A Variable-Centered and Person-Centered Evaluation of Emotion Regulation and Distress Tolerance: Links to Emotional and Behavioral Concerns
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Distress tolerance and emotion regulation deficits are associated with many emotional and behavioral concerns and may be important deficit areas for college students especially during the transition to college. However, little is known about how distress tolerance and emotion regulation relate to each other or what typical profiles of these deficit areas might be. We took a variable-centered (i.e., exploratory factor analysis) and a person-centered approach (i.e., latent profile analysis) to identify the overlap and distinctiveness of distress tolerance and emotion regulation deficits and then evaluated how the profiles related to several emotional and behavioral concerns. Participants were undergraduates (N = 627; age M = 20.23, SD = 1.40; 60 % female; 47 % European-American) who completed an online assessment. The exploratory factor analysis of distress tolerance and emotion regulation subscales demonstrated three factors with one factor corresponding to distress tolerance and two factors defined by emotion regulation. Subscales demonstrated significant multidimensionality across the factors. The latent profile analysis with distress tolerance and emotion regulation subscales produced three profiles corresponding to “Functional”, “At Risk”, and “Challenged” levels of distress tolerance and emotion regulation abilities. Internalizing symptoms (i.e., depressive symptoms, anxiety symptoms, and suicidal ideation) had significantly higher symptom severity in the “At Risk”, and “Challenged” profiles than in the “Functional” profile. ADHD symptoms and hostility showed a similar pattern. Conduct problems and substance use were much less related to the deficit profiles. Implications for the etiology of mental health, for prevention and treatment of college students are discussed.
KeywordsDistress tolerance Emotion regulation Substance use Internalizing symptoms Externalizing symptoms Latent profile analyses Exploratory factor analysis College students
KVE conceived of the study design, coordination, statistical analyses, interpretation, or data, drafted manuscript. PW drafted the introduction of the manuscript. KF participated in the design, supervised data collection, and helped to draft the manuscript. All authors read and approved the final manuscript.
This work did not provide funding from any source; thus, the authors have no funding sources to declare.
Conflict of interest
The authors report no conflict of interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants who provided data in the study.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: APA.Google Scholar
- Bardeen, J. R., Tull, M. T., Dixon-Gordon, K. L., Stevens, E. N., & Gratz, K. L. (2015). Attentional control as a moderator of the relationship between difficulties accessing effective emotion regulation strategies and distress tolerance. Journal of Psychopathology and Behavioral Assessment, 37, 79–84.CrossRefGoogle Scholar
- Barkley, R. A., & Murphy, K. R. (2006). Attention-deficit hyperactivity disorder: A clinical workbook (3rd ed.). NY: Guilford.Google Scholar
- Bornovalova, M., Gratz, K. L., Daughters, S., Nick, B., Delany-Brumsey, A., et al. (2008). A multimodal assessment of the relationship between emotion dysregulation and borderline personality disorder among inner-city substance users in residential treatment. Journal of Psychiatric Research, 42, 717–726.CrossRefPubMedGoogle Scholar
- Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis in the behavioral sciences (3rd ed.). Mahwah, NJ: Erlbaum.Google Scholar
- Cunningham, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013). Time doesn’t change everything: The longitudinal course of distress tolerance and its relationship with externalizing and internalizing symptoms during early adolescence. Journal of Abnormal Child Psychology, 41, 735–748.CrossRefGoogle Scholar
- Daughters, S. B., Sargeant, M. N., Bornovalova, M. A., Gratz, K. L., & Lejuez, C. W. (2008). The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users. Journal of Personality Disorders, 22, 509–524.CrossRefPubMedPubMedCentralGoogle Scholar
- Derogatis, L. R., & Coons, H. L. (1993). Self-report measures of stress. In S. Breznitz & L. Goldberger (Eds.), Handbook of stress: Theoretical and clinical aspects (2nd ed., pp. 200–233). New York, NY: Free Press.Google Scholar
- Elliott, D., Huizinga, D., & Ageton, S. (1985). Explaining delinquency and drug use. CA: Sage.Google Scholar
- Farrington, D. P., Loeber, R., Stouthamer-Loeber, M., Van Kammen, W. B., & Schmidt, L. (1996). Self-reported delinquency and a combined delinquency seriousness scale based on boys, mothers, and teachers: Concurrent and predictive validity for African-Americans and Caucasians. Criminology, 34, 493–517.CrossRefGoogle Scholar
- Gross, J. J., & Thompson, R. A. (2010). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 135–158). New York, NY: Guilford Press.Google Scholar
- Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford Press.Google Scholar
- McRae, K., Gross, J. J., Weber, J., Robertson, E. R., Sokol-Hessner, P., Ray, R. D., et al. (2012). The development of emotion regulation: An fMRI study of cognitive reappraisal in children, adolescents and young adults. Social Cognitive and Affective Neuroscience, 7, 11–22.CrossRefPubMedPubMedCentralGoogle Scholar
- Muthén, L., & Muthén, B. (1998–2015). Mplus user’s guide. Version 7. Los Angeles, CA: Muthén & Muthén.Google Scholar
- Pardini, D., Obradović, J., & Loeber, R. (2006). Interpersonal callousness, hyperactivity/impulsivity, inattention, and conduct problems as precursors to delinquency persistence in boys: A comparison of three grade-based cohorts. Journal of Clinical Child & Adolescent Psychology, 35, 46–59.CrossRefGoogle Scholar
- Wolitzky-Taylor, K., Guillot, C. R., Pang, R. D., Kirkpatrick, M. G., Zvolensky, M. J., Buckner, J. D., et al. (2015). Examination of anxiety sensitivity and distress tolerance as transdiagnostic mechanisms linking multiple anxiety pathologies to alcohol use problems in adolescents. Alcoholism, Clinical and Experimental Research, 39, 532–539.CrossRefPubMedPubMedCentralGoogle Scholar
- Young, S. E., Friedman, N. P., Miyake, A., Willcutt, E. G., Corley, R. P., Haberstick, B. C., et al. (2009). Behavioral disinhibition: Liability for externalizing spectrum disorders and its genetic and environmental relation to response inhibition across adolescence. Journal of Abnormal Psychology, 118, 117–130.CrossRefPubMedPubMedCentralGoogle Scholar
- Yu, C. Y., & Muthén, B. (2002). Evaluation of model fit indices for latent variable models with categorical and continuous outcomes (Technical Report). LA: University of California at LA, Graduate School of Education and Information Studies.Google Scholar
- Zvolensky, M. J., Marshall, E. C., Johnson, K., et al. (2009). Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Experimental Clinical Psychopharmacology, 17, 31–42.CrossRefPubMedPubMedCentralGoogle Scholar