Effectiveness of Compassion-Focused Therapy on Occupational Stress and Distress Tolerance in Emergency Department Nurses

Authors

    Sara Shaghaghi PhD in Psychology, Department of Psychology, Ab.C., Islamic Azad University, Abhar, Iran
    Jalal Jahani Master of Science in Clinical Psychology, Department of Medicine, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
    Farzaneh Ghorbanpour Ahmadsargourabi * PhD in Psychology, Department of Psychology, Emirates Branch, Islamic Azad University, Dubai, United Arab Emirates Farzaneh_ghorbanpour@yahoo.com
    Elham Mostafavi Department of Psychology, Faculty of Humanities, Non-Governmental and Non-Profit University of the North, Amol, Iran

Keywords:

occupational stress, distress tolerance, compassion-focused therapy, emergency department nurses

Abstract

The present study aimed to investigate the effectiveness of Compassion-Focused Therapy on occupational stress and distress tolerance among emergency department nurses. The research employed a quasi-experimental pretest-posttest design with a control group. The statistical population comprised all emergency department nurses working in Rasht county hospitals in 2025. Using convenience sampling, 40 nurses were selected and randomly assigned (via lottery) to the experimental group (20 participants) and the control group (20 participants). Data collection instruments included the Emotional Distress Tolerance Questionnaire by Simmons and Gaher (2005) and the Occupational Stress Questionnaire by Krishna and Srivastava (1991). The experimental group received 8 weekly sessions, twice a week (2 hours each) of Compassion-Focused Therapy by Gilbert (2009). Data were analyzed using multivariate analysis of covariance (MANOVA) via SPSS-27. Results indicated a significant reduction in occupational stress and a significant increase in distress tolerance in the experimental group compared to the control group. Compassion-Focused Therapy was effective in reducing occupational stress and enhancing distress tolerance among emergency department nurses. 

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References

Abdollahi, A., Taheri, A., & Allen, K. A. (2021). Perceived stress, self-compassion and job burnout in nurses: the moderating role of self-compassion. Journal of Research in Nursing, 26(3), 182-191. https://doi.org/10.1177/1744987120970612

Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. International journal of nursing studies, 52(2), 649-661. https://doi.org/10.1016/j.ijnurstu.2014.11.004

Dev, V., Fernando, A. T., & Consedine, N. S. (2020). Self-compassion as a stress moderator: A cross-sectional study of 1700 doctors, nurses, and medical students. Mindfulness, 11, 1170-1181.

Ensafdaran, F., Nejabat, M., Mahmoudi, A., & Shamsaei, M. (2022). Presenting a Model of Nurses' Psychological Well-Being Based on the Variables of Spiritual Health, Resilience, and Emotional Atmosphere of the Family during the Corona Pandemic and Its Effect on Emotional Distress Tolerance of Nurses. HSR, 18(2), 120-126. http://hsr.mui.ac.ir/browse.php?a_id=1385&sid=1&slc_lang=en

Falavarjani, M. F., & Yeh, C. J. (2019). Optimism and distress tolerance in the social adjustment of nurses: examining resilience as a mediator and gender as a moderator. Journal of Research in Nursing, 24(7), 500-512. https://doi.org/10.1177/1744987119839102

Farzan, F. (2024). Comparison of emotional regulation difficulty, self-compassion, and treatment adherence between HIV-positive and HIV-negative substance users in Khorramabad County Payam Noor University of East Azerbaijan]. Banab.

Kutsal, A., Nasrin, S., & Turan, S. (2025). The Effect of Play Therapy on Sensory Processing and Distress Tolerance in Adolescents with Mild Intellectual Disabilities. Psychological Research in Individuals with Exceptional Needs, 3(1), 27-35. https://doi.org/10.61838/kman.prien.3.1.4

Mattar, E., Sawma, T., Hallit, R., Malaeb, D., Sakr, F., Dabbous, M., Hallit, S., Fekih‐Romdhane, F., & Obeïd, S. (2025). The Mediating Role of Distress Tolerance in the Relationship Between Childhood Maltreatment and Anxiety in a Sample of Lebanese Adults. Scientific reports, 15(1). https://doi.org/10.1038/s41598-025-98417-x

Mohammadi, M., Vasi Raegani, A. A., Jalali, R., & Salar, N. (2020). Prevalence of job stress among Iranian nurses: A systematic review, meta-analysis, and meta-regression. Occupational Health and Safety, 10(2), 119-128.

Neff, K. D. (2003). Development and validation of a scale to measure self-compassion. Self and identity, 2, 223-250. https://doi.org/10.1080/15298860309027

Rahmati, Z., Khodabakhshi Kolaei, A., & Jahangiri, M. M. (2021). The moderating role of self-compassion in the relationship between stress resilience and substance use urge in substance-dependent men. Addiction Research, 15(60), 253-276.

Rezavandi, M., Ariapooran, S., & Karami, J. (2025). The Effectiveness of Compassion-Based Therapy on Fatigue, Self-Compassion and Resilience of Elderly Home Nurses. Journal of Modern Psychological Researches, 20(77), 37-47. https://doi.org/10.22034/jmpr.2023.58536.5837

Sedighi Arfaee, F., Rashidi, A., & Tabesh, R. (2021). The Distress Tolerance in the Elderly: The Role of Experiential Avoidance, Rumination and Mindfulness. Aging Psychology, 7(1), 12-11. https://doi.org/10.22126/jap.2021.6108.1498

Slusarz, R., Filipska, K., Jablonska, R., Krolikowska, A., Szewczyk, M. T., Wisniewski, A., & Biercewicz, M. (2022). Analysis of job burnout, satisfaction and work-related depression among neurological and neurosurgical nurses in Poland: A cross-sectional and multicentre study. Nursing Open, 9(2), 1228-1240. https://doi.org/10.1002/nop2.1164

Wang, J., Okoli, C. T. C., & He, H. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International journal of nursing studies, 102, 103472.

Wing, T., Regan, S., & Laschinger, H. S. S. (2015). The influence of empowerment and incivility on the mental health of new graduate nurses. Journal of nursing management.

Wong, C. A., & Laschinger, H. S. S. (2015). The influence of frontline manager job strain on burnout, commitment and turnover intention: a cross-sectional study. Journal of nursing management.

Zhou, R. R., Chen, L. L., & Lin, L. D. (2025). Mindfulness-based stress reduction and mental health in department of emergency nurses: A narrative review. World journal of psychiatry, 15(9), 107630. https://doi.org/10.5498/wjp.v15.i9.107630

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Additional Files

Published

2026-03-20

Submitted

2025-12-26

Revised

2026-03-26

Accepted

2026-03-30

Issue

Section

Occupational and Organizational Counseling

Categories

How to Cite

Shaghaghi, S. ., Jahani, . J. ., Ghorbanpour Ahmadsargourabi, F. ., & Mostafavi, . E. . (2026). Effectiveness of Compassion-Focused Therapy on Occupational Stress and Distress Tolerance in Emergency Department Nurses. KMAN Counseling & Psychology Nexus, 4, 1-7. https://journals.kmanpub.com/index.php/psychnexus/article/view/5144