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Mohammadipour M, Afzood A, Zolfaghari S, salmabadi M. The Role of Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety in Students. Health Spiritual Med Ethics 2021; 8 (2) :95-102
URL: http://jhsme.muq.ac.ir/article-1-434-en.html
1- Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran, Quchan Branch, Islamic Azad University, Quchan, Iran
2- Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran
3- Department of Clinical Psychology, Faculty of Psychology & Educational Sciences, Allameh Tabataba’i University, Tehran, Iran., Allameh Tabataba'i University, Tehran, Iran. , shadizolfaghari7@gmail.com
4- Department of Counseling, Faculty of Psychology & Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
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95
Mohammad Mohammadipour1 , Abdolreza Afzood2 , Shadi Zolfaghari3* , Mojtaba Salmabadi4
1. Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran.
2. Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
3. Department of Clinical Psychology, Faculty of Psychology & Educational Sciences, Allameh Tabataba’i University, Tehran, Iran.
4. Department of Counseling, Faculty of Psychology & Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
5. Department of Educational Sciences, Faculty of Psychology & Educational Sciences, Farhangian University, Tehran, Iran.

* Corresponding Author:
Shadi Zolfaghari, PhD Student.
Address: Department of Clinical Psychology, Faculty of Psychology & Educational Sciences, Allameh Tabataba’i University, Tehran, Iran.
Phone: +98 (933) 8011294
E-mail: shadi_zolfaghari@atu.ac.ir
Research Paper:
The Role of Spiritual Intelligence and Distress Toler
ance on Coronavirus Anxiety in Students

Background and Objectives: The widespread prevalence of Coronavirus Disease 2019
(COVID-19) has caused stress, anxiety, and worry in different groups, including students. Thus,
this study aimed to determine the role of spiritual intelligence and distress tolerance in predicting
COVID-19 anxiety in students.

Methods: This was a correlation and regression modeling (prediction) study. The statistical
population of the study included all male students of Farhangian University of Shahid Bahonar
Campus in Birjand City, Iran, in the academic year of 2020-2021. Accordingly, 260 individuals
were selected by the convenience sampling method; they volunteered to participate in the study
and virtually completed the King (2008) Spiritual Intelligence Questionnaire, Simon and Gaher
(2005) Anxiety Tolerance Questionnaire, and Alipour et al.’s (2020) Corona Disease Anxiety
Scale. Pearson correlation test and multiple regression analysis were employed in SPSS to
analyze the collected data.

Results: The present study results indicated an inverse and significant correlation between
distress tolerance (r= -0.666), spiritual intelligence (r= -0.618), and COVID-19 anxiety (P<0.01).
Additionally, the achieved results revealed that spiritual intelligence (33.6%) and anxiety
tolerance (38.8%) predicted the variance of coronary anxiety.

Conclusion: According to the collected results, by increasing the tolerance of anxiety and
spiritual intelligence and their dimensions, students’ COVID-19-induced anxiety can be reduced.
Therefore, in programs based on reducing COVID-19 anxiety, more attention to distress
tolerance, spiritual intelligence, and its promotion in students seems necessary

A B S T R A C T
Keywords:
Spiritual intelligence,
Distress tolerance,
Coronary anxiety,
Students

Please cite this article as Mohammadipour M, Afzood A, Zolfaghari Sh, Salmabadi M. The Role of Spiritual Intel
ligence and Distress Tolerance on Coronavirus Anxiety in Students. Health, Spirituality and Medical Ethics Journal. 2021;
8(2):95-102. http://dx.doi.org/10.32598/hsmej.8.2.5

:http://dx.doi.org/10.32598/hsmej.8.2.5
Use your device to scan
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Article info:
Received: 20 Jan 2021
Accepted: 18 Apr 2021
Publish: 01 Jun 2021
June 2021. Volume 8. Number 2
 
96
Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
Introduction
iral diseases are a serious public health
issue. On December 31, 2019, a novel
coronavirus was discovered
[1]. The coro
navirus rapidly spread around the world
and complicated living conditions for
most individuals. This is because the unprecedented rate
of job loss, isolation, mortality, and infections caused by
the Coronavirus Disease 2019 (COVID-19) continued to
rise
[2]. At a time when the world was in a state of crisis
caused by COVID-19 and seemed to have brought the
world to a standstill, a state of fear and anxiety developed
in the world
[3]. A severe COVID-19 leads to mental
health problems, such as anxiety and stress in society
[4].
Anxiety is a vague, unpleasant, and pervasive concern,
associated with the physiological arousal of unknown
origin
[5]. Besides, COVID-19 anxiety is anxiety caused
by being infected with the coronavirus, i.e., mostly due
to unawareness and cognitive ambiguity about it
[6].
Anxiety about getting sick or the fear of dying from the
COVID-19 might lead to helplessness, despair, fatigue,
burnout, negative emotions, as well as work-life and
mental health imbalance
[7].
Among the characteristics and abilities to cope with
problems and improve health, distress tolerance can be
mentioned
[8]. Distress tolerance refers to the degree to
which a subject can tolerate negative biopsychological
states
[9]. An integrated model of distress tolerance in
cludes tolerance in the dimensions of uncertainty, ambi
guity, failure, negative emotions, and physical discom
fort
[10]. Low levels of anxiety tolerance create a kind of
impaired emotion regulation in the individual, leading to
maladaptive behavioral responses to stressful conditions

[11]. The tolerance of distress is an important framework
in emotional and cognitive development as well as the
prevention and treatment of behavioral problems and
mental disorders
[12]. In this regard, a study signified
that individuals with health anxiety experience less tol
erance for anxiety, compared to the healthy population

[13]. Furthermore, evidence suggests that spiritual intel
ligence is critical in managing stress, anxiety, and be
havioral issues that can be important in chronic diseases

[14, 15]. Spiritual intelligence is described as the ability
to act rationally and compassionately, while maintain
ing inner and outer peace, regardless of circumstances;
subsequently, enabling individuals to effectively man
age stressful and anxious situations
[16]. A set of mental
capacities that contribute to consciousness, the integra
tion and adaptive use of the immaterial and transcen
dent aspects of one’s existence lead to deep existential
reflection, the reinforcement of meaning, the cognition
of transcendent self, and the mastery of spiritual states

[17]. Studies highlighted the role of spiritual intelligence
in the death anxiety of COVID-19 patients
[18]. Stud
ies explored the role of spiritual intelligence in predict
ing perceived stress, anxiety, and depression in students

[19], as well as the relationship between spiritual intel
ligence and anxiety (overt & covert) in students
[20].
At present, due to the COVID-19 pandemic, changes
in daily life are rapid and unprecedented, death rates are
increasing, and the necessary measures to prevent the
spread of this disease have increased in various parts of
the world. Concurrently, have increased anxiety is very
common. Few studies examined the predictors of have
increased anxiety. Thus, this study aimed to determine
the role of spiritual intelligence and distress tolerance in
predicting COVID-19 anxiety in students.

Methods
This was a descriptive correlational study. The statistical
population of the study included all male students of Far
hangian University of Shahid Bahonar Campus in Birjand
City, Iran, in the academic year of 2020-2021 (N=800).
According to Gajrsi and Morgan’s Table
[21], 260 sub
jects were selected by the convenience sampling method;
they volunteered to virtually participate in the research.
The applied data collection tools included the following:

King Spiritual Intelligence Scale: This 24-item scale
was developed by King in 2008 to measure spiritual
intelligence. This scale measures spiritual intelligence
abilities in 4 main dimensions, including critical exis
tential thinking (7 items), personal meaning (5 items),
transcendent awareness (7 items), and the development
of consciousness and self-awareness (5 items) based on a
five-point Likert-type scale (completely agree = 1; com
pletely disagree=5). The sum of the questions provides
the overall score of spiritual intelligence, which ranges
from zero to 96, and the high score indicates further spir
itual intelligence. King reported Cronbach’s alpha coef
ficient of this questionnaire as 0.92; thus, its intra-item
correlation equaled 0.34, its split-half reliability was
measured as 0.91, and the test-retest reliability (4-month
intervals) was calculated as 0.89. This questionnaire was
correlated to psychological scales, such as the meaning
of life questionnaire, life satisfaction scale, and emotion
al intelligence scale, which indicates the convergence
validity of this questionnaire
[22]. In Iran, Raghibi et al.
supported its content and face validity and reported the
reliability of Cronbach’s alpha coefficient of 0.89 and the
test-retest method (of two weeks intervals) of 0.67
[23].
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Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
Simon and Gaher Distress Tolerance Scale: This
15-item scale was generated by Simon and Gaher in
2005, with 4 subscales, i.e., tolerance (3 items), attract
(3 items), evaluation (6 items), and regulation (3 items)
on a five-point Likert-type scale (completely agree: 1,
completely disagree: 5); question 6 is scored in reverse.
Accordingly, the scores range between 15 and 75; the
higher scores on this scale indicate a greater distress
tolerance. As per Simon and Gaher, this scale presented
a good and primitive convergence and criterion valid
ity, and the reliability of Cronbach’s alpha coefficient
for tolerance, absorption, and regulation subscales was
computed as 0.72, 0.82, 0.78, and 0.70, respectively,
and for the total scale to be 0.82
[24]. Azizi et al. con
firmed its content validity and documented a high inter
nal consistency for the whole scale (α=0.71). Besides,
moderate reliability was reported for tolerance, absorp
tion, evaluation, and regulation, respectively as 0.54,
0.56, and 0.58
[25].
Alipour et al.’ Corona anxiety scale: This 18-item
scale was created by Alipour et al. in 2020; It measures
the two subscales of mental symptoms (questions 9-1)
and physical factors (questions 10-18) using a four
point Likert-type scale (zero: never; 3: always); thus,
the scores range between 0 and 54 and a higher score
indicates greater COVID-19 anxiety. As per Alipour et
al., the content validity and the structural validity of the
scale were confirmed by the factor analysis method and
its reliability was computed by the Cronbach’s alpha
coefficient for the subscale of psychological symptoms
and physical factors were computed as 0.879, 0.871, and
0.919 for the whole questionnaire, respectively
[6].
The questionnaires were distributed online. After iden
tifying the students’ communication channels (Telegram,
WhatsApp, and Instagram pages), the online question
naire (this method was chosen due to quarantine restric
tions when the COVID-19 risk became serious in Iran)
was widely distributed. Necessary explanations, such as
the purpose of the research, instructions on answering
the questions, and the importance of volunteers’ cooper
ation in this research were provided in the supplementa
ry text along with the questionnaire and individuals who
voluntarily participated in this research. Additionally,
all the ethical principles of the research, including the
confidentiality of the questionnaires’ data, the informed
consent of the participants in the research, and the right
to leave the research, have been observed. The obtained

Table 1. The matrix of correlation coefficients between spiritual intelligence and distress tolerance with COVID-19 anxiety
Variable 1 2 3 4 5 6 7 8 9 10 11
1. Critical existential thinking 1
2. Presenting personal meaning 0.539
** 1
3. Transcendent consciousness 0.455
** 0.490** 1
4. Development of state of
consciousness 0.170
** 0.173** 0.268** 1
5. Spiritual intelligence 0.751
** 0.754** 0.771** 0.572** 1
6. Tolerance 0.503
** 0.508** 0.458** 0.258** 0.613** 1
7. Absorption 0.223
** 0.181** 0.204** 0.345** 0.339** 0.312** 1
8. Evaluation 0.389
** 0.456** 0.526** 0.258** 0.570** 0.588** 0.301** 1
9. Regulation 0.419
** 0.479** 0.450** 0.196** 0.539** 0.526** 0.332** 0.470** 1
10. Tolerance of distress 0.501
** 0.546** 0.577** 0.332** 0.685** 0.796** 0.528** 0.903** 0.702** 1
11. Corona anxiety -0.462
** -0.546** -0.444** -0.310** -0.618** -0.489** -0.322** -0.449** -0.491** -0.566** 1
Mean±SD 21.74±
3.050
17.95±
3.124
23.12±
3.068
15.55±
3.335
78.35±
8.919
10.77±
2.038
9.31±
1.409
20.42±
4.175
9.28±
1.581
49.78±
7.245
24.95±
3.291

**Significance at the level of 0.01
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Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
data were analyzed using the Pearson correlation test and
multiple regression analysis in SPSS.

Results
Based on the obtained results, the Mean±SD age of the
study sample was 20.4±3.47 years. Among the research
sample, 80(31) individuals were undergraduate teaching
students and 180(69%) were elementary undergraduate
students. Furthermore, 64(24.7%) and 196(75.3%) study
subjects were married and single, respectively.
Table 1
lists the matrix of correlation coefficients between the
research variables.

Table 1 reflects an inverse and significant correlation
between distress tolerance (r=-0.666), spiritual intel
ligence (r=-0.618), and COVID-19 anxiety (P<0.01);
thus, students with higher intelligence spirituality and
distress tolerance manifested less COVID-19 anxiety.
Multiple regression analysis was used to predict CO
VID-19 anxiety through the spiritual intelligence vari
able. The Watson camera-statistic was used to examine
the independence of the survivors. The value of the Wat
son camera-statistic was equal to 1.855; considering that
its value falls in the range of 1.5 to 2.5, the presump
tion of independence of the survivors was observed. The
normality of the distribution of scores was examined
using the Kolmogorov-Smirnov test, i.e., provided the
normality of the distribution of scores due to the insig
nificance of the obtained values (P<0.05). To investigate
the existence of multiple alignments between the predic
tor variables, tolerance indices and Variance Inflation
Factor (VIF) was used. According to the obtained devia
tion results from the multiple alignments, the assumption

Table 2. The results of regression analysis to predict COVID-19 anxiety based on spiritual intelligence
B
Not
standardized
coefficients
Standardized
coefficients
t P R Modified
R squared
The value
of F P
Standard
error
Beta

Fixed 42.193 1.435 29.408 <0.01 0.630 0.388 42.841 0.01
Critical Existen
tial Thinking -0.187 0.064 -0.174 -2.929 <0.01
Provide personal
meaning -0.378 0.064 -0.359 -5.935 <0.01
Transcendent
consciousness -0.147 0.063 -0.137 -2.341 <0.05
Develop a state
of conscious
ness
-0.192 0.049 -0.194 -3.883 <0.01

Table 3. The results of regression analysis to predict COVID-19 anxiety based on distress tolerance
B
Not standardized
coefficients
Standardized
coefficients
t p R Modified
R squared F P
Standard error Beta

Fixed 38.988 1.318 29.592 <0.01 0.588 0.336 3.4374 0.01
Tolerance -0.357 0.107 -0.221 -3.322 <0.01
Absorption -0.277 0.127 -0.118 -2.182 <0.01
Assessment -0.127 0.051 -0.161 -2.513 <0.01
Regulation -0.541 0.128 -0.260 -4.217 <0.01
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Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
was not observed. The F-value obtained for the regres
sion model equaled 42.841, i.e., significant at P<0.01.
This finding indicated that spiritual intelligence can well
explain the changes related to COVID-19 anxiety, high
lighting the appropriateness of the regression model.
According to
Table 2, the multiple correlation coeffi
cient between the independent variables and the depen
dent variable was equal to 0.630. Moreover, the value of
the adjusted R-square was equal to 0.388, indicating that
spiritual intelligence explained 38.8% of the variance of
COVID-19 anxiety. Based on the obtained results, the
components of spiritual intelligence included critical ex
istential thinking (P<0.01, β=-0.174), personal meaning
presentation (P<0.01, β=-0.359), transcendent aware
ness (P<0.05, β=-0.137), and the development of state of
consciousness (P<0.01, β=-0.194) negatively predicted
COVID-19 anxiety.
The multiple regression analysis was used to predict
COVID-19 anxiety through distress tolerance. The Wat
son camera-statistic was used to examine the indepen
dence of the survivors. The value of the Watson camera
statistic was equal to 1.887; considering that its value
falls in the range of 1.5 to 2.5, the presumption of inde
pendence of the residues was observed. The normality of
the distribution of scores was examined using the Kol
mogorov-Smirnov test, i.e., accepted as the normality of
the distribution of scores due to the insignificance of the
obtained values (P<0.05). To investigate the existence
of multiple alignments between the predictor variables,
tolerance indices, and VIF was used. According to the
obtained deviation results from the multiple alignments,
the assumption was not observed. The F-value obtained
for the regression model equaled 34.437, i.e., significant
at P<0.01. Accordingly, the distress tolerance can well
explain the changes related to COVID-19 anxiety, sug
gesting the appropriateness of the regression model.
According to
Table 3, the multiple correlation coeffi
cient between the independent variables and the depen
dent variable was equal to 0.58. Additionally, the value
of the modified R-square was 0.336, highlighting that
spiritual intelligence explained 33.6% of the variance
of COVID-19 anxiety. Based on the obtained results,
the components of stress tolerance included tolerance
(P<0.01, β=-0.221), absorption (P<0.05, β=-0.118),
evaluation (P<0.05, β=-0.161), and regulation (P<0.01,
β=-0.260) negatively predicted COVID-19 anxiety.

Discussion
This study determined the role of spiritual intelligence
and distress tolerance in predicting COVID-19 anxiety.
There was an inverse and significant correlation between
spiritual intelligence and coronary anxiety, i.e., students
with higher spiritual intelligence expressed less COVID-19
anxiety. The collected results also suggested that the com
ponents of spiritual intelligence, including critical existen
tial thinking, personal meaning presentation, transcendent
awareness, and the development of a state of consciousness
negatively predicted coronary anxiety. The obtained data
were consistent with almost similar results in this field, e.,
the study of Safouraei Parizi et al., addressed a significant
negative relationship between spiritual intelligence and
COVID-19 death anxiety
[18]. Mir Hosseini et al. docu
mented that spiritual health and religious confrontation
can predict death anxiety in patients with COVID-19 and
strengthening the dimensions of spirituality can reduce
anxiety death due to disease in patients with COVID-19

[26]. Furthermore, Fathi et al. revealed that the compo
nents of a health-promoting lifestyle and the components
of spiritual growth and responsibility in health could pre
dict COVID-19 anxiety
[27]. As a result, individuals with
higher spiritual intelligence have higher mental health for
3 reasons. First, religion creates a cohesive belief system
that allows individuals to find meaning in life and hope for
the future. In other words, spiritual beliefs allow subjects
to rationalize the adversities, stresses, and inevitable losses
that occur in life and be optimistic about the future with
peace. Second, attending religious services provides social
support for individuals. Third, spiritual beliefs are often as
sociated with a healthier lifestyle
[28]. Spiritual intelligence
also creates meaning and purpose in life. Individuals with a
sense of meaning and purpose in life better cope with crisis,
and belief in God enables them to experience less psycho
logical distress
[29]. The system of spiritual beliefs also
allows individuals to give meaning to the adversities, psy
chological pressures, and inevitable losses that occur during
the life cycle and remain hopeful and optimistic about the
future without such difficulties
[30]. Also, when a subject
needs the help of a counselor to cope with the stress of life,
spiritual intelligence can help them to find meaning and
concept in stressful situations; consequently, this coping
can be described as an attempt to find meaning in stress
ful situations, like the COVID-19 pandemic
[31]. Thus, the
growth of spiritual intelligence creates a new perspective
on ourselves and boosts self-confidence, and assists us to
reduce our worries and anxieties.
Another finding of the study was an inverse and sig
nificant correlation between distress tolerance and coro
nary anxiety. Thus, students who have higher anxiety
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Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
tolerance encounter less COVID-19 anxiety. Besides,
the components of stress tolerance, including tolerance,
absorption, evaluation, and regulation negatively pre
dicted COVID-19 anxiety. These results were consis
tent with those of previous studies. For example, Salari
et al. explored working women and reported a negative
correlation between anxiety tolerance and COVID-19
anxiety and regression coefficients; distress tolerance
was related to COVID-19 anxiety; regression coef
ficients showed that stress tolerance predicts coronary
anxiety
[32]. In this regard, the results of other studies
suggested that individuals with health anxiety express
less distress tolerance than the healthy population
[13].
As a result, the ability to endure distress enables indi
viduals to relieve their emotions and endure turmoil and
stress in crises. Such conditions lead to the ability to face
problems and solve them. In other words, individuals
with emotional distress cannot control their emotions
well in life-threatening situations (e.g. the coronavirus
crisis) and solve problems, which facilitates exacerbat
ing COVID-19 anxiety
[32]. In other words, individuals
with lower distress tolerance have difficulty regulating
and controlling their emotions when exposed to stress,
because they have less capacity to experience and re
sist emotional distress. Moreover, they are more prone
to resort to maladaptive behaviors and strategies
[33].
Therefore, individuals with high distress tolerance have
a critical analytical mindset about their abilities and cir
cumstances, can find different solutions to a particular
situation or problem, use more appropriate coping strat
egies in stressful situations, and have higher resilience
and flexibility. Therefore, they are more likely to adapt
to different environments
[8]. A limitation of the present
study was its cross-sectional nature; thus, if longitudinal
studies are performed, more accurate results can be ob
tained regarding the role of distress tolerance and spiritu
al intelligence in COVID-19 anxiety. Another limitation
of this study concerned the sample size. Moreover, this
study was conducted on students who were in the age
range of 19 to 22 years, which limits the generalization
of the obtained data to the whole society. As a result, it is
suggested that this study be conducted in other groups,
such as nurses, staff, and housewives, and older people.
Considering the role of spiritual intelligence and distress
tolerance, it is suggested that online training workshops
be held to promote students’ distress tolerance and spiri
tual intelligence. It is also suggested that the role of other
components such as resilience and optimism be studied
in this population.

Conclusion
According to the current research data, by increas
ing the tolerance of distress and spiritual intelligence
and their dimensions, students can reduce COVID-19
anxiety. Therefore, in programs based on reducing CO
VID-19 anxiety, more attention seems to be necessary to
distress tolerance, spiritual intelligence, and its promo
tion in students.

Ethical Considerations
Compliance with ethical guidelines
This research was confirmed by the Research Ethics
Committee of Birjand University of Medical Sciences
(code: IR.BUMS.REC.1399.429).

Funding
The present study received no special grants of financ
ing organizations in public, commercial or non-govern
ment sectors.

Authors' contributions
All authors equally contributed to preparing this article.
Conflict of interest
The authors declared no conflict of interest.
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with health anxiety and normal people (Persian)]. Feyz. 2019;
23(6):689-97.
http://feyz.kaums.ac.ir/article-1-3866-en.html
[14] Bediako SM, Neblett Jr EW. Optimism and per
ceived stress in sickle-cell disease: The role of an afro
cultural social ethos. J Black Psychol. 2011; 37(2):234-53.

[DOI:10.1177/0095798410385681]
[15] Einy S, Hashemi Z. [The role of religious coping, spiritual
intelligence, and spiritual well-being in predicting the per
ceived stress of patients with cancer (Persian)]. Neurosci J
Shefaye Khatam. 2020; 8(3):70-9.
[DOI:10.29252/shefa.8.3.70]
[16] Sareen S. Psychological resilience in relation to emotional
well being and spiritual intelligence among college students.
Res Rev Int J Multidiscip. 2019; 4(6):219-22.
https://rrjour
nals.com/wp-content/uploads/2019/06/219-222_RRI
JM190406046-1.pdf

[17] Pinto CT, Pinto S. From spiritual intelligence to spiritual
care: A transformative approach to holistic practice.Nurse
Educ Pract. 2020; 47:102823.
[DOI:10.1016/j.nepr.2020.102823]
[PMID]

[18] Safouraei Parizi S, Naderi F, Safouraei Pariz MM. [The
moderating role of spiritual intelligence in the relationship
between social support and death anxiety in Covid-19 pa
tients (Persian)]. Islam Psychol Res. 2020; 2(2):137-59.
http://
ri.journals.miu.ac.ir/article_5011.html

[19] Bayrami M, Movahedi Y, Movahedi M. [The role of spir
itual intelligence in perceived stress, anxiety and depression
of Lorestan Medical University Students (Iran) (Persian)]. J
Babol Univ Med Sci. 2014; 16(1):56-62.
http://jbums.org/
article-1-4611-en.html

[20] Mohammadi MJ, Sahebalzamani M, Serajian F,
Aghaineghad AA, Alavi SM, Geravandi S, et al. [Assessment
relationship between spiritual intelligence with anxiety and
life quality of students at Tehran Medical Sciences Branch of
Islamic Azad University (Persian)]. Educ Dev Jundishapur.
2017; 8(2):208-16.
https://edj.ajums.ac.ir/article_79863.html
[21] Krejcie RV, Morgan DW. Determining sample size for
research activities. Educ Psychol Meas. 1970; 30(3):607-10.

[DO:10.1177/001316447003000308]
[22] King DB, King DB. Rethinking claims of spiritual intel
ligence: A definition, model, and measure. Trent Univer
sity. ProQuest; 2008.
https://www.scienceopen.com/
document?vid=d25347f9-077d-4ac2-a401-2c01dad40f73

[23] Raghib MS, Ahmadi SJ, Siyadat SA. [An analysis of the
level of spiritual intelligence of Isfahan University students
and its relationship with demographic characteristics (Per
sian)]. J Educ Psychol Stud. 2008; 5(8):39-56.
[DOI:10.22111/
JEPS.2009.745]

[24] Simons JS, Gaher RM. The Distress Tolerance Scale: Devel
opment and validation of a self-report measure. Motiv Emot.
2005; 29(2):83-102.
[DOI:10.1007/s11031-005-7955-3]
[25] Azizi AR, Mirzaei A, Shams J. [Correlation between dis
tress tolerance and emotional regulation with students smok
ing dependence (Persian)]. Hakim Health Syst Res J. 2010;
13(1):11-8.
http://hakim.hbi.ir/article-1-608-en.html
[26] Mirhosseini SH, Nouhi Sh, Janbozorgi M, Mohajer HA,
Naseryfadafan M. [The role of spiritual health and religious
coping in predicting death anxiety among patients with coro
navirus (Persian)]. Stud Islam Psychol. 2020; 14(26):29-42.

http://islamicpsy.rihu.ac.ir/article_1776_en.html
[27] Fathi A, Sadegi S, Maleki Rad AA, Rostami H, Abdolmo
hamadi K. [Effect of health-promoting lifestyle and psycho
logical well-being on anxiety induced by coronavirus disease
2019 in non-medical students (Persian)]. J Arak Univ Med Sci.
2020; 23(5):698-709.
[DOI:10.32598/JAMS.23.COV.1889.2]
[28] Carr A. Positive psychology: The science of happiness and
human strengths. Hove: Routledge; 2011.
https://books.
google.com/books?id=zbWn6P7r2WwC&dq

[29] Sim TN, Loh BSM. Attachment to God: Measurement and
dynamics. J Soc Pers Relat. 2003; 20(3):373-89.
[DOI:10.1177/0
265407503020003006]

[30] Smucker CJ. Nursing, healing and spirituality. Comple
ment Ther Nurs Midwifery. 1998; 4(4):95-7.
[DOI:10.1016/
S1353-6117(98)80040-1]

[31] Mabe PA, Josephson AM. Child and adolescent psychopa
thology: Spiritual and religious perspectives. Child Adolesc
Psychiatr Clin N Am. 2004; 13(1):111-25.
[DOI:10.1016/S1056-
4993(03)00091-9]
June 2021. Volume 8. Number 2
 
102
Mohammadipour M, et al. Spiritual Intelligence and Distress Tolerance on Coronavirus Anxiety. Health Spiritual Med Ethics J. 2021; 8(2):95-102.
[32] Salari M, Bakraei S, Sharifnejad Nemat Abadi MA, Aliza
deh N, Mohseni F. [Prediction of coronavirus anxiety based
on anxiety tolerance and cognitive emotion regulation in em
ployed women (Persian)]. J Appl Fam Ther. 2021; 1(4):38-52.

[DOI:10.22034/AFTJ.2021.265361.1047]
[33] Bardeen JR, Fergus TA, Orcutt HK. Examining the specific
dimensions of distress tolerance that prospectively predict
perceived stress. Cogn Behav Ther. 2017; 46(3):211-23.
[DOI:
10.1080/16506073.2016.1233454]
June 2021. Volume 8. Number 2

 
Type of Study: Original Article | Subject: Special
Received: 2021/04/20 | Accepted: 2021/08/1 | Published: 2021/08/1

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