Journal of New Advances in Educational Management

Journal of New Advances in Educational Management

The Relationship Between Coping Strategies and Dysfunctional Attitudes with Distress Tolerance in Students with the Mediating Role of Empathy

Document Type : Original Article

Authors
1 Assistant Professor, Department of Psychology, Faculty of Literature and Humanities, Lorestan University, Khorramabad,
2 Associate Professor of Psychology Department, Faculty of Literature and Humanities, Lorestan University, Khorramabad, Iran
Abstract
The present study was conducted with the aim of the relationship between coping strategies and dysfunctional attitudes with distress tolerance in students with the mediating role of empathy. The present study was a descriptive correlational study. The statistical population of the study included all male undergraduate students of the Pol Dokhtar Higher Education Center, who were studying in the academic year 2023, from which a sample of 210 people was selected using the available sampling method. The research tools included; Simmons and Gaher's Distress Tolerance Scale (2005), Davis's Empathy Questionnaire (1983), Lazarus and Folkman's Coping Strategies Questionnaire (1985), and Wiseman and Beck's Dysfunctional Attitudes Scale (1978). Finally, the data obtained were analyzed through correlation tests and path analysis using SPSS-22 and AMOS. the results of the findings showed that the fit indices of the path analysis model indicate that the value of the adaptive fit indices is desirable. Therefore, the path model is a good fit, meaning that the research model is able to explain and explain the relationship between the variables. The results also confirmed the mediating role of empathy in predicting distress tolerance based on coping strategies and ineffective attitudes. therefore, it can be said that the empathy variable has a mediating role in the relationship between coping strategies and ineffective attitudes with distress tolerance; hence, it is suggested that mental health professionals pay special attention to the importance of the role of empathy in reducing emotional problems.
Keywords

Alkhawaldeh, A., Al Omari, O., Al Aldawi, S., Al Hashmi, I., Ann Ballad, C., Ibrahim, A., Al Sabei, S., Alsaraireh, A., Al Qadire, M., & ALBashtawy, M. (2023). Stress Factors, Stress Levels, and Coping Mechanisms among University Students. The Scientific World Journal, 2023, 2026971. https://doi.org/10.1155/2023/2026971
Azizi, A., Mirzaei, A., & Shams, J. (2010). Investigating the relationship between distress tolerance and emotional regulation and the level of students' dependence on cigarettes. Hakim Research Journal, (1)11, 13-18. [in Persian]
Baravati, N., Darreh Kurdi, A., Amiri, N., Mehrvarz, M., & Solaimanizadeh, L. (2020). The effect of coping skills training on Dysfunctional Attitudes and happiness in divorced women. Journal of Advanced Pharmacy Education & Research, 10(S2),124-130.
Ben-Zur, H. (2020). Emotion-focused coping. Encyclopedia of personality and individual differences, 1343-1345.
Ching, K. X. (2023). Emotion regulation among undergraduates in Malaysia: Distress tolerance, mindfulness, and positive reappraisal. Diss. UTAR.
Cheng, L., Yang, J., Li, M., & Wang, W. (2020). Mediating effect of coping style between empathy and burnout among Chinese nurses working in medical and surgical wards. Nursing open, 7(6), 1936–1944. https://doi.org/10.1002/nop2.584
Collins, R. N., Gilligan, L. J., & Poz, R. (2018). The evaluation of a compassion-focused therapy group for couples experiencing a dementia diagnosis. Clinical gerontologist, 41(5), 474-486.
Conley, C. S., Huguenel, B. M., Shapiro, J. B., & Kirsch, A. C. (2023). Developmental Trajectories and Predictors of Psychological Well-Being and Distress Across the College Years. The Journal of Higher Education, 94(6), 792–821. https://doi.org/10.1080/00221546.2023.2171213
Craig, C., Hiskey, S., & Spector, A. (2020). Compassion focused therapy: a systematic review of its effectiveness and acceptability in clinical populations. Expert review of neurotherapeutics, 20(4), 385-400.
Dakani, M., Fakhri, M., & Hasanzadeh, R. (2021). The effectiveness of mindfulness-based cognitive therapy on anxiety tolerance and cognitive flexibility in patients with type 2 diabetes. Iranian Journal of Diabetes and Metabolism, 21(3):186-97. [in Persian]
Delgarm, H., Bagheri, N., Sabet, M. (2019). The relationship between emotional self-regulation and resilience with coping style for stress in university students. Journal of Thought & Behavior in Clinical Psychology, 13(52):67-76. [in Persian]
Ebrahimi, A., & Mousavi, S. G. (2012). Psychometric properties of the Dysfunctional Attitudes Scale (DAS-26) in patients with mood disorders. Scientific Journal of Ilam University of Medical Sciences, 21(5): 20-28. [in Persian]
Eisenberg, N., & Spinrad, T. L. (2014). Multidimensionality of prosocial behavior: Rethinking the conceptualization and development of prosocial behavior. In L. M. Padilla-Walker & G. Carlo (Eds.), Prosocial development: A multidimensional approach (pp. 17–39). Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199964772.003.0002
Galam, E., Vauloup Soupault, C., Bunge, L., Buffel du Vaure, C., Boujut, E., & Jaury, P. (2017). 'Intern life': a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training. BJGP open, 1(2), bjgpopen17X100773. https://doi.org/10.3399/bjgpopen17X100773
Galloghly, R. J., Apputhurai, P. & Knowles, S. R. (2024). Exploring the role of dysfunctional attitudes and unhelpful thoughts in the relationship between personality traits and psychological distress in Australian University students. Current Psychology, 43, 25704–25711 https://doi.org/10.1007/s12144-024-06239-3
Gilbert, P., & Kirby, J. N. (2019). Building an integrative science for psychotherapy for the 21st century: Preface and introduction. Psychology and Psychotherapy: Theory, Research and Practice, 92(2), 151-163.
Ghorbani, N., P. J. Watson., Hamzavy, F. & Bart L. Weathington G. (2010). Self-knowledge and narcissism in Iranians: Relationships with empathy and self-esteem. Current Psychology, 29, 2, 135-143.
Golzar, H. R., Aflakseir, A., & Molazadeh, J. (2017). Structural Equation Modeling of Dysfunctional Attitudes and Depression Symptoms: Investigation of the Mediation Role of Ruminative Response Style. Iranian Journal of Psychaitry & Clinical Psychology, 22 (4), 318-329. [In Persian]
Hosein Esfand Zad, A., Shams, G., Pasha Meysami, A., & Erfan, A. (2017). The role of mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness in predicting obsessive-compulsive symptoms. Iranian Journal of Psychiatry and Clinical Psychology, 22(4):270-83. [In Persian]
Imani, S., Al-Khalil, Y., & Shokri, A. (2019). The relationship between dysfunctional attitudes and social anxiety in adolescent students: The mediating role of emotion regulation. Educational Psychology Studies, 16(33): 1-28. doi: 10.22111/jeps.2019.4467. [In Persian]
Kline, R. B. (2015). Principles and practice of structural equation modeling: Guilford publications.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and psychological measurement, 30(3), 607-610.
Labrague, L. J. (2023). Problematic internet use and psychological distress among student nurses: The mediating role of coping skills. Archives of psychiatric nursing, 46, 76–82. https://doi.org/10.1016/j.apnu.2023.08.009
Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2021). Having a word with yourself: Neural correlates of self-criticism and self-reassurance. NeuroImage, 49(2), 1849-1856.
Matos, M., & Steindl, S. R. (2020). You are already all you need to be: A case illustration of compassion‐focused therapy for shame and perfectionism. Journal of Clinical Psychology, 76(11), 2079-2096.
Momenpour, S., Saffarinia, M., Bazzazian, S., Vatankhah, H. (2022). The Role of Negative Spontaneous Thoughts and Dysfunctional Attitudes in Psychological Well-being Mediated by Perceived Stress in Women with Breast Cancer. Iranian journal of nursing research, 17(1), 19-30.
Moreno-Manso, J. M., García-Baamonde, M. E., Blázquez-Alonso, M., Guerrero-Barona, E., & Godoy-Merino, M. J. (2018). Empathy and coping strategies in youths subject to protection measures. Children and Youth Services Review, 93, 100–107. https://doi.org/10.1016/j.childyouth.2018.07.011
Nedaei, A., Paghosh, A., & Sadeghi-Hasnijeh, A. (2016). The relationship between coping strategies and quality of life: The mediating role of cognitive emotion regulation skills. Journal of Clinical Psychology, 8 (4): 35-48. [In Persian]
Noda, T., Takahashi, Y., & Murai, T. (2018). Coping mediates the association between empathy and psychological distress among Japanese workers. Personality and Individual Differences, 124:178–83. https://doi.org/10.1016/j.paid.2017.12.009
Olonilua, O. O., & Ogbeleakhu Aliu, J. O. (2025). Reviewing the critical role ofcoping strategies in enhancing mental health and resilience indisaster survivors. Environmental research, health, 3(2),  025006 .doi:10.1088/2752-5309/adb6cc
Paralkar Ma, U., & Knutson, D. (2023). Coping with academic stress: Ambiguity and uncertainty tolerance in college students. Journal of American college health, 71(7), 2208–2216. https://doi.org/10.1080/07448481.2021.1965148
Reeck, C., Ames, D. R., & Ochsner, K. N. (2016). The Social Regulation of Emotion: An Integrative, Cross-Disciplinary Model. Trends in cognitive sciences, 20(1), 47–63. https://doi.org/10.1016/j.tics.2015.09.003
Rodrigues, F., Morouço, P., & Santos, T. (2023). Testing the Associations between Coping, Mental Health, and Satisfaction with Life in Portuguese Workers. European journal of investigation in health, psychology and education, 13(7), 1245–1256. https://doi.org/10.3390/ejihpe13070092
Roohi, R., Soltani, A. A., Zinedine Meimand, Z., & Razavi Nematollahi, V. (2019). The effect of acceptance and commitment therapy (ACT) on increasing the selfcompassion, distress tolerance, and emotion regulation in students with social anxiety disorder. Quarterly Journal of Child Mental Health, 6(3),173-87. [In Persian]
Sandín, B., Espinosa, V., Valiente, R. M., García-Escalera, J., Schmitt, J. C., Arnáez, S., & Chorot, P. (2021). Effects of Coronavirus Fears on Anxiety and Depressive Disorder Symptoms in Clinical and Subclinical Adolescents: The Role of Negative Affect, Intolerance of Uncertainty, and Emotion Regulation Strategies. Frontiers in psychology, 12, 716528. https://doi.org/10.3389/fpsyg.2021.716528
Shafiq, S. (2024). An exploration of psychological and socio-cultural facets in perinatal distress of Pakistani couples: a triangulated qualitative study. BMC pregnancy and childbirth, 24(1), 596. https://doi.org/10.1186/s12884-024-06780-w
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.
Smart, I., McCabe, M., Bird, L. J., Byrne, M. L., & Cornish, K. (2024). Australian university student coping profiles and psychosocial distress: a latent profile analysis. Studies in Higher Education, 50(1), 93–106. https://doi.org/10.1080/03075079.2024.2329748
Smith, S., Beima-Sofie, K., Naveed, A., Bhatia, N., Micheni, M., Nguyen, A. T., Slaughter, F., Wang, L., Prabhu, S., Wallace, S., Simoni, J., & Graham, S. M. (2024). Impact of the COVID-19 Pandemic on Persons Living with HIV in Western Washington: Examining Lived Experiences of Social Distancing Stress, Personal Buffers, and Mental Health. AIDS and behavior, 28(6), 1822–1833. https://doi.org/10.1007/s10461-024-04273-7
Sun, R., Vuillier, L., Hui, B. P. H., & Kogan, A. (2019). Caring helps: Trait empathy is related to better coping strategies and differs in the poor versus the rich. PloS one, 14(3), e0213142. https://doi.org/10.1371/journal.pone.0213142
Tang, W., Hu, T., Hu, B., Jin, C., Wang, G., Xie, C., & Xu, J. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home quarantined Chinese university students. Journal of affective disorders, 274, 1-7.
Whissell, C. (2023). Emotion and Psychotherapy. In Engaging with Emotion (pp. 173 -187). Cham: Springer International Publishing.
Wu, W., Ma, X., Liu, Y., Qi, Q., Guo, Z., Li, S., Yu, L., Long, Q., Chen, Y., Teng, Z., Li, X., & Zeng, Y. (2022). Empathy alleviates the learning burnout of medical college students through enhancing resilience. BMC medical education, 22(1), 481. https://doi.org/10.1186/s12909-022-03554-w
Van Lissa, C. J., Hawk, S. T., & Meeus, W. H. J. (2017). The effects of affective and cognitive empathy on adolescents’ behavior and outcomes in conflicts with mothers. Journal of Experimental Child Psychology, 158, 32.45. DOI: 10.1016/j.jecp.2017.01.002
Zarei, A., Makvandi, B., Ehteshamzadeh, P., & Bavi, S. (2022). Studying the Effectiveness of Empathy Skills Training on Social Adjustment and Psychological Security of Senior High School Boys Students. Middle Eastern Journal of Disability Studies, 12, 88-88 [In Persian]
Zhao, X., Bie, F., Luo, C., & Zhang, J. E. (2024). Distress, illness perception and coping style among thyroid cancer patients after thyroidectomy: A cross-sectional study. European journal of oncology nursing :the official journal of European Oncology Nursing Society, 69, 102517. https://doi.org/10.1016/j.ejon.2024.102517
Zhong, J., Huang, X. J., Wang, X. M., & Xu, M. Z. (2023). The mediating effect of distress tolerance on the relationship between stressful life events and suicide risk in patients with major depressive disorder. BMC psychiatry23(1), 118. https://doi.org/10.1186/s12888-023-04600-7
Zohoorparvandeh, V., & Yaghobi H. (2021). The Relationship between Emotional Empathy and Family Communication Orientations with Students' Life Satisfaction in Corona Crisis: The Mediating Role of Compassion. Research in psychological health, 15(3), 3. [In Persian]

  • Receive Date 09 July 2025
  • Revise Date 23 August 2025
  • Accept Date 01 September 2025
  • Publish Date 23 September 2025