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Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors

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Abstract

Prior studies have utilized a variety of self-report and behavioral measures of distress tolerance to predict dysregulated behaviors and other problematic outcomes. However, few studies have examined the concurrent associations among these various measures, which may be assessing distinct constructs. The purpose of the present study was to evaluate the concurrent utility of several self-report and behavioral distress tolerance measures in predicting two clinically-relevant outcomes: bulimic symptoms and general impulsive behaviors. Results of hierarchical multiple regression analyses revealed that whereas only self-reported emotional distress tolerance was significantly associated with bulimic symptom severity, self-reported emotional and physical distress tolerance, as well as a behavioral measure of psychological distress tolerance, were significantly associated with impulsive behaviors in general. These findings highlight the need for further explication of the conceptualization and operationalization of the distress tolerance construct, as well as research examining the convergent and discriminant validity of various distress tolerance assessments.

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References

  • Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011a). Clarifying the role of emotion dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample. Journal of Psychiatric Research, 45, 603–611.

    Article  PubMed  Google Scholar 

  • Anestis, M. D., Bender, T. W., Selby, E. A., Ribeiro, J. S., & Joiner, T. E. (2011b). Sex and emotion in the acquired capability for suicide. Archives of Suicide Research, 15, 172–182.

    Article  PubMed  Google Scholar 

  • Anestis, M. D., Selby, E. A., Fink, E., & Joiner, T. E. (2007). The multifaceted role of distress tolerance in dysregulated eating behaviors. International Journal of Eating Disorders, 40, 718–726.

    Article  PubMed  Google Scholar 

  • Anestis, M. D., Smith, A. R., Fink, E. L., & Joiner, T. E. (2009). Dysregulated eating and distress: Examining the specific role of negative urgency in a clinical sample. Cognitive Therapy and Research, 33, 390–397.

    Article  Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the beck depression inventory twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. Impulsivity and suicidality: A test of the mediation role of painful experiences. Journal of Affective Disorders. (in press).

  • Bernstein, A., Marshall-Berenz, E. C., & Zvolensky, M. J. Multi-method evaluation of distress tolerance measures and construct(s): Concurrent relations to mood and anxiety psychopathology and quality of life. Journal of Experimental Psychopathology. (in press).

  • Bornovalova, M. A., Gratz, K. L., Daughters, S. B., Nick, B., Delany-Brumsey, A., Lynch, T. W., 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.

    Article  PubMed  Google Scholar 

  • Brown, R. A., Lejuez, C. W., Kahler, C. W., & Strong, D. R. (2002). Distress tolerance and duration of past smoking cessation attempts. Journal of Abnormal Psychology, 112, 448–456.

    Google Scholar 

  • Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005). Distress tolerance and early smoking lapse. Clinical Psychology Review, 25, 713–733.

    Article  PubMed  Google Scholar 

  • Buckner, J. D., Keough, M. E., & Schmidt, N. B. (2007). Problematic alcohol and cannabis use among young adults: The roles of depression and discomfort and distress tolerance. Addictive Behaviors, 32, 1957–1963.

    Article  PubMed  Google Scholar 

  • Corstorphine, E., Mountford, V., Tomlinson, S., Waller, G., & Meyer, C. (2007). Distress tolerance in the eating disorders. Eating Behaviors, 8, 91–97.

    Article  PubMed  Google Scholar 

  • Daughters, S. B., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005a). Psychological distress tolerance and duration of most recent abstinence attempt among residential treatment seeking substance abusers. Psychology of Addictive Behaviors, 19, 208–211.

    Article  PubMed  Google Scholar 

  • Daughters, S. B., Lejuez, C. W., Strong, D. R., Brown, R. A., Breen, R. B., & Lesieur, H. R. (2005b). The relationship among negative affect, distress tolerance, and length of gambling abstinence attempt. Journal of Gambling Studies, 21, 363–378.

    Article  PubMed  Google 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.

    Article  PubMed  Google Scholar 

  • Espelage, D. L., Mazzeo, S. E., Aggen, S. H., Quittner, A. L., Sherman, R., & Thompson, R. (2003). Examining the construct validity of the eating disorder inventory. Psychological Assessment, 15, 71–80.

    Article  PubMed  Google Scholar 

  • Garner, D. M., Olmstead, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.

    Article  PubMed  CAS  Google Scholar 

  • Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorders inventory for anorexia and bulimia. International Journal of Eating Disorders, 2, 15–34.

    Article  Google Scholar 

  • Gordon, K. H., Bender, T. W., & Joiner, T. E. Development of the Life Events Scale (unpublished manuscript).

  • Grant, D. A., & Berg, E. A. (1948). A behavioral analysis of degree of impairment and ease of shifting to new responses in a Weigl-type card sorting problem. Journal of Experimental Psychology, 39, 404–411.

    Article  Google Scholar 

  • Gratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. An experimental investigation of emotional willingness and physical pain tolerance in deliberate self-harm: The moderating role of interpersonal distress. Comprehensive Psychiatry. (in press).

  • Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006). An experimental investigation of emotion dysregulation in borderline personality disorder. Journal of Abnormal Psychology, 115, 850–855.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44, 1–25.

    Article  PubMed  Google Scholar 

  • Heaton, R. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtis, G. (1993). Wisconsin card sort test (WCST) manual revised and expanded. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Howell, A. N., Leyro, T. M., Hogan, J., Buckner, J. D., & Zvolensky, M. J. (2010). Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use problems among young adult drinkers. Addictive Behaviors, 35, 1144–1147.

    Article  PubMed  Google Scholar 

  • Huang, K., Szabo, M., & Han, J. (2009). The relationship of low distress tolerance to excessive worrying and cognitive avoidance. Behaviour Change, 4, 223–234.

    Article  Google Scholar 

  • Kutz, A., Marshall, E., Berstein, A., & Zvolensky, M. J. (2010). Evaluating emotional sensitivity and tolerance factors in relevant responding to a biological challenge. Journal of Anxiety Disorders, 24, 16–22.

    Article  PubMed  Google Scholar 

  • Lejuez, C. W., Kahler, C. W., & Brown, R. A. (2003). A modified computer version of the paced auditory serial addition task (PASAT) as a laboratory-based stressor. The Behavior Therapist, 26, 290–293.

    Google Scholar 

  • Leyro, T. M., Zvolesnky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136, 576–600.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • MacPherson, L., Stipelman, B. A., Duplinsky, M., Brown, R. A., & Lejuez, C. W. (2008). Distress tolerance and pre-smoking treatment attrition: Examination of moderating relationships. Addictive Behaviors, 33, 1385–1393.

    Article  PubMed  Google Scholar 

  • Marshall-Berenz, E. C., Vujanovic, A. A., Bonn-Miller, M. O., Bernstein, A., & Zvolensky, M. J. (2010). Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample. Journal of Traumatic Stress, 23, 623–630.

    Article  PubMed  Google Scholar 

  • McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M.,& Otto, M. W. (2011). Shared variance among self-report and behavioral measures of distress intolerance. Cognitive Therapy and Research, 35, 266–275.

    Article  Google Scholar 

  • Merskey, H., & Spear, F. G. (1964). The reliability of the pressure algometer. British Journal of Social and Clinical Psychology, 3, 130–136.

    Article  Google Scholar 

  • Murray, F. S., & Hagan, B. C. (1973). Pain threshold and tolerance of hands and feet. Journal of Comparative and Physiological Psychology, 84, 639–643.

    Article  PubMed  CAS  Google Scholar 

  • Nock, M. K., & Mendes, W. B. (2008). Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. Journal of Consulting and Clinical Psychology, 76, 28–38.

    Article  PubMed  Google Scholar 

  • Perkins, K. A., Karelitz, J. L., Giedgowd, G. E., Conklin, C. A., & Sayette, M. A. (2010). Differences in mood-induced smoking reinforcement due to distress tolerance, anxiety sensitivity, and depression history. Psychopharmacology, 210, 25–34.

    Article  PubMed  CAS  Google Scholar 

  • Quinn, E. P., Brandon, T. H., & Copeland, A. L. (1996). Is task persistence relate to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors. Experimental and Clinical Psychopharmacology, 4, 186–190.

    Article  Google Scholar 

  • Reeves, J. L., Jaeger, B., & Graff-Radford, S. B. (1986). Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain, 24, 313–321.

    Article  PubMed  CAS  Google Scholar 

  • Rosotto, E., Yager, J., & Rorty, M. (1998). The impulsive behavior scale: In J. Vanderlinden & W. Vandereycken (Eds.), Trauma, dissociation, and impulsive dyscontrol in eating disorders. Brunner/Mazel.

  • Schmidt, N. B., Richey, J. A., Cromer, K. R., & Buckner, J. D. (2007). Discomfort intolerance: An evaluation of a potential risk factor for anxiety psychopathology. Behavior Therapy, 38, 247–255.

    Article  PubMed  Google Scholar 

  • Schmidt, N. B., Richey, J. A., & Fitzpatrick, K. K. (2006). Discomfort intolerance: Development of a construct and measure relevant to panic disorder. Journal of Anxiety Disorders, 20, 263–280. doi:10.1016/j.janxdis.2005.02.002.

    Article  PubMed  Google Scholar 

  • Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83–102.

    Article  Google Scholar 

  • Strong, D. R., Lejuez, C. W., Daughters, S. B., Marinello, M., Kahler, C. W., & Brown, R. A. (2003). Computerized mirror tracing task version 1.

  • Trafton, J. A., & Gifford, E. V. (2010). Biological bases of distress tolerance. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance. New York: Guilford Press.

    Google Scholar 

  • Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76, 72–83.

    Article  PubMed  Google Scholar 

  • Wiser, S., & Telch, C. F. (1999). Dialectical behavior therapy for binge-eating disorder. Journal of Clinical Psychology, 55, 755–768.

    Article  PubMed  CAS  Google Scholar 

  • Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn-Miller, M. O. (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 and Clinical Psychopharmacology, 17, 31–42.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Florida State University, Tallahassee, FL, USA

    Michael D. Anestis & Thomas E. Joiner

  2. University of Mississippi Medical Center, Jackson, MS, USA

    Michael D. Anestis, Jason M. Lavender, Erin C. Marshall-Berenz, Kim L. Gratz & Matthew T. Tull

  3. University at Albany, State University of New York, Albany, NY, USA

    Jason M. Lavender

  4. University of Vermont, Burlington, VT, USA

    Erin C. Marshall-Berenz

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  1. Michael D. Anestis
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  2. Jason M. Lavender
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  3. Erin C. Marshall-Berenz
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  4. Kim L. Gratz
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  5. Matthew T. Tull
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  6. Thomas E. Joiner
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Correspondence to Michael D. Anestis.

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Anestis, M.D., Lavender, J.M., Marshall-Berenz, E.C. et al. Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors. Cogn Ther Res 36, 593–602 (2012). https://doi.org/10.1007/s10608-011-9377-8

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