Domain-general and Domain-specific Strategies for the Assessment of Distress Intolerance

Overview

Journal Psychol Addict Behav

Publisher American Psychological Association

Specialties Psychiatry
Psychology

Date 2011 Aug 10

PMID 21823763

Citations 38

Authors

R Kathryn McHugh

Michael W Otto

Affiliations

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Abstract

Recent research has provided evidence that distress intolerance-the perceived inability to tolerate distressing states-varies based on the domain of distress (e.g., pain, anxiety). Although domain-specific assessment strategies may provide information targeted to specific disorders or maladaptive behaviors, domain-general measures have the potential to facilitate comparisons across studies, disorders, and populations. The current study evaluated the utilization of self-report measures of distress intolerance as domain-general measures by examining their association with indices of behavioral avoidance and substance craving. Two groups of participants (N = 55) were recruited including a substance-dependent group and a comparison group equated based on the presence of an affective disorder. Results provided support for the validity of domain-general measures for assessing distress intolerance across varied domains. The importance of both domain-general and domain-specific measurement of distress intolerance is discussed.

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References

Brandon T, Herzog T, Juliano L, Irvin J, Lazev A, Simmons V . Pretreatment task persistence predicts smoking cessation outcome. J Abnorm Psychol. 2003; 112(3):448-56. DOI: 10.1037/0021-843x.112.3.448. View

Daughters S, Lejuez C, Bornovalova M, Kahler C, Strong D, Brown R . Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. J Abnorm Psychol. 2005; 114(4):729-34. DOI: 10.1037/0021-843X.114.4.729. View

Sirota A, Rohsenow D, Mackinnon S, Martin R, Eaton C, Kaplan G . Intolerance for Smoking Abstinence Questionnaire: psychometric properties and relationship to tobacco dependence and abstinence. Addict Behav. 2010; 35(7):686-93. PMC: 3746812. DOI: 10.1016/j.addbeh.2010.02.014. View

Buckner J, Keough M, Schmidt N . Problematic alcohol and cannabis use among young adults: the roles of depression and discomfort and distress tolerance. Addict Behav. 2007; 32(9):1957-63. PMC: 1986746. DOI: 10.1016/j.addbeh.2006.12.019. View

Leyro T, Zvolensky M, Bernstein A . Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychol Bull. 2010; 136(4):576-600. PMC: 2891552. DOI: 10.1037/a0019712. View

Daughters S, Sargeant M, Bornovalova M, Gratz K, Lejuez C . The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users. J Pers Disord. 2008; 22(5):509-24. PMC: 4523142. DOI: 10.1521/pedi.2008.22.5.509. View

Brown R, Lejuez C, Kahler C, Strong D . Distress tolerance and duration of past smoking cessation attempts. J Abnorm Psychol. 2002; 111(1):180-5. View

Schmidt N, Richey J, Cromer K, Buckner J . Discomfort intolerance: evaluation of a potential risk factor for anxiety psychopathology. Behav Ther. 2007; 38(3):247-55. DOI: 10.1016/j.beth.2006.08.004. View

Zvolensky M, Feldner M, Eifert G, BROWN R . Affective style among smokers: understanding anxiety sensitivity, emotional reactivity, and distress tolerance using biological challenge. Addict Behav. 2002; 26(6):901-15. DOI: 10.1016/s0306-4603(01)00242-8. View

10.

McHugh R, Murray H, Barlow D . Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: The promise of transdiagnostic interventions. Behav Res Ther. 2009; 47(11):946-53. PMC: 2784019. DOI: 10.1016/j.brat.2009.07.005. View

11.

McHugh R, Otto M . Refining the measurement of distress intolerance. Behav Ther. 2012; 43(3):641-51. PMC: 3483633. DOI: 10.1016/j.beth.2011.12.001. View

12.

Zvolensky M, Marshall E, Johnson K, Hogan J, Bernstein A, Bonn-Miller M . Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Exp Clin Psychopharmacol. 2009; 17(1):31-42. PMC: 3215396. DOI: 10.1037/a0014961. View

13.

Bonn-Miller M, Zvolensky M, Bernstein A . Discomfort intolerance: evaluation of incremental validity for panic-relevant symptoms using 10% carbon dioxide-enriched air provocation. J Anxiety Disord. 2008; 23(2):197-203. PMC: 2655116. DOI: 10.1016/j.janxdis.2008.06.007. View

14.

Schmidt N, Richey J, Fitzpatrick K . Discomfort intolerance: Development of a construct and measure relevant to panic disorder. J Anxiety Disord. 2006; 20(3):263-80. DOI: 10.1016/j.janxdis.2005.02.002. View

15.

Zvolensky M, Vujanovic A, Bernstein A, Bonn-Miller M, Marshall E, Leyro T . Marijuana use motives: A confirmatory test and evaluation among young adult marijuana users. Addict Behav. 2007; 32(12):3122-30. PMC: 2213904. DOI: 10.1016/j.addbeh.2007.06.010. View

16.

Brown R, Lejuez C, Kahler C, Strong D, Zvolensky M . Distress tolerance and early smoking lapse. Clin Psychol Rev. 2005; 25(6):713-33. PMC: 1839854. DOI: 10.1016/j.cpr.2005.05.003. View

17.

Nock M, Mendes W . Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. J Consult Clin Psychol. 2008; 76(1):28-38. DOI: 10.1037/0022-006X.76.1.28. View

18.

McHugh R, Daughters S, Lejuez C, Murray H, Hearon B, Gorka S . Shared Variance among Self-Report and Behavioral Measures of Distress Intolerance. Cognit Ther Res. 2013; 35(3):266-275. PMC: 3721199. DOI: 10.1007/s10608-010-9295-1. View

19.

Corstorphine E, Mountford V, Tomlinson S, Waller G, Meyer C . Distress tolerance in the eating disorders. Eat Behav. 2006; 8(1):91-7. DOI: 10.1016/j.eatbeh.2006.02.003. View

20.

OCleirigh C, Ironson G, Smits J . Does distress tolerance moderate the impact of major life events on psychosocial variables and behaviors important in the management of HIV?. Behav Ther. 2007; 38(3):314-23. PMC: 2567911. DOI: 10.1016/j.beth.2006.11.001. View