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Gepubliceerd in: Cognitive Therapy and Research 6/2013

01-12-2013 | Original Article

Discomfort Intolerance and the Acquired Capability for Suicide

Auteurs: Stephanie M. Pennings, Michael D. Anestis

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2013

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Abstract

Research has yet to examine the potential relationship between discomfort intolerance and the acquired capability for suicide. However, a link between numerous constructs related to discomfort intolerance (e.g., DT, pain tolerance) and the acquired capability has been established. Although these constructs are similar to the concept of discomfort intolerance, the operational definitions associated with these variables are divergent enough to merit an investigation pertaining to the relationship between discomfort intolerance and acts of lethal self-harm. Specifically, we chose to determine whether low discomfort intolerance would be associated with elevated levels of the acquired capability for suicide. Results were consistent with the our hypothesis, revealing a significant association between discomfort intolerance and the acquired capability above and beyond the effects of sex, self-reported and behaviorally-indexed DT, pain tolerance, and prior exposure to painful and/or provocative experiences. These findings serve to clarify the role of discomfort intolerance in the acquisition of the capability required to engage in acts of lethal self-harm. Furthermore, these results emphasize the importance of enduring aversive physiological sensations in the development of the acquired capability for suicide.
Literatuur
go back to reference Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011). 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.PubMedCrossRef Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011). 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.PubMedCrossRef
go back to reference Anestis, M. D., Gratz, K. L., Bagge, C. L., & Tull, M. T. (in press). The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment. Comprehensive Psychiatry. Anestis, M. D., Gratz, K. L., Bagge, C. L., & Tull, M. T. (in press). The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment. Comprehensive Psychiatry.
go back to reference Anestis, M. D., & Joiner, T. E. (2012). Behaviorally-indexed distress tolerance and suicidality. Journal of Psychiatric Research, 46(6), 703–707.PubMedCrossRef Anestis, M. D., & Joiner, T. E. (2012). Behaviorally-indexed distress tolerance and suicidality. Journal of Psychiatric Research, 46(6), 703–707.PubMedCrossRef
go back to reference Anestis, M. D., Tull, M. T., Bagge, C. L., & Gratz, K. L. (2012). The moderating role of distress tolerance in the relationship between posttraumatic stress disorder symptom clusters and suicidal behavior among trauma exposed substance users in residential treatment. Archives of Suicide, 16(3), 1–16. Anestis, M. D., Tull, M. T., Bagge, C. L., & Gratz, K. L. (2012). The moderating role of distress tolerance in the relationship between posttraumatic stress disorder symptom clusters and suicidal behavior among trauma exposed substance users in residential treatment. Archives of Suicide, 16(3), 1–16.
go back to reference Asmundson, G. J., Frombach, I. K., & Hadjistavropoulos, H. D. (1998). Anxiety sensitivity: Assessing factor structure and relationship to multidimensional aspects of pain in injured workers. Journal of Occupational Rehabilitation, 8, 223–234.CrossRef Asmundson, G. J., Frombach, I. K., & Hadjistavropoulos, H. D. (1998). Anxiety sensitivity: Assessing factor structure and relationship to multidimensional aspects of pain in injured workers. Journal of Occupational Rehabilitation, 8, 223–234.CrossRef
go back to reference Asmundson, G. J., Norton, G. R., Wilson, K. G., & Sandler, L. S. (1994). Subjective symptoms and cardiac reactivity to brief hyperventilation in individuals with high anxiety sensitivity. Behavior Research and Therapy, 32, 237–241.CrossRef Asmundson, G. J., Norton, G. R., Wilson, K. G., & Sandler, L. S. (1994). Subjective symptoms and cardiac reactivity to brief hyperventilation in individuals with high anxiety sensitivity. Behavior Research and Therapy, 32, 237–241.CrossRef
go back to reference Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. (2011). Impulsivity and suicidality: A test of the mediation role of painful experiences. Journal of Affective Disorders, 129, 301–307.PubMedCrossRef Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. (2011). Impulsivity and suicidality: A test of the mediation role of painful experiences. Journal of Affective Disorders, 129, 301–307.PubMedCrossRef
go back to reference Bernstein, A., Marshall, E. C., & Zvolensky, M. J. (2011). 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, 2(3), 386–399. Bernstein, A., Marshall, E. C., & Zvolensky, M. J. (2011). 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, 2(3), 386–399.
go back to reference Bryan, C. J., Morrow, C. E., Anestis, M. D., & Joiner, T. E. (2010). A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48, 47–50.CrossRef Bryan, C. J., Morrow, C. E., Anestis, M. D., & Joiner, T. E. (2010). A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48, 47–50.CrossRef
go back to reference 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(9), 1957–1963.PubMedCrossRef 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(9), 1957–1963.PubMedCrossRef
go back to reference Capron, D. W., Cougle, J. R., Ribeiro, J. D., Joiner, T. E., & Schmidt, N. B. (2012). An interactive model of anxiety sensitivity relevant to suicide attempt history and future suicidal ideation. Journal of Psychiatric Research, 46(2), 174–180.PubMedCrossRef Capron, D. W., Cougle, J. R., Ribeiro, J. D., Joiner, T. E., & Schmidt, N. B. (2012). An interactive model of anxiety sensitivity relevant to suicide attempt history and future suicidal ideation. Journal of Psychiatric Research, 46(2), 174–180.PubMedCrossRef
go back to reference Cox, B. J., Swinson, R. P., Shulman, I. D., Kuch, K., & Reichman, J. T. (1993). Gender effects and alcohol use in panic disorder with agoraphobia. Behavior Research and Therapy, 31, 413–416.CrossRef Cox, B. J., Swinson, R. P., Shulman, I. D., Kuch, K., & Reichman, J. T. (1993). Gender effects and alcohol use in panic disorder with agoraphobia. Behavior Research and Therapy, 31, 413–416.CrossRef
go back to reference Dombrovski, A. Y., Szanto, K., Siegle, G. J., Wallace, M. L., Forman, S. D., Sahakian, B., et al. (2011). Lethal forethought: Delay reward discounting differentiates high- and low-lethality suicide attempts in old age. Biological Psychiatry, 70, 138–144.PubMedCrossRef Dombrovski, A. Y., Szanto, K., Siegle, G. J., Wallace, M. L., Forman, S. D., Sahakian, B., et al. (2011). Lethal forethought: Delay reward discounting differentiates high- and low-lethality suicide attempts in old age. Biological Psychiatry, 70, 138–144.PubMedCrossRef
go back to reference Ellis, A. (1979). Discomfort anxiety: A new cognitive behavioral construct. Part I. Rational Living, 14, 3–8. Ellis, A. (1979). Discomfort anxiety: A new cognitive behavioral construct. Part I. Rational Living, 14, 3–8.
go back to reference Fink, E., Bodell, L., Smith, A., & Joiner, T. (2012). The joint influence of disordered eating and anxiety sensitivity on the acquired capability for suicide. Cognitive Therapy and Research, 1–7. Fink, E., Bodell, L., Smith, A., & Joiner, T. (2012). The joint influence of disordered eating and anxiety sensitivity on the acquired capability for suicide. Cognitive Therapy and Research, 1–7.
go back to reference Franklin, J. C., Hessel, E. T., & Prinstein, M. J. (2011). Clarifying the role of pain tolerance in suicidal capability. Psychiatry Research, 189(3), 362–367.PubMedCrossRef Franklin, J. C., Hessel, E. T., & Prinstein, M. J. (2011). Clarifying the role of pain tolerance in suicidal capability. Psychiatry Research, 189(3), 362–367.PubMedCrossRef
go back to reference Gordon, K. H., Bender, T. W., & Joiner, T. E. Development of the Life Events Scale (unpublished manuscript). Gordon, K. H., Bender, T. W., & Joiner, T. E. Development of the Life Events Scale (unpublished manuscript).
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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, FL: Psychological Assessment Resources. 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, FL: Psychological Assessment Resources.
go back to reference Howell, A. N., Leyro, T. M., Hogan, J. 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 and alcohol use problems among young adult drinkers. Journal of Addictive Behavior, 35, 1144–1147.CrossRef Howell, A. N., Leyro, T. M., Hogan, J. 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 and alcohol use problems among young adult drinkers. Journal of Addictive Behavior, 35, 1144–1147.CrossRef
go back to reference Hoyert, D. L., & Xu, J. Q. (2012). Deaths: Preliminary data for 2011. National health statistics reports (Vol. 61, No. 6). Hyattsville, MD: National Center for Health Statistics. Hoyert, D. L., & Xu, J. Q. (2012). Deaths: Preliminary data for 2011. National health statistics reports (Vol. 61, No. 6). Hyattsville, MD: National Center for Health Statistics.
go back to reference Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
go back to reference Klages, U. (2004). Pain experience and emotional distress in patients with ankylosing spondylitis: Investigation of a cognitive-behavioral model. Zeitschrift Fur Klinische Psychologie Psychiatrie Und Psychotherapie, 52, 359–373. Klages, U. (2004). Pain experience and emotional distress in patients with ankylosing spondylitis: Investigation of a cognitive-behavioral model. Zeitschrift Fur Klinische Psychologie Psychiatrie Und Psychotherapie, 52, 359–373.
go back to reference McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15, 161–170.PubMedCrossRef McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15, 161–170.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Norton, P. J., & Asmundson, G. J. G. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111, 218–223.PubMedCrossRef Norton, P. J., & Asmundson, G. J. G. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111, 218–223.PubMedCrossRef
go back to reference Özdel, K., Alkar, Ö. Y., Taymur, İ., Türkçapar, M. H., Zamki, E., & Sargin, A. E. (2012). Discomfort intolerance scale: A study of reliability and validity. Journal of Cognitive-Behavioral Psychotherapy and Research, 1(1), 52–58. Özdel, K., Alkar, Ö. Y., Taymur, İ., Türkçapar, M. H., Zamki, E., & Sargin, A. E. (2012). Discomfort intolerance scale: A study of reliability and validity. Journal of Cognitive-Behavioral Psychotherapy and Research, 1(1), 52–58.
go back to reference 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. 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.
go back to reference Schmidt, N. B., & Cook, J. H. (1999). Effects of anxiety sensitivity on anxiety and pain during a cold pressor challenge in patients with panic disorder. Behavior Research and Therapy, 37, 313–323.CrossRef Schmidt, N. B., & Cook, J. H. (1999). Effects of anxiety sensitivity on anxiety and pain during a cold pressor challenge in patients with panic disorder. Behavior Research and Therapy, 37, 313–323.CrossRef
go back to reference Schmidt, N. B., Richey, J. A., Cromer, K. R., & Buckner, J. D. (2007). Discomfort intolerance: Evaluation of a potential risk factor for anxiety. Behavior Therapy, 38(3), 247–255.PubMedCrossRef Schmidt, N. B., Richey, J. A., Cromer, K. R., & Buckner, J. D. (2007). Discomfort intolerance: Evaluation of a potential risk factor for anxiety. Behavior Therapy, 38(3), 247–255.PubMedCrossRef
go back to reference 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(3), 263–280.PubMedCrossRef 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(3), 263–280.PubMedCrossRef
go back to reference Schmidt, N. B., & Telch, M. J. (1997). Non-psychiatric medical comorbidity, health perceptions and treatment outcomes in patients with panic disorder. Health Psychology, 16, 114–122.PubMedCrossRef Schmidt, N. B., & Telch, M. J. (1997). Non-psychiatric medical comorbidity, health perceptions and treatment outcomes in patients with panic disorder. Health Psychology, 16, 114–122.PubMedCrossRef
go back to reference Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102.CrossRef Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102.CrossRef
go back to reference Smith, A. R., Ribeiro, J. D., Mikolajewski, A., Taylor, J., Joiner, T. E., & Iacono, W. G. (2012). An examination of environmental and genetic contributions to the determinants of suicidal behavior among male twins. Psychiatry Research, 197, 60–65.PubMedCrossRef Smith, A. R., Ribeiro, J. D., Mikolajewski, A., Taylor, J., Joiner, T. E., & Iacono, W. G. (2012). An examination of environmental and genetic contributions to the determinants of suicidal behavior among male twins. Psychiatry Research, 197, 60–65.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Varni, J. W., Rapoff, M. A., Waldron, S. A., Gragg, R. A., Bernstein, B. H., & Lindsley, C. B. (1996). Chronic pain and emotional distress in children and adolescents. Journal of Developmental and Behavioral Pediatrics, 17, 154–161.PubMedCrossRef Varni, J. W., Rapoff, M. A., Waldron, S. A., Gragg, R. A., Bernstein, B. H., & Lindsley, C. B. (1996). Chronic pain and emotional distress in children and adolescents. Journal of Developmental and Behavioral Pediatrics, 17, 154–161.PubMedCrossRef
go back to reference Witte, T. K., Gordon, K. H., Smith, P. N., & Van Orden, K. A. (2012). Stoicism and sensation seeking: Male vulnerabilities for the acquired capability for suicide. Journal of Research in Personality, 46(4), 384–392.PubMedCrossRef Witte, T. K., Gordon, K. H., Smith, P. N., & Van Orden, K. A. (2012). Stoicism and sensation seeking: Male vulnerabilities for the acquired capability for suicide. Journal of Research in Personality, 46(4), 384–392.PubMedCrossRef
go back to reference Zvolensky, M. J., Feldner, M. T., Eifert, G. H., & Brown, R. A. (2001). Affective style among smokers: Understanding anxiety sensitivity, emotional reactivity and distress tolerance using biological challenge. Addictive Behaviors, 26, 901–915.PubMedCrossRef Zvolensky, M. J., Feldner, M. T., Eifert, G. H., & Brown, R. A. (2001). Affective style among smokers: Understanding anxiety sensitivity, emotional reactivity and distress tolerance using biological challenge. Addictive Behaviors, 26, 901–915.PubMedCrossRef
Metagegevens
Titel
Discomfort Intolerance and the Acquired Capability for Suicide
Auteurs
Stephanie M. Pennings
Michael D. Anestis
Publicatiedatum
01-12-2013
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-013-9548-x

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