Validation of the distress tolerance scale-short form in obsessive compulsive disorder
Abstract
OBJECTIVE: This study aimed to develop and validate the Distress Tolerance Scale-Short Form (DTS-SF), a modification of the original Distress Tolerance Scale, in a severe/complex sample of individuals with obsessive compulsive disorder (OCD). Currently, there are multiple self-report measurements of distress tolerance (DT), highlighting the need for a more refined measure. METHOD: Participants included 222 individuals with a primary diagnosis of OCD (57% male, average age = 31) seeking intensive/residential treatment. Participants completed surveys at admission, discharge, and each week. RESULTS: An exploratory factor analysis revealed a one-factor solution representing overall DT ability. The DTS-SF was found to be sensitive to treatment effects. Appropriate associations between the DTS-SF and other measures were also found, with lower DT associated with greater OCD and depression severity and lower reported quality of life. CONCLUSION: The DTS-SF was found to be a valid and reliable measure with high clinical utility for quickly and accurately measuring DT.
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The DTS-SF has demonstrated good psychometric properties in both OCD and non-clinical populations.
“The DTS-SF has demonstrated good psychometric properties in both populations with OCD (Garner et al., 2018) and non-clinical populations (Brown et al., 2022).”
From Feeling more confident to encounter negative emotions: The mediating role of distress tolerance on the relationship between self-efficacy and outcomes of exposure and response prevention for OCD (2024) · cites this paper as Garner et al., 2018
Distress tolerance significantly increases over the course of ERP in OCD patients.
“empirical evidence from a sample of OCD patients has also supported that distress tolerance significantly increases over the course of ERP (Garner et al., 2018).”
From Feeling more confident to encounter negative emotions: The mediating role of distress tolerance on the relationship between self-efficacy and outcomes of exposure and response prevention for OCD (2024) · cites this paper as Garner et al., 2018
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“The distress tolerance scale-short form (DTS-SF) 39 is a four-item measure of DT. 40 Responses are given using a 5-point Likert scale (from 1: strongly disagree to 5: strongly agree ).”
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“…Gaher’s study [1], and when translated into several other languages, such as Persian [40], Turkish [41], French [42], Spanish [43,44], Pakistani [45], Polish [46] and Italian [3], as well as in several clinical samples, such as patients with obsessive compulsive disorders [47] and depression [48].”
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“Distress tolerance was measured using the Distress Tolerance Scale-short form (DTS-SF; Garner et al., 2018), a 4-item self-report measure.”
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- Authors
- Garner, L. E., Van Kirk, N., Tifft, E. D., Krompinger, J. W., Mathes, B. M., Fraire, M., Falkenstein, M. J., Brennan, B. P., Crosby, J. M., & Elias, J. A.
- Affiliations
- McLean Hospital (US)
- McLean Hospital 115 Mill St. Belmont MA USA 02478
- Harvard University (US)
- Florida State University (US)
- Corresponding author
- Garner, Lauryn E.
- ORCID
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2017-11-15
- Volume
- 74
- Issue
- 6
- Pages
- 916-925
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2770168359
- Cited by
- 37
- References
- 45
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 8 · 2023: 3 · 2022: 6 · 2021: 7
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- McLean Hospital
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- distress tolerance, obsessive-compulsive disorder, scale validation, psychometric properties, factor structure, treatment response, depression severity, quality of life, residential treatment
- MeSH terms
- Adult, Female, Humans, Male, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Stress, Psychological, Reproducibility of Results, Resilience, Psychological
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