The mediating Role of self-regulation in perceived stress in mothers of children diagnosed with cancer.

Authors
1 University of Isfahan
2 Shiraz University
Abstract
The human mental organization has a behavioral regulative principle that operates based on certain conscious and unconscious needs. Experience of stress disrupts human mental structure and results in symptoms of psychological and physical disorders. One source of stress is having ailing children. Accordingly, this study investigates self-regulation mediational processes in the context of perceived stress in mothers of children diagnosed with cancer. The convenience sample of this study consisted of 245 mothers, who volunteered to participate and were administered the following questionnaires: Integrative self-knowledge; Self-control Scale; Self-compassion Scale; perceived stress and Chronic Self-destructiveness Scale, body-symptoms checklist. Analysis of the survey data was carried out using structural equation modeling (SEM). The analysis suggests that perceived stress is mediated through self-regulation for self-destructiveness, physical symptoms, and unpleasant self-relevant through. Therefore, exposure to stress has destructive effects both in terms of physical symptoms and on an emotional and behavioral level. The authors concluded that self-regulation was a supportive variable, helping individuals cope better with unpleasant events, retrieve their ideal mental balance and maintain their mental organization. It is implied that based on a self-regulation model, effective management of one’s mental organization can improve an individual’s capacity to effectively cope with inevitable sources of stress.
Keywords

1- Ghorbani, N. (2016). From line to triangle conflict. Tehran: Binesh no. [Persian].
2- Salarirad, Z., ghorbani, N., & bagheri, F. (2015). The role of self-control in responding to stress due to breast cancer. Rooyesh Ravanshenasi, 4, 15-22. [Persian].
3- Eisenberg, N., Eggum, N. D., Sallquist, J., & Edwards, A. (2010). Relations of self-regulatory/control capacities to maladjustment, social competence, and emotionality. In R.H. Hoyle (Ed.). Handbook of personality and self-regulation) pp. 21-46). John Wiley & Sons.
4- Ghorbani, N. (2014). My book in my narrative. Tehran: Binesh no. [Persian].
5- Salehmirhasani, V., Ghorbani, N., Alipour, A., & Valiolah, F. (2016). Mediating role of self-knowledge and self-control process in relation with perceived stress and anxiety. Journal of Research in Psychological Health,10(3); 1-15. [Persian].
6- Kashanaki, H., Ghorbani, N., Hatami, M. (2016). Assesment of the relationship between substance Abuse and physical and psychological symptoms with regards to the role of cohesive self-knowledge, self-care and compassion, friendly community and self-control. Journal of Applied Psychological Research, 7(3), 55-70. [Persian].
7- Vohs, K. D., Baumeister, R. F. (Eds). (2011). Handbook of Self-regulation: Research, theory, and applications. New York & London: Guilford press.
8- Braun, C., Foreyt, J. P. & Johnston, C. A. (2016). Stress: A core lifestyle issue.Am. J. Lifestyle Med, 1-4.
9- Seligman, M. E. P., Walker, E. F., & Rosenhan, D. L. (2001). Abnormal Psychology. Norton & Company.
10- Nwoke, M. B., Onuigbo, E. N., & Odo, V. O. (2017). Social support, self-efficacy and gender as predictors of reported stress among inpatient caregivers. J. Soc. Sci, 54, 115-119.
11- Yeo, S. K., Lee, W. K. (2017). The relationship between adolescents’ academic stress, impulsivity, Anxiety and skin picking behavior. Asian J Psychiatr, 28, 111-114.
12- Carroll, D., Ginty, A. T., & Whittaker, A. C. (2017). The behavioural, cognitive, and neural corollaries of blunted cardiovascular and cortisol reaction to acute psychological stress. Neurosci Biobehav Rev, 77, 74-86.
13- Shields, G. S., Toussaint, L. L., & Slavich, G. M. (2016). Stress-related changes in personality: A longitudinal study of perceived stress and trait pessimism. J R P, 64, 61-68.
14- Strahler, J., Skoluda, N., Rohleder, N., & Nater, U. M. (2016). Dysregulated stress signal sensitivity and inflammatory disinhibition as a pathophysiological mechanism of stress-related chronic fatigue. Neurosci Biobehav Rev , 68, 298-318.
15- Sarafraz, M. R. (2013). Prospective study of integrative self-knowledge, mindfulness and self-control in stress regulation and cardiovascular reactivity. PhD thesis, health psychology, Tehran University. [Persian].
16- Bazzano, A., Wolf, Ch., Zylowska, L., Wang, S., Schuster, E., Barrett, Ch., & Lehrer, D. (2013). Mindfulness based stress reduction (MBSR) for parents and caregivers of individuals with Developmental Disabilities: A community-based approach. JCFS, DOI 10.1007/s10826-013-9836-9.
17- Toussaint, L., Shields, G. S., Dorn, G., & Slavich, G. M. (2014). Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health. J Health Psychol, 1-11.
18- Mateus, A. P., Anjos, L., Cardoso, J. R., & Power, D. M. (2017). Chronic stress impairs the local immune response during cutaneous repair in gilthead sea bream. Mol. Immunol, 87, 267-283.
19- Gianaros, P. J., Wager, T. D. (2015). Brain-Body pathways linking psychological stress and physical health. APS, 24(4), 313-321.
20- Slavich, G. M. (2016). Life stress and health: A review of conceptual issues and recent findings. Teach. Psychol, 1-10.
21- Papies, E. K., & Aarts, H. (2011). Nonconscious self-regulation or the automatic pilot of human behavior. In Kathleen D. Vohs & Roy F. Baumeister (Eds.) Handbook of self-regulaton: Research, theory, and applications, 2nd ed., (pp. 125-142). New York & London: Guilford Press.
22- Jazaieri, H., Jinpa, G. T., McGonigal, K., Rosenberg, E. L., Nwoke, M. B., Onuigbo, E. N., & Odo, V. O.(2017). Enhancing compassion: A randomized controlled trial of a compassion cultivation training program. The SSJ, 54, 115-119.
23- Bergen-Cico, D., Cheon, S. (2013). The mediating effects of mindfulness and self-compassion on trait anxiety. SSBM, 10 (10), 1-15.
24- Neff, K. D., Dahm, K. A. (2013). Self-compassion: What it is, what it does, and how it relates to mindfulness. M SS, 1-40.
25- Gilbert, P. (2014). The origins and nature of compassion focused therapy. Br. J. Clin. Psychol, 53, 6-41.
26- Ghorbani, N., Watson, P. J., & Hargis, M. B. (2008). Integrative self-knowledge scale: Correlations and incremental validity of a cross-cultural measure developed in Iran and the United State. J. Psychol., 142(4), 395-412.
27- Baumeister, R. F., Vohs, K. D., & Tice, D. M. (2007). The strength model of self-control. Curr Dir Psychol Sci, 16(6), 351-355.
28- Dvork, R.D., Simons, J.S. (2009). Moderation of resource depletion in the self-control strength model: Differing effects of two modes of self-control. J Pers Soc Psychol, 35, 572- 580.
29- Alberts, H. J. E. M., Martijn, C., & DeVries, N. K. (2013). Fighting self-control failure: Overcoming ego depletion by increasing self-awareness. J. Exp., 47(1), 58.
30- Hamilton, K. R., Sinha, R., & Potenza, M. N. (2014). Self-reported impulsivity, but not behavioral approach or inhibition, mediates the relationship between stress and self-control. Addict.Behav., 39, 1557-1564.
31- Neff, K. D., Faso, D. J. (2014). Self- compassion and well-being in parents of children with Autism. MJ, 3(2), 123-131.
32- Bergen-Cico, D., Cheon, S. (2013). The mediating effects of mindfulness and self-compassion on trait anxiety. SSBM, 1-15.
33- Boellinghus, I., Jones, F. W., & Hutton, J. (2014). The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other-focused concern in health care professionals. MJ, 5, 129-138.
34- TahbazHoseinzadeh, S., Ghorbani, N., & Nabavi, S. M. (2011). Comparison of self-destructive personality tendency and cohesive self-knowledge in patients with multiple sclerosis and healthy controls. Contemporary Psychology, 6(2), 35-44. [Persian].
35- Ghorbani, N., Watson, P. J., Bing, M. N., Davison, H. K., & Le Berton, D. (2003). Two facts of self-knowledge: Cross-cultural development of measures in Iran and the United States. Genet. Soc. Gen. Psychol.Monogr., 129, 238-268.
36- Ghorbani, N., Watson, P. J. (2004). Two facets of self-Knowledge, the five factor model, and promotions among Iranian managers. J Soc Behav Pers., 32, 769-776.
37- Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. J Pers, 72, 271-322.
38- De Ridder, D. T. D., De Boer, B., J., Lugtig, P., Bakker, A. B., & Van Hooft, E. A. J. (2011). Not doing bad things is not equivalent to doing the right things: Distinguishing between inhibitory and initiatory self-control. Pers. Individ, 50(7), 1006-1011.
39- Maloney, P. W., Grawitch, M. J., & Barber, L. K. (2012). The multi-factor structure of the brief self-control scale: Discriminant validity of restraint and impulsivity. J Res Pers., 46(1), 111-115.
40- Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250.
41- Saeidi, Z., Ghorbani, N., Sarafraz, M. R., & Sharifian, M. H. (2013). The effect of induce self-compassion and self-esteem on experiencing shame and guilt. Contemporary Psychology, 8 (1), 91-102. [Persian].
42- Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. J Res Pers., 41(4). 908-916.
43- Ghorbani, N., Watson, P. J., Chen, Z., & Norballa, F. (2012). Self-compassion in iranian muslims: relationships with integrative self-knowledge, mental health, and religious orientation. IJPR, 22(2), 106-118.
44- Safaei, M., Shokri, A. (2014). Stress assessment in cancer patients: Factor Validity and Reliability of the Persian Version of Perceived stress. Iranian Journal of Psychiatric Nursing, 2(1), 13-22. [Persian].
45- Moosavi, A., Azadfallah, P., Farahani, H., & Dehghni, M. (2015). Validity, reliability and factor structure of the chronic self-destruction Scale. Iranian Journal of Psychiatry & Clinical Psychology, 21(2), 132-143. [Persian].
46- Frederickson. J. (2017). The lies we tell ourselves. Translated by: MunshiAzghandi, A. R. Tehran, Binesh no.
47- Richardson, C. M.E.(2017).Emotion regulation in the context of daily stress: Impact on daily affect. Pers Individ., 112,150-156.
48- Diedrich, A., Grant, M., Hofmann, S. G., Hiller, W., & Berking, M. (2014). Self-compassion as an emotion regulation strategy in major depressive disorder. Behav Res Therap., 58, 43-51.
49- Germer, Ch. K., Neff, K. D. (2013). Self-compassion in clinical practice. J Clini Psychol., 69(8), 856-867.