Resilience as a Mediator Between Negative Emotions and Suicidal Ideation in Women Affected by Marital Infidelity
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Objective: This study aimed to examine the mediating role of resilience in the relationship between negative emotional variables, including internalized shame, rumination, and difficulties in emotion regulation, and suicidal ideation among married women affected by marital infidelity.
Methods and Materials: A non-experimental correlational design based on structural equation modeling was used. The study population included women affected by marital infidelity who referred to family counseling centers in Qom, Iran, in 2024. A total of 265 eligible participants were selected through convenience sampling. Data were collected using the Beck Scale for Suicide Ideation, Rumination Response Scale, Internalized Shame Scale, Difficulties in Emotion Regulation Scale, and Connor–Davidson Resilience Scale. Data were analyzed using SPSS version 27 and AMOS version 24 with robust maximum likelihood estimation and bootstrapping.
Findings: The final model showed good fit, χ²/df = 2.135, GFI = .99, AGFI = .95, CFI = .98, NFI = .98, RMSEA = .066. Internalized shame, β = .116, p = .048, rumination, β = .130, p = .030, and difficulties in emotion regulation, β = .213, p < .001, positively predicted suicidal ideation. Resilience negatively predicted suicidal ideation, β = −.137, p = .021. Internalized shame, β = −.123, p = .041, rumination, β = −.169, p = .006, and difficulties in emotion regulation, β = −.122, p = .045, negatively predicted resilience. Indirect effects through resilience were significant for internalized shame, rumination, and difficulties in emotion regulation.
Conclusion: Resilience partially mediated the association between negative emotions and suicidal ideation, supporting its protective role among women affected by marital infidelity.
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Anisi, J. (2005). Assess the reliability and validity of the Beck Scale for Suicidal Ideation soldiers. J Mil Med, 7(1). https://sid.ir/paper/62015/en
Asadi, S., Abedini, M., Poursharifi, H., & Nikokar, M. (2013). The relationship between intolerance of uncertainty and rumination with worry on student population. https://www.sid.ir/paper/152750/en
Beck, A. T., & Steer, R. A. (1989). Clinical predictors of eventual suicide: a 5-to 10-year prospective study of suicide attempters. Journal of affective disorders, 17(3), 203-209. https://doi.org/10.1016/0165-0327(89)90001-3
Bruno, S., Anconetani, G., Rogier, G., Del Casale, A., Pompili, M., & Velotti, P. (2023). Impulsivity traits and suicide related outcomes: A systematic review and meta-analysis using the UPPS model. Journal of affective disorders, 339, 571-583. https://doi.org/10.1016/j.jad.2023.07.086
Büscher, R., Torok, M., Terhorst, Y., & Sander, L. (2020). Internet-based cognitive behavioral therapy to reduce suicidal ideation: a systematic review and meta-analysis. JAMA network open, 3(4), e203933. https://doi.org/10.1001/jamanetworkopen.2020.3933
Cohen, L. J., Mokhtar, R., Richards, J., Hernandez, M., Bloch‐Elkouby, S., & Galynker, I. (2022). The Narrative‐Crisis Model of suicide and its prediction of near‐term suicide risk. Suicide and Life‐Threatening Behavior, 52(2), 231-243. https://doi.org/10.1111/sltb.12816
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
Cook, D. (1993). The internalized shame scale manual. Menomonie, WI: Channel Press [Google Scholar]. https://doi.org/10.1037/t04998-000
Feng, J., Ma, K., & Pan, Z. (2026). Not all distress is the same: profiles of stress, anxiety, and depression among university students. Frontiers in Psychology, 17, 1834233. https://doi.org/10.3389/fpsyg.2026.1834233
Fino, E., Mema, D., & Treska, V. (2022). The interpersonal dimension of pandemic fear and the dual-factor model of mental health: the role of coping strategies. Healthcare, https://doi.org/10.3390/healthcare10020247
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50. https://doi.org/10.2307/3151312
Ghobadi, M., Moradi, O., Yarahmadi, Y., & Ahmadian, H. (2021). Structural equation modeling of marital boredom based on resilience through emotional self-regulation. Razavi Journal of Medicine, 9(3), 55-59. 10.30483/rijm.2021.254265.1103
Gilbert, P. (2007). The evolution of shame as a marker for relationship security: A biopsychosocial approach. https://psycnet.apa.org/buy/PI
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
Griffin, B. J., Purcell, N., Burkman, K., Litz, B. T., Bryan, C. J., Schmitz, M., Villierme, C., Walsh, J., & Maguen, S. (2019). Moral injury: An integrative review. Journal of traumatic stress, 32(3), 350-362. https://doi.org/10.1002/jts.22362
Grych, J., Taylor, E., Banyard, V., & Hamby, S. (2020). Applying the dual factor model of mental health to understanding protective factors in adolescence. American Journal of Orthopsychiatry, 90(4), 458. https://doi.org/10.1037/ort0000449
Hidarisharaf, P., Dabirian, M., Parvaneh, A., Naderi, G., & Karimi, P. (2015). Relationship of quality of life, spirituality and resilience with suicidal thoughts in students. https://sid.ir/paper/258942/en
Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Jaffar, A., Waqar, W., Hassan, S. M. U., Ahmed, A., Asim, M., & Zubair, M. (2025). Caregiver Burden and Psychological Distress in Parents of Children with Neurodevelopmental Disorders: The Mediating Roles of Rumination and Hopelessness. Journal of Autism and Developmental Disorders, 1-12. https://doi.org/10.1007/s10803-025-07103-4
Khanzadeh, M., Saeediyan, M., Hosseinchari, M., & Edrissi, F. (2012). Factor structure and psychometric properties of difficulties in emotional regulation scale. International Journal of Behavioral Sciences, 6(1), 87-96. https://www.behavsci.ir/article_67768.html
Lewis, E. J., Yoon, K. L., & Joormann, J. (2018). Emotion regulation and biological stress responding: associations with worry, rumination, and reappraisal. Cognition and Emotion, 32(7), 1487-1498. https://doi.org/10.1080/02699931.2017.1310088
Lin, L., Liu, Y., Qiu, S., Yang, Y., Yang, Y., Tian, M., Wang, S., Zhang, J., Bai, X., & Xu, Z. (2024). Orbital frontal cortex functional connectivity during gain anticipation linking the rumination and non-suicidal self-injury in late adolescence. Journal of affective disorders, 350, 673-680. https://doi.org/10.1016/j.jad.2024.01.117
Liu, D., Liu, S., Deng, H., Qiu, L., Xia, B., Liu, W., Zhang, D., Huang, D., Guo, H., & Zhang, X. (2023). Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination. European archives of psychiatry and clinical neuroscience, 273(4), 931-940. https://doi.org/10.1007/s00406-022-01444-2
Magalhães, E. (2024). Dual-factor models of mental health: A systematic review of empirical evidence. Psychosocial intervention, 33(2), 89-102. https://doi.org/10.5093/pi2024a6
McKenzie, K. C., & Gross, J. J. (2014). Nonsuicidal self-injury: An emotion regulation perspective. Psychopathology, 47(4), 207-219. https://doi.org/10.1159/000358097
Millner, A. J., Robinaugh, D. J., & Nock, M. K. (2020). Advancing the understanding of suicide: The need for formal theory and rigorous descriptive research. Trends in cognitive sciences, 24(9), 704-716. https://doi.org/10.1016/j.tics.2020.06.007
Mohammadi, M., Jazayeri, A., Rafiei, A., Jokar, B., & Pourshahbaz, A. (2006). Investigating the resiliency factors in people at risk of drug abuse. QJ Adv Psychol Res, 1, 224-203. https://www.sid.ir/paper/120410/en
Moslemi, M., & Hatami, M. (2024). Investigating the mediating role of resilience in the relationship between cognitive emotion regulation and the quality of life of young couples. International Journal of Education and Cognitive Sciences, 5(1), 25-33. https://doi.org/10.61838/kman.ijecs.5.1.4
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115. https://doi.org/10.1037/0022-3514.61.1.115
Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in cognitive sciences, 9(5), 242-249. https://doi.org/10.1016/j.tics.2005.03.010
Osborn, E., Brooks, J., O’Brien, P., & Wittkowski, A. (2020). Suicidality in women with premenstrual dysphoric disorder: a systematic literature review. Archives of women's mental health, 24(2), 173. https://doi.org/10.1007/s00737-020-01054-8
Özkan, Z., & Karakaya, D. (2025). The resilience mediation effect on the relationship of suicide risk and psychological pain in nursing students: Structural equation modelling. Journal of Psychiatric and Mental Health Nursing, 32(1), 172-180. https://doi.org/10.1111/jpm.13097
Petersen, K. J., Humphrey, N., & Qualter, P. (2020). Latent class analysis of mental health in middle childhood: Evidence for the dual-factor model. School Mental Health, 12(4), 786-800. https://doi.org/10.1007/s12310-020-09384-9
Rajabi, G., Mohammadi, F. M., Amanallahifar, A., & Sudani, M. (2015). Self-criticism, internal religious orientation, depression, and feeling of loneliness with mediation of silencing the self among students involved in romantic relationships: A path analysis model. Journal of fundamentals of mental health, 17(6). https://jfmh.mums.ac.ir/jufile?ar_sfile=280258
Reinecke, M. A., & Franklin-Scott, R. L. (2005). Assessment of suicide: Beck's scales for assessing mood and suicidality. Assessment, treatment, and prevention of suicidal behavior, 29-61. https://psycnet.apa.org/buy/PI
Saboor, S., Zarbakhsh, M. R., & Khaneh Keshi, A. (2023). Structural model of borderline personality syndrome based on the experience of childhood trauma and emotional dysregulation with the mediating role of mentalization. Journal of Applied Family Therapy, 4(3), 337-354. https://doi.org/10.61838/kman.aftj.4.3.22
Selak, Š., Crnkovič, N., Šorgo, A., Gabrovec, B., Cesar, K., & Žmavc, M. (2024). Resilience and social support as protective factors against suicidal ideation among tertiary students during COVID-19: a cross-sectional study. BMC public health, 24(1), 1942. https://doi.org/10.1186/s12889-024-19470-1
Seligman, M. E., & Csikszentmihalyi, M. (2014). Positive psychology: An introduction. In Flow and the foundations of positive psychology: The collected works of Mihaly Csikszentmihalyi (pp. 279-298). Springer. https://doi.org/10.1007/978-94-017-9088-8_18
Shahbazirad, A., & Mohammadi, F. (2021). The Role of Cognitive Emotion Regulation Strategies and Irrational Thoughts in Predicting Suicidal Thoughts in Women with Substance-Dependent Spouses. https://doi.org/10.52547/etiadpajohi.15.61.167
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive therapy and research, 27(3), 247-259. https://doi.org/10.1023/A:1023910315561
Wang, H., Wen, S., Wang, Y., Zhou, Y., & Niu, B. (2025). Rumination, loneliness, and non-suicidal self-injury among adolescents with major depressive disorder: The moderating role of resilience. Social Science & Medicine, 364, 117512. https://doi.org/10.1016/j.socscimed.2024.117512
Willis, K. D., & Burnett Jr, H. J. (2016). The power of stress: Perceived stress and its relationship with rumination, self-concept clarity, and resilience. North American Journal of Psychology, 18(3). https://psycnet.apa.org/buy/PI
Woller, S. J., Boffa, J. W., Viana, A. G., Albanese, B. J., & Vujanovic, A. A. (2025). PTSD symptoms, suicidal ideation, and suicidal risk among university students: The role of shame. Psychological Trauma: Theory, Research, Practice, and Policy, 17(1), 145. https://doi.org/10.1037/tra0001829
Wu, Y., Guo, Z., Zhang, D., Wang, Y., & Wang, S. (2024). Sleep quality and suicidal ideation in adolescent depression: a chain mediation effect of perceived social support and resilience. Clinical Psychology & Psychotherapy, 31(2), e2990. https://doi.org/10.1002/cpp.2990
Xiao, R., Zhang, C., Lai, Q., Hou, Y., & Zhang, X. (2021). Applicability of the dual-factor model of mental health in the mental health screening of Chinese college students. Frontiers in Psychology, 11, 549036. https://doi.org/10.3389/fpsyg.2020.549036
Zhang, Q., Lu, J., & Quan, P. (2021). Application of the dual-factor model of mental health among Chinese new generation of migrant workers. BMC psychology, 9(1), 188. https://doi.org/10.1186/s40359-021-00693-5
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