Investigating the Effect Model of Defense Mechanisms and Coping Skills on Entrance Exam Anxiety in Adolescent Girls with Generalized Anxiety Disorder (GAD) with the Mediating Role of Resilience
DOI:
https://doi.org/10.61838/kman.jndd.3.4.6Keywords:
Defense Mechanisms, Coping Skills, Test Anxiety, Generalized Anxiety Disorder, ResilienceAbstract
Purpose: This study aims to examine how defense mechanisms and coping strategies influence entrance exam anxiety in adolescent girls with generalized anxiety disorder, with a focus on the mediating role of resilience.
Methodology: The present study falls under the category of descriptive-correlational research and utilizes a cross-sectional research design, employing structural equation modeling (SEM) and mediating variable analysis. The statistical population for this study consisted of all adolescent girls with generalized anxiety disorder (GAD) at the pre-university level in Tehran from May to November 2024. A sample of 141 adolescent girls was selected using purposive sampling. The research instruments used include the coping strategies questionnaire (CSQ), Connor-Davidson Resilience Scale (CD-RISC), defense style questionnaire (DSQ-40), and Test Anxiety Questionnaire (TAQ). Data analysis was performed with SPSS version 27 and Smart PLS 4 software, applying the structural equation model method. Statistical analysis was conducted using a P-value of 0.05.
Findings: The research results showed that problem-solving by being resilient had a notable adverse effect on exam anxiety (β=-0.053, P=0.040). Having an Immature defensive style was also found to boost exam anxiety through resilience, as indicated by a noteworthy positive impact (β=-0.067, P=0.010). It is evident that by increasing resilience, individuals can lessen the impact of an immature defensive style on exam anxiety. The study revealed that the problem-solving significantly increased resilience with a beta coefficient of 0.187 and p-value of 0.022. On the other hand, the emotional restraint aspect had a significant negative impact on anxiety (β=-0.308, p=0.000). Attracting social support was discovered to have a notable adverse effect on anxiety, according to the study findings (β=-0.129, P=0.047).
Conclusion: The results of this study demonstrated that enhancing coping mechanisms, immature defensive style, and building resilience can be beneficial in assisting students dealing with anxiety during entrance exams, with mental resilience being a key focus for interventions aimed at enhancing mental well-being.
Purpose: This study aims to examine how defense mechanisms and coping strategies influence entrance exam anxiety in adolescent girls with generalized anxiety disorder, with a focus on the mediating role of resilience.
Methodology: The present study falls under the category of descriptive-correlational research and utilizes a cross-sectional research design, employing structural equation modeling (SEM) and mediating variable analysis. The statistical population for this study consisted of all adolescent girls with generalized anxiety disorder (GAD) at the pre-university level in Tehran from May to November 2024. A sample of 141 adolescent girls was selected using purposive sampling. The research instruments used include the coping strategies questionnaire (CSQ), Connor-Davidson Resilience Scale (CD-RISC), defense style questionnaire (DSQ-40), and Test Anxiety Questionnaire (TAQ). Data analysis was performed with SPSS version 27 and Smart PLS 4 software, applying the structural equation model method. Statistical analysis was conducted using a P-value of 0.05.
Findings: The research results showed that problem-solving by being resilient had a notable adverse effect on exam anxiety (β=-0.053, P=0.040). Having an Immature defensive style was also found to boost exam anxiety through resilience, as indicated by a noteworthy positive impact (β=-0.067, P=0.010). It is evident that by increasing resilience, individuals can lessen the impact of an immature defensive style on exam anxiety. The study revealed that the problem-solving significantly increased resilience with a beta coefficient of 0.187 and p-value of 0.022. On the other hand, the emotional restraint aspect had a significant negative impact on anxiety (β=-0.308, p=0.000). Attracting social support was discovered to have a notable adverse effect on anxiety, according to the study findings (β=-0.129, P=0.047).
Conclusion: The results of this study demonstrated that enhancing coping mechanisms, immature defensive style, and building resilience can be beneficial in assisting students dealing with anxiety during entrance exams, with mental resilience being a key focus for interventions aimed at enhancing mental well-being.
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References
Alghadir, A., Manzar, M. D., Anwer, S., Albougami, A., & Salahuddin, M. (2020). Psychometric properties of the generalized anxiety disorder scale among Saudi University male students. Neuropsychiatric Disease and Treatment, 16, 1427-1432. https://doi.org/10.2147/NDT.S246526
Andrews, G., Singh, M., & Bond, M. (1993). Defense Style Questionnaire–40 (DSQ-40). Journal of Nervous and Mental Disease. https://doi.org/10.1037/t20765-000
Azimifar, A., & Zahmatkesh, Z. (2021). The relationship between self-hypnosis and five major personality factors with anxiety in Iranian entrance exam candidates. Islamic Lifestyle Centered on Health, 4, 167-176. https://www.sid.ir/paper/413520/fa#downloadbottom
Billings, A. G., & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of personality and social psychology, 46(4), 877. https://doi.org/10.1037/0022-3514.46.4.877
Bita, M., & Jafariharandi, R. (2018). Predicting life satisfaction in terms of personality traits and defense mechanisms. Women’s Studies Sociological and Psychological, 16(1), 111-150. https://doi.org/10.22051/jwsps.2018.20570.1752
Buffart, L. M., Schreurs, M. A., Abrahams, H. J., Kalter, J., Aaronson, N. K., Jacobsen, P. B., Newton, R. U., Courneya, K. S., Armes, J., Arving, C., & Braamse, A. M. (2020). Effects and moderators of coping skills training on symptoms of depression and anxiety in patients with cancer: Aggregate data and individual patient data meta-analyses. Clinical psychology review, 80, 101882. https://doi.org/10.1016/j.cpr.2020.101882
Byrd-Bredbenner, C., Eck, K., & Quick, V. (2020). Psychometric properties of the generalized anxiety disorder-7 and generalized anxiety disorder-mini in United States university students. Frontiers in psychology, 11, 550533. https://doi.org/10.3389/fpsyg.2020.550533
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Academic Press. https://www.taylorfrancis.com/books/mono/10.4324/9780203771587/statistical-power-analysis-behavioral-sciences-jacob-cohen
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Darbani, S. A., & Parsakia, K. (2023). Investigating the effectiveness of strength-based counseling on adolescent resilience. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(5), 169-175. https://doi.org/10.61838/kman.jayps.4.5.16
Devi, H. M., Purborini, N., & Chang, H. J. (2021). Mediating effect of resilience on association among stress, depression, and anxiety in Indonesian nursing students. Journal of Professional Nursing, 37(4), 706-713. https://doi.org/10.1016/j.profnurs.2021.04.004
Di Giuseppe, M., Ciacchini, R., Piarulli, A., Nepa, G., & Conversano, C. (2019). Mindfulness dispositions and defense style as positive responses to psychological distress in oncology professionals. European Journal of Oncology Nursing, 40, 104-110. https://doi.org/10.1016/j.ejon.2019.04.003
Di Giuseppe, M., Nepa, G., Prout, T. A., Albertini, F., Marcelli, S., Orrù, G., & Conversano, C. (2021). Stress, burnout, and resilience among healthcare workers during the COVID-19 emergency: The role of defense mechanisms. International journal of environmental research and public health, 18(10), 5258. https://doi.org/10.3390/ijerph18105258
Ferrajão, P., Dias, J., & Elklit, A. (2022). Defense mechanisms mediate associations between exposure to adverse childhood experiences and anxiety and depression in Kenyan adolescents. Traumatology. https://doi.org/10.1037/trm0000426
Fullerton, D. J., Zhang, L. M., & Kleitman, S. (2021). An integrative process model of resilience in an academic context: Resilience resources, coping strategies, and positive adaptation. PLoS One, 16(2), e0246000. https://doi.org/10.1371/journal.pone.0246000
Golparvar, M., & Parsakia, K. (2023). Building Resilience: Psychological Approaches to Prevent Burnout in Health Professionals. KMAN Counseling & Psychology Nexus, 1(1), 159-166. https://doi.org/10.61838/kman.psychnexus.1.1.18
Haghi, S. (2018). The effect of resilience training on anxiety of patients with deformity due to burning injuries. Journal of Health and Care, 20(3), 196-206. https://doi.org/10.29252/jhc.20.3.196
Hinds, J. A., & Sanchez, E. R. (2022). The role of the hypothalamus–pituitary–adrenal (HPA) axis in test-induced anxiety: Assessments, physiological responses, and molecular details. Stresses, 2(1), 146-155. https://doi.org/10.3390/stresses2010011
Jozan, A., Fardin, M. A., & Sanagooe Moharer, G. (2023). The effectiveness of coping skills training on resilience of students who have recovered from COVID-19. Sociology of Education, 9(2), 285-294. https://doi.org/10.22034/ijes.2023.1988012.1382
Liu, Y., Pan, H., Yang, R., Wang, X., Rao, J., Zhang, X., & Pan, C. (2021). The relationship between test anxiety and emotion regulation: The mediating effect of psychological resilience. Annals of General Psychiatry, 20, 1-9. https://doi.org/10.1186/s12991-021-00360-4
Motallebi, M., Pour, M. S., Mehrnia, N., Behnaz, M., & Nia, N. M. (2023). Investigating the relationship between stress and oral health-related behaviors changes in final year of high school students prior to university entrance exam. https://www.sid.ir/paper/1116708/fa#downloadbottom
Nemati, S., Imanzadeh, A., Fouruhi, N., Mahdavi, M., & Afshin, H. (2019). The relationship between religious coping strategy, resiliency, and marital satisfaction. Journal of Modern Psychological Researches, 14(53), 317-331. https://doi.org/20.1001.1.27173852.1398.14.53.15.8
Nwaogu, J. M., & Chan, A. P. (2022). The impact of coping strategies and individual resilience on anxiety and depression among construction supervisors. Buildings, 12(12), 2148. https://doi.org/10.3390/buildings12122148
Pour, H., & Mansouri, A. (2021). The mediating role of worry and rumination in the relationship between behavioral brain systems and generalized anxiety disorder in students. Clinical Psychology and Personality, 19(1), 121-130. https://doi.org/10.22070/cpap.2020.3047
Prekazi, L., Hajrullahu, V., Bahtiri, S., Kryeziu, B., Hyseni, B., Taganoviq, B., & Gallopeni, F. (2021). The impact of coping skills in post-traumatic growth of healthcare providers: When mental health is deteriorating due to the COVID-19 pandemic. Frontiers in psychology, 12, 791568. https://doi.org/10.3389/fpsyg.2021.791568
Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J., & Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Social Science & Medicine, 262, 113261. https://doi.org/10.1016/j.socscimed.2020.113261
Sarason, I. G. (1984). Stress, anxiety, and cognitive interference: Reactions to tests. Journal of personality and social psychology, 46(4), 929. https://doi.org/10.1037/0022-3514.46.4.929
Soltani, E., Shareh, H., Bahrainian, S. A., & Farmani, A. (2013). The mediating role of cognitive flexibility in correlation of coping styles and resilience with depression. Pajoohandeh Journal, 18(2), 88-96. http://pajoohande.sbmu.ac.ir/article-1-1518-fa.html
Sun, J., Liang, K., Chi, X., & Chen, S. (2021). Psychometric properties of the generalized anxiety disorder scale-7 item (GAD-7) in a large sample of Chinese adolescents. Healthcare, 9(12), 1709. https://doi.org/10.3390/healthcare9121709
Tabe Bordbar, F., & Kaveh, M. (2021). Investigating the relationship between various defense mechanisms and coronavirus anxiety. Armaghane Danesh, 25, 921-936. https://doi.org/10.52547/armaghanj.25.S1.921
Trindade, S. C., Sousa, L. F., & Carreira, L. B. (2021). Generalized anxiety disorder and prevalence of suicide risk among medical students. Revista Brasileira de Educação Médica, 45(2), e061. https://doi.org/10.1590/1981-5271v45.2-20200043.ING
Vaillant, G. E. (2020). Defense mechanisms. In Encyclopedia of Personality and Individual Differences (pp. 1024-1033). https://doi.org/10.1007/978-3-319-24612-3_1372
Walker, G., & McCabe, T. (2021). Psychological defense mechanisms during the COVID-19 pandemic: A case series. The European Journal of Psychiatry, 35(1), 41-45. https://doi.org/10.1016/j.ejpsy.2020.10.005
Zhu, W., Wei, Y., Meng, X., & Li, J. (2020). The mediation effects of coping style on the relationship between social support and anxiety in Chinese medical staff during COVID-19. BMC Health Services Research, 20, 1-7. https://doi.org/10.1186/s12913-020-05871-6
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Copyright (c) 2025 Hanie Almasian (Corresponding author); Neda Askarshahi, Sara Abdi, Sara Zakerin, Zahra Kazemi (Author)
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