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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 4/2016

20-04-2016

Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

Auteurs: Joseph R. Cohen, Carla Kmett Danielson, Zachary W. Adams, Kenneth J. Ruggiero

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2016

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Abstract

The purpose of the multi-measure, multi-wave, longitudinal study was to examine the interactive relation between behavioral distress tolerance (DT) and perceived social support (PSS) in 352 tornado-exposed adolescents aged 12–17 years (M = 14.44; SD = 1.74). At baseline, adolescents completed a computer-based task for DT, and self-report measures of PSS, depressed mood, posttraumatic stress disorder (PTSD), substance use, and interpersonal conflict. Symptoms also were assessed 4 and 12 months after baseline. Findings showed that lower levels of DT together with lower levels of PSS conferred risk for elevated symptoms of prospective depression (t(262) = −2.04, p = .04; reffect size = 0.13) and PTSD (t(195) = −2.08, p = .04; reffect size = 0.15) following a tornado. However, only PSS was significant in substance use t(139) = 2.20, p = .03; reffect size=0.18) and conflict (t(138) = −4.05, p < .0001; reffect size=0.33) in our sample. Implications regarding adolescent DT, the transdiagnostic nature of PSS, and the clinical applications of our findings in the aftermath of a natural disaster are discussed.
Voetnoten
1
Only 2.1 % of all adolescents contacted were ruled out due to Internet access, suggesting that our inclusion criteria did not have an adverse impact on the generalizability of our results.
 
2
Due to budgetary reasons, only 60 % of the original sample was randomly selected to complete the Conflict Behavior Questionnaire (CBQ).
 
3
Participants who completed the DT task were compared to those who did not across all study variables. No significant differences were found across constructs (p > .20).
 
4
To provide a more stringent test of our findings, all prospective analyses were rerun with the intercept recentered to 0 at Time 2 and subsequently Time 3. Our pattern of findings remained identical across analyses providing further support that significance was maintained across the duration of the study.
 
5
Contact the first author for specific estimates for these analyses.
 
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Metagegevens
Titel
Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster
Auteurs
Joseph R. Cohen
Carla Kmett Danielson
Zachary W. Adams
Kenneth J. Ruggiero
Publicatiedatum
20-04-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2016
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-016-9545-y

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