Mediating Role of Self- Efficacy in Relationship Cognitive Emotion Regulation and Psychological Well-Being of Patients with Irritable Bowel Syndrome

Document Type : Original Article

Authors

1 Associate Professor, Department of Psychology, Faculty of Humanities, University of Kashan, Kashan, Iran.

2 M.A in Psychology, Department of Psychology, Faculty of Humanities, University of Kashan, Kashan, Iran.

Abstract

Aim: Irritable bowel syndrome (IBS) is a well-known gut-brain interaction disorder characterized by chronic abdominal pain and changes in bowel habits, significantly impacting patients' quality of life. This study aimed to investigate the mediating role of self-efficacy in the relationship between cognitive emotion regulation and psychological well-being in patients with IBS.
 
Method: This descriptive-correlational study employed structural equation modeling. The statistical population consisted of patients with IBS who visited the Gastrointestinal Health Center at Alzahra Hospital in Isfahan in 2023. A sample size of 300 patients was selected using convenience sampling based on Kline's model (2023). Data were collected using the Psychological Well-Being Scale (Ryff, 1989), the General Self-Efficacy Scale (GES-10) (Jerusalem & Schwarzer, 1995), and the Cognitive Emotion Regulation Questionnaire (Garnefski et al., 2001). Data were analyzed using SPSS version 28 and AMOS software.
 
Results: The results indicated that emotion regulation strategies and self-efficacy predict psychological well-being. Furthermore, self-efficacy has a mediating role in the relationship between cognitive emotion regulation strategies and psychological well-being.
 
Conclusion: The findings of this research have practical implications for therapeutic interventions, suggesting that focusing on cognitive regulation of emotion and enhancing self-efficacy can improve the psychological well-being of patients with IBS.

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Main Subjects


Akfirat, O. N. (2020). Investigation of relationship between psychological well-being, self esteem, perceived general self-efficacy, level of hope and cognitive emotion regulation strategies. European Journal of Education Studies7 (9), 1-10. [Link]
Badawy, D. W. B. M. (2024). Psychosocial Factors and Cognitive Distortions Contributing to Self-Reported Quality of Life in Female University Students with Irritable Bowel Syndrome. Migration Letters21 (S1), 72-84. [Link]
Balzarotti, S., Biassoni, F., Villani, D., Prunas, A., & Velotti, P. (2016). Individual differences in cognitive emotion regulation: Implications for subjective and psychological well-being. Journal of Happiness Studies17, 125-143. [Link]
Barnes, A., Bryant, R., Mukherjee, S., Spizzo, P., & Mountifield, R. (2024). Insomnia is associated with reduced quality of life in inflammatory bowel disease. [Link]
Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation [Link]
Berdida, D. J. E., Lopez, V., & Grande, R. A. N. (2023). Nursing students' perceived stress, social support, self‐efficacy, resilience, mindfulness and psychological well‐being: A structural equation model. International Journal of Mental Health Nursing, 1 (1), 1-10. [Link]
Chen, J., Barandouzi, Z. A., Lee, J., Xu, W., Feng, B., Starkweather, A., & Cong, X. (2022). Psychosocial and sensory factors contribute to self-reported pain and quality of life in young adults with irritable bowel syndrome. Pain Management Nursing23 (5), 646-654. [Link]
Chukwuemeka, N. A., & Obioha, C. W. (2023). Emotion regulation strategies on psychological distress and psychological well-being of caregivers of mentally challenged children: moderating role of social support. Psychology, Health & Medicine, 29(1), 79-91. [Link]
Conner, K.M., & Davidson, J, R. (2003). Development of a new resilience scale. Depression and Anxiety, 18 (1), 76-82. [Link]
Delavar A, Najafi M. The psychometric properties of the general self efficacy scale among university staff. Quarterly of Educational Measurement, 2013; 3(12): 87-104. [Link]
Deng, J., Heydarnejad, T., Farhangi, F., & Farid Khafaga, A. (2022). Delving into the relationship between teacher emotion regulation, self-efficacy, engagement, and anger: A focus on English as a foreign language teachers. Frontiers in psychology13(1), 1-10. [Link]
Derogatis, L. R., Lipman, R. S., & Covi, L. (1977). SCL-90. Administration, scoring and procedures manual-I for the R (revised) version and other instruments of the Psychopathology Rating Scales Series. Chicago: Johns Hopkins University School of Medicine. [Link]
Dev, R. D. O., Kamalden, T. F. T., Geok, S. K., Ayub, A. F. M., & Ismail, I. A. (2018). Spiritual intelligence on health behaviours among Malaysian university students in a Malaysian public university: The mediating role of self-efficacy. Malaysian Journal of Movement, Health & Exercise7 (2), 1-10. [Link]
Di Nardo, G., Cremon, C., Staiano, A., Stanghellini, V., Borrelli, O., Strisciuglio, C., ... & Neurogastroenterology Study Group of the Italian Society of Pediatric Gastroenterology Hepatology, Nutrition (SIGENP). (2023). Role of inflammation in pediatric irritable bowel syndrome. Neurogastroenterology & Motility35 (3), 1-10. [Link]
Dimidi, E., & Whelan, K. (2020). Food supplements and diet as treatment options in irritable bowel syndrome. Neurogastroenterology & Motility32 (8), 1-10. [Link]
Extremera, N., Sánchez-Álvarez, N., & Rey, L. (2020). Pathways between ability emotional intelligence and subjective well-being: Bridging links through cognitive emotion regulation strategies. Sustainability12 (5), 1-10. [Link]
Fadgyas Stanculete, M., Ismaiel, A., Popa, S. L., & Capatina, O. O. (2023). Irritable Bowel Syndrome and Resilience. Journal of Clinical Medicine12 (13), 1-.[Link]
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Journal Personality and Individual Differences30 (8), 1311-1327. [Link]
Gharib Bolouk M, Mikaeili N, Basharpoor, S. The mediating role of mindfulness in the relationship between dysfunctional attitude and anxiety sensitivity with sleep quality in high school adolescents. Iranian Journal of Psychiatric Nursing, 2022; 10 (2): 61-72. [Link]
GhoilamiBorang, F., Moghadari, M., & Adelpour, Z. (2015). The Role of Emotional Intelligence and Self- Efficacy in Prediction of Mental Health among Students of Birjand Medical Science University. Journal of Sabzevar University of Medical Sciences22(1), 160-168. [Link]
Gómez‐Leal, R., Gutiérrez‐Cobo, M. J., Megías‐Robles, A., & Fernández‐Berrocal, P. (2023). The dark triad and subjective well‐being: The mediating role of cognitive‐emotional regulation strategies. Scandinavian Journal of Psychology64 (3), 368-375. [Link]
Hasani, J. (2010). The Psychometric Properties of the Cognitive Emotion Regulation Questionnaire (CERQ). Journal of Clinical Psychology2(3), 73-84. [Link]
Hassan, A. M., Nguyen, H. T., Corkum, J. P., Liu, J., Kapur, S. K., Chu, C. K., ... & Offodile 2nd, A. C. (2023). Area deprivation index is associated with variation in quality of life and psychosocial well-being following breast cancer surgery. Annals of surgical oncology30 (1), 80-87. [Link]
He, F. X., Turnbull, B., Kirshbaum, M. N., Phillips, B., & Klainin-Yobas, P. (2018). Assessing stress, protective factors and psychological well-being among undergraduate nursing students. Nurse education today68(1), 4-12. [Link]
Indregard, A. M. R., Nielsen, M., & Knardahl, S. (2018). Emotional dissonance, mental health complaints, and sickness absence among health-and social workers. The moderating role of self-efficacy. Frontiers in psychology9 (1), 592-602. [Link]
Joseph, N., Simon, R., Nambiar, A., Sinha, S., Bondugula, A. R., Bhatia, R., & Shahi, M. (2024). CLINICAL PROFILE OF HOSPITALISED IRRITABLE BOWEL SYNDROME PATIENTS IN INDIA: Received 2023-03-17; Accepted 2023-07-28; Published 2024-01-02. Journal of Health and Translational Medicine (JUMMEC)27 (1), 36-42. [Link]
Karademas, E. C., & Thomadakis, C. (2023). COVID-19 pandemic-related representations, self-efficacy, and psychological well-being in the general population during lockdown. Current Psychology42 (6), 4523-4530. [Link]
Karademas, E. C., Roziner, I., Simos, P., Mazzocco, K., Pat-Horenczyk, R., Sousa, B., ... & Poikonen-Saksela, P. (2023). Changes over time in self-efficacy to cope with cancer and well-being in women with breast cancer: a cross-cultural study. Psychology & Health, 26(1), 1-14. [Link]
Karam, J. M., Fekih-Romdhane, F., Fawaz, M., Malaeb, D., Obeid, S., & Hallit, S. (2023). The moderating effect of emotion regulation in the association between social support and religiosity and psychological distress in adults. BMC psychology11 (1), 120-130. [Link]
Karami M, Pourkamali T. Efficacy of Cognitive Therapy Based on Mindfulness on the Psychological Flexibility and Resilience in the Patients with Irritable Bowel Syndrome. Journal of Modern Psychological Researches, 2023; 18(69): 211-219. [Link]
Keyhani M, Taghvaei D, Rajabi A, Amirpour B. Internal Consistency and Confirmatory Factor Analysis of the Connor-Davidson Resilience Scale (CD-RISC) among Nursing Female. Iranian Journal of Medical Education, 2015; 4 (10): 857-865. [Link]  
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. [Link]
Kline, R. B. (2023). Principles and practice of structural equation modeling. Fourth Edition, Guilford publications. [Link]
Kok, K. B., Byrne, P., Ibarra, A. R., Martin, P., & Rampton, D. S. (2022). Understanding and managing psychological disorders in patients with inflammatory bowel disease: a practical guide. Frontline Gastroenterology, 1 (1), 1-10. [Link]
Kubrusly, M., de Aquino, B. O. A., Simonian, T. S., do Nascimento Oliveira, M., & Rocha, H. A. L. (2024). Self-efficacy of medical students in a hybrid curriculum course (traditional and problem-based learning) and associated factors. BMC Medical Education24 (1), 1-9. [Link]
Lancsek, L., Faber, S., Rutledge, C., Maduro, R. S., Morgan, M. K., & Zimbro, K. S. (2024). A Randomized Trial Comparing Standard Treatment and Stress-Relieving Therapies to Improve Irritable Bowel Syndrome Symptoms. Journal of Nursing Care Quality39 (1), 58-66. [Link]
Lee, A., & Jung, E. (2022). University students’ career adaptability as a mediator between cognitive emotion regulation and career decision-making self-efficacy. Frontiers in Psychology, 13 (1), 1-10. [Link]
Liu, F., Yu, T., Xu, Y., & Che, H. (2023). Psychological maltreatment and aggression in preadolescence: Roles of temperamental effortful control and maladaptive cognitive emotion regulation strategies. Child Abuse & Neglect135 (1), 1-10. [Link]
Madva, E. N., Harnedy, L. E., Longley, R. M., Rojas Amaris, A., Castillo, C., Bomm, M. D., ... & Celano, C. M. (2023). Positive psychological well‐being: A novel concept for improving symptoms, quality of life, and health behaviors in irritable bowel syndrome. Neurogastroenterology & Motility35 (4), 1-10. [Link]
Malik, S., & Perveen, A. (2023). Mindfulness and anxiety among university students: Moderating role of cognitive emotion regulation. Current Psychology42 (7), 5621-5628. [Link]
Namaziandost, E., Heydarnejad, T., Rahmani Doqaruni, V., & Azizi, Z. (2023). Modeling the contributions of EFL university professors’ emotion regulation to self-efficacy, work engagement, and anger. Current Psychology42 (3), 2279-2293. [Link]
Nayman, S., Beddig, T., Reinhard, I., & Kuehner, C. (2022). Effects of cognitive emotion regulation strategies on mood and cortisol in daily life in women with premenstrual dysphoric disorder. Psychological Medicine, 1 (2), 1-11. [Link]
Restrepo, J. E., Cardona, E. Y. B., Montoya, G. P. C., Bardales, M. D. L. M. C., & Alemán, Y. P. V. (2023). Academic stress and adaptation to university life: mediation of cognitive-emotional regulation and social support. Anales de Psicología/Annals of Psychology39 (1), 62-71. [Link]
Rosenbaum, D., Int-Veen, I., Rubel, J., Laicher, H., Kroczek, A., Lawyer, G., ... & Ehlis, A. C. (2022). Associations of different emotion regulation strategies with coping-efficacy, rumination and stress. Cognitive Therapy and Research46 (5), 889-901. [Link]
Rosenberg, M. (1989). Determinants of self-esteem-a citation classic commentary on society and the adolescent self-image by Rosenberg, M. Current Contents/Social & Behavioral Sciences, 1 (11), 16-16. [Link]
Rosenberg, M. (1989). Determinants of self-esteem-a citation classic commentary on society and the adolescent self-image by Rosenberg, M. Current Contents/Social & Behavioral Sciences, 1 (11), 16-16. [Link]
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of personality and social psychology57 (6), 1-10. [Link]
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of personality and social psychology69 (4), 719. [Link]
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of psychological research online8 (2), 23-74. [Link]
Schönfeld, P., Brailovskaia, J., Zhang, X. C., & Margraf, J. (2019). Self-efficacy as a mechanism linking daily stress to mental health in students: A three-wave cross-lagged study. Psychological reports122 (6), 2074-2095. [Link]
Schunk, F., Zeh, F., & Trommsdorff, G. (2022). Cybervictimization and well-being among adolescents during the COVID-19 pandemic: The mediating roles of emotional self-efficacy and emotion regulation. Computers in human behavior126 (1), 1-10. [Link]
Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user’s portfolio. Causal and control beliefs35 (1), 37-38. [Link]
Sevari, K., & Mombini, S. (2020). The effect of positive emotions and self-efficacy on imagination through intrinsic motivation. Journal of School Psychology9(2), 63-83. [Link]
Soufi, A., Mok, E., Henderson, M., Dasgupta, K., Rahme, E., & Nakhla, M. (2024). Association of stigma, diabetes distress and self‐efficacy with quality of life in adolescents with type 1 diabetes preparing to transition to adult care. Diabetic Medicine41 (1), 1-10. [Link]
Wang, Z. J., Liu, C. Y., Wang, Y. M., & Wang, Y. (2024). Childhood psychological maltreatment and adolescent depressive symptoms: Exploring the role of social anxiety and maladaptive emotion regulation strategies. Journal of affective disorders344 (1), 365-372. [Link]
Wolfe, H. E., Livingstone, K. M., & Isaacowitz, D. M. (2022). More positive or less negative? Emotional goals and emotion regulation tactics in adulthood and old age. The Journals of Gerontology: Series B77 (9), 1603-1614. [Link]
Zheng, S., Heydarnejad, T., & Aberash, A. (2022). Modeling the interplay between emotion regulation, self-efficacy, and L2 grit in higher education, Front. Psychol. 13 (2022), 1-10. [Link]