10.1007/s12160-010-9210-8
5-      Heinrich LM, Gullone E. The clinical significance of loneliness: A literature review. Clinical psychology review. 2006 Oct 1;26(6):695-718. https://doi.org/10.1016/j.cpr.2006.04.002
6-      Chau AKC, So SHW, Barkus E. The role of loneliness and negative schemas in the moment‑to‑moment dynamics between social anxiety and paranoia. Sci Rep. 2023;13(1):20775. https://doi.org/10.1038/s41598-023-47912-0
7-      Karami A, Khodarahimi S, Ghazanfari F, Mirdrikvand F, Barigh M. The prediction of distress tolerance based on the feeling of loneliness and self-handicapping in students. Pers Individ Dif. 2020;161:109994. https://doi.org/10.1016/j.paid.2020.109994
8-      Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V. Cognitive theories and the role of dysfunctional attitudes in emotional dysregulation: A systematic review. Psychol Bull.2023;149(1):10–45. https://doi.org/10.1002/jclp.23604
9-      Brown GP, Delgadillo J, Golino H. Distinguishing the Dimensions of the Original Dysfunctional Attitude Scale in an Archival Clinical Sample. Cogn Ther Res. 2023;47:69–83. https://doi.org/10.1007/s10608-022-10333-w
10-  Lin GX, Szczygieł D. Emotion controllability beliefs, emotion regulation, and parental burnout. Current Psychology. 2025 Apr;44(7):5766-77. https://doi.org/10.1007/s12144-025-07621-5
11-   Singh V, et al. The Impact of Dysfunctional Attitudes and Emotion Regulation on Prosocial Behaviour in Adults. Int J Indian Psychol. 2023;11(2):188.https://doi.org/10.25215/1102.188
12-   Muraosa H, Shirata T, Saito Y, Noto K, Suzuki A. Comparison of dysfunctional attitudes, cognitive vulnerability to depression, before and during the COVID‑19 pandemic in healthy participants. BMC Psychol. 2024;12(1):185. https://doi.org/10.1186/s40359-024-01674-0
13-  Agyapong V, Obuobi‑Donkor G, Burback L, Wei Y. Stress, burnout, anxiety and depression among teachers: a scoping review. Int J Environ Res Public Health. 2022;19(17):10706. https://doi.org/10.3390/ijerph191710706
14-  Oltean LE, Canache MG, Patrichi A, Rîmbu RI, Sîntoma D, Miu AC, Szentágotai-Tătar A. Loneliness and cognitive vulnerability factors: A systematic review focused on maladaptive cognitions. Journal of Evidence-Based Psychotherapies. 2024 Sep 1;24(3).https://doi.org/10.24193/jebp.2024.2.14
15-  Moshtaghi M, Sameri F, Mokari Menshadi E, Khorramnia P, Jourasti V. Investigating the problematic use of cell‑phone in the relationship by feelings of loneliness and alexithymia with the mediating role of distress tolerance among medical science students. Int J Travel Med Global Health. 2024;12(4):216–24. https://doi.org/10.30491/ijtmgh.2024.454760.1413
16-   Lass AN, Winer ES. Distress tolerance and symptoms of depression: a review and integration of literatures. Clin Psychol Sci Pract. 2020;27(3):e12336. https://doi.org/10.1111/cpsp.12336
17-  Cohen J. Statistical Power Analysis for the Behavioral Sciences. London: Routledge; 2013.
18-  Weissman AN, Beck AT. Development and validation of the dysfunctional attitude scale: A preliminary investigation. Cogn Ther Res. 1978;2(3):263–71. https://coilink.org/20.500.12592/3sez69j
19-  Ebrahimi A, Mousavi G. Development and validation of the 26-item version of the Dysfunctional Attitude Scale (DAS-26): Factor structure, reliability, and validity in outpatient psychiatric patients. Journal of Ilam University of Medical Sciences. 2013;21(5):20–28. http://sjimu.medilam.ac.ir/article-1-210-fa.html) .In Persian(
20-  Beck AT, Brown G, Steer RA, Weissman AN. Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychol Assess. 1991;3(3):478–83. https://doi.org/10.1037/1040-3590.3.3.478
21-  Simons JS, Gaher RM. The Distress Tolerance Scale: development and validation of a self‑report measure. Motiv Emot. 2005;29(2):83–102. https://doi.org/10.1007/s11031-005-7955-3
22-  Esmaeilinasab M, Andami Khoshk A, Azarmi H, Samarrakhy A. Predictive role of emotion regulation difficulty and distress tolerance in student addiction. Addiction Research. 2014;8(29):49–63. https://sid.ir/paper/113700/fa )In Persian(
23-  Shams J, Azizi A, Mirzaei A. Relationship between distress tolerance, emotion regulation, and smoking dependence in students. Hakim Health Systems Research. 2009;13(1):11–18. http://hakim.tums.ac.ir/article-1-608-fa.html)In Persian(
24-  DiTommaso E, Brannen C, Best LA. Measurement and validity characteristics of the short version of the social and emotional loneliness scale for adults. Educ Psychol Meas. 2004;64(1):99–119. https://doi.org/10.1177/0013164403258450
25-  Jokar B, Salimi A. Psychometric properties of the short form of the social and emotional loneliness scale for adults. Behavioral Sciences Journal. 2011;5(4):311–17. https://sid.ir/paper/502401/fa )In Persian(
26-  Aggarwal CC. Outlier ensembles. In: Aggarwal CC, editor. Outlier Analysis. Cham: Springer; 2016. p.185–218.
27-  Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173–83. https://doi.org/10.1037/0022-3514.51.6.1173
28-  Ryu J. Effects of skewness and kurtosis on normal theory based maximum likelihood test statistic in multilevel structural equation modeling. Behav Res Methods. 2011;43(4):1066–74. https://doi.org/10.3758/S13428-011-0115-7
29-  Gefen D, Straub DW, Boudreau MC. Structural equation modeling and regression: guidelines for research practice. Commun AIS. 2000;4(1):7. https://doi.org/10.17705/1CAIS.00407
30-  Dagenais M, Dufour JM. Durbin–Watson tests for serial correlation in regressions with missing observations. J Econometrics. 1985;27(3):371–81. https://doi.org/10.1016/0304-4076(85)90012-0
31-  Miles J, Shevlin M. Applying Regression and Correlation: A Guide for Students. 2nd ed. London: SAGE; 2005.
32-  Kline RB. Principles and Practice of Structural Equation Modeling. 4th ed. New York: Guilford Press; 2015.
33-  Henseler J, Ringle CM, Sarstedt M. A new criterion for assessing discriminant validity in variance based structural equation modeling. J Acad Mark Sci. 2014;43(1):115–35. https://doi.org/10.1007/s11747-014-0403-8
34-  Chin WW. The partial least squares approach to structural equation modeling. In: Modern Methods for Business Research. 1998. p.295–336.
35-  Conway CC, Naragon-Gainey K, Harris MT. The structure of distress tolerance and neighboring emotion regulation abilities. Assessment. 2021;28(4):1050–60. https://doi.org/10.1177/1073191120954914
36-  McHugh RK, Otto MW. The empirical status of distress tolerance in the treatment of anxiety and avoidance: a systematic review. Clin Psychol Rev.2021;83:101941. https://doi.org/10.1016/j.cpr.2020.101941
37-  Jeffries ER, McLeish AC, Kraemer KM, Avallone KM, Fleming JB. The role of distress tolerance in the use of specific emotion regulation strategies. Behav Modif. 2016;40(3):439–51. https://doi.org/10.1177/0145445515619596
Burns JW, Machin MA. Emotional avoidance and depressive symptoms: a meta-analysis. J Behav Ther Exp Psychiatry. 2013;44(1):45–54. https://doi.org/10.1016/j.jbtep.2012.08.007