رابطه تنظیم شناختی هیجان و اضطراب بیماری کرونا در سالمندان: نقش میانجی تحمل پریشانی

نوع مقاله : مقاله پژوهشی

نویسنده

گروه علوم تربیتی، دانشگاه فرهنگیان، کردستان، ایران

10.22126/jap.2021.6705.1550

چکیده

شیوع بیماری کرونا یک چالش مهم برای دستگاه‌های مراقبت بهداشتی در ایران است. تنظیم شناختی هیجان و تحمل پریشانی ازجمله متغیرهایی هستند که می‌توانند تأثیر بسزایی بر سلامت روان و کیفیت زندگی سالمندان در دوران شیوع بیماری کرونا داشته باشند. پژوهش حاضر باهدف بررسی نقش میانجی تحمل پریشانی در رابطه بین تنظیم شناختی هیجان و اضطراب بیماری کرونا در سالمندان اجرا شد. روش پژوهش همبستگی و از نوع تحلیل مسیر بود. جامعه آماری شامل کلیۀ سالمندان مقیم شهر سنندج در سال 1400 بود که از بین آنها 300 نفر به روش نمونه­‌گیری دردسترس انتخاب شد. داده‌­ها با استفاده از پرسشنامه­‌های اضطراب بیماری کرونا علی‌پور و همکاران، تنظیم شناختی هیجان گارنفسکی و کرایج و تحمل پریشانی سیمونز و گاهر جمع‌­آوری شدند و در نرم‌افزار Amos و با استفاده از روش همبستگی پیرسون و تحلیل مسیر تحلیل شدند. نتایج نشان داد که مدل با داده­‌های پژوهش برازش دارد. با توجه به یافته‌­ها، مسیر راهبردهای مثبت تنظیم شناختی هیجان با میانجی‌گری تحمل پریشانی (05/0>P<17/0-=β) به اضطراب بیماری کرونا و مسیر راهبردهای منفی تنظیم شناختی هیجان با میانجی‌گری تحمل پریشانی (01/0>P<25/0=β) به اضطراب بیماری کرونا معنی‌دار بود. با توجه به نتایج پژوهش، می‌توان گفت هدف قرار دادن سه مؤلفۀ تنظیم شناختی مثبت و منفی هیجان و تحمل پریشانی در ارتباط با درمان‌ها و کمک‌های روان‌شناختی برای سالمندان در دوران شیوع بیماری کرونا می‌تواند مؤثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The Relationship Between Cognitive Emotion Regulation and Coronavirus Anxiety in the Elderly: The Mediating Role of Distress Tolerance

نویسنده [English]

  • Bahram Maleki
Department of Educational Sciences, University of Farhangian, Kurdistan, Iran
چکیده [English]

The spread of Coronavirus seems to be an important challenge for health care systems in Iran. Cognitive emotion regulation and distress tolerance are thought to be the variables that can have a significant impact on mental health and quality of life in the elderly during the outbreak of coronavirus. Consequently, this study aimed to investigate the mediating role of distress tolerance in the relationship between cognitive emotion regulation and Corona disease anxiety (CDA) in the elderly. The research method was correlational, of path analysis type. The statistical population included all the elderly living in Sanandaj, Iran in 2021, among whom 300 were selected using convenience sampling method. Data were collected using Alipour et al.’s CDA Scale, Garnefski & Kraaij’s Cognitive Emotion Regulation Questionnaire, and Simons & Gaher’s Distress Tolerance Questionnaire, and were analyzed using Pearson’s correlation method and path analysis in Amos software. The results demonstrated that the model fits the research data. According to the results, the path of positive cognitive emotion regulation strategies to CDA was mediated by distress tolerance (β=-0.17, P<0.05) and the path of negative cognitive emotion regulation strategies to CDA was mediated by distress tolerance (β=0.25, P<0.01) significantly. According to the results of the current research, it can be said that targeting the three components of positive and negative cognitive emotion regulation as well as distress tolerance in relation to treatments and psychological services can be effective for the elderly during the spread of coronavirus.
References
Alavi, Kh., Modarres Gharavi, M., Amin-Yazdi, SA., & Salehi Fadardi, J. (2011). 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, 13(2), 124-135. [Persian] https://dx.doi.org/10.22038/jfmh.2011.881
Alipour, A., Ghadami, A., Alipour, Z., & Abdollahzadeh, H. (2020). Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Quarterly Journal of Health Psychology, 8(32), 163-175. [Persian] https://dx.doi.org/10.30473/hpj.2020.52023.4756
Allan, N. P., Macatee, R. J., Norr, A. M., & Schmidt, N. B. (2014). Direct and interactive effects of distress tolerance and anxiety sensitivity on generalized anxiety and depression. Cognitive Therapy and Research, 38, 530-540. https://doi.org/10.1007/s10608-014-9623-y
Amirfakhraei, A., Masoumifard, M., Esmaeilishad, B., DashtBozorgi, Z., & Darvish Baseri. L. (2020). Prediction of Corona virus Anxiety based on Health Concern, Psychological Hardiness, and Positive Meta-emotion in Diabetic Patients. Journal of Diabetes Nursing, 8 (2), 1072-1083. http://jdn.zbmu.ac.ir/article-1-404-fa.html [Persian] 
 
Arefpour, A. M., Shojaei, F. S., Hatami, M., & Mahdavi, H. (2020). Prediction of resilience based on cognitive regulation of emotion and guilty feeling in women with breast cancer. Quarterly of Applied Psychology, 13(4), 509-526. https://dx.doi.org/10.29252/apsy.13.4.509 [Persian]
Artuch-Garde, R., González-Torres, M. D. C., de la Fuente, J., Vera, M. M., Fernández-Cabezas, M., & López-García, M. (2017). Relationship between resilience and self-regulation: a study of spanish youth at risk of social exclusion. Frontiers in Psychology, 8, 612-623. https://doi.org/10.3389/fpsyg.2017.00612
Aziziaram, S., & Basharpoor, S. (2020). The Role of Rumination, Emotion Regulation and Responsiveness to Stress in Predicting of Corona Anxiety (COVID-19) among Nurses. Quarterly Journal of Nursing Management, 3(9), 9-18. http://ijnv.ir/article-1-729-fa.html [Persian]  
Bogolyubova, O., Fernandez, A. S. M., Lopez, B. T., & Portelli, P. (2021). Traumatic impact of the COVID-19 pandemic in an international sample: Contribution of fatalism to psychological distress and behavior change. European Journal of Trauma & Dissociation, 5(2), 1-7. https://doi.org/10.1016/j.ejtd.2021.100219
Brandt, C. P., Zvolensky, M. J., & Bonn-Miller, M. (2013). Distress tolerance, emotion dysregulation, and anxiety and depressive symptoms among HIV+ individuals. Cognitive Therapy and Research, 37 (3), 446-455. https://doi.org/10.1007/s10608-012-9497-9
Cai, W., Pan, Y., Zhang, S., Wei, C., Dong, W., & Deng, G. (2017). Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry research, 256, 71-78. https://doi.org/10.1016/j.psychres.2017.06.018
Conway, C. C., Naragon-Gainey, K., & Harris, M. T. (2021). The structure of distress tolerance and neighboring emotion regulation abilities. Assessment28(4), 1050-1064. https://doi.org/10.1177%2F1073191120954914
Di Blasi, M., Gullo, S., Mancinelli, E., Freda, M. F., Esposito, G., Gelo, O. C. G., & Coco, G. L. (2021). Psychological distress associated with the COVID-19 lockdown: A two-wave network analysis. Journal of affective disorders284, 18-26. https://doi.org/10.1016/j.jad.2021.02.016
Domaradzka, E., & Fajkowska, M. (2018). Cognitive emotion regulation strategies in anxiety and depression understood as types of personality. Frontiers in psychology9, 1-12. https://doi.org/10.3389/fpsyg.2018.00856
Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry, 7(4), 300-302. https://doi.org/10.1016/S2215-0366(20)30073-0
Elhai, J. D., Levine, J. C., O’Brien, K. D., & Armour, C. (2018). Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use. Computers in Human Behavior, 84, 477–484. https://doi.org/10.1016/j.chb.2018.03.026
Ezazi Bojnourdi, E., Ghadampour, S., Moradi Shakib, A., & Ghazbanzadeh, R. (2020). Predicting Corona Anxiety based on Cognitive Emotion Regulation Strategies, Health Hardiness and Death Anxiety in Diabetic Patients. Iranian Nursing Scientific Association, 8 (2), 34-44. http://ijpn.ir/article-1-1547-fa.html [Persian]
Garnefski, N., & Kraaij, V. (2007). The cognitive emotion regulation questionnaire: psychometric features and prospective relationships with depression and anxiety in adults. European journal of psychological assessment, 23(3), 141-149. https://doi.org/10.1027/1015-5759.23.3.141
Gross, J. J. (Ed.). (2014). Handbook of emotion regulation (2nd ed.). New York: Guilford Publications.
Hasani, J. (2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire. Journal of Research in Behavioural Sciences, 9 (4), 229-240. http://rbs.mui.ac.ir/article-1-207-fa.html . [Persian]
Hooman, H. A. (2005). Structural Equation Modeling with Lisrel Application. Tehran: The organization for researching and composing university textbooks in the humanities SAMT). [Persian]
Khoshnami, M. S., Javadi, S. M. H., Noruzi, S., & Arian, M. (2020). The Elderly as the symbol of a generation’s experience through Covid-19 pandemic. Elderly Health Journal, 6(1), 1-2. http://dx.doi.org/10.18502/ehj.v6i1.3408
Kim, M., Jung, Y., & Kim, J. (2021). A study on factors affecting privacy risk tolerance to prevent the spread of COVID-19 in South Korea. Business Horizons, 64(6), 735-741. https://doi.org/10.1016/j.bushor.2021.07.002
Krejcie, R.V., & Morgan, D.W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607-610. https://doi.org/10.1177%2F001316447003000308
Laposa, J. M., Collimore, K. C., Hawley, L. L., & Rector, N. A. (2015). Distress tolerance in OCD and anxiety disorders, and its relationship with anxiety sensitivity and intolerance of uncertainty. Journal of Anxiety Disorders, 33, 8–14. https://doi.org/10.1016/j.janxdis.2015.04.003
Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44(7), 393–401. https://doi.org/10.1080/07481187.2020.1748481
Lee, S. A., Jobe, M. C., & Mathis, A. A. (2020). Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychological Medicine, 51(8), 1403-1404. https://doi.org/10.1017/S003329172000121X
Lee, S. A., Mathis, A. A., Jobe, M. C., & Pappalardo, E. A. (2020). Clinically significant fear and anxiety of COVID19: A psychometric examination of the Coronavirus Anxiety Scale. Psychiatry Research, 290, 1-7. https://doi.org/10.1016/j.psychres.2020.113112
Margetić, B., Peraica, T., Stojanović, K., & Ivanec, D. (2021). Predictors of emotional distress during the COVID-19 pandemic; a Croatian study. Personality and Individual Differences175, 1-8. https://doi.org/10.1016/j.paid.2021.110691
Mehra, A., Rani, S., Sahoo, S., Parveen, S., Singh, A. P., Chakrabarti, S., & Grover, S. (2020). A crisis for elderly with mental disorders: Relapse of symptoms due to heightened anxiety due to COVID-19. Asian Journal of Psychiatry, 51, 1-3. https://dx.doi.org/10.1016%2Fj.ajp.2020.102114
Meng, H., Xu, Y., Dai, J., Zhang, Y., Liu, B., & Yang, H. (2020). The Psychological effect of COVID-19 on the Elderly in China. Psychiatry Research, 289, 1-3. https://dx.doi.org/10.1016%2Fj.psychres.2020.112983 
Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of anxiety disorders, 74(1), 1-8. https://doi.org/10.1016/j.janxdis.2020.102258.
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 psychology8, 1-13. https://doi.org/10.3389/fpsyg.2017.01980
Mitchell, M. A., Riccardi, C. J., Keough, M. E., Timpano, K. R., & Schmidt, N. B. (2013). Understanding the associations among anxiety sensitivity, distress tolerance, and discomfort intolerance: A comparison of three models. Journal of Anxiety Disorders, 27(1), 147-154. https://doi.org/10.1016/j.janxdis.2012.12.003
Narimani, M., & Eyni, S. (2021). The Causal model of coronavirus anxiety in the elderly based on perceived stress and sense of cohesion: The Mediating role of perceived social support. Aging Psychology, 7(1), 13- 27. [Persian] https://10.22126/JAP.2021.6043.1494
Preuss, H., Capito, K., van Eickels, R. L., Zemp, M., & Kolar, D. R. (2021). Cognitive reappraisal and self-compassion as emotion regulation strategies for parents during COVID-19: An online randomized controlled trial. Internet interventions, 24, 1-12. https://doi.org/10.1016/j.invent.2021.100388
Rajkumar, R.P. (2020). COVID-19 and mental health: a review of the existing literature. Asian Journal of Psychiatry, 52, 1-5. https://doi.org/10.1016/j.ajp.2020.102066
Sedighi Arfaee, F., Rashidi, A., & Tabesh, R. (2021). The Distress tolerance in the elderly: The role of experiential avoidance, rumination and mindfulness. Aging Psychology, 7(1), 1-12. [Persian] https://10.22126/JAP.2021.6108.1498
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
Smith, K. E., Mason, T. B., Anderson, N. L., & Lavender, J. M. (2019). Unpacking cognitive emotion regulation in eating disorder psychopathology: The differential relationships between rumination, thought suppression, and eating disorder symptoms among men and women. Eating behaviors32, 95-100. https://doi.org/10.1016/j.eatbeh.2019.01.003
Strauss, A. Y., Kivity, Y., & Huppert, J. D. (2019). Emotion regulation strategies in cognitive behavioral therapy for panic disorder. Behavior therapy, 50(3), 659-671. https://doi.org/10.1016/j.beth.2018.10.005
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S, & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1-25. https://doi.org/10.3390/ijerph17051729
World Health Organization (WHO). (2021). Coronavirus disease (COVID-19) outbreak situation. Retrieved from https://covid19.who.int/
Zhang, P., Wang, M., Wang, Y., Wang, Y., Li, T., Zeng, J., & Gong, Y. (2021). Risk factors associated with the progression of COVID-19 in elderly. Diabetes research and clinical practice, 171(2), 1-10. https://doi.org/10.1016/j.diabres.2020.108550
Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010). Distress tolerance: Theory, measurement, and relations to psychopathology. Current Directions in Psychological Science, 19(6), 406-410. https://doi.org/10.1177%2F0963721410388642

کلیدواژه‌ها [English]

  • Distress tolerance
  • cognitive emotion regulation
  • Corona disease anxiety
  • elderly
References
Alavi, Kh., Modarres Gharavi, M., Amin-Yazdi, SA., & Salehi Fadardi, J. (2011). 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, 13(2), 124-135. [Persian] https://dx.doi.org/10.22038/jfmh.2011.881
Alipour, A., Ghadami, A., Alipour, Z., & Abdollahzadeh, H. (2020). Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Quarterly Journal of Health Psychology, 8(32), 163-175. [Persian] https://dx.doi.org/10.30473/hpj.2020.52023.4756
Allan, N. P., Macatee, R. J., Norr, A. M., & Schmidt, N. B. (2014). Direct and interactive effects of distress tolerance and anxiety sensitivity on generalized anxiety and depression. Cognitive Therapy and Research, 38, 530-540. https://doi.org/10.1007/s10608-014-9623-y
Amirfakhraei, A., Masoumifard, M., Esmaeilishad, B., DashtBozorgi, Z., & Darvish Baseri. L. (2020). Prediction of Corona virus Anxiety based on Health Concern, Psychological Hardiness, and Positive Meta-emotion in Diabetic Patients. Journal of Diabetes Nursing, 8 (2), 1072-1083. http://jdn.zbmu.ac.ir/article-1-404-fa.html [Persian] 
Arefpour, A. M., Shojaei, F. S., Hatami, M., & Mahdavi, H. (2020). Prediction of resilience based on cognitive regulation of emotion and guilty feeling in women with breast cancer. Quarterly of Applied Psychology, 13(4), 509-526. https://dx.doi.org/10.29252/apsy.13.4.509 [Persian]
Artuch-Garde, R., González-Torres, M. D. C., de la Fuente, J., Vera, M. M., Fernández-Cabezas, M., & López-García, M. (2017). Relationship between resilience and self-regulation: a study of spanish youth at risk of social exclusion. Frontiers in Psychology, 8, 612-623. https://doi.org/10.3389/fpsyg.2017.00612
Aziziaram, S., & Basharpoor, S. (2020). The Role of Rumination, Emotion Regulation and Responsiveness to Stress in Predicting of Corona Anxiety (COVID-19) among Nurses. Quarterly Journal of Nursing Management, 3(9), 9-18. http://ijnv.ir/article-1-729-fa.html [Persian]  
Bogolyubova, O., Fernandez, A. S. M., Lopez, B. T., & Portelli, P. (2021). Traumatic impact of the COVID-19 pandemic in an international sample: Contribution of fatalism to psychological distress and behavior change. European Journal of Trauma & Dissociation, 5(2), 1-7. https://doi.org/10.1016/j.ejtd.2021.100219
Brandt, C. P., Zvolensky, M. J., & Bonn-Miller, M. (2013). Distress tolerance, emotion dysregulation, and anxiety and depressive symptoms among HIV+ individuals. Cognitive Therapy and Research, 37 (3), 446-455. https://doi.org/10.1007/s10608-012-9497-9
Cai, W., Pan, Y., Zhang, S., Wei, C., Dong, W., & Deng, G. (2017). Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry research, 256, 71-78. https://doi.org/10.1016/j.psychres.2017.06.018
Conway, C. C., Naragon-Gainey, K., & Harris, M. T. (2021). The structure of distress tolerance and neighboring emotion regulation abilities. Assessment28(4), 1050-1064. https://doi.org/10.1177%2F1073191120954914
Di Blasi, M., Gullo, S., Mancinelli, E., Freda, M. F., Esposito, G., Gelo, O. C. G., & Coco, G. L. (2021). Psychological distress associated with the COVID-19 lockdown: A two-wave network analysis. Journal of affective disorders284, 18-26. https://doi.org/10.1016/j.jad.2021.02.016
Domaradzka, E., & Fajkowska, M. (2018). Cognitive emotion regulation strategies in anxiety and depression understood as types of personality. Frontiers in psychology9, 1-12. https://doi.org/10.3389/fpsyg.2018.00856
Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry, 7(4), 300-302. https://doi.org/10.1016/S2215-0366(20)30073-0
Elhai, J. D., Levine, J. C., O’Brien, K. D., & Armour, C. (2018). Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use. Computers in Human Behavior, 84, 477–484. https://doi.org/10.1016/j.chb.2018.03.026
Ezazi Bojnourdi, E., Ghadampour, S., Moradi Shakib, A., & Ghazbanzadeh, R. (2020). Predicting Corona Anxiety based on Cognitive Emotion Regulation Strategies, Health Hardiness and Death Anxiety in Diabetic Patients. Iranian Nursing Scientific Association, 8 (2), 34-44. http://ijpn.ir/article-1-1547-fa.html [Persian]
Garnefski, N., & Kraaij, V. (2007). The cognitive emotion regulation questionnaire: psychometric features and prospective relationships with depression and anxiety in adults. European journal of psychological assessment, 23(3), 141-149. https://doi.org/10.1027/1015-5759.23.3.141
Gross, J. J. (Ed.). (2014). Handbook of emotion regulation (2nd ed.). New York: Guilford Publications.
Hasani, J. (2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire. Journal of Research in Behavioural Sciences, 9 (4), 229-240. http://rbs.mui.ac.ir/article-1-207-fa.html . [Persian]
Hooman, H. A. (2005). Structural Equation Modeling with Lisrel Application. Tehran: The organization for researching and composing university textbooks in the humanities SAMT). [Persian]
Khoshnami, M. S., Javadi, S. M. H., Noruzi, S., & Arian, M. (2020). The Elderly as the symbol of a generation’s experience through Covid-19 pandemic. Elderly Health Journal, 6(1), 1-2. http://dx.doi.org/10.18502/ehj.v6i1.3408
Kim, M., Jung, Y., & Kim, J. (2021). A study on factors affecting privacy risk tolerance to prevent the spread of COVID-19 in South Korea. Business Horizons, 64(6), 735-741. https://doi.org/10.1016/j.bushor.2021.07.002
Krejcie, R.V., & Morgan, D.W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607-610. https://doi.org/10.1177%2F001316447003000308
Laposa, J. M., Collimore, K. C., Hawley, L. L., & Rector, N. A. (2015). Distress tolerance in OCD and anxiety disorders, and its relationship with anxiety sensitivity and intolerance of uncertainty. Journal of Anxiety Disorders, 33, 8–14. https://doi.org/10.1016/j.janxdis.2015.04.003
Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44(7), 393–401. https://doi.org/10.1080/07481187.2020.1748481
Lee, S. A., Jobe, M. C., & Mathis, A. A. (2020). Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychological Medicine, 51(8), 1403-1404. https://doi.org/10.1017/S003329172000121X
Lee, S. A., Mathis, A. A., Jobe, M. C., & Pappalardo, E. A. (2020). Clinically significant fear and anxiety of COVID19: A psychometric examination of the Coronavirus Anxiety Scale. Psychiatry Research, 290, 1-7. https://doi.org/10.1016/j.psychres.2020.113112
Margetić, B., Peraica, T., Stojanović, K., & Ivanec, D. (2021). Predictors of emotional distress during the COVID-19 pandemic; a Croatian study. Personality and Individual Differences175, 1-8. https://doi.org/10.1016/j.paid.2021.110691
Mehra, A., Rani, S., Sahoo, S., Parveen, S., Singh, A. P., Chakrabarti, S., & Grover, S. (2020). A crisis for elderly with mental disorders: Relapse of symptoms due to heightened anxiety due to COVID-19. Asian Journal of Psychiatry, 51, 1-3. https://dx.doi.org/10.1016%2Fj.ajp.2020.102114
Meng, H., Xu, Y., Dai, J., Zhang, Y., Liu, B., & Yang, H. (2020). The Psychological effect of COVID-19 on the Elderly in China. Psychiatry Research, 289, 1-3. https://dx.doi.org/10.1016%2Fj.psychres.2020.112983 
Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of anxiety disorders, 74(1), 1-8. https://doi.org/10.1016/j.janxdis.2020.102258.
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 psychology8, 1-13. https://doi.org/10.3389/fpsyg.2017.01980
Mitchell, M. A., Riccardi, C. J., Keough, M. E., Timpano, K. R., & Schmidt, N. B. (2013). Understanding the associations among anxiety sensitivity, distress tolerance, and discomfort intolerance: A comparison of three models. Journal of Anxiety Disorders, 27(1), 147-154. https://doi.org/10.1016/j.janxdis.2012.12.003
Narimani, M., & Eyni, S. (2021). The Causal model of coronavirus anxiety in the elderly based on perceived stress and sense of cohesion: The Mediating role of perceived social support. Aging Psychology, 7(1), 13- 27. [Persian] https://10.22126/JAP.2021.6043.1494
Preuss, H., Capito, K., van Eickels, R. L., Zemp, M., & Kolar, D. R. (2021). Cognitive reappraisal and self-compassion as emotion regulation strategies for parents during COVID-19: An online randomized controlled trial. Internet interventions, 24, 1-12. https://doi.org/10.1016/j.invent.2021.100388
Rajkumar, R.P. (2020). COVID-19 and mental health: a review of the existing literature. Asian Journal of Psychiatry, 52, 1-5. https://doi.org/10.1016/j.ajp.2020.102066
Sedighi Arfaee, F., Rashidi, A., & Tabesh, R. (2021). The Distress tolerance in the elderly: The role of experiential avoidance, rumination and mindfulness. Aging Psychology, 7(1), 1-12. [Persian] https://10.22126/JAP.2021.6108.1498
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
Smith, K. E., Mason, T. B., Anderson, N. L., & Lavender, J. M. (2019). Unpacking cognitive emotion regulation in eating disorder psychopathology: The differential relationships between rumination, thought suppression, and eating disorder symptoms among men and women. Eating behaviors32, 95-100. https://doi.org/10.1016/j.eatbeh.2019.01.003
Strauss, A. Y., Kivity, Y., & Huppert, J. D. (2019). Emotion regulation strategies in cognitive behavioral therapy for panic disorder. Behavior therapy, 50(3), 659-671. https://doi.org/10.1016/j.beth.2018.10.005
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S, & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1-25. https://doi.org/10.3390/ijerph17051729
World Health Organization (WHO). (2021). Coronavirus disease (COVID-19) outbreak situation. Retrieved from https://covid19.who.int/
Zhang, P., Wang, M., Wang, Y., Wang, Y., Li, T., Zeng, J., & Gong, Y. (2021). Risk factors associated with the progression of COVID-19 in elderly. Diabetes research and clinical practice, 171(2), 1-10. https://doi.org/10.1016/j.diabres.2020.108550
Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010). Distress tolerance: Theory, measurement, and relations to psychopathology. Current Directions in Psychological Science, 19(6), 406-410. https://doi.org/10.1177%2F0963721410388642