Belirsizliğe Tahammülsüzlük ile Mental İyi Oluş Arasında Duygu Düzenleme Güçlüğü ve Sıkışmışlık Hissinin Seri Aracı Rolü

Year 2024, , 186 - 197, 30.11.2024

Süleyman Akçıl , Beste Erdinç , Engin Karaduman , Yusuf Akyıl

https://doi.org/10.12984/egeefd.1510661

Abstract

Ruh sağlığı, ruh sağlığı uzmanları tarafından kapsamlı olarak araştırılan bir konudur. Bireylerin üretken bir yaşam sürebilmeleri için ruhsal iyilik hallerine öncelik vermeleri elzemdir. Bireyler hayatlarının herhangi bir aşamasında öngörülemeyen durumlarla, kapana kısılmış hissetmek gibi bir dizi duyguyla ve duygusal özdenetim gerektiren durumlarla karşılaşabilirler. Bir bireyin ruh sağlığı, zorlu koşullarla karşılaşmasına rağmen yüksek bir iyi olma halini sürdürme kapasitesine bağlıdır. Bu çalışma, belirsizliğe tahammülsüzlük ile mental iyi oluş arasındaki ilişkide duygu düzenleme güçlüğünün ve sıkışmışlık hissinin aracı rolünü incelemeyi amaçlamaktadır. Mevcut çalışmanın verileri 316 kadın ve 111 erkek olmak üzere 427 gönüllü katılımcıdan toplanmıştır. Aracılık analizi Yapısal Eşitlik Modellemesi (YEM) kullanılarak gerçekleştirilmiştir. Bulgulara göre, duygu düzenleme güçlüğü ve sıkışmışlık, belirsizliğe tahammülsüzlük ile mental iyi oluş arasında aracılık rolü üstlenmiştir. Modele göre, belirsizliğe tahammülsüzlük duygu düzenleme güçlüğü ve sıkışmışlık hissini olumlu olarak; duygu düzenleme güçlüğü ve sıkışmışlık hissi ise olumsuz olarak mental iyi oluşu yordamaktadır. Belirsizlik karşısında hoşgörülü olmanın, insanların duygularını kolayca düzenleyebilmelerini ve sıkışmış hissetmekten kaçınmalarını sağlayarak potansiyel olarak daha yüksek düzeyde mental iyi oluşa yol açtığı ileri sürülebilir.

Keywords

belirsizliğe tahammülsüzlük, duygu düzenleme güçlükleri, sıkışmışlık hissi, mental iyi oluş

The Serial Mediating Role of Difficulties in Emotion Regulation and Entrapment between Intolerance of Uncertainty and Mental Well-Being

Abstract

Mental health is a subject that has been extensively researched by mental health experts. It is essential for individuals to give priority to their mental well-being in order to live productive lives. Individuals may face unforeseeable circumstances, a range of emotions, such as feeling trapped, and situations that demand emotional self-regulation at any stage of their lives. An individual's mental health is contingent upon their capacity to uphold a heightened state of well-being despite encountering challenging circumstances. The current study aims to look into the mediating role of difficulties in emotion regulation and entrapment in the relationship between intolerance of uncertainty and mental well-being. The current study's data were collected from 427 volunteer participants, including 316 women and 111 men. The mediation analysis was conducted using Structural Equation Modeling (SEM). According to the findings, difficulties in emotion regulation and entrapment served as serial mediators between intolerance of uncertainty and mental well-being. The model posits that intolerance of uncertainty positively correlates with emotion dysregulation and a sense of being stuck, while both emotion dysregulation and feeling stuck negatively correlate with mental well-being. Tolerance of uncertainty may enhance mental well-being by facilitating emotional regulation and preventing feelings of stagnation.

Keywords

intolerance of uncertainty, difficulties in emotion regulation, entrapment, mental well being

References

• Andrews, J. L., Li, M., Minihan, S., Songco, A., Fox, E., Ladouceur, C. D., Mewton, L., Moulds, M., Pfeifer, J. H., Harmelen, A. V. & Schweizer, S. (2023). The effect of intolerance of uncertainty on anxiety and depression, and their symptom networks, during the COVID-19 pandemic. BMC Psychiatry, 23(1), 261-273. https://doi.org/10.1186/s12888-023-04734-8
• Arbona, C., Fan, W., Phang, A., Olvera, N., & Dios, M. (2021). Intolerance of uncertainty, anxiety, and career indecision: A mediation model. Journal of Career Assessment, 29(4), 699-716. https://doi.org/10.1177/10690727211002564
• Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford press. Binkley, M., Erstad, O., Herman, J., Raizen, S., Ripley, M., Miller-Ricci, M., & Rumble, M. (2012). Defining twenty-first century skills. Assessment and Teaching of 21st Century Skills, 17-66. https://doi.org/10.1007/978-94-007-2324-5_2
• Browne, M. W., & Cudeck, R. (1993) Alternative ways of assessing model fit. Sage Focus Editions, 154, 136-136. https://doi.org/10.1177/0049124192021002005
• Cai, R. Y., Richdale, A. L., Dissanayake, C., & Uljarević, M. (2018). Brief report: Inter-relationship between emotion regulation, intolerance of uncertainty, anxiety, and depression in youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48, 316-325. https://doi.org/10.1007/s10803-017-3318-7
• Carleton, R. N., Norton, M. P. J., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105-117. https://doi.org/10.1016/j.janxdis.2006.03.014
• Cheon, S. H. (2011). The relationship among perceived entrapment, depression and subjective well-being of women as family caregivers caring for dementia elderly. Korean Journal of Women Health Nursing, 17(3), 285-293. https://doi.org/10.4069/kjwhn.2011.17.3.285
• Choi, H., & Shin, H. (2023). Entrapment, hopelessness, and cognitive control: A moderated mediation model of depression. Healthcare,11(8), 1065-1077. https://doi.org/10.3390/healthcare11081065
• Çutuk, Z. A. (2021). Mediating role of emotion regulation processes in the relationship between cognitive flexibility and intolerance to uncertainty. Journal of Educational Sciences & Psychology, 11(2), 150-161. https://doi.org/10.51865/JESP.2021.2.17
• De Beurs, D., Cleare, S., Wetherall, K., Eschle-Byrne, S., Ferguson, E., O'Connor, D. B., & O'Connor, R. C. (2020). Entrapment and suicide risk: the development of the 4-item Entrapment Scale Short-Form (E-SF). Psychiatry Research, 284, 112765.https://doi.org/10.1016/j.psychres.2020.112765
• Demirtaş, A. S., & Baytemir, K. (2019). Warwick-Edinburgh mental iyi oluş ölçeği kısa formu’nun Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. Elektronik Sosyal Bilimler Dergisi, 18(70), 689-701. https://doi.org/10.17755/esosder.432708
• Demirtas, A. S., & Yildiz, B. (2019). Hopelessness and perceived stress: The mediating role of cognitive flexibility and intolerance of uncertainty. Dusunen Adam The Journal of Psychiatry and Neurological Sciences, 32(3), 259-267. https://doi.org/10.14744/DAJPNS.2019.00035
• Ekşi, H., & Erik, C. (2023, 20-21 July). Difficulties in emotion regulation scale-8: Adaptation to Turkish [Paper Presentation]. 2st International Congress of Educational Sciences and Linguists, Warsaw, Poland. https://www.icssietcongress.com/_files/ugd/2a6f60_a246f8a809bd4a9dbb739a725c8cc4a4.pdf
• Extremera, N., Sánchez-Álvarez, N., & Rey, L. (2020). Pathways between ability emotional intelligence and subjective well-being: Bridging links through cognitive emotion regulation strategies. Sustainability, 12(5), 2111. https://doi.org/10.3390/su12052111
• Finney, S. J., & DiStefano, C. (2006). Non-normal and categorical data in structural equation modeling. Structural Equation Modeling: A Second Course, 269-314.
• Geçgin, F. M., & Sahranç, Ü. (2017). The relationships between intolerance of uncertainty and psychological well-being. Sakarya University Journal of Education, 7(4), 739-756. https://doi.org/10.19126/suje.383737
• Gilbert, P., & Allan, S. (1998). The role of defeat and entrapment (arrested flight) in depression: An exploration of an evolutionary view. Psychological Medicine, 28(3), 585-598. https://doi.org/10.1017/S0033291798006710 Gilbert, P., Allan, S., Brough, S., Melley, S., & Miles, J. N. V. (2002). Relationship of anhedonia and anxiety to social rank, defeat and entrapment. Journal of affective disorders, 71(1-3), 141-151. https://doi.org/10.1016/S0165-0327(01)00392-5
• Godara, M., Everaert, J., Sanchez-Lopez, A., Joormann, J., & De Raedt, R. (2023). Interplay between uncertainty intolerance, emotion regulation, cognitive flexibility, and psychopathology during the COVID-19 pandemic: A multi-wave study. Scientific Reports, 13(1), 9854. https://doi.org/10.1038/s41598-023-36211-3
• Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54. http://dx.doi.org/10.1007/s10862-008-9102-4
• Griffiths, A. W., Wood, A. M., Maltby, J., Taylor, P. J., & Tai, S. (2014). The prospective role of defeat and entrapment in depression and anxiety: A 12-month longitudinal study. Psychiatry Research, 216(1), 52-59. https://doi.org/10.1016/j.psychres.2014.01.037
• Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical psychology: Science and practice, 2(2), 151-164. https://doi.org/10.1111/j.1468-2850.1995.tb00036.x
• Hatkevich, C., Penner, F., & Sharp, C. (2019). Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients. Psychiatry Research, 271, 230-238. https://doi.org/10.1016/j.psychres.2018.11.038
• Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080 /10705519909540118.
• Izard, C. E., Woodburn, E. M., Finlon, K. J., Krauthamer-Ewing, E. S., Grossman, S. R., & Seidenfeld, A. (2011). Emotion knowledge, emotion utilization, and emotion regulation. Emotion Review, 3(1), 44-52. https://doi.org/10.1177/1754073910380972
• Jensen, D., Cohen, J. N., Mennin, D. S., Fresco, D. M., & Heimberg, R. G. (2016). Clarifying the unique associations among intolerance of uncertainty, anxiety, and depression. Cognitive Behaviour Therapy, 45(6), 431-444. https://doi.org/10.1080/16506073.2016.1197308
• Kaplan, D. (2001). Structural equation modeling. Sage.
• Kelek, Ş., Uçar, M. S., Yıldırım, N. H., & Düşünceli, B. (2022). Mediating role of coronavirus anxiety in the relationship between intolerance of uncertainty and suicide probability during COVID-19 pandemic. Sakarya University Journal of Education, 12(3), 522-544. https://doi.org/10.19126/suje.1057831
• Kennedy, C., Deane, F. P., & Chan, A. Y. (2021). Intolerance of uncertainty and psychological symptoms among people with a missing loved one: Emotion regulation difficulties and psychological inflexibility as mediators. Journal of Contextual Behavioral Science, 21, 48-56. https://doi.org/10.1016/j.jcbs.2021.05.006
• Keyes, C. L. (2007). Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health. American Psychologist, 62(2), 95. https://doi.org/10.1037/0003-066X.62.2.95
• Kiefer, R. A. (2008). An integrative review of the concept of well-being. Holistic Nursing Practice, 22(5), 244-252. https://doi.org/10.1097/01.HNP.0000334915.16186.b2
• Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: Guilford Press.
• Malone, C., & Wachholtz, A. (2018). The relationship of anxiety and depression to subjective well-being in a mainland Chinese sample. Journal of Religion and Health, 57, 266-278. https://doi.org/10.1007/s10943-017-0447-4
• Moore, R., Gillanders, D., & Stuart, S. (2022). The impact of group emotion regulation interventions on emotion regulation ability: A systematic review. Journal of Clinical Medicine, 11(9), 2519. https://doi.org/10.3390/jcm11092519
• Moscardini, E. H., Oakey‐Frost, D. N., Robinson, A., Powers, J., Aboussouan, A. B., Rasmussen, S., Cramer R.J., & Tucker, R. P. (2022). Entrapment and suicidal ideation: The protective roles of presence of life meaning and reasons for living. Suicide and Life‐Threatening Behavior, 52(1), 14-23. https://doi.org/10.1111/sltb.12767
• Nasser-Abu Alhija, F., & Wisenbaker, J. (2006). A Monte Carlo study investigating the impact of item parceling strategies on parameter estimates and their standard errors in CFA. Structural Equation Modeling, 13(2), 204-228. https://doi.org/10.1207/s15328007sem1302_3
• O’Connor, R. C. (2011). Towards an integrated motivational–volitional model of suicidal behaviour. International handbook of suicide prevention: Research, Policy and Practice, 1, 181-198.
• O'Connor, R. C., & Kirtley, O. J. (2018). The integrated motivational–volitional model of suicidal behaviour. Philosophical Transactions of the Royal Society B: Biological Sciences, 373. https://doi.org/10.1098/rstb.2017.0268
• Ong, E., & Thompson, C. (2019). The importance of coping and emotion regulation in the occurrence of suicidal behavior. Psychological Reports, 122(4), 1192-1210. https://doi.org/10.1177/0033294118781855
• Ouellet, C., Langlois, F., Provencher, M. D., & Gosselin, P. (2019). Intolerance of uncertainty and difficulties in emotion regulation: Proposal for an integrative model of generalized anxiety disorder. European Review of Applied Psychology, 69(1), 9-18. https://doi.org/10.1016/j.erap.2019.01.001
• Qian, G. (2021). Associations of suicide and subjective well-being. OMEGA-Journal of Death and Dying, 84(1), 103-115. https://doi.org/10.1177/0030222819880091
• Penner, F., Steinberg, L., & Sharp, C. (2023). The development and validation of the difficulties in emotion regulation Scale-8: Providing respondents with a uniform context that elicits thinking about situations requiring emotion regulation. Journal of Personality Assessment, 105(5), 657-666. https://doi.org/10.1080/00223891.2022.2133722
• Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891. doi: 10.3758/BRM.40.3.879
• Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141-166. https://doi.org/10.1146/annurev.psych.52.1.141
• Sanilevici, M., Reuveni, O., Lev-Ari, S., Golland, Y., & Levit-Binnun, N. (2021). Mindfulness-based stress reduction increases mental wellbeing and emotion regulation during the first wave of the COVID-19 pandemic: a synchronous online intervention study. Frontiers in Psychology, 12, 720965. https://doi.org/10.3389/fpsyg.2021.720965
• Sarıçam, H., Erguvan, F. M., Akın, A. & Akça, M. Ş. (2014). Belirsizliğe tahammülsüzlük ölçeği (BTÖ-12) Türkçe formu: Geçerlik ve güvenirlik çalışması. Route Educational and Social Science Journal, 1(3), 148-157.
• Stewart-Brown, S., & Janmohamed, K. (2008). Warwick-Edinburgh mental well-being scale. User guide. Version, 1(10.1037).
• Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th. ed.). Boston: Pearson Education. Teismann, T., & Brailovskaia, J. (2020). Entrapment, positive psychological functioning and suicide ideation: A moderation analysis. Clinical Psychology & Psychotherapy, 27(1), 34-41. https://doi.org/10.1002/cpp.2403
• Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., & Stewart-Brown, S. (2007). The Warwick-Edinburgh mental well-being scale (WEMWBS): Development and UK validation. Health and Quality of life Outcomes, 5, 1-13. https://doi.org/10.1186/1477-7525-5-63
• Trachsel, M., Krieger, T., Gilbert, P., & Grosse Holtforth, M. (2010). Testing a german adaption of the entrapment scale and assessing the relation to depression. Depression Research and Treatment, 2010(1), 501782. https://doi.org/10.1155/2010/501782
• Türk, N., Yasdiman, M. B., & Kaya, A. (2024). Defeat, entrapment and suicidal ideation in a Turkish community sample of young adults: An examination of the Integrated Motivational-Volitional (IMV) model of suicidal behaviour. International Review of Psychiatry, 1-14. https://doi.org/10.1080/09540261.2024.2319288
• World Health Organization. (2022, June 17). Mental health. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
• Yilmaz, F. B., & Satici, S. A. (2024). Childhood maltreatment and spiritual well-being: intolerance of uncertainty and emotion regulation as mediators in Turkish sample. Journal of Religion and Health, 63(3), 2380-2396. https://doi.org/10.1007/s10943-023-01965-7