Taḥqīqāt-i ̒Ulūm-i Raftārī (Jul 2018)
Moderating and Mediating Role of Spiritual Coping and Cognitive Emotion Regulation Strategies in the Relationship between Transdiagnostic Factors and Symptoms of Generalized Anxiety Disorder: Developing a Conceptual Model
Abstract
Aim and Background: Generalized Anxiety Disorder (GAD) is one of the basic disorders in psychopathology. Therefore, the aime of this study was to develop a conceptual model for the role of spiritual coping and cognitive emotion regulation strategies as moderating and mediating factors in the relationship between transdiagnostic factors and symptoms of GAD. Methods and Materials: In this descriptive-correlational study, 700 undergraduate students were selected by multi-stage cluster sampling method from public universities of Tehran, Iran. The participants completed Generalized Anxiety Disorder (7-item) (GAD-7) Scale, Penn state Worry Questionnaire (PSWQ), Cognitive Avoidance Questionnaire (CAQ), Intolerance of Uncertainty Scale (IUS), Metacognition Questionnaire (MCQ), Cognitive Emotion Regulation Questionnaire (CERQ), Acceptance and Action Questionnaire-II (AAQ-II), and Spiritual Coping Questionnaire (SCQ). Data were analyzed by SPSS, Process, and LISREL softwares using path analysis method and structural equations. Findings: There was a significant relationship between transdiagnostic factors (cognitive avoidance, negative beliefs about worry, intolerance of uncertainty, and experiential avoidance,) and symptoms of GAD (P < 0.050). Also, there was a significant relationship between transdiagnostic factors with cognitive emotion regulation strategies and spiritual coping (P < 0.050). Results showed that cognitive emotion regulation strategies mediated the relationship between transdiagnostic factors and symptoms of GAD, and spiritual coping moderated the relationship between transdiagnostic factors and symptoms of GAD. Conclusions: The results of this study emphasize the importance of transdiagnostic factors, cognitive emotion regulation, and spiritual coping in symptoms of GAD.