Comparing emotion dysregulation and distress tolerance in multiple sclerosis patients and healthy individuals

Document Type : Research Paper

Authors

1 M.A. in clinical psychology, Department of Psychology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran

2 Ph.D. student in psychology, Faculty of Educational and Social Sciences, Razi University, Kermanshah, Iran

3 Assistant professor, Department of Psychology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran

4 M. A. in general psychology, Department of Psychology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran

5 M. A. in general psychology, Department of Psychology, Allameh Tabatabaei University, Tehran, Iran

Abstract

Introduction: Multiple Sclerosis (MS) impacts on the quality of life of patients even in early phases of illness. Therefore, this study aimed to compare the emotion dysregulation and distress tolerance in people with multiple sclerosis and healthy cases.
Materials and Methods: The statistical population of this comparative study included all MS patients aged 20 to 50 years who were referred to Kermanshah MS Society in the summer and fall of 2016. Three hundred seventy-six subjects, including 175 MS patients and 201 healthy cases, were selected using the convenient sampling method. Research instrument included Difficulties in Emotion Regulation Scale (DEES) and Distress Tolerance Scale. Data were analyzed by multivariate analysis of variance.
Results: The mean scores of difficulties in emotion regulation in multiple sclerosis group and control group were 104.02 ±17.90, and 94.12 ± 19.75 respectively. Also, the mean scores of distress tolerance scores in multiple sclerosis patients group was significantly lower than the control group (37.05 ± 9.47 vs 41.41 ± 10.14).
Conclusion: Multiple sclerosis patients have more emotion dysregulation and less distress tolerance compared with the normal people.

Keywords


  1. Morris K, Yiannikas C. Treatment update in multiple sclerosis. Curr Allergy Asthma Rep 2012; 12(3): 246-54.
  2. Denison L, Moss-Morris R, Silber E, Galea I, Chalder T. Cognitive and behavioural correlates of different domains of psychological adjustment in early-stage multiple sclerosis. J Psychosom 2010; 69(4): 353-61.
  3. Esmonde L, Long AF. Complementary therapy use by persons with multiple sclerosis: Benefits and research priorities. Complement Ther Clin Pract 2008; 14(3): 176-84.
  4. Linehan M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford; 1993.
  5. Foley F, Sarnoff J. Taming stress in Multiple Sclerosis. National MS Society. [cited 2012]. Available from: http://www.nationalmssociety.org.
  6. Simons JS, Gaher RM, The Distress Tolerance Scale: Development and validation of a self-report measure. Motiv Emot 2005; 29(2): 83-102.
  7. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav 2004; 26 (1): 41-54.
  8. Zvolensky MJ, Vujanovic AA, Bernstein A, Leyro T. Distress tolerance: Theory, measurement, and relations to psychopathology. Curr Dir Psychol Sci 2010; 19(6): 406-10.
  9. Alavi KH, Modares Gharavi M, Izadi A, Salehi, [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)
  10. Rihani T, Sekhavatpour Z, Heydarzadeh M, Mosavi M, Mazlom R. [Investigating the effects of spiritual self-care training on psychological stress of mothers with preterm infants admitted in neonatal intensive care unit]. Iranian journal of obstetrics, gynecology, and infertility 2014; 17: 18-28. (Persian)
  11. Gruber J, Harvey AG, Gross JJ. When trying is not enough: emotion regulation and the effort-success gap in bipolar disorder. Emotion 2012; 12(5): 997.
  12. Miller AM, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. New York: Guilford 2007.
  13. Gross JJ, Jazaieri H. Emotion, emotion regulation, and psychopathology: an affective science perspective. Clin Psychological Sci 2014;2(4):387- 401
  14. Orgeta V. Emotion dysregulation and anxiety in late adulthood. J Anxiety Disord 2011; 25(8): 1019-23.