Skip to main content


Swipe om te navigeren naar een ander artikel

21-04-2020 | ORIGINAL PAPER | Uitgave 6/2020

Mindfulness 6/2020

Acting with Awareness and Distress Tolerance Relate to PTSD Symptoms Among Women with Substance Use Disorder

Mindfulness > Uitgave 6/2020
Inna Arnaudova, Hortensia Amaro
Belangrijke opmerkingen

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.



Women with a history of trauma exposure and substance use disorder (SUD) are more likely to report co-occurring post-traumatic stress disorder (PTSD) symptoms than the general population. However, cognitive factors such as increased distress tolerance and mindfulness disposition might be especially protective against PTSD symptoms for women with SUD.


We examined the associations of distress tolerance and mindfulness disposition as potential resilience factors to PTSD symptoms in a sample of women receiving residential treatment for SUD (N = 237, MAGE = 32.34, 56.96% Hispanic). PTSD symptoms were divided into the clusters of reexperiencing, avoidance, dysphoria, and arousal.


Regression models revealed that distress tolerance and the mindfulness facet of acting with awareness were negatively and incrementally associated with total, dysphoria, and arousal PTSD symptom severity, while nonreactivity had a significant negative relationship with avoidance PTSD symptoms. Only distress tolerance emerged to be negatively related to PTSD reexperiencing symptom severity.


Our findings show that the ability to tolerate distress, as well as specific mindfulness skills, might protect against specific severe PTSD symptoms among women with SUD. Future research should examine whether targeting both of these facets is necessary for achieving favorable clinical outcomes on PTSD in this population.

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijf je als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen jouw vak. Met het online abonnement heb je toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kun je op je gemak en wanneer het jou het beste uitkomt verdiepen in jouw vakgebied.

Over dit artikel

Andere artikelen Uitgave 6/2020

Mindfulness 6/2020 Naar de uitgave