|
Developing a Causal Model of the Relationship Between Psychological Hardiness, Psychological Distress, Distress Tolerance with Nursing Stress Mediated by Cognitive Flexibility in Nurses with Fibromyalgia Syndrome
|
Saeed Enayatian   , Ali Hosseinaei , Sosan Rahimi , Alireza Rajaei |
| Department of Psychology and Counseling, Az.C., Islamic Azad University, Azadshahr, Iran , a_hosseinaei@iau.ac.ir |
|
|
Abstract: (25 Views) |
Introduction: The purpose of this study was to investigate the causal model of the relationship between psychological hardiness, psychological distress, and distress tolerance with nursing stress, mediated by cognitive flexibility in nurses with fibromyalgia syndrome. Nurses with fibromyalgia syndrome are exposed to high levels of nursing stress due to the chronic nature of the disease and job pressures, and investigating the psychological mechanisms affecting it is of particular importance.
Methods: This research employed a descriptive-correlational design using structural equation modeling. The statistical population included 798 nurses with fibromyalgia syndrome in Imam Reza, Ghaem, Razavi, Farabi, Khatam Al-Anbia, and Hefadeh Shahrivar hospitals, and 268 were selected through purposive sampling. Data were collected using standardized questionnaires: Psychological Hardiness (Kobasa), Psychological Distress (Mason et al), Distress Tolerance (Simons & Gaher), Cognitive Flexibility (Dennis & Vander Wal), Nursing Stress Scale (Gray-Toft & Anderson) and the Revised Fibromyalgia Impact Questionnaire (FIQR).
Results: The results showed that psychological hardiness (-0.46, p>0.01) and distress tolerance (-0.26, p>0.01) had significant negative effects on nursing stress, whereas psychological distress (0.33, p>0.01) had a significant positive effect. In addition, cognitive flexibility played a significant mediating role (-0.22, p>0.01) in these relationships. The final model demonstrated good fit and was able to explain a substantial portion of the variance in nursing stress.
Conclusion: The findings emphasize the importance of examining the direct and indirect effects of psychological variables to improve resilience and reduce psychological stress in nurses with chronic diseases. This research can be a guide for designing intervention programs in healthcare settings.
|
|
| Keywords: Psychological hardiness, Psychological distress, Distress tolerance, Nursing stress, Cognitive flexibility, Fibromyalgia syndrome |
|
|
Full-Text [PDF 557 kb]
(13 Downloads)
|
Type of Study: Quantitative-Research |
Subject:
Special
Received: 2025/09/11 | Accepted: 2026/01/1 | Published: 2025/11/1
|
|
|
|
|
|
|
| Send email to the article author |
|
|
