Their mean age was 22.57 years, and the minimum age of the participants was 18 years and maximum age was 32 years. Among the participants, 223 people (57.5%) were male and 165(42.5%) were female. Then questionnaires were distributed randomly among these students. In every college, several classes have been randomly selected proportional to their students in each of the educational levels of that faculty.

In this research, multi-stage cluster sampling was used in a way that four colleges of Medical, Nursing, Midwifery, and Rehabilitation and Health were randomly selected among the faculties of Iran University of Medical Sciences. This study is a descriptive correlation study, and the statistical population is comprised of all Iranian medical students studying in 2014-15 academic year. Therefore, this study is trying to diagnose cognitive, metacognitive and meta-excitement components related to emotional distress. The present study attempted to identify emotional regulation problems and emotional distress in order to provide the basis for the use of appropriate therapies and techniques to increase the effectiveness of therapeutic interventions, prevent recurrence of disorder, resistance in treatment, and failure in the therapeutic relationship.

Research has been conducted on the importance of excitement in paving the path, continuity, resistance in treatment, quality of therapeutic relationship, and the type of selective interventions. Therefore, it necessarily does not include immediate reduction of negative emotions. On the contrary, others emphasize the functional nature of excitement on excitement regulation and mention that the emotional regulation is not synonymous with emotional control. Some conceptualizations about the excitement regulation emphasize on control of emotional experiences, in particular, pretending to control negative emotions, and also the reduction of emotional excitement. The ability to regulate excitements is an important growth task to maintain the inner balance of individuals, adaptive communication, and promoting mental health.

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