Recent Innovations in Psychology

Recent Innovations in Psychology

The Mediating Role of Coping Self-Efficacy in the Relationship Between Self-Compassion and Emotional Distress Tolerance in Infertile Women

Document Type : Original Article

Authors
Reyhane Darban Loghmani 1
Soheila Soltani Asl Heris 2
1 MSc. in General Psychology, Bahar Institute of Higher Education, Mashhad, Iran
2 Assistant Professor, Department of Psychology, Bahar Institute of Higher Education, Mashhad, Iran
10.22034/rip.2025.514164.1091
Abstract
The present study aimed to examine the mediating role of coping self-efficacy in the relationship between self-compassion and emotional distress tolerance in infertile women. A sample of 200 infertile women was selected through convenience sampling from those visiting infertility clinics in Mashhad (a city in Iran) during the spring of 2024. Data were collected using the Self-Compassion Scale (SCS), the Coping Self-Efficacy Scale (CSES), and the Distress Tolerance Scale (DTS). Data analysis was conducted using Pearson’s correlation coefficient and path analysis. The model demonstrated good fit, and the results indicated that the direct effects of self-compassion (β = 0.35) and coping self-efficacy (β = 0.66) on emotional distress tolerance were positive and significant (P < 0.01). The indirect effect of self-compassion on emotional distress tolerance, mediated by coping self-efficacy, was also positive and significant (β = 0.58). It appears that as self-compassion increases, coping self-efficacy in infertile women improves, thereby enhancing their emotional distress tolerance.
Keywords
coping self-efficacy
distress tolerance
self-compassion

Subjects

بهرامیان، سیده فاطمه.، مروتی، ذکراله.، یوسفی افراشته، مجید.، و امیری، محسن. (1396). بررسی ویژگی های روانسنجی و ساختار عامل تأییدی پرسشنامه خودکارآمدی مقابله ای. روانشناسی بالینی و شخصیت (دانشور رفتار)، 15(2)، 215-226. https://doi.org/10.22070/cpap.2020.2830

بیرانوند، نسیم.، چین اوه، محبوبه.، و بهرامی، محسن. (1401). مقایسه اثربخشی شفقت درمانی و درمان حساسیت زدایی ازطریق حرکت چشم و بازپردازش آن بر خودکارآمدی مقابله ای در بیماران بهبودیافته از بیماری کووید-19. مطالعات ناتوانی، 12، 234-234. URL: http://jdisabilstud.org/article-1-2985-en.html

تخیری، محمودرضا.، فخری، محمدکاظم.، و حسن زاده، رمضان. (1400). روابط ساختاری بین قدرت ایگو با تحمل پریشانی هیجانی با میانجی گری حمایت اجتماعی ادراک شده در دانشجویان زن دانشکده پرستاری و مامایی دانشگاه تهران. آموزش پرستاری، 10(1)، 90-79. URL: https://jne.ir/article-1-1199-fa.html

حیدری نژاد، محسن.، حیدری، حسن.، و داوودی، حسین. (1399). پیش بینی تمایل به خودکشی بر اساس متغیرهای دشواری تنظیم هیجانی، انعطاف پذیری شناختی، انعطاف پذیری خانواده و تحمل پریشانی. تحقیقات علوم رفتاری، 18(2)، 169-181. http://dx.doi.org/10.52547/rbs.18.2.169

دباغی، حمیده.، و رفیعی پور، زینب. (1401). ناباروری و رنج زنان؛ مروری بر مشکلات روانشناختی، اجتماعی و اقتصادی نازایی. فصلنامه علوم اجتماعی، 19(8)، 205-216. https://doi.org/10.22054/qjss.2023.72483.2610

دژکام، لطف اله.، درویشی تفویضی، منصور.، و کلانی، نوید. (1402). ابعاد مختلف پدیده ناباروری در زندگی زنان ایرانی: یک مطالعه مرور نظامند. مجله زنان، مامایی و نازایی ایران، 26(3)، 90-108. https://doi.org/10.22038/ijogi.2023.22603

زراستوند، عاطفه.، تیزدست، طاهر.، خلعتبری، جواد.، و ابوالقاسمی، شهنام. (1398). اثربخشی درمان متمرکز بر شفقت به خود بر خودتنظیمی زناشویی, دلزدگی زناشویی و خود انتقادی زنان نابارور. تحقیقات علوم رفتاری، 17(4)، 594-605. http://dx.doi.org/10.52547/rbs.17.4.594

سلطان آبادی، سمانه.، ادیبی، مریم.، خاکی، زینب.، حضرتی، سجاد.، و علی‌مهدی، منصور. (1400). نقش تنظیم شناختی هیجان و تحمل پریشانی‌هیجانی در پیش‌بینی تاب‌آوری در زمان شیوع پاندمی کرونا. شناخت اجتماعی، 10(20)، 39-58. https://doi.org/10.30473/sc.2022.59498.2694

صالحی، بلن.، و اصغری ابراهیم آباد، محمدجواد. (1398). بررسی نقش مذهب و تحمل پریشانی هیجانی در پیش‌بینی امنیت روانی زنان نابارور. مطالعات اجتماعی روان شناختی زنان، 17(1)، 165-192. https://doi.org/10.22051/jwsps.2019.15782.1488

قاسمی، بهاره.، پردلان، نوشین.، و برجیس، کتایون. (1401). اثربخشی آموزش خودشفقت ورزی بر خودانتقادی و آشفتگی روانشناختی در زنان نابارور. آموزش پرستاری، 11(5)، 21-31. http://dx.doi.org/https://doi.org/10.22034/JNE.11.5.21

کرایی، امین.، دشت بزرگی، زهرا.، و ظاهری عبده وند، سیمین. (1397). تأثیر راهبردهای مقابله با استرس بر سازگاری با ناباروری در زنان نابارور: نقش میانجی کیفیت رابطه زناشویی. مجله مراقبت پرستاری و مامایی ابن‌سینا، 26(3)، ۱۹۱-۲۰۲. http://dx.doi.org/10.30699/sjhnmf.26.3.191

محمودپور، عبدالباسط.، شریعتمدار، آسیه.، برجعلی، احمد.، و شفیع آبادی، عبدالله. (1400). ویژگی های روانسنجی مقیاس تحمل پریشانی(سیمونز و گاهر، 2005) در سالمندان. اندازه گیری تربیتی، 12(46)، 49-61. https://doi.org/10.22054/jem.2022.65915.3341

مومنی، فرشته.، شهیدی، شهریار.، موتابی، فرشته.، و حیدری، محمود. (1392). ویژگی های روانسنجی نسخه فارسی مقیاس خود شفقت ورزی. روانشناسی معاصر، 8(2)، 27-40. URL: https://bjcp.ir/article-1-386-fa.html

نجفی، احسان.، میرابی، حانیه.، حسین زاده ملکی، زهرا.، و باقرزاده، فاطمه. (1402). نقش شفقت به خود و ناگویی خلقی در پیش بینی حمایت اجتماعی ادراک شده. نوآوری های اخیر در روان‌شناسی، 1(1)، 1-13. https://doi.org/10.22034/rip.2024.189967

واعظ‌فر، سید سعید.، آزادی، محمد مهدی.، اکبری بلوطبنگان، افضل.، و رحیمی، معصومه. (1393). نقش سبک‌های مقابلهای و خودکارآمدی دراسترس شغلی پرستاران شاغل در بیمارستان. روان پرستاری، ۲(۲)، ۲۲-۳۲. URL: http://ijpn.ir/article-1-330-fa.html

 

 

Bahramiyan, H. (2020). Reliability, validity, and factorial analysis of coping self-efficacy scale. Clinical Psychology and Personality, 15(2), 215-226 (In Persian). https://doi.org/10.22070/cpap.2020.2830

Bandura, A. (2015). Self-efficacy conception of anxiety. In Anxiety and self-focused attention (pp. 89-110). Routledge.URL: https://www.taylorfrancis.com/books/mono/10.4324/9781315674766/ 

Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2021). The relationships of distress tolerance, self-compassion to posttraumatic growth, the mediating role of cognitive fusion. Journal of Aggression, Maltreatment & Trauma, 30(1), 70-81. https://doi.org/10.1080/10926771.2019.1711279

Beiranvand, N., CHinaveh, M., & Bahrami, M. (2022). Comparing the Effectiveness of Compassion Therapy and Eye Movement Desensitization and Its Reprocessing on Coping Self-efficacy of Patients Recovered From COVID-19.‏ Journal of Disability Studies, 12, 234-234 (In Persian). URL: http://jdisabilstud.org/article-1-2985-en.html

Colman, R., & Kotera, Y. (2024). Addressing the psychological impact of infertility risk arising from breast cancer treatment: Education and self-compassion interventions. International Journal of Population Studies, 1-7. https://doi.org/10.36922/ijps.1724

Cousineau, T. M., & Domar, A. D. (2007). Psychological impact of infertility. Best practice & research Clinical obstetrics & gynaecology, 21(2), 293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003

Dabbaghi, H., & Rafieepour, Z. (2022). Infertility and Women's Suffer (A Review of the Psychological, Social & Economic Problems of Infertility). Social Sciences, 29(98), 81-119 (In Persian). https://doi.org/10.22054/qjss.2023.72483.2610

Dezhkam, L., Darvishi Tafvizi, M., & Kalani, N. (2023). Different dimensions of infertility phenomenon in the life of Iranian women: a systematic review study. The Iranian Journal of Obstetrics, Gynecology and Infertility, 26(3), 90-108 (In Persain). https://doi.org/10.22038/ijogi.2023.22603

Diedrich, A., Hofmann, S. G., Cuijpers, P., & Berking, M. (2016). Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder. Behaviour research and therapy, 82, 1-10. https://doi.org/10.1016/j.brat.2016.04.003

Finlay‐Jones, A. L. (2017). The relevance of self‐compassion as an intervention target in mood and anxiety disorders: A narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90-103. https://doi.org/10.1111/cp.12131

Hazlina, N. H. N., Norhayati, M. N., Bahari, I. S., & Arif, N. A. N. M. (2022). Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ open, 12(3), e057132. https://doi.org/10.1136/bmjopen-2021-057132

Heidari Nejad, M., Heidari, H., & Davoudi, H. (2020). Prediction of tendency to suicide based on the difficulty of emotional regulation, cognitive flexibility, family flexibility and distress tolerance. Journal of Research in Behavioural Sciences, 18(2), 169-181 (In Persian). http://dx.doi.org/10.52547/rbs.18.2.169

Koraei, A., Dasht Bozorgi, Z., & Zahery Abdh Vand, S. (2018). The Effect of Coping Strategies on Coping with Infertility in Women: Mediator Role of Marital Quality. Avicenna Journal of Nursing and Midwifery Care, 26(3), 191-202 (In Persian). http://dx.doi.org/10.30699/sjhnmf.26.3.191

Luberto, C. M., Cotton, S., McLeish, A. C., Mingione, C. J., & O’Bryan, E. M. (2014). Mindfulness skills and emotion regulation: The mediating role of coping self-efficacy. Mindfulness, 5, 373-380. https://doi.org/10.1007/s12671-012-0190-6

Mahmoudpour, A., Shariatmadar, A., Borjali, A., Shafiabadi, A. (2021). Psychometric Properties of the Distress Tolerance Scale (DTS) in the Elderly. Quarterly of Educational Measurement, 12(46), 49-64 (In Persian). https://doi.org/10.22054/jem.2022.65915.3341

Manning, K., Paulus, D. J., Hogan, J. B., Buckner, J. D., Farris, S. G., & Zvolensky, M. J. (2018). Negative affectivity as a mechanism underlying perceived distress tolerance and cannabis use problems, barriers to cessation, and self-efficacy for quitting among urban cannabis users. Addictive behaviors, 78, 216-222. https://doi.org/10.1016/j.addbeh.2017.11.041

Meyers, L. S., Gamst, G., & Guarino, A. J. (2016). Applied multivariate research: Design and interpretation. Sage publications. URL: https://psycnet.apa.org/record/2013-39233-000

Momeni, F., Shahidi, Sh., Mootabi, F., & Heydari, M. (2014). Psychometric properties of a Farsi version of the Self-Compassion Scale (SCS). Psychology Contemporary, 8(2), 27-40 (In Persian). URL: https://bjcp.ir/article-1-386-en.html

Najafi, E., Mirabi, H., Hosseinzadeh Maleki, Z., & Bagherzadeh, F. (2024). The Role of Self-compassion and Alexithymia in Predicting Perceived Social Support. Recent Innovations in Psychology, 1(1), 1-13 (In Persian). https://doi.org/10.22034/rip.2024.189967

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2(3), 223-250. https://psycnet.apa.org/doi/10.1080/15298860309027

Neff, K. D. (2016). The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264-274. https://doi.org/10.1007/s12671-015-0479-3

Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual review of psychology, 74(1), 193-218. https://doi.org/10.1146/annurev-psych-032420-031047

Qasemi, B., Pordelan, N., & Berjis, K. (2022). The effectiveness of self-compassion training on self-criticism and psychological disturbance in infertile women. Journal of Nursing Education, 11(5), 21-31 (In Persian). http://dx.doi.org/https://doi.org/10.22034/JNE.11.5.21

Russell, B. S., Lincoln, C. R., & Starkweather, A. R. (2019). Distress tolerance intervention for improving self-management of chronic conditions: A systematic review. Journal of Holistic Nursing, 37(1), 74-86. https://doi.org/10.1177/0898010118777327

Salehi, B., & Asghari Ebrahim Abad, M. J. (2019). Investigating the impact of the role and dimensions of religion and distress tolerance in predicting the psychological safety of infertile women. Women's Studies Sociological and Psychological, 17(1), 165-192 (In Persian). https://doi.org/10.22051/jwsps.2019.15782.1488

Shaw, J. L., & Kelly, A. C. (2024). How exposure to personal distress with and without self-compassion affects distress tolerance: Results from a two-sample randomized trial. Mindfulness, 15(3), 570-585.https://doi.org/10.1007/s12671-024-02312-x

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. https://doi.org/10.1007/s11031-005-7955-3

Soltanabadi, S., Adibi, M., Khaki, Z., Hazrati, S., & Alimehdi, M. (2022). The Role of Cognitive Emotion Regulation and Tolerance of Emotional Distress in Predicting Resilience During the COVID-19 Pandemic outbreak. Social Cognition, 10(20), 39-58 (In Persian). https://doi.org/10.30473/sc.2022.59498.2694

Takhayori, M,, Fakhri, M., & Hasanzadeh, R. (2021). The Mediating Role of Perceived Social Support in the Relationship between Ego Strength and Emotional Distress Tolerance in Students of the Faculty of Nursing of Tehran University. Journal of Nursing Education, 10(1), 79-90 (In Persian). URL: https://jne.ir/article-1-1199-en.html

Taylor, S. B., Arbon, K., & Reynolds, F. (2021). Somatic Self-Compassion Training Reduces Perceived Stress, Internalized Shame, and Bodily Shame while Increasing Coping Self-efficacy and Self-compassion. OBM Integrative and Complementary Medicine, 6(1), 1-11. http://dx.doi.org/10.21926/obm.icm.2101011

Taylor, S. B., Kennedy, L. A., Lee, C. E., & Waller, E. K. (2022). Common humanity in the classroom: Increasing self-compassion and coping self-efficacy through a mindfulness-based intervention. Journal of American college health, 70(1), 142-149. https://doi.org/10.1080/07448481.2020.1728278

Vaezfar, S. S., Azadi, M. M., Akbari Balootbangan, A., & Rahimi, M. (2014). The role of coping styles and self-efficacy in nurses job stress in hospital. Iranian Journal of Psychiatric Nursing, 2(2), 22-32 (In Persian). URL: http://ijpn.ir/article-1-330-en.html

Wang, H., He, G., Wang, E., Wang, Y., Wang, Z., Zheng, M. Q., ... & Kong, F. (2024). Disentangling the relationship between state self‐compassion and state coping self‐efficacy using dynamic structural equation modeling. Applied Psychology: Health and Well‐Being, 16(4), 2381-2396. https://doi.org/10.1111/aphw.12593

Wang, Y., Yao, L., Liu, L., Yang, X., Wu, H., Wang, J., & Wang, L. (2014). The mediating role of self-efficacy in the relationship between Big five personality and depressive symptoms among Chinese unemployed population: a cross-sectional study. BMC psychiatry, 14, 1-8.https://doi.org/10.1186/1471-244X-14-61

Wild, M. G., Herbert, M. S., & Creech, S. (2024). Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States veterans. The Journal of Pain, 25(4), 60-61.https://doi.org/10.1016/j.jpain.2024.01.278

Yadav, A., Baghel, J., Kamath, A., Mundle, S., Sharma, C., & Prakash, A. (2025). Navigating the Emotional Terrain: Exploring the Psychological Impact of Infertility on Women at a Tertiary Care Hospital. Indian Journal of Community Medicine, 10-4103. URL: https://journals.lww.com/ijcm/fulltext/9900/

Zarastvand, A., Tizdast, T., Khalatbari, J., & Abolghasemi, S. (2020). The effectiveness of self-compassion focused therapy on marital self-regulation, marital burnout, and self-criticism in infertile women. Journal of Research in Behavioural Sciences, 17(4), 594-605 (In Persian). http://dx.doi.org/10.52547/rbs.17.4.594

Zeng, G., Fung, S. F., Li, J., Hussain, N., & Yu, P. (2020). Evaluating the psychometric properties and factor structure of the general self-efficacy scale in China. Current Psychology, 1-11. https://doi.org/10.1007/s12144-020-00924-9

Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self‐compassion and well‐being: A meta‐analysis. Applied Psychology: Health and Well‐Being, 7(3), 340-364.https://doi.org/10.1111/aphw.12051

Bahramiyan, H. (2020). Reliability, validity, and factorial analysis of coping self-efficacy scale. Clinical Psychology and Personality, 15(2), 215-226 (In Persian). https://doi.org/10.22070/cpap.2020.2830
Bandura, A. (2015). Self-efficacy conception of anxiety. In Anxiety and self-focused attention (pp. 89-110). Routledge.URL: https://www.taylorfrancis.com/books/mono/10.4324/9781315674766/ 
Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2021). The relationships of distress tolerance, self-compassion to posttraumatic growth, the mediating role of cognitive fusion. Journal of Aggression, Maltreatment & Trauma, 30(1), 70-81. https://doi.org/10.1080/10926771.2019.1711279
Beiranvand, N., CHinaveh, M., & Bahrami, M. (2022). Comparing the Effectiveness of Compassion Therapy and Eye Movement Desensitization and Its Reprocessing on Coping Self-efficacy of Patients Recovered From COVID-19.‏ Journal of Disability Studies, 12, 234-234 (In Persian). URL: http://jdisabilstud.org/article-1-2985-en.html
Colman, R., & Kotera, Y. (2024). Addressing the psychological impact of infertility risk arising from breast cancer treatment: Education and self-compassion interventions. International Journal of Population Studies, 1-7. https://doi.org/10.36922/ijps.1724
Cousineau, T. M., & Domar, A. D. (2007). Psychological impact of infertility. Best practice & research Clinical obstetrics & gynaecology, 21(2), 293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003
Dabbaghi, H., & Rafieepour, Z. (2022). Infertility and Women's Suffer (A Review of the Psychological, Social & Economic Problems of Infertility). Social Sciences, 29(98), 81-119 (In Persian). https://doi.org/10.22054/qjss.2023.72483.2610
Dezhkam, L., Darvishi Tafvizi, M., & Kalani, N. (2023). Different dimensions of infertility phenomenon in the life of Iranian women: a systematic review study. The Iranian Journal of Obstetrics, Gynecology and Infertility, 26(3), 90-108 (In Persain). https://doi.org/10.22038/ijogi.2023.22603
Diedrich, A., Hofmann, S. G., Cuijpers, P., & Berking, M. (2016). Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder. Behaviour research and therapy, 82, 1-10. https://doi.org/10.1016/j.brat.2016.04.003
Finlay‐Jones, A. L. (2017). The relevance of self‐compassion as an intervention target in mood and anxiety disorders: A narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90-103. https://doi.org/10.1111/cp.12131
Hazlina, N. H. N., Norhayati, M. N., Bahari, I. S., & Arif, N. A. N. M. (2022). Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ open, 12(3), e057132. https://doi.org/10.1136/bmjopen-2021-057132
Heidari Nejad, M., Heidari, H., & Davoudi, H. (2020). Prediction of tendency to suicide based on the difficulty of emotional regulation, cognitive flexibility, family flexibility and distress tolerance. Journal of Research in Behavioural Sciences, 18(2), 169-181 (In Persian). http://dx.doi.org/10.52547/rbs.18.2.169
Koraei, A., Dasht Bozorgi, Z., & Zahery Abdh Vand, S. (2018). The Effect of Coping Strategies on Coping with Infertility in Women: Mediator Role of Marital Quality. Avicenna Journal of Nursing and Midwifery Care, 26(3), 191-202 (In Persian). http://dx.doi.org/10.30699/sjhnmf.26.3.191
Luberto, C. M., Cotton, S., McLeish, A. C., Mingione, C. J., & O’Bryan, E. M. (2014). Mindfulness skills and emotion regulation: The mediating role of coping self-efficacy. Mindfulness, 5, 373-380. https://doi.org/10.1007/s12671-012-0190-6
Mahmoudpour, A., Shariatmadar, A., Borjali, A., Shafiabadi, A. (2021). Psychometric Properties of the Distress Tolerance Scale (DTS) in the Elderly. Quarterly of Educational Measurement, 12(46), 49-64 (In Persian). https://doi.org/10.22054/jem.2022.65915.3341
Manning, K., Paulus, D. J., Hogan, J. B., Buckner, J. D., Farris, S. G., & Zvolensky, M. J. (2018). Negative affectivity as a mechanism underlying perceived distress tolerance and cannabis use problems, barriers to cessation, and self-efficacy for quitting among urban cannabis users. Addictive behaviors, 78, 216-222. https://doi.org/10.1016/j.addbeh.2017.11.041
Meyers, L. S., Gamst, G., & Guarino, A. J. (2016). Applied multivariate research: Design and interpretation. Sage publications. URL: https://psycnet.apa.org/record/2013-39233-000
Momeni, F., Shahidi, Sh., Mootabi, F., & Heydari, M. (2014). Psychometric properties of a Farsi version of the Self-Compassion Scale (SCS). Psychology Contemporary, 8(2), 27-40 (In Persian). URL: https://bjcp.ir/article-1-386-en.html
Najafi, E., Mirabi, H., Hosseinzadeh Maleki, Z., & Bagherzadeh, F. (2024). The Role of Self-compassion and Alexithymia in Predicting Perceived Social Support. Recent Innovations in Psychology, 1(1), 1-13 (In Persian). https://doi.org/10.22034/rip.2024.189967
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2(3), 223-250. https://psycnet.apa.org/doi/10.1080/15298860309027
Neff, K. D. (2016). The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264-274. https://doi.org/10.1007/s12671-015-0479-3
Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual review of psychology, 74(1), 193-218. https://doi.org/10.1146/annurev-psych-032420-031047
Qasemi, B., Pordelan, N., & Berjis, K. (2022). The effectiveness of self-compassion training on self-criticism and psychological disturbance in infertile women. Journal of Nursing Education, 11(5), 21-31 (In Persian). http://dx.doi.org/https://doi.org/10.22034/JNE.11.5.21
Russell, B. S., Lincoln, C. R., & Starkweather, A. R. (2019). Distress tolerance intervention for improving self-management of chronic conditions: A systematic review. Journal of Holistic Nursing, 37(1), 74-86. https://doi.org/10.1177/0898010118777327
Salehi, B., & Asghari Ebrahim Abad, M. J. (2019). Investigating the impact of the role and dimensions of religion and distress tolerance in predicting the psychological safety of infertile women. Women's Studies Sociological and Psychological, 17(1), 165-192 (In Persian). https://doi.org/10.22051/jwsps.2019.15782.1488
Shaw, J. L., & Kelly, A. C. (2024). How exposure to personal distress with and without self-compassion affects distress tolerance: Results from a two-sample randomized trial. Mindfulness, 15(3), 570-585.https://doi.org/10.1007/s12671-024-02312-x
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. https://doi.org/10.1007/s11031-005-7955-3
Soltanabadi, S., Adibi, M., Khaki, Z., Hazrati, S., & Alimehdi, M. (2022). The Role of Cognitive Emotion Regulation and Tolerance of Emotional Distress in Predicting Resilience During the COVID-19 Pandemic outbreak. Social Cognition, 10(20), 39-58 (In Persian). https://doi.org/10.30473/sc.2022.59498.2694
Takhayori, M,, Fakhri, M., & Hasanzadeh, R. (2021). The Mediating Role of Perceived Social Support in the Relationship between Ego Strength and Emotional Distress Tolerance in Students of the Faculty of Nursing of Tehran University. Journal of Nursing Education, 10(1), 79-90 (In Persian). URL: https://jne.ir/article-1-1199-en.html
Taylor, S. B., Arbon, K., & Reynolds, F. (2021). Somatic Self-Compassion Training Reduces Perceived Stress, Internalized Shame, and Bodily Shame while Increasing Coping Self-efficacy and Self-compassion. OBM Integrative and Complementary Medicine, 6(1), 1-11. http://dx.doi.org/10.21926/obm.icm.2101011
Taylor, S. B., Kennedy, L. A., Lee, C. E., & Waller, E. K. (2022). Common humanity in the classroom: Increasing self-compassion and coping self-efficacy through a mindfulness-based intervention. Journal of American college health, 70(1), 142-149. https://doi.org/10.1080/07448481.2020.1728278
Vaezfar, S. S., Azadi, M. M., Akbari Balootbangan, A., & Rahimi, M. (2014). The role of coping styles and self-efficacy in nurses job stress in hospital. Iranian Journal of Psychiatric Nursing, 2(2), 22-32 (In Persian). URL: http://ijpn.ir/article-1-330-en.html
Wang, H., He, G., Wang, E., Wang, Y., Wang, Z., Zheng, M. Q., ... & Kong, F. (2024). Disentangling the relationship between state self‐compassion and state coping self‐efficacy using dynamic structural equation modeling. Applied Psychology: Health and Well‐Being, 16(4), 2381-2396. https://doi.org/10.1111/aphw.12593
Wang, Y., Yao, L., Liu, L., Yang, X., Wu, H., Wang, J., & Wang, L. (2014). The mediating role of self-efficacy in the relationship between Big five personality and depressive symptoms among Chinese unemployed population: a cross-sectional study. BMC psychiatry, 14, 1-8.https://doi.org/10.1186/1471-244X-14-61
Wild, M. G., Herbert, M. S., & Creech, S. (2024). Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States veterans. The Journal of Pain, 25(4), 60-61.https://doi.org/10.1016/j.jpain.2024.01.278
Yadav, A., Baghel, J., Kamath, A., Mundle, S., Sharma, C., & Prakash, A. (2025). Navigating the Emotional Terrain: Exploring the Psychological Impact of Infertility on Women at a Tertiary Care Hospital. Indian Journal of Community Medicine, 10-4103. URL: https://journals.lww.com/ijcm/fulltext/9900/
Zarastvand, A., Tizdast, T., Khalatbari, J., & Abolghasemi, S. (2020). The effectiveness of self-compassion focused therapy on marital self-regulation, marital burnout, and self-criticism in infertile women. Journal of Research in Behavioural Sciences, 17(4), 594-605 (In Persian). http://dx.doi.org/10.52547/rbs.17.4.594
Zeng, G., Fung, S. F., Li, J., Hussain, N., & Yu, P. (2020). Evaluating the psychometric properties and factor structure of the general self-efficacy scale in China. Current Psychology, 1-11. https://doi.org/10.1007/s12144-020-00924-9
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self‐compassion and well‐being: A meta‐analysis. Applied Psychology: Health and Well‐Being, 7(3), 340-364.https://doi.org/10.1111/aphw.12051

  • Receive Date 22 March 2025
  • Revise Date 16 April 2025
  • Accept Date 19 April 2025
  • First Publish Date 21 April 2025