Skip to main content

Advertisement

Log in

Psychological distress among university students: the role of mindfulness, decentering, reappraisal and emotion regulation

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

This study sheds light on the extent to which the five facets of mindfulness (observing, describing, acting with awareness, nonjudging, and nonreactivity), decentering, and reappraisal predict psychological distress via emotion regulation difficulties. The study sample is comprised of 620 undergraduate students (429 females and 191 males). The participants’ ages range between 18 and 30 years (Mage = 21.88, SD = 1.68). Structural Equation Modeling (SEM) was employed to test the proposed model, which explained 57% of the total variance in psychological distress. According to the results, we conclude that decentering is indirectly associated with psychological distress, while neither a direct nor an indirect relationship was found between reappraisal and psychological distress. The various dimensions of mindfulness, describing, nonjudging, and nonreactivity, were indirectly related to psychological distress via emotion regulation difficulties. Both direct and indirect associations between acting with awareness and psychological distress were observed. These results reveal that decentering, describing, acting with awareness, nonreactivity, and nonjudging are significantly related to psychological distress through emotion regulation difficulties. Individuals who had higher decentering, acting with awareness, non-reactivity, and non-judging scores were less likely to report psychological distress, which was also associated with fewer emotion regulation difficulties. We discuss our results within the framework of the psychological distress literature and provide potential implications of these conclusions for future research and practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Abdi, R., & Pak, R. (2019). The mediating role of emotion dysregulation as a transdiagnostic factor in the relationship between pathological personality dimensions and emotional disorders symptoms severity. Personality and Individual Differences, 142(1), 282–287. https://doi.org/10.1016/j.paid.2018.09.026

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. doi: 10.1177%2F1073191105283504

  • Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Journal of Assessment, 15(3), 329-342. doi: 10.1177/1073 191107313003

  • Baer, R. A., Walsh, E., & Lykins, E. L. (2009). Assessment of mindfulness. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 153–168). Springer.

    Chapter  Google Scholar 

  • Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392. https://doi.org/10.1007/s10862-012-9280-y

    Article  Google Scholar 

  • Baroni, D., Nerini, A., Matera, C., & Stefanile, C. (2018). Mindfulness and emotional distress: the mediating role of psychological well-being. Current Psychology, 37(3), 467–476. https://doi.org/10.1007/s12144-016-9524-1

    Article  Google Scholar 

  • Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672. https://doi.org/10.1007/s00127-008-0345-x

    Article  PubMed  Google Scholar 

  • Beath, A. P., Jones, M. P., & Fitness, J. (2015). Predicting distress via emotion regulation and coping: measurement variance in trait EI scales. Personality and Individual Differences, 84, 45-51. doi: 10. 1016/j.paid.2014.12.015

  • Beck, A. T. (1967). Depression: Causes and treatment. University of Pennsylvania Press.

    Google Scholar 

  • Bilgel, N., & Bayram, N. (2010). Turkish Version of the Depression Anxiety Stress Scale (DASS-42): Psychometric properties. Archives of Neuropsychiatry/Noropsikiatri Arsivi, 47(2), 118–126. https://doi.org/10.4274/npa.5344

    Article  Google Scholar 

  • Bland, H. W., Melton, B. F., Welle, P., & Bigham, L. (2012). Stress tolerance: New challenges for millennial college students. College Student Journal, 46(2), 362-376. https://digitalcommons.georgiasouthern.edu/commhealth-facpubs/32

  • Bowlin, S. L., & Baer, R. A. (2012). Relationships between mindfulness, self-control, and psychological functioning. Personality and Individual Differences, 52(3), 411–415. https://doi.org/10.1016/j.paid.2011.10.050

    Article  Google Scholar 

  • Carmody, J., Baer, R. A., Lykins, L. B., & E., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626. https://doi.org/10.1002/jclp.20579

    Article  PubMed  Google Scholar 

  • Corcoran, K. M., Farb, N., Anderson, A., & Segal, Z. V. (2010). Mindfulness and emotion regulation. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 339–355). Guilford Press.

    Google Scholar 

  • Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135(3), 495–510. https://doi.org/10.1037/a0015616

    Article  PubMed  PubMed Central  Google Scholar 

  • Deasy, C., Coughlan, B., Pironom, J., Jourdan, D., & Mannix-McNamara, P. (2014). Psychological distress and coping amongst higher education students: A mixed method enquiry. PloS One, 9(12). https://doi.org/10.1371/journal.pone.0115193

  • Dindo, L., Johnson, A. L., Lang, B., Rodrigues, M., Martin, L., & Jorge, R. (2020). Development and evaluation of a 1-day acceptance and commitment therapy workshop for veterans with comorbid chronic pain, TBI, and psychological distress: Outcomes from a pilot study. Contemporary Clinical Trials, 90. https://doi.org/10.1016/j.cct.2020.105954

  • Drapeau, A., Marchand, A., & Beaulieu-Prévost, D. (2012). Epidemiology of psychological distress. In L. L’Abate (Ed.), Mental illnesses-understanding, prediction and control (pp. 105–134). InTech.

    Google Scholar 

  • Fernandez, K. C., Jazaieri, H., & Gross, J. J. (2016). Emotion regulation: a transdiagnostic perspective on a new RDoC domain. Cognitive Therapy and Research, 40(3), 426-440. https://link.springer.com/content/pdf/10.1007/s10608-016-9772-2.pdf

  • Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the Experiences Questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246. https://doi.org/10.1016/j.beth.2006.08.003

    Article  PubMed  Google Scholar 

  • Garland, E. L., Hanley, A. W., Goldin, P. R., & Gross, J. J. (2017). Testing the mindfulness-to-meaning theory: Evidence for mindful positive emotion regulation from a reanalysis of longitudinal data. PloS One, 12(12), e0187727. https://doi.org/10.1371/journal.pone.0187727

    Article  PubMed  PubMed Central  Google Scholar 

  • Garland, E., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore, 5(1), 37–44. https://doi.org/10.1016/j.explore.2008.10.001

    Article  PubMed  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

    Article  Google Scholar 

  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271

    Article  Google Scholar 

  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348

    Article  PubMed  Google Scholar 

  • Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2014). Pearson new international edition. In Multivariate data analysis (7nd.ed). Pearson Education Limited Harlow.

  • Harnett, P. H., Reid, N., Loxton, N. J., & Lee, N. (2016). The relationship between trait mindfulness, personality and psychological distress: A revised reinforcement sensitivity theory perspective. Personality and Individual Differences, 99, 100-105. doi: 10.1016/j.paid.2016. 04.085

  • Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255–262. https://doi.org/10.1093/clipsy.bph080

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.

    Google Scholar 

  • Henrich, J., Heine, S. J., & Norenzayan, A. (2010). Most people are not WEIRD. Nature, 466(7302), 29–29. https://doi.org/10.1038/466029a

    Article  PubMed  Google Scholar 

  • Heppner, P. P., Kivlighan, D. M., & Wampold, B. E. (2008). Research design in counseling. Brooks/Cole

  • Hu, T., Zhang, D., Wang, J., Mistry, R., Ran, G., & Wang, X. (2014). Relation between emotion regulation and mental health: a meta-analysis review. Psychological Reports, 114(2), 341-362. doi: 10.2466%2F03.20.PR0.114k22w4

  • Humphris, G., Blinkhorn, A., Freeman, R., Gorter, R., Hoad-Reddick, G., Murtomaa, H., Murtomaa, H., O’Sullivan, R., & Splieth, C. (2002). Psychological stress in undergraduate dental students: baseline results from seven European dental schools. European Journal of Dental education, 6(1), 22–29. https://doi.org/10.1034/j.1600-0579.2002.060105.x

    Article  PubMed  Google Scholar 

  • Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and Individual Differences, 49(6), 645–650. https://doi.org/10.1016/j.paid.2010.05.041

    Article  Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical psychology: Science and practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016

    Article  Google Scholar 

  • Kingery, J. N., Bodenlos, J. S., & Lathrop, J. A. (2019). Facets of dispositional mindfulness versus sources of social support predicting college students’ psychological adjustment. Journal of American College Health, 68(4), 403–410. https://doi.org/10.1080/07448481.2019.1574801

    Article  PubMed  Google Scholar 

  • Kınay, F. (2013). Beş Boyutlu Bilinçli Farkındalık Ölçeği’ni Türkçe’ye Uyarlama, Geçerlik ve Güvenirlik Çalışması (The adaptation of Five Facets Mindfulness Questionnaire into Turkish: validity and reliability study) [Unpublished master’s thesis]. İstanbul Bilim University. http://acikerisim.demiroglu.bilim.edu.tr:8080/xmlui/handle/11446/50

  • Kline, R. B. (2011). Principles and practice of structural equation modeling (3th ed.). Guilford Press.

  • Lafferty, M. (2013). Mediators of the relationship between mindfulness and alcohol use. [Unpublished master’s thesis]. Eastern Illinois University. http://thekeep.eiu.edu/cgi/viewcontent.cgi?article=2164 &context=theses

  • Larcombe, W., Finch, S., Sore, R., Murray, C. M., Kentish, S., Mulder, R. A., Lee-Stecum, P., Baik, C., Tokatlidis, O., & Williams, D. A. (2016). Prevalence and socio-demographic correlates of psychological distress among students at an Australian university. Studies in Higher Education, 41(6), 1074–1091. https://doi.org/10.1080/03075079.2014.966072

    Article  Google Scholar 

  • Linehan, M. M., Bohus, M., & Lynch, T. R. (2007). Dialectical behavior therapy for pervasive emotion dysregulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 581–605). Guilford Press.

    Google Scholar 

  • 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. https://doi.org/10.1016/0005-7967(94)00075-U

    Article  Google Scholar 

  • Ma, Y., & Fang, S. (2019). Adolescents’ mindfulness and psychological distress: The mediating role of emotion regulation. Frontiers in Psychology, 10, 1358. https://doi.org/10.3389/fpsyg.2019.01358

    Article  PubMed  PubMed Central  Google Scholar 

  • MacDonald, H. Z. (2021). Associations of Five Facets of Mindfulness With Self-Regulation in College Students. Psychological Reports, 124(3), 1202–1219. https://doi.org/10.1177/0033294120937438

    Article  PubMed  Google Scholar 

  • Marsh, H. W., Hau, K. T., & Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit Indexes and dangers in overgeneralizing Hu and Bentler's findings. Structural Equation Modeling, 11(3), 320–341. https://doi.org/10.1207/s15328007sem1103_2

    Article  Google Scholar 

  • Mattes, J. (2019). Systematic review and meta-analysis of correlates of FFMQ mindfulness facets. Frontiers in Psychology, 2684(10), 1–18. https://doi.org/10.3389/fpsyg.2019.02684

    Article  Google Scholar 

  • McDonald, H. M., Sherman, K. A., Petocz, P., Kangas, M., Grant, K. A., & Kasparian, N. A. (2016). Mindfulness and the experience of psychological distress: The Mediating effects of emotion regulation and attachment anxiety. Mindfulness, 7(4), 799–808. https://doi.org/10.1007/s12671-016-0517-9

    Article  Google Scholar 

  • Menard, S. (1995). Applied logistic regression analysis. Sage Publications.

  • Mennin, D. S., & Fresco, D. M. (2014). Emotion regulation therapy. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 469–490). Guilford Press.

    Google Scholar 

  • Mennin, D. S., Fresco, D. M., Ritter, M., & Heimberg, R. G. (2015). An open trial of emotion regulation therapy for generalized anxiety disorder and co-occurring depression. Depression and Anxiety, 32(8), 614–623. https://doi.org/10.1002/da.22377

    Article  PubMed  PubMed Central  Google Scholar 

  • Mirowsky, J., & Ross, C. E. (2003). Social causes of psychological distress. Transaction Publishers.

    Google Scholar 

  • Morgan, L. P. (2015). In the face of adversity: Valued living and decentering as buffering factors in the relations among social disadvantage, psychological distress, drinking to cope and problem drinking (Publication No. 3706474) [Doctoral dissertation, University of Massachusetts Boston]. ProQuest Dissertations Publishing.

  • Morrison, R., & O'Connor, R. C. (2005). Predicting psychological distress in college students: The role of rumination and stress. Journal of Clinical Psychology, 61(4), 447–460. https://doi.org/10.1002/jclp.20021

    Article  PubMed  Google Scholar 

  • Myers, R. H. (1990). Detecting and combating multicollinearity. In R. H. Myers (Ed.), Classical and modern regression with applications (pp. 368–423). Duxbury Press.

    Google Scholar 

  • O’Toole, M. S., Renna, M. E., Mennin, D. S., & Fresco, D. M. (2019). Changes in decentering and reappraisal temporally precede symptom reduction during Emotion Regulation Therapy for generalized anxiety disorder with and without co-occurring depression. Behavior Therapy, 50(6), 1042–1052. https://doi.org/10.1016/j.beth.2018.12.005

    Article  PubMed  PubMed Central  Google Scholar 

  • Park, E., & Lee, H. (2017). The Effects of Emotion Regulation Therapy (ERT) in individuals with co-occurring generalized anxiety and depression symptoms. Korean Journal of Clinical Psychology, 36(2), 206–222. https://doi.org/10.15842/kjcp.2017.36.2.006

    Article  Google Scholar 

  • Pearson, M. R., Brown, D. B., Bravo, A. J., & Witkiewitz, K. (2015). Staying in the moment and finding purpose: the associations of trait mindfulness, decentering, and purpose in life with depressive symptoms, anxiety symptoms, and alcohol-related problems. Mindfulness, 6(3), 645–653. https://doi.org/10.1007/s12671-014-0300-8

    Article  Google Scholar 

  • Rugancı, R. N., & Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 66(4), 442–455. https://doi.org/10.1002/jclp.20665

    Article  PubMed  Google Scholar 

  • Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. Basic Books.

    Google Scholar 

  • Shiota, M. N. (2006). Silver linings and candles in the dark: Differences among positive coping strategies in predicting subjective well-being. Emotion, 6(2), 335-339. http://dx.doi.org/10.1037/1528-3542 .6.2.335

  • Teasdale, J. D., Segal, Z., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33(1), 25–39. https://doi.org/10.1016/0005-7967(94)E0011-7

    Article  Google Scholar 

  • Tomlinson, E. R., Yousaf, O., Vittersø, A. D., & Jones, L. (2018). Dispositional mindfulness and psychological health: a systematic review. Mindfulness, 9(1), 23–43. https://doi.org/10.1007/s12671-017-0762-6

    Article  PubMed  Google Scholar 

  • Uncu, Y., Bayram, N., & Bilgel, N. (2007). Job related affective well-being among primary health care physicians. The European Journal of Public Health, 17(5), 514–519. https://doi.org/10.1093/eurpub/ckl264

  • Ünlü Kaynakçı, F. Z., & Yerin Güneri, O. (2017). A model for psychological distress among university students: Mindfulness, decentering, reappraisal, and indirect effect of emotion regulation difficulties. [Unpublished doctoral dissertation]. Middle East Technical University. http://etd.lib.metu.edu.tr/upload/12620985/index.pdf

  • Westerlund, M., Antfolk, J., & Santtila, P. (2019). Negative views of out-groups and emotion regulation strategies: Evidence for an association with the tendency to suppress emotion expression, but not with cognitive reappraisal or emotion dysregulation. Current Psychology, 1-12. https://doi.org/10.1007/s12144-019-00430-7

  • Wheaton, B., Muthen, B., Alwin, D. F., & Summers, G. F. (1977). Assessing reliability and stability in panel models. Sociological Methodology, 8, 84–136. https://doi.org/10.2307/270754

    Article  Google Scholar 

  • Yurtsever, G. (2004). Emotional regulation strategies and negotiation. Psychological Reports, 95(3), 780-786. doi: 10.2466%2Fpr0.95.3.780-786

Download references

Data availability statement

Data supporting the findings of this study is available from the corresponding author upon request.

Funding

This work was not supported by any funding agency.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fatma Zehra Ünlü Kaynakçı.

Ethics declarations

Conflict of interest

None of the authors declare any conflicts of interest. Specicially, the authors have no financial interests nor have received benefits as a result of the direct applications of the research.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This study is part of the first author’s Ph.D dissertation submitted to the Department of Educational Sciences, Middle East Technical University under the supervision of the second author.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ünlü Kaynakçı, F.Z., Yerin Güneri, O. Psychological distress among university students: the role of mindfulness, decentering, reappraisal and emotion regulation. Curr Psychol 42, 14823–14833 (2023). https://doi.org/10.1007/s12144-021-02682-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-021-02682-8

Keywords

Navigation