Horizon of Medical Education Development

Horizon of Medical Education Development

Predicting Academic Burnout Based on Dysfunctional Attitudes and Experiential Avoidance with Regard to the Moderating Role of Family Support in Nursing Students

Document Type : Original Article

Author
Department of Psychology, Faculty of Literature and Humanities, Lorestan University, .Khorramabad, Iran
Abstract
Introduction: Since academic burnout is one of the major problems of students in various fields of study, the present study aimed to predict academic burnout based on dysfunctional attitudes and experiential avoidance, considering the moderating role of family support in nursing students.
Materials&Method: The present study was correlational. The statistical population of the study included nursing students of the Faculty of Nursing and Midwifery of Shahid Beheshti University of Medical Sciences who were studying in 2024 and 224 of them were selected by convenience sampling method. The research tools included the Academic Burnout Questionnaire of Biros (2007), Dysfunctional Attitudes Scale of Weisman and Beck (1978), the Experiential Avoidance Questionnaire of Bond et al. (2011), and the Family Support Scale of Procidano and Heller (2002). Finally, the obtained data were analyzed using SPSS version 25 and with the help of correlation coefficient tests and regression analysis.
Results:The results showed that both dysfunctional attitudes and experiential avoidance have a 41% ability to predict academic burnout. Also, the results of hierarchical regression analysis to predict academic burnout based on the multiplicative variable of deviant scores of dysfunctional attitudes and experiential avoidance confirmed the moderating role of family support. These relationships were significant at P<0.001 level.
Conclusion: It can be concluded that both dysfunctional attitudes and experiential avoidance can predict changes in academic burnout, and family support can also play a moderating role.

Acknowledgments: The researchers wish to express their gratitude to everyone who contributed to the completion of this research.

Availability of data and materials: Access to the data is open to all readers of this study.
Conflicts of interest: The authors declare no conflict of interest regarding the publication of the results of this article.

Consent for publication: Not applicable.

Ethical approval and consent to participate: All ethical considerations relevant to scientific research have been observed in this study. The participants were informed that their participation in the study was voluntary. The participants’ data were analyzed and reported anonymously and confidentially. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.

Funding:The study did not have a financial sponsor.

Authors’ Contributions :All sections of the study were conducted by one of its authors.

Open Access Policy: This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits any non-commercial use, sharing, adaptation, distribution, and reproduction in any medium or format, provided the original author(s) and source are properly credited. To view a copy of this licence, visit.
https://creativecommons.org/licenses/by-nc/4.0
Keywords

1.KamalpourS,Forouzi M A, Targary B. Relationship between academic burnout and achievement in nursing students. J Prevent Med 2019;6(2):81-74. https://doi.org/10.29252/jpm.6.2.8
2.Sharififard F, Nourozi K, Hosseini M, Asayesh H, Nourozi M. Related factors with academic burnout in nursing and paramedics students of Qom University of Medical Sciences in 2014. 3 JNE 2014; 3 (3) :59-68.
3.Salmela-Aro K, Upadyaya K. Co-development of educational aspirations and academic burnout from adolescenceto adulthood in Finland. Research inHumanDevelopment.2017,14(2):106-121.
https://doi.org/10.1080/15427609.2017.1305809
4.Barnett MD, Flores J. Narcissus, exhausted: Self-compassion mediates the relationship between narcissism and school burnout. Personality and IndividualDifferences.2016,97:102-108.
https://doi.org/10.1016/j.paid.2016.03.026
5.Abbasi M, Dargahi S, Mohammad alipor Z, Mehrabi A. The Role of Student Stressors in Predicting Procrastination and Academic Burnout among Nursing Students. Iranian Journal of Medical Education 2015; 15 :293-303.
6.Zorrahim R, Beyrami M. Relationship between Dysfunctional Attitudes with the Components of Psychological Well-being in Students of Islamic Azad University of Tabriz, Community Health Journal (CHJ), 2015, 9(3): 9-17.
7.Momenpour S, Saffarinia M, Bazzazian S, Vatankhah H. The Role of Negative Spontaneous Thoughts and Dysfunctional Attitudes in Psychological Well-being Mediated by Perceived Stress in Women with Breast Cancer. IJNR 2022; 17 (1) :19-30.
8.Golzar H R, Aflakseir A, Molazadeh J. Structural Equation Modeling of Dysfunctional Attitudes and Depression Symptoms: Investigation of the Mediation Role of Ruminative Response Style. IJPCP2017;22(4):318-329.
https://doi.org/10.18869/nirp.ijpcp.22.4.318
9.Thomas J, Altareb B. Cognitive vulnerability to depression: An exploration of dysfunctional attitudes and ruminative response styles in the UnitedArabEmirates.Psychology & Psychotherapy: Theory, Research & Practice. 2011; 85(1):117-21.
https://doi.org/10.1111/j.2044-8341.2011.02015.x
10.Sepehreinjad M,Hatamian P. Forecast of Suicidal thoughts based on Emotional Dysregulation and Experimental Avoidancein Nurses. IJNR 2018; 13 (4) :39-44.
11.Karekla, M. & Panayiotou, G. "Coping and experiential avoidance: Unique or overlapping constructs?". Journal of Behaviot Therapy and Experiential Psychiatry, 2011 42 (22), 163-170.https://doi.org/10.1016/j.jbtep.2010.10.002
12.Junadele,K.,Basaknejad,S.,Yonsi,A., Saadatmand, K. The relationship between anxiety sensitivity, experiential avoidance and resilience with exam anxiety in students. Clinical psychology, 2017; 10(1): 71-78.
13.Lu,W.,& Hampton, K. N.Beyond the power of networks: Differentiating network structure from social media affordances for perceived social support. New Media & Society, 2018,19(6), 861-879.https://doi.org/10.1177/1461444815621514
14.Finlay, K. A., Peacock, S., & Elander, J. Developing successful social support: An interpretative phenomenological analysis of mechanisms and processes in a chronic pain support group. Psychology&health,2018,33(7),846-871.https://doi.org/10.1080/08870446.2017.1421188
15.Zhang, H., Ye, Z., Tang, L., Zou, P., Du, C., Shao, J., ... & Mu, S. Y. Anxiety symptoms and burnout among Chinese medical staff of intensive care unit: the moderating effect of social support. BMC psychiatry,2020,20(1),1-7.
https://doi.org/10.1186/s12888-020-02603-2
16.Yayan, E. H., & Çelebioğlu, A. Effect of an obesogenic environment and health behaviour-related social support on body mass index and body image of adolescents. Global health promotion,2018,25(3),33-42.
https://doi.org/10.1177/1757975916675125
17.Sepehri Nezhad M, Hatamian P. The prediction of academic burnout based on the emotion dysregulation and social support in nursing students. Educ Strategy Med Sci 2018;11(1) :59-65.
18.Ebrahimi, A; Mousavi, S. G. Psychometric properties of the Dysfunctional Attitudes Scale (DAS-26) in patients with mood disorders, Scientific Journal of Ilam University of Medical Sciences 2012, 21 (5): 20-28. 
19.Fatah, L. Determining identity statuses and their relationship with identity styles and depression in Tehran adolescents, PhD thesis, Iran University of Medical Sciences, 2003.
20.Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011;42(4):676-88.
https://doi.org/10.1016/j.beth.2011.03.007
21.Izaadi A, Karimi J, Rahmani M. Psychometric Analysis of Persian Version of Body Image flexibilityQuestionnaire(BI-AAQ)among University student. Hayat. 2014;19(3):56-69.
22.Hamidi F. Relationship between Social support and mental health among female- headed households employed a military university]. Journal of Military Psychology. 2010;1(2):51-60.
23.Naami A. The relationship between quality of learning experience and academic burnout of MA students of Shahid Chamran University of Ahvaz. Psychol Stud J 2010; 5(3): 25-37.
24.Karami J, Hatamian P. The relationship between self-efficacy and perfectionism with academic burnout students.Pejouhandeh 2016;21(4):186-191.
25.Rajabi R, Eslami Aliabadi H, Afrazandeh S S. Relationship between social support, dysfunctional attitude, and perceived academic stress in students of Ferdows school of medical sciences. JMED 2024; 1(52):75-83.
https://doi.org/10.32592/jmed.2023.16.52.75
26.D'Souza, C. G. The role of early maladaptive schemas in the development of depression, anxiety andacademicburnout.2019.https://scholarworks.uaeu.ac.ae/psych_theses/2
27.Hajihasani M. Predicting Academic Burnout in Female Medical Students of Shahrekord University of Medical Sciences Based on Perfectionism and Family Emotional Climate in 2016-2017 Academic Year . JRUMS 2018; 17 (4) :293-304.
28.Connor, K. M. Stress, Burnout, and Experiential Avoidance in Clinical Psychology Doctoral Students.2020. https://repository.fit.edu/etd/253
29.Baravati, Nadia Rezaei Zadeh, et al. "The effect of coping skills training on Dysfunctional Attitudes and happiness in divorced women." Journal of Advanced Pharmacy Education and Research 2020, 10.1,124-130.
30.Wu, K., Wang, F., Wang, W., & Li, Y. Parents' education anxiety and children's academic burnout: The role of parental burnout and family function. Frontiers in Psychology, 2022; 12, 764824.
https://doi.org/10.3389/fpsyg.2021.764824
31.Bayanfar F, Partonejad N, Tabatabaee S M. Predicting Students' Academic Engagement Based on Academic Support and Family Emotional Climate:The Mediating Role of Academic Emotions. QJFR 2022; 18 (4) :31-48.
32.Massoudi S, Behzadpoor S. The Relationship between Parental Stress and Child's Behavioral Problems with the Moderating Role of Maternal Reflective Functioning: A Descriptive Study. JRUMS 2024;23(4):293-306.
https://doi.org/10.61186/jrums.23.4.193
33.Hatamian P, Karami J, Momeni K. Relationship Between Perceived Social Support (Family, Friends and Other Important People) With the Tendency of Using Psychotropic Substances Among the Nurses of Hospitals in Kermanshah City . Iran J Health Educ HealthPromot2018;5(4):367-373
https://doi.org/10.30699/acadpub.ijhehp.5.4.367