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01-06-2011 | Original Article

Shared Variance Among Self-Report and Behavioral Measures of Distress Intolerance

Auteurs: R. Kathryn McHugh, Stacey B. Daughters, Carl W. Lejuez, Heather W. Murray, Bridget A. Hearon, Stephanie M. Gorka, Michael W. Otto

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2011

Abstract

Distress intolerance may be an important individual difference variable in understanding maladaptive coping responses across diagnostic categories. However, the measurement of distress intolerance remains inconsistent across studies and little evidence for convergent validity among existing measures is available. This study evaluated the overlap among self-report and behavioral measures of distress intolerance in four samples, including an unselected sample, a sample of patients with drug dependence, and two samples of cigarette smokers. Results suggested that the self-report measures were highly correlated, as were the behavioral measures; however, behavioral and self-report measures did not exhibit significant associations with each other. There was some evidence of domain specificity, with anxiety sensitivity demonstrating strong associations with somatic distress intolerance, and a lack of association between behavioral measures that elicit affective distress and those that elicit somatic distress. These findings highlight a potential divergence in the literature relative to the conceptualization of distress intolerance as either sensitivity to distress or as the inability to persist at a task when distressed. Further research is needed to elucidate the conceptualization and measurement of distress intolerance to facilitate future clinical and research applications of this construct.

vorige artikel Rumination in Clinical Depression: A Type of Emotional Suppression?

volgende artikel Reappraisal and Rumination During Recall of a Sad Memory

The correlations presented in this study represent secondary analyses of datasets from four studies. The sample descriptive statistics have been reported elsewhere; however, these particular correlational analyses have not been reported in previous studies.

Due to the collection of salivary cortisol in this study, individuals with hormonal dysfunction or currently using steroidal medications were excluded from the study.

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

Barlow, D. H., Allen, L. B., & Choate, M. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230.CrossRef

Brandon, T. H., Herzog, T. A., Juliano, L. M., Irvin, J. E., Lazev, A. B., & Simmons, V. N. (2003). Pretreatment task persistence predicts smoking cessation outcome. Journal of Abnormal Psychology, 112, 448–456.PubMedCrossRef

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, 111, 180–185.PubMedCrossRef

Brown, R. A., Palm, K. M., Strong, D. R., Lejuez, C. W., Kahler, C. W., Zvolensky, M. J., et al. (2008). Distress tolerance treatment for early-lapse smokers: Rationale, program description, and preliminary findings. Behavior Modification, 32, 302–332.PubMedCrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

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

Daughters, S. B., Lejuez, C. W., Bornovalova, M. A., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005a). Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. Journal of Abnormal Psychology, 114, 729–734.PubMedCrossRef

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

Daughters, S. B., Reynolds, E. K., MacPherson, L., Kahler, C. W., Danielson, C. K., Zvolensky, M., et al. (2009). Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity. Behaviour Research and Therapy, 47, 198–205.PubMedCrossRef

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.PubMedCrossRef

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.CrossRef

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.PubMedCrossRef

Hajek, P. (1991). Individual differences in difficulty quitting smoking. British Journal of Addiction, 86, 555–558.PubMedCrossRef

Harrington, N. (2005). The frustration discomfort scale: Development and psychometric properties. Clinical Psychology and Psychotherapy, 12, 374–387.CrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. Psychological Record, 54, 553–578.

Kreek, M. J., & Koob, G. (1998). Drug dependence: Stress and dysregulation of brain reward pathways. Drug and Alcohol Dependence, 51, 1149–1159.CrossRef

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. Behavior Therapy, 26, 290–293.

Lejuez, C. W., Paulson, A., Daughters, S. B., Bornovalova, M. A., & Zvolensky, M. J. (2006). The association between heroin use and anxiety sensitivity among inner-city individuals in residential drug use treatment. Behaviour Research and Therapy, 44, 667–677.PubMedCrossRef

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

McHugh, R. K., Behar, E., Geem, D., Gutner, C. A., & Otto, M. W. (in press). Cortisol, stress, and attentional bias toward threat. Anxiety, Stress, and Coping.

McHugh, R. K., Murray, H. W., Hearon, B. A., & Otto, M. W. (2009). Attentional bias and craving in smokers: The impact of an attentional training manipulation. Unpublished manuscript.

Otto, M. W., Powers, M. B., & Fischmann, D. (2005). Emotional exposure in the treatment of substance use disorders: Conceptual model, evidence, and future directions. Clinical Psychology Review, 25, 824–839.PubMedCrossRef

Peterson, R. A., & Reiss, S. (1992). Anxiety sensitivity index revised manual. Worthington, OH: International Diagnostic Systems Publishing Corportation.

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

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the predictions of fearfulness. Behaviour Research and Therapy, 24, 1–8.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, 263–280.PubMedCrossRef

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.CrossRef

Smits, J. A. J., Berry, A. C., Tart, C. D., & Powers, M. B. (2008). The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review. Behaviour Research and Therapy, 46, 1047–1054.PubMedCrossRef

Stewart, S. H., & Asmundson, G. J. (2006). Anxiety sensitivity and its impact on pain experiences and conditions: A state of the art. Cogn Behav Ther, 35(4), 185–188. Review.PubMedCrossRef

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

Tull, M. T., Schulzinger, D., Schmidt, N. B., Zvolensky, M. J., & Lejuez, C. W. (2007). Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users. Behavior Modification, 31, 220–242.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 Behavior, 26, 901–915.CrossRef

Zvolensky, M. J., & Otto, M. W. (2007). Affective intolerance, sensitivity, and processing: Advances in clinical science introduction. Behavior Therapy, 38, 228–233.CrossRef

Titel: Shared Variance Among Self-Report and Behavioral Measures of Distress Intolerance
Auteurs: R. Kathryn McHugh
Stacey B. Daughters
Carl W. Lejuez
Heather W. Murray
Bridget A. Hearon
Stephanie M. Gorka
Michael W. Otto
Publicatiedatum: 01-06-2011
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-010-9295-1

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