Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample
Open accessAbstract
Despite initial evidence linking distress tolerance to posttraumatic stress disorder (PTSD) symptom severity, there is a need for the investigation of interrelations among multiple measures of distress tolerance and PTSD symptom severity. Therefore, the present study investigated concurrent relations among multiple measures of distress tolerance, as well as the relations between these measures and PTSD symptom severity, within a trauma‐exposed community sample. The sample consisted of 81 trauma‐exposed adults (63.1% women). Results indicated that Distress Tolerance Scale (Simons & Gaher, 2005) scores, but no other measures of distress tolerance were significantly related to PTSD symptom severity above and beyond the variance accounted for by number of traumas, trait‐level neuroticism, and participant sex. Implications and future directions are discussed.
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Lower levels of distress tolerance can be considered an individual variable that contributes to the development and/or maintenance of a vast range of psychopathological symptoms and diagnoses.
“lower levels of distress tolerance can be considered an individual variable that contributes to the development and/or maintenance of a vast range of psychopathological symptoms and diagnoses”
From The Factorial Structure, Psychometric Properties and Sensitivity to Change of the Distress Tolerance Scale for Children with Emotional Disorders. (2024) · cites this paper as [6]
The introductory passage (page unavailable in our copy) says distress tolerance has been studied in relation to mood, anxiety, eating, personality, and substance use disorders. The paper’s abstract reports an association between one distress-tolerance measure and PTSD symptom severity, but it does not establish that lower distress tolerance contributes to the development or maintenance of that broad range of conditions; it explicitly says links to PTSD onset or maintenance remain theoretical. (LLM, conf=0.86)
Experimental — accuracy not yet measuredLow distress tolerance is associated with elevated PTSD symptoms.
“Low levels of distress tolerance have been found to be associated with elevated levels of PTSD symptoms (Marshall-Berenz et al., 2010; Vujanovic et al., 2011)”
From Occupational stress and suicidality among firefighters: Examining the buffering role of distress tolerance (2018) · cites this paper as Marshall-Berenz et al., 2010
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Self-citation
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“Past research indicates discordance among self-report versus behavioral measures of Distress Tolerance (Marshall-Berenz et al., 2010; McHugh et al., 2011), and thus conclusions in the present study are limited to only the specific conceptualization of Distress Tolerance assessed by the DTS.”
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“Indeed, several empirical studies to date have documented significant inverse relations between distress tolerance and PTSD symptoms (Marshall-Berenz et al. 2010; Vujanovic, Bonn-Miller et al. 2011), such that higher levels of tolerance for negative emotional states were related to lower levels of PTSD symptoms (and v…”
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“Finally, poor tolerance for distress is also associated with post-traumatic stress symptoms (Danielson et al. 2010; Marshall-Berenz et al. 2010; Vujanovic et al. 2011) and is one of the core features of borderline personality disorder (Linehan 1993).”
BackgroundResultChanges in distress intolerance and treatment outcome in a partial hospital setting
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“Consistent with past work (e.g., Marshall-Berenz et al. 2010; McHugh et al. 2011), it was hypothesized that: (1) the self-report measures of physical and emotional distress tolerance would be significantly intercorrelated; and (2) the behavioral measures of psychological and physical distress…”
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“Given that the extant literature has found inconsistent levels of convergence among self-report and behavioral indices of DT (Leyro et al. 2010; Marshall-Berenz et al. 2010; McHugh et al. 2011), it is important that future work examine the variously defined dimensions of the DT construct in relation to suicide risk am…”
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“Lastly, distress tolerance difficulties are another prevalent psychological outcome of experiencing PTEs (Kraemer et al. 2013; Marshall-Berenz et al. 2010; Vujanovic et al. 2013).”
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“been linked to a number of specificmental illnesses, including posttraumatic stress disorder (PTSD; Marshall-Berenz et al., 2010) and borderline personality disorder (BPD; Linehan, 1993).”
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“This study replicated preliminary findings of the relations between posttraumatic stress symptoms and distress tolerance (Marshall-Berenz et al., 2010; Vujanovic, Bonn-Miller, et al., 2011), and furthermore, underscored the significance of examining the complex roles that distress tolerance may play in the context of…”
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Self-citationPTSD's risky behavior criterion: Relation with DSM-5 PTSD symptom clusters and psychopathology
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“PTSD co-occurs with depression (Morina et al., 2013), and is significantly associated with increased rumination (Mitchell et al., 2016), increased anger severity (Kotler et al., 2001), and reduced distress tolerance (Marshall‐Berenz et al., 2010).”
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The Nomological Network of Self-Reported Distress Tolerance
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“These associations are also consistent with prior work (Anestis et al., 2012; Marshall-Berenz et al., 2010; Simons et al., 2005).”
ResultWhat are measures of distress tolerance really capturing? A mixed methods analysis.
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“The results suggested significantly greater DI in the SD group for the MTPT-C (frustration) F (1,54) = 15.85, p .001, R2 = .23.”
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Mechanistic role of emotion regulation in the PTSD and alcohol association.
Radomski, S. A., & Read, J. P. (2016) · Traumatology An International Journal · doi:10.1037/trm0000068 · Cited by 44 · see citing works
Asnaani, A., McLean, C. P., & Foa, E. B. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.02.003 · Cited by 41 · see citing works
Robinson, M., Ross, J., Fletcher, S., Burns, C. R., Lagdon, S., & Armour, C. (2021) · Journal of Interpersonal Violence · doi:10.1177/0886260519835002 · Cited by 40 · see citing works
“Marshall-Berenz et al. (2010) argued that individual-perceived ability to tolerate adverse emotional states following traumatic exposure and peritraumatic coping strategies in relation to PTSD symptomology, specifically avoidance behaviors, may influence the trajectory of symptom development and…”
BackgroundResultInfluentialPaz, R., Zvielli, A., Goldstein, P., & Bernstein, A. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.05.017 · Cited by 39 · see citing works
Self-citationValidation of Self-Report Measures of Emotional and Physical Distress Tolerance
Cougle, J. R., Bernstein, A., Zvolensky, M. J., Vujanovic, A. A., & Macatee, R. J. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9317-2 · Cited by 39 · see citing works
Self-citationAllan, N. P., Macatee, R. J., Norr, A. M., Raines, A. M., & Schmidt, N. B. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.05.002 · Cited by 42 · see citing works
Kratovic, L., Smith, L. J., & Vujanovic, A. A. (2020) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2019.1709594 · Cited by 38 · see citing works
Self-citationGrier, R. A. (2012) · Journal of Cognitive Engineering and Decision Making · doi:10.1177/1555343412444606 · Cited by 37 · see citing works
Brandt, C. P., Zvolensky, M. J., & Bonn-Miller, M. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9497-9 · Cited by 40 · see citing works
“Indeed, self-report and behavioral indices of distress tolerance are often not highly related (Bernstein et al. 2011; Marshall-Berenz et al. 2010; McHugh et al. 2011).”
BackgroundSelf-citationKraemer, K. M., Luberto, C. M., & McLeish, A. C. (2012) · Anxiety Stress & Coping · doi:10.1080/10615806.2012.693604 · Cited by 34 · see citing works
“However, consistent with past work (Marshall-Berenz et al., 2010; Vujanovic, Bernstein, et al., 2011; Vujanovic, Bonn-Miller, et al., 2011), DT was shown to uniquely predict symptoms of PTSD above and beyond the effects of gender and negative affectivity, lending additional support to the growing…”
BackgroundResultVujanovic, A. A., Dutcher, C. D., & Berenz, E. C. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.08.005 · Cited by 37 · see citing works
“…of distress tolerance in relation to PTSD symptoms in a community sample of predominantly white adults exposed to potentially traumatic events (PTE; Marshall-Berenz et al., 2010) and implemented two self-report measures of distress tolerance (Distress Tolerance Scale [DTS]: Simons & Gaher, 2005);…”
BackgroundMethodInfluentialSelf-citationVeilleux, J. C. (2022) · Clinical Psychological Science · doi:10.1177/21677026221118327 · Cited by 40 · see citing works
Leventhal, A. M., Japuntich, S. J., Piper, M. E., Jorenby, D. E., Schlam, T. R., & Baker, T. B. (2012) · Psychology of Addictive Behaviors · doi:10.1037/a0028449 · Cited by 35 · see citing works
Cohen, J. R., Danielson, C., Adams, Z. W., & Ruggiero, K. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9545-y · Cited by 33 · see citing works
The research of human individual’s conformity behavior in emergency situations
Chen, M. (2018) · Library Hi Tech · doi:10.1108/lht-08-2018-0113 · Cited by 34 · see citing works
Childhood maltreatment and adulthood victimization: An evidence-based model
Fereidooni, F., Daniels, J. K., Krause-Utz, A., Hagenaars, M. A., Smeets, T., Heins, J., Dorahy, M. J., van Emmerik, A., de Jong, P. J., Hoekstra, S., et al. (2023) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2023.10.007 · Cited by 30 · see citing works
Assessing the structure and meaningfulness of the dissociative subtype of PTSD
Ross, J., Baník, G., Dědová, M., Mikulášková, G., & Armour, C. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-017-1445-2 · Cited by 31 · see citing works
“Distress tolerance has not been examined in relation to dissociative PTSD before; however, it has been shown to be related to PTSD [38, 39].”
BackgroundMarshall-Berenz, E. C., Vujanovic, A. A., & Zvolensky, M. J. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.09.001 · Cited by 31 · see citing works
Self-citationLuberto, C. M., & McLeish, A. C. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.09.013 · Cited by 29 · see citing works
Hashoul-Andary, R., Nitzan-Assayag, Y., Yuval, K., Aderka, I. M., Litz, B. T., & Bernstein, A. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9730-4 · Cited by 30 · see citing works
“Crosssectional research has indeed provided preliminary support for the relationship between reports of the perceived ability to tolerate distress and posttraumatic stress symptoms (e.g., Marshall-Berenz et al. 2010; Vujanovic et al. 2011b).”
ResultSelf-citationTime course of panic disorder and posttraumatic stress disorder onsets
Berenz, E. C., York, T. P., Bing‐Canar, H., Amstadter, A. B., Mezuk, B. R., Gardner, C. O., & Roberson‐Nay, R. (2018) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-018-1559-1 · Cited by 29 · see citing works
Nexus of despair: A network analysis of suicidal ideation among veterans
Simons, J. S., Simons, R. M., Walters, K. J., Keith, J. A., O’Brien, C., Andal, K., & Stoltenberg, S. F. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1574689 · Cited by 30 · see citing works
Simons, J. S., Simons, R. M., Grimm, K. J., Keith, J. A., & Stoltenberg, S. F. (2020) · Emotion · doi:10.1037/emo0000745 · Cited by 31 · see citing works
Hernandez, D. C., Daundasekara, S. S., Zvolensky, M. J., Reitzel, L. R., Maria, D. S., Alexander, A. C., Kendzor, D. E., & Businelle, M. S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155301 · Cited by 29 · see citing works
Self-citationMathes, B. M., Kennedy, G. A., Morabito, D. M., Martin, A. D., Bedford, C. E., & Schmidt, N. B. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.029 · Cited by 29 · see citing works
A predictive coding account of value-based learning in PTSD: Implications for precision treatments
Putica, A., Felmingham, K. L., Garrido, M. I., O'Donnell, M. L., & Dam, N. T. V. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104704 · Cited by 28 · see citing works
Hunt, C., Cooper, S. E., Hartnell, M. P., & Lissek, S. M. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.04.013 · Cited by 28 · see citing works
Irrational Beliefs in Posttraumatic Stress Responses: A Rational Emotive Behavior Therapy Approach
Hyland, P., Shevlin, M. E., Adamson, G., & Boduszek, D. (2013) · Journal of Loss and Trauma · doi:10.1080/15325024.2013.839772 · Cited by 28 · see citing works
Vujanovic, A. A., Wardle, M. C., Bakhshaie, J., Smith, L. J., Green, C. E., Lane, S. D., & Schmitz, J. M. (2018) · Psychology of Addictive Behaviors · doi:10.1037/adb0000362 · Cited by 29 · see citing works
“First, DTS was significantly correlated with BH duration (r .39), despite the fact that most studies of DT do not find convergence between behavioral and self-report measures of the construct (Anestis, Bender, Selby, Ribeiro, & Joiner, 2011; Marshall-Berenz et al., 2010; McHugh et al., 2011).”
BackgroundMethodSelf-citationErwin, M. C., Mitchell, M. A., Contractor, A. A., Dranger, P., Charak, R., & Elhai, J. D. (2018) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2018.01.012 · Cited by 27 · see citing works
Associations between personality and distress tolerance among trauma-exposed young adults
Chowdhury, N., Kevorkian, S. S., Hawn, S. E., Amstadter, A. B., Dick, D. M., Kendler, K. S., & Berenz, E. C. (2017) · Personality and Individual Differences · doi:10.1016/j.paid.2017.08.041 · Cited by 27 · see citing works
“Finally, existing research (e.g., Marshall-Berenz et al., 2010; Vujanovic et al., 2011) and clinical practice (Linehan, 1993) highlight the importance of DT in psychological functioning among trauma-exposed individuals, necessitating study of DT and personality in trauma-exposed samples.”
BackgroundMethodInfluentialPerceived emotion regulation and emotional distress tolerance in patients with hoarding disorder
Worden, B. L., Levy, H. C., Das, A., Katz, B. W., Stevens, M. C. G., & Tolin, D. F. (2019) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2019.100441 · Cited by 27 · see citing works
Posttraumatic Stress and Distress Tolerance
Vujanovic, A. A., Bakhshaie, J., Martin, C. E., Reddy, M. K., & Anestis, M. D. (2017) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000690 · Cited by 25 · see citing works
Self-citationHyland, P., Shevlin, M. E., Adamson, G., & Boduszek, D. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465813000064 · Cited by 25 · see citing works
Vujanovic, A. A., & Zegel, M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816022-0.00012-0 · Cited by 25 · see citing works
Self-citationDuranceau, S., Fetzner, M. G., & Carleton, R. N. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9591-7 · Cited by 24 · see citing works
“Indeed, the severity of PTSD symptom clusters (i.e., re-experiencing, avoidance/numbing, hyperarousal) has been inversely related to distress tolerance (Marshall-Berenz et al. 2010; Vujanovic et al. 2011).”
BackgroundA Multimodal Study of Childhood Trauma and Distress Tolerance in Young Adulthood
Berenz, E. C., Vujanovic, A. A., Rappaport, L. M., Kevorkian, S. S., Gonzalez, R., Chowdhury, N., Dutcher, C. D., Dick, D. M., Kendler, K. S., & Amstadter, A. B. (2017) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2017.1382636 · Cited by 25 · see citing works
“…be moderately correlated with one another, regardless of type of distress (Marshall-Berenz et al., 2010; McHugh et al., 2011); and self-report and behavioral measures are typically not significantly correlated (Anestis, Tull, Bagge, & Gratz, 2012; Marshall-Berenz et al., 2010; McHugh et al., 2011).”
BackgroundResultInfluentialSelf-citationFarris, S. G., Vujanovic, A. A., Hogan, J. B., Schmidt, N. B., & Zvolensky, M. J. (2014) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2013.834862 · Cited by 24 · see citing works
“…Feldner, Eifert, & Brown, 2001) and concurrent validity with other behavioral measures of Journal of Trauma & Dissociation, 15:254–270, 2014 261 tolerance of distress (e.g., enriched carbon dioxide air inhalation challenge, mirror-tracking task; Brown et al., 2009; Marshall-Berenz et al., 2010).”
BackgroundSelf-citationCameron, A., Reed, K. M. P., & Ninnemann, A. L. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.08.012 · Cited by 23 · see citing works
“…& Fruzzetti, 2012) but have not consistently been associated with behavioral measures of distress tolerance (e.g. Bernstein, Marshall, & Zvlensky, 2011; Marshall-Berenz et al., 2010; McHugh et al., 2011; Schloss & Haaga, 2011) highlighting questions of construct validity and measurement.”
BackgroundProblematic alcohol use, trauma history, and PTSD symptom level: A path analysis
Dvorak, R. D., Arens, A. M., Kuvaas, N. J., Williams, T. J., & Kilwein, T. M. (2013) · Journal of Dual Diagnosis · doi:10.1080/15504263.2013.835694 · Cited by 22 · see citing works
“Lower distress tolerance has been related to PTSD symptom severity and to a subtype of symptom severity, avoidance (Marshall-Berenz et al., 2010; Vujanovic, Bonn-Miller et al., 2011).”
BackgroundBenuto, L., Yang, Y.-R., Bennett, N. M., & Lancaster, C. L. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520967136 · Cited by 19 · see citing works
The Association between Distress Tolerance and Alcohol Outcomes via Internal Drinking Motives
Pilatti, A., Michelini, Y., Bravo, A. J., & Pautassi, R. M. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.2002900 · Cited by 22 · see citing works
“Distress tolerance has been significantly and independently associated with psychopathology (i.e., lower tolerance, greater psychopathology), even after controlling for the effect of neuroticism (Macatee et al., 2020; Marshall-Berenz et al., 2010).”
BackgroundMartin, R. L., Bauer, B. W., Ramsey, K. L., Green, B. A., Capron, D. W., & Anestis, M. D. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12523 · Cited by 22 · see citing works
Rational Beliefs as Cognitive Protective Factors Against Posttraumatic Stress Symptoms
Hyland, P., Maguire, R., Shevlin, M. E., & Boduszek, D. (2014) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-014-0195-2 · Cited by 22 · see citing works
“…evidence accumulated in recent years that ‘distress intolerance’ beliefs (conceptually equivalent to low frustration tolerance beliefs as described by REBT theory) are critical dysfunctional cognitions in the prediction of PTSD symptoms (Marshall-Berenz et al. 2010; Vujanovic et al. 2011).”
BackgroundBrandt, C. P., Johnson, K. A., Schmidt, N. B., & Zvolensky, M. J. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.10.007 · Cited by 21 · see citing works
Self-citationShort, N. A., Babson, K. A., Schmidt, N. B., Knight, C. B., Johnson, J., & Bonn-Miller, M. O. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2015.10.054 · Cited by 20 · see citing works
Self-citationVinci, C., Mota, N. P., Berenz, E. C., & Connolly, K. M. (2016) · Military Psychology · doi:10.1037/mil0000100 · Cited by 20 · see citing works
“Further, the current sample consisted largely of African American men, in contrast to the previous samples that were comprised largely of Caucasian individuals (Vujanovic et al., 2011; Marshall-Berenz et al., 2010).”
BackgroundMethodResultInfluentialVujanovic, A. A., Webber, H. E., McGrew, S. J., Green, C. E., Lane, S. D., & Schmitz, J. M. (2022) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2021.2007995 · Cited by 18 · see citing works
“However, selfreport and behavioral measures are typically not significantly correlated (Anestis et al., 2012; Marshall-Berenz et al., 2010; McHugh et al., 2011).”
BackgroundMethodSelf-citationWeiss, N. H., Connolly, K. M., Gratz, K. L., & Tull, M. T. (2017) · Journal of Dual Diagnosis · doi:10.1080/15504263.2017.1293310 · Cited by 18 · see citing works
Neuroticismo y trastorno por estrés postraumático: un estudio meta-analítico
Soler-Ferrería, F. B., Sánchez‐Meca, J., López-Navarro, J. M., & Navarro‐Mateu, F. (2014) · Revista Española de Salud Pública · doi:10.4321/s1135-57272014000100003 · Cited by 18 · see citing works
Ranney, R. M., Berenz, E. C., Rappaport, L. M., Amstadter, A. B., Dick, D. M., & Spit for Science Working Group (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10234-4 · Cited by 20 · see citing works
Childhood trauma and distress tolerance in a trauma-exposed acute-care psychiatric inpatient sample.
Berenz, E. C., Vujanovic, A. A., Rappaport, L. M., Kevorkian, S. S., Gonzalez, R., Chowdhury, N., Dutcher, C. D., Dick, D. M., Kendler, K. S., & Amstadter, A. B. (2017) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000300 · Cited by 17 · see citing works
“…moderately correlated with one another, regardless of type of distress (Marshall-Berenz et al., 2010; McHugh et al., 2011); and self-report and behavioral measures are typically not significantly correlated (Anestis, Tull, Bagge, & Gratz, 2012; Marshall-Berenz et al., 2010; McHugh et al., 2011).”
BackgroundMethodInfluentialSelf-citationOser, M. L., Trafton, J. A., Lejuez, C. W., & Bonn‐Miller, M. O. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.03.008 · Cited by 16 · see citing works
“We also sought to explore whether the two employed measures of distress tolerance would differentially relate to the objective indices of adherence, ART response, and immunological status, given differential relations observed in past work (Marshall-Berenz et al., 2010; McHugh et al., 2011).”
BackgroundMethodResultInfluentialSelf-citationDental Care–Related Fear and Anxiety: Distress Tolerance as a Possible Mechanism
Addicks, S. H., McNeil, D. W., Randall, C. L., Goddard, A. W., Romito, L. M., Sirbu, C., Kaushal, G., Metzger, A., & Weaver, B. D. (2017) · JDR Clinical & Translational Research · doi:10.1177/2380084417691962 · Cited by 16 · see citing works
Jones, A. C., Badour, C. L., Brake, C. A., Hood, C. O., & Feldner, M. T. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9899-4 · Cited by 16 · see citing works
Distress Tolerance as Risk and Maintenance Factor for PTSD: Empirical and Clinical Implications
Vujanovic, A. A., Litz, B. T., & Farris, S. G. (2015) · Springer eBooks · doi:10.1007/978-3-319-08613-2_66-1 · Cited by 15 · see citing works
Self-citationCarleton, R. N., McCarron, M. C. E., Krätzig, G. P., Sauer-Zavala, S. E., Neary, J. P., Lix, L. M., Fletcher, A. J., Camp, R. D., Shields, R. E., Jamshidi, L., et al. (2022) · BMC Psychology · doi:10.1186/s40359-022-00989-0 · Cited by 14 · see citing works
An Empirical Study of Personality Disorders Among Treatment-Seeking Problem Gamblers
Brown, M., Oldenhof, E., Allen, J. S., & Dowling, N. A. (2016) · Journal of Gambling Studies · doi:10.1007/s10899-016-9600-3 · Cited by 14 · see citing works
“The DTS has excellent internal consistency as a global measure (0.89–0.94) with good test–retest reliability (r = 0.61) (Marshall-Berenz et al. 2010; Simons and Gaher 2005).”
BackgroundInfluentialSandel, D. B., Pearlstein, J. G., Swerdlow, B. A., & Johnson, S. L. (2022) · Emotion · doi:10.1037/emo0001152 · Cited by 13 · see citing works
Hsu, T., Thomas, E. B. K., Welch, E., O’Hara, M. W., & McCabe, J. E. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.02.001 · Cited by 15 · see citing works
Powers, M. B., Kauffman, B. Y., Kleinsasser, A. L., Lee-Furman, E., Smits, J. A. J., Zvolensky, M. J., & Rosenfield, D. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.08.012 · Cited by 13 · see citing works
Self-citationOverstreet, C. M., Brown, E., Berenz, E. C., Brown, R. C., Hawn, S. E., McDonald, S. D., Pickett, T. C., Danielson, C. K., Thomas, S., & Amstadter, A. B. (2018) · Military Psychology · doi:10.1080/08995605.2018.1521682 · Cited by 15 · see citing works
- Authors
- Marshall‐Berenz, E. C., Vujanovic, A. A., Bonn‐Miller, M. O., Bernstein, A., & Zvolensky, M. J.
- Affiliations
- University of Vermont (US)
- Boston University (US)
- VA Palo Alto Health Care System (US)
- University of Haifa (IL)
- Corresponding author
- Zvolensky, Michael J.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2010-09-16
- Volume
- 23
- Issue
- 5
- Pages
- 623-630
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- PMC
- PMC3209507
- OpenAlex
- W1990088076
- Cited by
- 158
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 8 · 2020: 13 · 2019: 8 · 2018: 21 · 2017: 15 · 2016: 12 · 2015: 11 · 2014: 9 · 2013: 9 · 2012: 12
- FWCI
- 10.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01da027533-04)
- National Institute of Mental Health (F31MH080453, R01MH076629)
- National Institute on Drug Abuse (R01-DA027533, 1 R01 DA027533-01)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- distress tolerance, post-traumatic stress disorder, PTSD symptom severity, trauma exposure, Distress Tolerance Scale, neuroticism, sex differences, community sample
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Female, Humans, Interviews as Topic, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Stress, Psychological, Vermont, Young Adult, Checklist
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