EXAMINING THE RELATIONSHIPS BETWEEN PSYCHOLOGICAL RESILIENCE, MINDFULNESS, EMOTION REGULATION AND DISTRESS TOLERANCE AMONG ADULTS

Yıl 2025, Cilt: 13 Sayı: 25, 430 - 454, 20.03.2025

Özlem Yılmaz Halıcı , Selma Arıkan

https://doi.org/10.20304/humanitas.1514071

Öz

Resilience is a trait that can be improved, and targeting related factors to achieve this goal seems functional. Previous studies show that mindfulness, emotional regulation and distress tolerance are some of the skills that can contribute to resilience. These skills can be improved within the scope of dialectical behavior therapy skills training. The aim of this study is to examine the relationships between resilience, mindfulness, emotion regulation and distress tolerance among adults. 353 people (237 women, 115 men, 1 other) aged between 18-63 (Mean = 29.48) who live in Türkiye participated in the study. Sociodemographic Information Form, Connor-Davidson Resilience Scale, Five-Facet Mindfulness Questionnaire-Short Form, Emotion Regulation Skills Questionnaire and Distress Tolerance Scale were applied to the participants. As a result of the correlation analysis, it was determined that resilience, mindfulness, emotion regulation and distress tolerance were positively related to each other. In the simple mediation model analyses conducted with PROCESS Macro version 3.4.1, it was determined that emotion regulation and distress tolerance each have mediating roles in the relationship between mindfulness and resilience. In addition, in the parallel multiple mediation model analysis, when emotion regulation and distress tolerance were considered together as mediator variables, the total indirect effect and the mediator role of emotion regulation were significant; however, the mediator role of distress tolerance was not significant. In the combined model, it was thought that emotion regulation may have reduced the effect of distress tolerance. The findings were discussed in line with the literature. As a result, it is thought that improving people's mindfulness, emotion regulation and distress tolerance skills through interventions such as dialectical behavior therapy skills training may also help to increase their resilience levels.

Anahtar Kelimeler

Resilience, Mindfulness, Emotion regulation, Distress tolerance, Dialectical behavior therapy skills training

YETİŞKİNLERDE PSİKOLOJİK DAYANIKLILIK İLE BİLİNÇLİ FARKINDALIK, DUYGU DÜZENLEME VE SIKINTIYA DAYANMA ARASINDAKİ İLİŞKİLERİN İNCELENMESİ

Öz

Psikolojik dayanıklılık geliştirilebilen bir özelliktir ve bu amaçla ilişkili faktörlerin hedef alınması işlevsel görünmektedir. Geçmiş çalışmalar bilinçli farkındalık, duygu düzenleme ve sıkıntıya dayanmanın psikolojik dayanıklılığa katkı sağlayabilecek becerilerden olduğunu göstermektedir. Bu beceriler ise diyalektik davranış terapisi beceri eğitimi kapsamında geliştirilebilmektedir. Bu çalışmanın amacı, yetişkinlerde psikolojik dayanıklılık, bilinçli farkındalık, duygu düzenleme ve sıkıntıya dayanma arasındaki ilişkileri incelemektedir. Çalışmaya Türkiye’de yaşayan 18-63 yaş arası (Ort. = 29.48) 353 kişi (237 kadın, 115 erkek, 1 diğer) katılmıştır. Katılımcılara Sosyodemografik Bilgi Formu, Connor-Davidson Psikolojik Sağlamlık Ölçeği, Beş Faktörlü Bilgece Farkındalık Ölçeği-Kısa Formu, Duygu Düzenleme Becerileri Ölçeği ve Sıkıntıya Dayanma Ölçeği uygulanmıştır. Korelasyon analizi sonucunda psikolojik dayanıklılık, bilinçli farkındalık, duygu düzenleme ve sıkıntıya dayanmanın birbirleriyle pozitif yönde ilişkili olduğu belirlenmiştir. PROCESS Macro 3.4.1 versiyonu ile yapılan basit aracılık modeli analizlerinde, bilinçli farkındalık ve psikolojik dayanıklılık arasındaki ilişkide duygu düzenleme ve sıkıntıya dayanmanın ayrı ayrı aracılık rollerinin olduğu belirlenmiştir. Ek olarak, yapılan paralel çoklu aracılık modeli analizinde duygu düzenleme ve sıkıntıya dayanma aracı değişkenler olarak birlikte ele alındığında, toplam dolaylı etkinin ve duygu düzenlemenin aracılık etkisinin anlamlı olduğu; ancak sıkıntıya dayanmanın aracılık etkisinin anlamlı olmadığı bulunmuştur. Toplu modelde duygu düzenlemenin sıkıntıya dayanmanın etkisini azaltmış olabileceği düşünülmüştür. Bulgular alanyazın doğrultusunda tartışılmıştır. Sonuç olarak, diyalektik davranış terapisi beceri eğitimi gibi müdahalelerle kişilerin bilinçli farkındalık, duygu düzenleme ve sıkıntıya dayanma becerilerinin geliştirilmesinin psikolojik dayanıklılık düzeylerini de artırmaya yardımcı olabileceği düşünülmektedir.

Anahtar Kelimeler

Psikolojik dayanıklılık, Bilinçli farkındalık, Duygu düzenleme, Sıkıntıya dayanma, Diyalektik davranış terapisi beceri eğitimi

Etik Beyan

Fatih Sultan Mehmet Vakıf Üniversitesi Etik Kurulu’ndan izin alınmıştır.

Destekleyen Kurum

yok

Teşekkür

yok

Kaynakça

• American Psychological Association (1 February 2020). Building your resilience. https://www.apa.org/topics/resilience/building-your-resilience
• Alispahic, S., & Hasanbegovic-Anic, E. (2017). Mindfulness: Age and gender differences on a Bosnian sample. Psychological Thought, 10(1), 155-166. https://doi.org/10.5964/psyct.v10i1.224
• Arici-Ozcan, N., Cekici, F., & Arslan, R. (2019). The relationship between resilience and distress tolerance in college students: The mediator role of cognitive flexibility and difficulties in emotion regulation. International Journal of Educational Methodology, 5(4), 525-533. https://doi.org/10.12973/ijem.5.4.525
• Ayalp, H. D., & Hisli Şahin, N. (2018). Beş Faktörlü Bilgece Farkındalık Ölçeği-Kısa Formu’nun (BFBFÖ-K) Türkçe uyarlaması. Klinik Psikoloji Dergisi, 2(3), 117-127. https://doi.org/10.31828/kpd2602443807092018m000002
• Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. https://doi.org/10.1177/1073191105283504
• Bajaj, B., & Pande, N. (2016). Mediating role of resilience in the impact of mindfulness on life satisfaction and affect as indices of subjective well-being. Personality and Individual Differences, 93, 63-67. https://doi.org/10.1016/j.paid.2015.09.005
• Berking, M., & Znoj, H. (2008). Entwicklung und validierung eines fragebogens zur standardisierten selbsteinschätzung emotionaler kompetenzen (SEK-27) [Development and validation of a self-report measure for the assessment of emotion-regulation skills]. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 56, 141-153. https://doi.org/10.1024/1661-4747.56.2.141
• Brem, M. J., Khaddouma, A., Elmquist, J., Florimbio, A. R., Shorey, R. C., & Stuart, G. L. (2016). Relationships among dispositional mindfulness, distress tolerance, and women’s dating violence perpetration: A path analysis. Journal of Interpersonal Violence, 34(14), 2996-3016. https://doi.org/10.1177/0886260516664317
• Büyüköztürk, Ş., Kılıç-Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2018). Bilimsel araştırma yöntemleri (25. Baskı). Pegem Akademi.
• Carpenter, J. K., Sanford, J., & Hofmann, S. G. (2019). The effect of a brief mindfulness training on distress tolerance and stress reactivity. Behavior Therapy, 50(3), 630-645. https://doi.org/10.1016/j.beth.2018.10.003
• Coholic, D., Eys, M., & Lougheed, S. (2012). Investigating the effectiveness of an arts-based and mindfulness-based group program for the improvement of resilience in children in need. Journal of Child and Family Studies, 21, 833-844. https://doi.org/10.1007/s10826-011-9544-2
• Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
• Dane E, & Olgun N. (2016). Hemodiyaliz hastalarının psikolojik dayanıklılık durumları ve etkileyen faktörlerin değerlendirilmesi. Nefroloji Hemşireliği Dergisi, 11(1). 43-54.
• Falavarjani, M. F., & Yeh, C. J. (2019). Optimism and distress tolerance in the social adjustment of nurses: Examining resilience as a mediator and gender as a moderator. Journal of Research in Nursing, 24(7), 500-512. https://doi.org/10.1177/1744987119839102
• Feldman, G., Dunn, E., Stemke, C., Bell, K., & Greeson, J. (2014). Mindfulness and rumination as predictors of persistence with a distress tolerance task. Personality and Individual Differences, 56(1), 154-158. https://doi.org/10.1016/j.paid.2013.08.040
• Fleming, A. P., McMahon, R. J., Moran, L. R., Peterson, A. P., & Dreessen, A. (2015). Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college students. Journal of Attention Disorders, 19(3), 260-271. https://doi.org/10.1177/1087054714535951
• Friborg, O., Hjemdal, O., Rosenvinge, J. H., & Martinussen, M. (2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research, 12(2), 65-76. https://doi.org/10.1002/mpr.143
• Fried, L., & Chapman, E. (2012). An investigation into the capacity of student motivation and emotion regulation strategies to predict engagement and resilience in the middle school classroom. The Australian Education Researcher, 39, 295-311. https://doi.org/10.1007/s13384-011-0049-1
• Grant, M., Salsman, N. L., & Berking, M. (2018). The assessment of successful emotion regulation skills use: Development and validation of an English version of the Emotion Regulation Skills Questionnaire. PLoS ONE 13(10), 1-18. https://doi.org/10.1371/journal.pone.0205095
• Güngörmüş, K., Okanlı, A., & Kocabeyoğlu, T. (2015). Hemşirelik öğrencilerinin psikolojik dayanıklılıkları ve etkileyen faktörler. Psikiyatri Hemşireliği Dergisi, 6(1), 9-14. https://doi.org/10.5505/phd.2015.80299
• Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014). A pilot randomized controlled trial of dialectical behavior therapy with and without the dialectical behavior therapy prolonged exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behaviour Research and Therapy, 55, 7-17. https://doi.org/10.1016/j.brat.2014.01.008
• Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: A regression‐based approach (3. baskı). The Guilford.
• Hill, C. L., & Updegraff, J. A. (2012). Mindfulness and its relationship to emotional regulation. Emotion, 12(1), 81-90. https://doi.org/10.1037/a0026355
• Hosseinian, S., & Nooripour, R. (2019). Effectiveness of mindfulness-based intervention on risky behaviors, resilience, and distress tolerance in adolescents. International Journal of High Risk Behaviors and Addiction, 8(4), 1-6. https://doi.org/10.5812/ijhrba.93481
• Hsu, S. H., Collins, S. E., & Marlatt, G. A. (2013). Examining psychometric properties of distress tolerance and its moderation of mindfulness-based relapse prevention effects on alcohol and other drug use outcomes. Addictive Behaviors, 38(3), 1852-1858. https://doi.org/10.1016/j.addbeh.2012.11.002
• Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: The role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. The Journal of Applied Psychology, 98(2), 310-325. https://doi.org/10.1037/a0031313
• Iani, L., Lauriola, M., Chiesa, A., & Cafaro, V. (2019). Associations between mindfulness and emotion regulation: The key role of describing and nonreactivity. Mindfulness, 10, 366-375. https://doi.org/10.1007/s12671-018-0981-5
• Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and Individual Differences, 49(6), 645-650. https://doi.org/10.1016/j.paid.2010.05.041
• Karacaoğlan, B., & Hisli Şahin, N. (2016). Bilgece farkındalık ve duygu düzenleme becerisinin iş tatminine etkisi. İşletme Araştırmaları Dergisi, 8(4), 421-444. https://doi.org/10.20491/isarder.2016.226
• Karaırmak, Ö. (2010). Establishing the psychometric qualities of the Connor-Davidson Resilience Scale (CD-RISC) using exploratory and confirmatory factor analysis in a trauma survivor sample. Psychiatry Research, 179(3), 350-356. https://doi.org/10.1016/j.psychres.2009.09.012
• Karreman, A., & Vingerhoets, A. J. J. M. (2012). Attachment and well-being: The mediating role of emotion regulation and resilience. Personality and Individual Differences, 53(7), 821-826. https://doi.org/10.1016/j.paid.2012.06.014
• Kay, S. A. (2016). Emotion regulation and resilience: Overlooked connections. Industrial and Organizational Psychology, 9(2), 411-415. https://doi.org/10.1017/iop.2016.31
• Keye, M. D., & Pidgeon, A. M. (2013). An investigation of the relationship between resilience, mindfulness, and academic self-efficacy. Open Journal of Social Sciences, 1(6), 1-4. https://doi.org/10.4236/jss.2013.16001
• Kim, H. Y. (2013). Statistical notes for clinical researchers: Assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics, 38(1), 52-54. https://doi.org/10.5395/rde.2013.38.1.52
• Kiselica, A. M., Webber, T., & Bornovalova, M. A. (2014). Stability and change in distress tolerance and its prospective relationship with borderline personality features: A short-term longitudinal study. Personality Disorders, 5(3), 247-256. https://doi.org/10.1037/per0000076
• Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576-600. https://doi.org/10.1037/a0019712
• Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford.
• Linehan, M. M. (2015). DBT skills training manual (2. baskı). The Guilford.
• Luberto, C. M., McLeish, A. C., Robertson, S. A., Avallone, K. M., Kraemer, K. M., & Jeffries, E. R. (2014). The role of mindfulness skills in terms of distress tolerance: A pilot test among adult daily smokers. The American Journal on Addictions, 23(2), 184-188. https://doi.org/10.1111/j.1521-0391.2013.12096.x
• Mestre, J. M., Núñez-Lozano, J. M., Gómez-Molinero, R., Zayas, A., & Guil, R. (2017). Emotion regulation ability and resilience in a sample of adolescents from a suburban area. Frontiers in Psychology, 8(1980), 1-13. https://doi.org/10.3389/fpsyg.2017.01980
• Min, J. - A., Yu, J. J., Lee, C. - U., & Chae, J. - H. (2013). Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Comprehensive Psychiatry, 54(8), 1190-1197. https://doi.org/10.1016/j.comppsych.2013.05.008
• Montero-Marin, J., Tops, M., Manzanera, R., Piva Demarzo, M. M., Álvarez de Mon, M., & García-Campayo, J. (2015). Mindfulness, resilience, and burnout subtypes in primary care physicians: The possible mediating role of positive and negative affect. Frontiers in Psychology, 6, (1895), 1-8. https://doi.org/10.3389/fpsyg.2015.01895
• Motaghedi, H., Donyavi, R., & Mirzaian, B. (2016). Effectiveness of mindfulness based cognitive therapy on the distress tolerance of nurses and job burnout. Journal of Nursing and Midwifery Sciences, 3(4), 3-12. https://doi.org/10.18869/acadpub.jnms.3.4.3
• Navarro-Haro, M. V., Botella, C., Guillen, V., Moliner, R., Marco, H., Jorquera, M., Baños, R., & Garcia-Palacios, A. (2018). Dialectical behavior therapy in the treatment of borderline personality disorder and eating disorders comorbidity: A pilot study in a naturalistic setting. Cognitive Therapy and Research, 42, 636-649. https://doi.org/10.1007/s10608-018-9906-9
• Nila, K., Holt, D. V., Ditzen, B., & Aguilar-Raab, C. (2016). Mindfulness-based stress reduction (MBSR) enhances distress tolerance and resilience through changes in mindfulness. Mental Health & Prevention, 4, 36-41. https://doi.org/10.1016/j.mhp.2016.01.001
• New, A. S., Fan, J., Murrough, J. W., Liu, X., Liebman, R. E., Guise, K. G., Tang, C. Y., & Charney, D. S. (2009). A functional magnetic resonance imaging study of deliberate emotion regulation in resilience and posttraumatic stress disorder. Biological Psychiatry, 66(7), 656-664. https://doi.org/10.1016/j.biopsych.2009.05.020
• Pepping, C. A., Duvenage, M., Cronin, T. J., & Lyons, A. (2016). Adolescent mindfulness and psychopathology: The role of emotion regulation. Personality and Individual Differences, 99, 302-307. https://doi.org/10.1016/j.paid.2016.04.089
• Pidgeon, A. M., & Keye, M. (2014). Relationship between resilience, mindfulness, and psychological well-being in university students. International Journal of Liberal Arts and Social Science, 2(5), 27-32.
• Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52-57. https://doi.org/10.1016/j.copsyc.2015.02.006
• Roosen, M. A., Safer, D., Adler, S., Cebolla, A., & van Strien, T. (2012). Group dialectical behavior therapy adapted for obese emotional eaters; a pilot study. Nutrición Hospitalaria, 27(4), 1141-1147. https://doi.org/10.3305/nh.2012.27.4.5843
• Sala, M., Shankar Ram, S., Vanzhula, I. A., & Levinson, C. A. (2020). Mindfulness and eating disorder psychopathology: A meta-analysis. The International Journal of Eating Disorders, 53(6), 834-851. https://doi.org/10.1002/eat.23247
• Sanchis-Sanchis, A., Grau, M. D., Moliner, A. R., & Morales-Murillo, C. P. (2020). Effects of age and gender in emotion regulation of children and adolescents. Frontiers in Psychology, 11, 946. https://doi.org/10.3389/fpsyg.2020.00946
• Santos, A. C., Simões, C., Cefai, C., Freitas, E., & Arriaga, P. (2021). Emotion regulation and student engagement: Age and gender differences during adolescence. International Journal of Educational Research, 109, 101830. https://doi.org/10.1016/j.ijer.2021.101830
• Sargın, A. E., Özdel, K., Utku, Ç., Kuru, E., Yalçınkaya Alkar, Ö., & Türkçapar, M. H. (2012). Sıkıntıya dayanma ölçeği: Geçerlik ve güvenilirlik çalışması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 1(3), 152-161.
• Sehati, M., Amin Nasab, A., & Yousefian, Z. (2019). The efficiency of emotion regulation and distress tolerance based on dialectical behavior therapy on anxiety sensitivity and emotion regulation difficulties in women with irritable bowel. Social Behavior Research & Health (SBRH), 3(1), 298-308. https://doi.org/10.18502/sbrh.v3i1.1034
• Selçuk, A. B. (2023). Çocuktan yetişkine her yaşta psikolojik sağlamlık. Kronik Kitap.
• Sharma, J., & Singh, A. P. (2016). A study on mindfulness, regulation of emotion and mental well-being among young adults. International Research Journal of Management Science & Technology, 7(9), 109-117.
• 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
• Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: How mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science, 22(6), 449-454. https://doi.org/10.1177/0963721413495869
• Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2-3), 25-52. https://doi.org/10.2307/1166137
• Thompson, R. W., Arnkoff, D. B., & Glass, C. R. (2011). Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma. Trauma, Violence & Abuse, 12(4), 220-235. https://doi.org/10.1177/1524838011416375
• Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951-965. https://doi.org/10.1002/jclp.21996
• Tugade, M. M., & Fredrickson, B. L. (2007). Regulation of positive emotions: Emotion regulation strategies that promote resilience. Journal of Happiness Studies, 3, 311-333. https://doi.org/10.1007/s10902-006-9015-4
• Ülker Tümlü, G., & Recepoğlu, E. (2013). Üniversite akademik personelinin psikolojik dayanıklılık ve yasam doyumu arasındaki ilişki. Yükseköğretim ve Bilim Dergisi, 3(3), 205-213. https://doi.org/10.5961/jhes.2013.078
• Üstündağ-Budak, A. M., Özeke-Kocabaş, E., & Ivanoff, A. (2019). Dialectical behaviour therapy skills training to improve Turkish college students’ psychological well-being: A pilot feasibility study. International Journal for the Advancement of Counseling, 41, 580-597. https://doi.org/10.1007/s10447-019-09379-5
• Vatan, S., & Oruçlular Kahya, Y. (2018). Duygu Düzenleme Becerileri Ölçeğinin Türkçeye uyarlanması: Geçerlilik ve güvenirlilik çalışması. Anadolu Psikiyatri Dergisi, 19(2), 192-201. https://doi.org/10.5455/apd.260322
• Vorontsova-Wenger, O., Ghisletta, P., Ababkov, V., & Barisnikov, K. (2021). Relationship between mindfulness, psychopathological symptoms, and academic performance in university students. Psychological Reports, 124(2), 459-478. https://doi.org/10.1177/0033294119899906
• Zlomke, K. R., & Hahn, K. S. (2010). Cognitive emotion regulation strategies: Gender differences and associations to worry. Personality and Individual Differences, 48(4), 408-413. https://doi.org/10.1016/j.paid.2009.11.007