Investigating the Relationship of Distress Tolerance and Quality of Life with the Mediating Role of Psychological Wellbeing in the Elderly Living in Tehran City, Iran

Bagheri, Mohammad Javad; Asghar Nezhad Farid, Ali Asghar; Nasrollahi, Bita

Volume 12 - Articles-1401 MEJDS (2022) 12: 261 | Back to browse issues page

Mendeley

Zotero

RefWorks

Bagheri M J, Asghar Nezhad Farid A A, Nasrollahi B. Investigating the Relationship of Distress Tolerance and Quality of Life with the Mediating Role of Psychological Wellbeing in the Elderly Living in Tehran City, Iran. MEJDS 2022; 12 :261-261
URL: http://jdisabilstud.org/article-1-2731-en.html

Investigating the Relationship of Distress Tolerance and Quality of Life with the Mediating Role of Psychological Wellbeing in the Elderly Living in Tehran City, Iran

Mohammad Javad Bagheri¹

, Ali Asghar Asghar Nezhad Farid ^*

², Bita Nasrollahi³

1- PhD student in Psychology , Science and Research Branch, Islamic Azad university , Tehran , Iran
2- Associate Professor, Department of Clinical and Applied Psychology, Iran University of Medical Sciences and Health Services, Tehran, Iran
3- Assistant Professor of Psychology, Islamic Azad University, Research Sciences Branch, Tehran, Iran

Abstract: (633 Views)

Abstract
Background & Objectives: During old age, people face problems due to physical, cognitive, and social changes. Physical and mental health play an important role in the quality of life of older people, and this depends on the degree of adaptation and flexibility of older people to cope with the changes. A high level of wellbeing leads to a favorable evaluation of life events because the experience of positive emotions accompanies it. Therefore, it can affect the level of distress tolerance and the degree of response of the elderly to stress and help them be less anxious and damaged in critical situations. This feature has a great effect on the mental health of older people. According to what was stated, this study aims to determine the relationship between distress tolerance and the mediating role of psychological wellbeing in the quality of life of older people in Tehran City, Iran.
Methods: The research method was descriptive–correlational in the form of structural equation modeling. For the sample group, 200 people were selected from the elderly population (60 years and older) in Tehran by cluster sampling. In this way, a list of parks and cultural centers of Tehran was prepared, and Tehran was divided into four geographical regions. From each district, four places were randomly selected. The designated areas were referred to, and according to the inclusion and exclusion criteria, the subjects were randomly selected from among older people. The inclusion criterion was the age group of more than sixty years, and the exclusion criterion was answering all the questions in the questionnaires. The study data were gathered via the Psychological Wellbeing Scale (Ryff & Keyes, 1995), the World Health Organization Quality of Life Questionnaire (1998), and the Distress Tolerance Scale (Simons & Gaher, 2005). This research used descriptive statistics, including frequency, percentage, mean and standard deviation. The Pearson correlation coefficient and structural equation modeling method were employed for data analysis using SPSS version 22 and AMOS version 22 software. The level of significance in this research was considered 0.05.
Results: Findings showed that the direct effect of distress tolerance on psychological wellbeing (p=0.001, β=0.814), the immediate impact of distress tolerance on quality of life (p=0.028, β=0.312), and the direct effect of psychological wellbeing on quality of life (p=0.001, β=0.544) was positive and significant. Also, the indirect impact of distress tolerance on quality of life with the mediation of psychological wellbeing was positive and significant (p=0.001, β=0.443). The presented model had a relatively good fit (χ²/df=1.619, AGFI=0.891, CFI=0.969, GFI=0.923, RMSEA=0.056).
Conclusion: Based on research findings, distress tolerance indirectly affects the quality of life of older people through psychological wellbeing. In other words, distress tolerance by improving psychological well–being increases the quality of life in older people.

Keywords: Distress tolerance, Psychological wellbeing, Quality of life, The elderly

Full-Text [PDF 813 kb] (231 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. Bolognesi C, Migliore L, Lista F, Caroli S, Patriarca M, De Angelis R, et al. Biological monitoring of Italian soldiers deployed in Iraq. Results of the SIGNUM project. Int J Hyg Environ Health. 2016;219(1):24–32. [DOI]

2. Seyedjavadi M, Pakfar Z. The relationship between active aging and mental health in the elderly patients. Middle Eastern Journal of Disability Studies. 2021;11:18. [Persian] [Article]

3. Sulmasy DP. The varieties of human dignity: a logical and conceptual analysis. Med Health Care Philos. 2013;16(4):937–44. [DOI]

4. Zhou W, He G, Gao J, Yuan Q, Feng H, Zhang CK. The effects of group reminiscence therapy on depression, self–esteem, and affect balance of Chinese community–dwelling elderly. Arch Gerontol Geriatr. 2012;54(3):e440-447. [DOI]

5. Zahedi H, Rajayan A, Mortezaeean M. The comparison of aerobic power and mental health factors among active, non active and mountaineer older peoples. Journal of Sport Bioscience Researches. 2014;4(13):5–16. [Persian]

6. World Health Organization. World report on ageing and health [Internet]. Geneva: World Health Organization; 2015 [cited 2022]. Available from: [Article]

7. Marsa R, Bahmani B, Barekati S. Demoralization syndrome in elderly people living in nursing homes, community–dwelling elderly people and those receiving day care services from rehabilitation centers. Iranian Journal of Ageing. 2020;14(4):436–49. [Persian] [DOI]

8. Zhang Y, Chen Y, Ma L. Depression and cardiovascular disease in elderly: current understanding. J Clin Neurosci. 2018;47:1–5. [DOI]

9. Stålbrand IS, Svensson T, Elmståhl S, Horstmann V, Hagberg B, Dehlin O, et al. Subjective health and illness, coping and life satisfaction in an 80–year–old Swedish population–implications for mortality. Int J Behav Med. 2007;14(3):173–80. [DOI]

10. Barati M, Fathi Y, Soltanian AR, Moeini B. Mental health condition and health promoting behaviors among elders in Hamadan. Avicenna Journal of Nursing and Midwifery Care. 2012;20(3):12–22. [Persian] [Article]

11. Mohammadinia N, Rezaei MA, Atashzadeh-Shoorideh F. Elderly peoples’ experiences of nursing homes in Bam city: a qualitative study. Electron Physician. 2017;9(8):5015–23. [DOI]

12. Shokouhi F, Tavassoli E, Amiripour A, Kaviani F. Quality of life of elderly living in nursing homes in Shahrekord. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2020;5(4):84–93. [Persian] [Article]

13. Burke E, McCarron M, Carroll R, McGlinchey E, McCallion P. What it’s like to grow older: the aging perceptions of people with an intellectual disability in Ireland. Intellect Dev Disabil. 2014;52(3):205–19. [DOI]

14. Esmaeili R, Esmaeili M. Quality of life in the elderly: a meta–synthesis. Journal of Pizhūhish dar dīn va salāmat. 2018;4(2):105–16.

15. Rondón García LM, Ramírez Navarrro JM. The impact of quality of life on the health of older people from a multidimensional perspective. J Aging Res. 2018;2018:4086294. [DOI]

16. Vahedi Kojnagh H, Afshari A, Rezaei Malajagh R, Eghbali A, Taheri M. the prediction of the elderly’s life satisfaction based on health–promoting lifestyle. Aging Psychology. 2020;6(3):297–285. [Persian] [Article]

17. Orang S, Hashemi Razini H, Abdollahi MH. Relationship between early maladaptive schemas and meaning of life and psychological well–being of the elderly. Iranian Journal of Ageing. 2017;12(3):326–45. [DOI]

18. Bahadori Khosroshahi J, Hashemi Nosratabad T. The relationship between hopefulness and resiliency with psychological well–being: a study in the university students. Journal of Thought & Behavior in Clinical Psychology. 2012;6(22):41–50. [Persian]

19. Dezutter J, Luyckx K, Wachholtz A. Meaning in life in chronic pain patients over time: associations with pain experience and psychological wellbeing. J Behav Med. 2015;38(2):384–96. [DOI]

20. Friedman EM, Ruini C, Foy R, Jaros L, Sampson H, Ryff CD. Lighten UP! A community-based group intervention to promote psychological wellbeing in older adults. Aging Ment Health. 2017;21(2):199–205. [DOI]

21. Ryff CD, Singer B. From social structure to biology: integrative science in pursuit of human health and well–being. In: Handbook of positive psychology. New York, NY, US: Oxford University Press; 2002. pp: 541–54.

22. Erkutlu H. Exploring the moderating effect of psychological capital on the relationship between narcissism and psychological well–being. Procedia–Social and Behavioral Sciences. 2014;150:1148–56. [DOI]

23. Pailler S, Tsaneva M. The effects of climate variability on psychological well–being in India. World Development. 2018;106:15–26. [DOI]

24. Mazaheri M, Bahramian SH. Prediction of psychological well–being based on the positive and negative affection and coping self–efficacy. Positive Psychology Research. 2016;1(4):1–14. [Persian] [Article]

25. Heintzelman SJ, Diener E. Subjective well–being, social interpretation, and relationship thriving. Journal of Research in Personality. 2019;78:93–105. [DOI]

26. Safara M, Salmabadi M. psychological well–being in the elderly: the role of self–compassion and alexithymia. Aging Psychology. 2021;7(1):92–83. [Persian] [Article]

27. Alimohammadi F, Setodeh–asl N, Karami A. Designing a model of quality of life in elderly based on perceived stress and tolerance of distress. Journal of Health and Care. 2019;21(1):53–65. [Persian] [Article]

28. Nezamdoust Sedehi M, Borjali A, Poursharifi H, Kraskian Mujembari A, Seirafi M. The relationship between hope and sense of coherence with psychosocial well–being among older people: mediating role of attitude toward death. Aging Psychology. 2018;4(3):179–95. [Persian] [Article]

29. Veilleux JC. The relationship between distress tolerance and cigarette smoking: a systematic review and synthesis. Clin Psychol Rev. 2019;71:78–89. [DOI]

30. Diener E, Lucas RE, Scollon CN. Beyond the hedonic treadmill: revising the adaptation theory of wellbeing. Am Psychol. 2006;61(4):305–14. [DOI]

31. Mohammadzadeh Ebrahimi A, Rahimi Pordanjani T, Tad H. Structural model of social support and distress tolerance by mental health mediation in elderlies with cardiovascular disease. Health Research Journal. 2019;4:189–96. [Persian] [DOI]

32. Ghotbinejhad Bahre Asmani U, Ahadi H, Hatami H, Sarami Foroushani G. Comparison of the effectiveness of group positive psychotherapy and group psychodrama on spiritual attitude, distress tolerance, and quality of life in women with chronic pain. Anesthesiology and Pain. 2019;9(4):51–65. [Persian] [Article]

33. Kline RB. Principles and practice of structural equation modeling. 3rd ed. New York: The Guilford Press; 2011.

34. Ryff CD, Keyes CLM. The structure of psychological wellbeing revisited. Journal of Personality and Social Psychology. 1995;69(4):719–27. [DOI]

35. Khanjani M, Shahidi S, Fathabadi J, Mazaheri MA, Shokri O. Factor structure and psychometric properties of the Ryff’s Scale of Psychological Well–Being, short form (18–item) among male and female students. Thoughts and Behavior in Clinical Psychology. 2014;9(32):27–36. [Persian] [Article]

36. World Health Organization. The World Health Organization Quality of Life (WHOQOL)-BREF [Internet]. World Health Organization; 2004 [cited 2022]. Report No.: WHO/HIS/HSI Rev.2012.02. Available from: [Article]

37. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The World Health Organization Quality of Life (WHOQOL-BREF) Questionnaire: translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research. 2006;4(4):1–12. [Persian] [Article]

38. Simons JS, Gaher RM. The distress tolerance scale: development and validation of a self-report measure. Motiv Emot. 2005;29(2):83–102. [DOI]

39. Alavi K, Modarres Gharavi MG, Amin Yazdi AS, Salehi Fadardi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Journal of Fundamentals of Mental Health. 2011;13(2):124–35. [Persian] [DOI]