نوع مقاله : مقاله پژوهشی

نویسندگان

Department of Clinical Psychology, College of Education and Psychology Eram Hill, Shiraz University,

چکیده

Introduction and Objectives: Covid-19 pandemic in 2020 and the use of quarantine to prevent it have increased psychological reactions like depression, anxiety and stress in the general population. Hence, the need to identify variables that can affect these psychological reactions is felt more than ever. The aim of this study was to predict the rate of depression, stress and anxiety during quarantine based on psychological flexibility, dysfunctional attitude and coping styles.
Method
The research design was descriptive-correlational and the statistical population included all students who were active in the social media. A total of 501 students accessed the call for completion of questionnaires on online media, including Instagram, completed prepared questionnaires in the Google Form format.
Measures included the Depression, Anxiety, and Stress Questionnaire (DASS-21, 1995),  the Revised Dysfunctional Attitude Scale (DAS-26, 1978), the Acceptance and Practice Questionnaire (AAQ-II, 2005), and the Lazarus and Folkman Coping Strategies Questionnaire (CSQ, 1984).
Results
Psychological inflexibility, dysfunctional attitudes, and maladaptive coping strategies predicted depression, anxiety, and stress in a positive way, but problem-oriented coping strategies only showed an inverse relationship with depression. In regression analyzes, the variable of psychological inflexibility had the greatest effect on explaining depression, anxiety and stress.
Discussion and Conclusion
It can be concluded that teaching psychological flexibility and cognitive reconstruction can be useful in reducing depression, anxiety and stress during the quarantine. Teaching problem-solving strategies can also have positive effects on reducing depression.
Keywords: Cognitive Dysfunction, Coping Skills, Corona Virus, Pandemics, Psychological Flexibility, Psychological Stress, Social Distance 

کلیدواژه‌ها

عنوان مقاله [English]

Prediction of Depression, Anxiety and Stress in the Period Social Distancing Due to Coronavirus Based on Psychological Flexibility, Dysfunctional Attitude and Coping Strategies

نویسندگان [English]

  • Mohammad Goodarzi
  • Mehrnaz Mohammadi Moghadam
  • Soheil Redaei

Department of Clinical Psychology, College of Education and Psychology Eram Hill, Shiraz University,

چکیده [English]

Abstract
Introduction and Objectives: Covid-19 pandemic in 2020 and the use of quarantine to prevent it have increased psychological reactions like depression, anxiety and stress in the general population. Hence, the need to identify variables that can affect these psychological reactions is felt more than ever. The aim of this study was to predict the rate of depression, stress and anxiety during quarantine based on psychological flexibility, dysfunctional attitude and coping styles.
Method
The research design was descriptive-correlational and the statistical population included all students who were active in the social media. A total of 501 students accessed the call for completion of questionnaires on online media, including Instagram, completed prepared questionnaires in the Google Form format.
Measures included the Depression, Anxiety, and Stress Questionnaire (DASS-21, 1995), the Revised Dysfunctional Attitude Scale (DAS-26, 1978), the Acceptance and Practice Questionnaire (AAQ-II, 2005), and the Lazarus and Folkman Coping Strategies Questionnaire (CSQ, 1984).
Results
Psychological inflexibility, dysfunctional attitudes, and maladaptive coping strategies predicted depression, anxiety, and stress in a positive way, but problem-oriented coping strategies only showed an inverse relationship with depression. In regression analyzes, the variable of psychological inflexibility had the greatest effect on explaining depression, anxiety and stress.
Discussion and Conclusion
It can be concluded that teaching psychological flexibility and cognitive reconstruction can be useful in reducing depression, anxiety, and stress during the quarantine. Teaching problem-solving strategies can also have positive effects on reducing depression.

کلیدواژه‌ها [English]

  • Cognitive Dysfunction
  • Coping Skills
  • Corona Virus
  • Pandemics
  • Psychological Flexibility
  • Psychological Stress
  • Social Distance
Alipour, A., Hashemi, T., Babapour, J., Tousi, F. (2010). Relationship between Coping Strategies and Happiness among University Students. Journal of Modern Psychological Researches, 5(18), 71. [In Persian]
Amanelahe, N. H. A., Khojastemehr, R. Imani M. (2015). Effectiveness of Acceptance and Commitment Therapy (ACT) in Increase Marital Quality and Marital Adjustment among Couples City of Dezful City. Achievements in Clinical Psychology, 1(3), 49–66. [In Persian]
Bardeen, J. R., Fergus, T. A. (2016). The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of Contextual Behavioral Science, 5(1), 1–6.
Bashiri, H., Dehghan, F., Saeedi, S., MehrabiPari, S., ShafieiKohnehshahri, S., Abaszadeh, M. (2018). Relationship between Looming Cognitive Style with Dysfunctional Attitudes, Anxiety, and Depression among Cancer Patients. Journal of Health Care, 19(4), 242–250.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary Psychometric Properties of the Acceptance and Action Questionnaire-II: A Revised Measure of Psychological Inflexibility and Experiential Avoidance. Behavior Therapy, 42(4), 676–88.
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., et al. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395 (10227), 912-920.
Brouwer, M. E., Williams, A. D., Forand, N. R., DeRubeis, R. J., Bockting C. L. H. (2019). Dysfunctional attitudes or extreme response style as predictors of depressive relapse and recurrence after mobile cognitive therapy for recurrent depression. Journal of Affective Disorders, 243, 48–54.
Cao, X., Huang, Y., Zhu, P., Zhang, Z. (2020). The impacts of maternal separation experience and its pattern on depression and dysfunctional attitude in middle school students in rural China. International Journal of Sociology and Psychiatry, 66(2), 88–97.
Casagrande, M., Favieri, F., Tambelli, R., Forte, G. (2020). The enemy who sealed the world: Effects of quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Medicine, 75(2),12-20.
Chatterjee, K., Chauhan, V. S. (2020). Epidemics, quarantine and mental health. Medical Journal of Armed Forces India, 76(2), 125-127.
Cohen, O. B. S. (2020). Shahar G, Brunstein Klomek A. Peer victimization, coping strategies, depression, and suicidal Ideation among young adolescents. The Journal of Crisis Intervention and Suicide Prevention, 41(3), 156-162.
Coomes, E. A., Leis, J. A., Gold, W. L. (2020). Quarantine. CMAJ, 192(13), 338–338.
Dawson, D. L., Golijani-Moghaddam, N. (2020). COVID-19: Psychological Flexibility, Coping, Mental Health, and Wellbeing in the UK during the pandemic. Journal of Contextual Behavior Science, 17(3), 126-134.
Dumont, M., Provost, M. A. (1999). Resilience in adolescents: Protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. Journal of Youth Adolescence, 28(3),343–363.
Ebrahimi A, Neshatdoost H, Kalantari M, Molavi H, Asadollahi G. (2008). Contributions of dysfunctional attitude scale and general health subscales to prediction and odds ratio of depression. Journal of Shahrekord University Medical Sciences, 9(4), 52-58. [In Persian]
Flanagan, J. C., Jaquier, V., Overstreet, N., Swan, S. C., Sullivan, T. P. (2014). The mediating role of avoidance coping between intimate partner violence (IPV) victimization, mental health, and substance abuse among women experiencing bidirectional IPV. Psychiatry Research, 220(1–2), 391–6.
Folkman, S., Lazarus, R. S. (1988). Manual for the ways of coping questionnaire: Research edition. Palo, Alto, CA: Consulting Psychologists Press.
Henry, J. D., Crawford, J. R. (2005). The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British Journal of Clinical Psychology, 44(2), 227–239.
Hoffman, H. A. (2017). Study of the correlation between the comprehensive coping Inventory-Revised (CCI-R) and the Depression, Anxiety, Stress, Suicide Scale (DASS-21). Doctoral dissertation, The Wright Institute.
Hou, C., Chen, J., Zhou, Y., Hua, L., Yuan, J., He, S., et al. (2020). The effectiveness of quarantine of Wuhan city against the Corona Virus Disease 2019 (COVID‐19): A well‐mixed SEIR model analysis. Journal of Medical Virology, 92(7), 841-848.
Izadi, R., Neshat Doost, H. T., Asgari, K., Abedi, M. R. (2014). Comparison of the efficacy of Acceptance and Commitment Therapy and Cognitive-Behavior Therapy on symptoms of treatment of patients with obsessive- compulsive disorder. Journal of Behavioral Sciences Research, 12(1), 19–33.
Kashdan, T. B., Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–78.     
Krejcie, R. V., Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610.
Kuroda, Y. (2016). Dysfunctional attitudes lead to depressive symptoms by generating subjective stress. Journal of Psychology, 150(3), 358–730.
Lam, T. T. Y., Jia, N., Zhang, Y. W., Shum, M. H. H., Jiang, J. F., Zhu, H. C., et al. (2020). Identifying SARS-CoV-2-related coronaviruses in Malayan pangolins. Nature, 58(3), 1–4.
Li, J. B., Delvecchio, E., Lis, A., Nie, Y. G., Di Riso, D. (2016). Positive coping as mediator between self-control and life satisfaction: Evidence from two Chinese samples. Personality and Individual Differences, 97(3):130–133.
Lovibond, P. F., Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior Research and Therapy, 33(3), 335–343.
Lu, H., Nie, P., Qian, L. (2020). Do quarantine experiences and attitudes towards COVID-19 affect the distribution of psychological outcomes in China? A quantile regression analysis. Applied Research in Quality of Life,  15(2), 1-18.
Lucas, J. J., Moore, K., A. (2020). Psychological flexibility: positive implications for mental health and life satisfaction. Health Promotion International, 35(2), 312–320.
Luo, X., Estill, J., Wang, Q., Lv, M., Liu, Y., Liu, E., et al. (2019). The psychological impact of quarantine on coronavirus disease 2019 (COVID-19). Psychiatry Research, 29(1), 1-3.
Mahmoud, J. S. R., Staten, R. (2012). “Topsy,” Hall LA, Lennie TA. The relationship among young adult college students’ depression, anxiety, stress, demographics, life satisfaction, and coping styles. Issues in Mental Health Nursing, 33(3), 149–56.
Moasheri, B., Ahangari, H., Norozi, E., Shayesteh, M. (2017). An exploration of coping styles in type 2 diabetic patients and their association with demographic factors. Health Education and Health Promotion, 5(4), 55–63.
Mostafaee F, Roshan R, Jodeiri B. (2015). Comparing dysfunctional attitude and coping response between patients with peptic ulcer disease and healthy control. The Journal of Qazvin University of Medical Sciences, 16(1):44–50. [In Persian]
Musarezaie, A., Khaledi F., Kabbazifard, M. R., Momeni, T., Ghaleghasemi, et al.  (2015). Investigation of the Dysfunctional attitudes and their relationship with stress, anxiety and depression in breast cancer patients. Journal of Health System Research, 1(1), 68–76. [In Persian]
Nagase, Y., Uchiyama, M., Kaneita, Y., Li, L., Kaji, T., Takahashi, S., et al. (2009). Coping strategies and their correlates with depression in the Japanese general population. Psychiatry Research, 168(1), 57–66.
Oei, T. P. S., Sawang, S., Goh, Y. W., Mukhtar, F. (2013). Using the depression anxiety stress scale 21 (DASS‐21) across cultures. International Journal of Psychology, 48(6), 1018–1029.
Samani, S., Jokar, B. (2008). Validity and  Reliability of the Short Scale of Depression, Anxiety and Stress. Journal of Social Sciences Humanities of Shiraz University, 3(26), 65-76. [In Persian]
Song, M. (2020). Psychological Stress Responses to COVID-19 and Adaptive Strategies in China. World Development,136: 105-107.
Weissman, A.N., & Beck, A.T. (1978). Development and validation of the dysfunctional attitude scale. Paper presented at the Annual meeting of the Association for the Advanced Behavior Therapy, Chicago, November.
Yan, B., Huang, Y. (2020). Prevalence and risk factors of psychological impacts among the quarantined population during the COVID-19 pandemic in China. Unpublished
Yondem, Z. D. (2007). Performance anxiety, dysfunctional attitudes and gender in university music students. Social Behavior and Personality: An International Journal, 35(10), 1415–1426.