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Shared Variance Among Self-Report and Behavioral Measures of Distress Intolerance
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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.
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“Behavioral DT tasks have been shown to demonstrate some level of domain specificity”
From The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. (2019) · cites this paper as McHugh et al, 2011
In the citing paper
“This potential for divergence between the DTS, BSIM and PASAT-C resonates with the weak associations typically reported in the literature between self-report and behavioral assessments of distress tolerance (McHugh et al., 2011).”
From Investigating the association between parental reflective functioning and distress tolerance in motherhood. (2015) · cites this paper as McHugh et al., 2011
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Uncovering the structure of self-regulation through data-driven ontology discovery
Eisenberg, I. W., Bissett, P. G., Enkavi, A. Z., Li, J. K., MacKinnon, D. P., Marsch, L. A., & Poldrack, R. A. (2019) · Nature Communications · doi:10.1038/s41467-019-10301-1 · Cited by 509
Distress Tolerance: Theory, Measurement, and Relations to Psychopathology
Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010) · Current Directions in Psychological Science · doi:10.1177/0963721410388642 · Cited by 357
Refining the measurement of distress intolerance
McHugh, R. K., & Otto, M. W. (2012) · Behavior Therapy · doi:10.1016/j.beth.2011.12.001 · Cited by 190
“Existing selfreport DI measures share little variance with other indices of DI, such as behavioral persistence measures, and measures of DI appear to be at least moderately dependent on the domain of distress around which they are formulated (McHugh et al., 2011).”
BackgroundResultInfluentialSelf-citationNegative Urgency, Distress Tolerance, and substance abuse among college students
Kaiser, A. J., Milich, R. S., Lynam, D. R., & Charnigo, R. J. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.04.017 · Cited by 190
“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.”
da Cunha, E. R., Santos, C. A. G., da Silva, R. M., Bacani, V. M., & Pott, A. (2020) · Land Use Policy · doi:10.1016/j.landusepol.2020.105141 · Cited by 173
Marshall‐Berenz, E. C., Vujanovic, A. A., Bonn‐Miller, M. O., Bernstein, A., & Zvolensky, M. J. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20568 · Cited by 158
Rutherford, H. J. V., Booth, C. R., Luyten, P., Bridgett, D. J., & Mayes, L. C. (2015) · Infant Behavior and Development · doi:10.1016/j.infbeh.2015.04.005 · Cited by 149
“, 2010), and are informative to the discussion of why self-report and behavioral measures may capture different components of distress tolerance given the variability in the cognitive and social focus of these tasks (McHugh et al., 2011).”
BackgroundResultInfluentialCummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-012-9704-x · Cited by 111
“Existing research suggests that both self-report and behavioral measures of distress tolerance provide unique and important information about the individuals (Anestis et al. 2012; Bornovalova et al. 2008; McHugh et al. 2011; Schloss and Haaga 2011).”
Self-citationThe Role of Distress Tolerance in the Use of Specific Emotion Regulation Strategies
Jeffries, E. R., McLeish, A. C., Kraemer, K. M., Avallone, K. M., & Fleming, J. B. (2016) · Behavior Modification · doi:10.1177/0145445515619596 · Cited by 105
“The self-report version of the DTS was chosen to measure emotional DT given that behavioral measures of DT do not correlate with self-report measures of DT or established measures of emotion regulation (i.e., Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004; McHugh et al., 2011).”
MethodIndividual differences in computational psychiatry: A review of current challenges
Karvelis, P., Paulus, M. P., & Diaconescu, A. O. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105137 · Cited by 122
Capron, D. W., Norr, A. M., Macatee, R. J., & Schmidt, N. B. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.12.002 · Cited by 101
The benefits of being mindful: Trait mindfulness predicts less stress reactivity to suppression
Bullis, J. R., Bøe, H. J., Asnaani, A., & Hofmann, S. G. (2014) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2013.07.006 · Cited by 99
Domain-general and domain-specific strategies for the assessment of distress intolerance.
McHugh, R. K., & Otto, M. W. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0025094 · Cited by 95
“For example, McHugh et al. (2011) found strong correlations among measures of emotional DI and among measures of somatic DI, but not between emotional and somatic measures.”
BackgroundResultSelf-citationMindfulness and rumination as predictors of persistence with a distress tolerance task
Feldman, G., Dunn, E., Stemke, C., Bell, K., & Greeson, J. (2014) · Personality and Individual Differences · doi:10.1016/j.paid.2013.08.040 · Cited by 90
“We also decided to focus only on a behavioral DT measure given that self-reported DT appears to be an empirically-distinct construct (McHugh et al., 2011).”
BackgroundDistress Intolerance and Prescription Opioid Misuse Among Patients With Chronic Pain
McHugh, R. K., Weiss, R. D., Cornelius, M., Martel, M. O., Jamison, R. N., & Edwards, R. R. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.03.004 · Cited by 91
Self-citationHsu, S. H., Collins, S. E., & Marlatt, G. A. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.11.002 · Cited by 83
“Given the important role of distress tolerance, measurement issues of this construct have received increasing attention in the literature (McHugh et al., 2011; Zvolensky, Leyro, Vujanovic, & Bernstein, 2010).”
BackgroundThe Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity.
Carpenter, J. K., Sanford, J., & Hofmann, S. G. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.10.003 · Cited by 82
Mind–Body Skills Training to Improve Distress Tolerance in Medical Students: A Pilot Study
Kraemer, K. M., Luberto, C. M., O’Bryan, E. M., Mysinger, E., & Cotton, S. (2016) · Teaching and Learning in Medicine · doi:10.1080/10401334.2016.1146605 · Cited by 83
“and the current study focused only on self-reported perceptions of distress tolerance.(46) Given that different measures are differentially associated with specific clini-”
BackgroundA multifaceted assessment of emotional tolerance and intensity in hoarding
Timpano, K. R., Shaw, A. M., Cougle, J. R., & Fitch, K. E. (2014) · Behavior Therapy · doi:10.1016/j.beth.2014.04.002 · Cited by 77
Adrian, M. C., Jenness, J. L., Kuehn, K. S., Smith, M. R., & McLaughlin, K. A. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000543 · Cited by 87
“Previous studies have similarly not found an association between questionnaire measures and the behavioral measures of distress tolerance (Iverson, Follette, Pistorello, & Fruzzetti, 2012; McHugh et al., 2011; Schloss & Haaga, 2011).”
ResultEvaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors
Anestis, M. D., Lavender, J. M., Marshall-Berenz, E. C., Gratz, K. L., Tull, M. T., & Joiner, T. E. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9377-8 · Cited by 78
Suicidal Ideation in Anxiety-Disordered Youth: Identifying Predictors of Risk
Rodriguez, K. A. O., & Kendall, P. C. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.843463 · Cited by 83
“…tolerance literature as self-report and behavioral measures of distress tolerance are not significantly correlated, suggesting the possibility that the two methods may measure separate constructs of sensitivity to distress and the ability to persist in a task when distressed (McHugh et al., 2011).”
BackgroundBardeen, J. R., Tull, M. T., Dixon-Gordon, K. L., Stevens, E. N., & Gratz, K. L. (2015) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9433-2 · Cited by 73
“In addition, given that: (a) behavioral and self-report indices of DT are not significantly related (McHugh et al. 2011), and (b) distinct dimensions of a higher-order DTconstruct have been identified (e.”
BackgroundNorr, A. M., Allan, N. P., Macatee, R. J., Keough, M. E., & Schmidt, N. B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.011 · Cited by 72
“A self-report rather than behavioral measure of DT was chosen because of extant data indicating discordance amongst measurement methods for affect tolerance constructs (McHugh et al., 2011).”
MethodPosttraumatic Stress and Suicidality Among Firefighters: The Moderating Role of Distress Tolerance
Bartlett, B. A., Jardin, C., Martin, C. E., Tran, J. K., Buser, S. J., Anestis, M. D., & Vujanovic, A. A. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9892-y · Cited by 71
“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…”
BackgroundTull, M., Bardeen, J., DiLillo, D., Messman-Moore, T. L., & Gratz, K. L. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.11.003 · Cited by 85
“These findings are consistent with past research examining these constructs, which has also failed to find significant zero-order associations between the PASAT-C and both self-report measures of overall emotion dysregulation (Ameral, Palm Reed, Cameron, & Armstrong, in press; McHugh et al., 2011; Tull et al., 2010) a…”
InfluentialTull, M. T., Gratz, K. L., Coffey, S. F., Weiss, N. H., & McDermott, M. J. (2012) · Psychology of Addictive Behaviors · doi:10.1037/a0029911 · Cited by 67
“…behavioral measures of DT are often not significantly intercorrelated (Anestis, Lavender et al., in press; Bernstein, Marshall, & Zvolensky, 2011; McHugh et al., 2011), and are differentially associated with a variety of clinical outcomes (Anestis, Lavender et al., in press; Bernstein et al.,…”
Mattingley, S., Youssef, G. J., Manning, V., Graeme, L., & Hall, K. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.126 · Cited by 65
The impact of psychological distress tolerance in the treatment of depression
Williams, A. D., Thompson, J., & Andrews, G. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.05.005 · Cited by 77
Distress tolerance and posttraumatic stress disorder: a systematic review and meta-analysis
Akbari, M., Hosseini, Z. S., Seydavi, M., Zegel, M., Zvolensky, M. J., & Vujanovic, A. A. (2021) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2021.1942541 · Cited by 65
“an individual’s beliefs about their ability to tolerate negative emotional states) is more relevant to PTSD than actual behaviorally indexed DT (McHugh et al., 2011).”
BackgroundTrait-based affective processes in alcohol-involved “risk behaviors”
Wray, T. B., Simons, J. S., Dvorak, R. D., & Gaher, R. M. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.06.004 · Cited by 62
“Second , observed results may be due to common method variance due to the reliance on self-report scales (McHugh et al., 2011; Reynolds, Penfold, & Patak, 2008; Reynolds et al., 2006).”
Characterizing the course of non-suicidal self-injury: A cognitive neuroscience perspective
Liu, R. T. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.05.026 · Cited by 65
Behaviorally-indexed distress tolerance and suicidality
Anestis, M. D., & Joiner, T. E. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.02.015 · Cited by 64
“…another and behavioral measures of distress tolerance are typically significantly associated with one another, self-report and behavioral measures generally do not demonstrate significant relationships with one another (e.g., Anestis et al., 2011b; Bernstein et al., in press; McHugh et al., 2011).”
BackgroundGenetic associations with performance on a behavioral measure of distress intolerance
Amstadter, A. B., Daughters, S. B., MacPherson, L., Reynolds, E. K., Danielson, C. K., Wang, F. M., Potenza, M. N., Gelernter, J. E., & Lejuez, C. W. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2011.09.017 · Cited by 60
Self-citationSmoking in response to negative mood in men versus women as a function of distress tolerance.
Perkins, K., Giedgowd, G., Karelitz, J. L., Conklin, C. A., & Lerman, C. (2012) · Nicotine & Tobacco Research · doi:10.1093/ntr/nts075 · Cited by 67
“In addition, although breath-holding duration was correlated with mirror - tracing and self-reported DTS score, DTS and mirror tracing were not signifi cantly correlated, confi rming a clear difference between self-report and some task measures of distress tolerance ( McHugh et al., 2011 ).”
BackgroundMethodResultInfluentialMindfulness and Distress Tolerance: Relations in a Mindfulness Preventive Intervention
Lotan, G., Tanay, G., & Bernstein, A. (2013) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2013.6.4.371 · Cited by 59
Affective and Behavioral Paths Toward the Acquired Capacity for Suicide
Bender, T. W., Anestis, M. D., Anestis, J. C., Gordon, K. H., & Joiner, T. E. (2012) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2012.31.1.81 · Cited by 67
“Given that distress tolerance, both in study 1 and in prior work demonstrating a link between distress tolerance and the acquired capability, was only measured using self-report questionnaires, there is a chance that this relationship is best explained by shared method variance, a particularly important point given re…”
BackgroundResultFrustration Tolerance in Youth With ADHD
Seymour, K. E., Macatee, R. J., & Chronis-Tuscano, A. M. (2016) · Journal of Attention Disorders · doi:10.1177/1087054716653216 · Cited by 69
Macatee, R. J., & Cougle, J. R. (2015) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.01.007 · Cited by 53
Banducci, A. N., Lejuez, C. W., Dougherty, L. R., & MacPherson, L. (2016) · Prevention Science · doi:10.1007/s11121-016-0691-y · Cited by 55
Self-citationDistress Tolerance and Pathological Worry: Tests of Incremental and Prospective Relationships
Macatee, R. J., Capron, D. W., Guthrie, W., Schmidt, N. B., & Cougle, J. R. (2015) · Behavior Therapy · doi:10.1016/j.beth.2015.03.003 · Cited by 49
Mancini, M., Weindorf, D. C., Monteiro, M. E. C., de Faria, Á. J. G., Teixeira, A. F. D. S., de Lima, W., de Lima, F. R. D., Dijair, T. S. B., Marques, F. D., Ribeiro, D. E., et al. (2020) · Geoderma · doi:10.1016/j.geoderma.2020.114471 · Cited by 49
Interactive role of depression, distress tolerance and negative urgency on non‐suicidal self‐injury
Peterson, C. M., Becker, K. R., & Fischer, S. F. (2014) · Personality and Mental Health · doi:10.1002/pmh.1256 · Cited by 53
Distress tolerance trajectories following substance use treatment.
Reese, E. D., Conway, C., Anand, D., Bauer, D. J., & Daughters, S. B. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000403 · Cited by 46
“…tolerance (DT), or the actual or perceived ability to persist in goal-directed activity while withstanding physical or psychological discomfort (McHugh et al., 2011), is regarded as a proxy for negative reinforcement behavior, and has consistently been associated with indices of substance use.”
BackgroundSelf-citationThe Nomological Network of Self-Reported Distress Tolerance
Kiselica, A. M., Rojas, E. C., Bornovalova, M. A., & Dubé, C. (2014) · Assessment · doi:10.1177/1073191114559407 · Cited by 47
What are measures of distress tolerance really capturing? A mixed methods analysis.
Ameral, V., Palm Reed, K. M., Cameron, A., & Armstrong, J. L. (2014) · Psychology of Consciousness: Theory, Research, and Practice · doi:10.1037/cns0000024 · Cited by 45
Profiles of Distress Intolerance in a Substance-Dependent Sample
Kathryn McHugh, R., & Otto, M. W. (2012) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2011.643990 · Cited by 44
“Although recent studies have provided support for the domain specificity of DI (13,14), additional research in this area is needed.”
BackgroundResultSelf-citationBernstein, A., & Brantz, H. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9471-6 · Cited by 47
“Evaluation of TNAS by means of multi-method experimental measures (e.g., multi-modal responding to various emotion states elicited in the lab in real-time) is an important aim for future research (Bernstein et al. 2011; McHugh et al. 2011).”
MethodA Brief Report on the Assessment of Distress Tolerance: Are We Measuring the Same Construct?
Glassman, L. H., Martin, L., Bradley, L. E., Ibrahim, A., Goldstein, S. P., Forman, E. M., & Herbert, J. D. (2015) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-015-0224-9 · Cited by 42
Veilleux, J. C., Pollert, G. A., Zielinski, M. J., Shaver, J. A., & Hill, M. A. (2017) · Assessment · doi:10.1177/1073191116689819 · Cited by 41
“Indeed, the significant associations between behavioral measures found in the extant literature are typically between measures in the same domain, such as frustration tolerance, where the PASAT and mirror tracing typically correlate significantly (Ameral et al., 2014; Bornovalova et al., 2008; Daughters et al., 2005;…”
BackgroundDistress tolerance and experiential avoidance in compulsive acquisition behaviours
Williams, A. D. (2012) · Australian Journal of Psychology · doi:10.1111/j.1742-9536.2012.00055.x · Cited by 39
Validation 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
Task persistence predicts smoking cessation in smokers with and without schizophrenia.
Steinberg, M. L., Williams, J. M., Gandhi, K. K., Foulds, J., Epstein, E. E., & Brandon, T. H. (2012) · Psychology of Addictive Behaviors · doi:10.1037/a0028375 · Cited by 41
Nugent, K. L., Chiappelli, J., Sampath, H., Rowland, L. M., Thangavelu, K., Davis, B. J., Du, X. M., Muellerklein, F., Daughters, S. B., Kochunov, P., et al. (2015) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000215 · Cited by 39
“Both the PASATand theMTPT have been widely used as measures of distress intolerance (DI) (42,43).”
MethodSelf-citationBrandt, C. P., Zvolensky, M. J., & Bonn-Miller, M. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9497-9 · Cited by 40
Benfer, N., Bardeen, J. R., & Clauss, K. E. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.09.006 · Cited by 37
Vujanovic, A. A., Dutcher, C. D., & Berenz, E. C. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.08.005 · Cited by 37
“…tolerance measures tend to be moderately correlated (Bernstein, Zvolensky, Vujanovic, & Moos, 2009; McHugh et al., 2011; McHugh & Otto, 2012) and behavioral measures tend to be moderately correlated (Marshall-Berenz, Vujanovic, Bonn-Miller, Bernstein, & Zvolensky, 2010; McHugh et al., 2011).”
BackgroundSchlam, T. R., Baker, T. B., Smith, S. S., Cook, J. W., & Piper, M. E. (2019) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntz070 · Cited by 38
Emotion Dysregulation Moderates the Association Between Stress and Problematic Cannabis Use
Cavalli, J. M., & Cservenka, A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.597789 · Cited by 40
“The use of both behavioral and self-report measures of emotion regulation in the same study may provide a more accurate and comprehensive assessment of this complex and multi-faceted construct (68).”
BackgroundTull, M. T., & Gratz, K. L. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9490-3 · Cited by 35
“…suggests that self-report and behavioral measures of DT are often not significantly intercorrelated (Anestis et al. in press; Bernstein et al. 2011; McHugh et al. 2011) and are differentially associated with a variety of clinical outcomes (Anestis et al. in press; Bernstein et al. 2011; see also…”
BackgroundSütterlin, S., Schroijen, M., Constantinou, E., Smets, E., den Bergh, O. V., & Diest, I. V. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2013.00483 · Cited by 41
“Recent publications critically discussed both the ambiguity of the definition of distress tolerance, as well as the conceptual validity of various assessment techniques such as selfreport or experimental distress induction (Leyro et al., 2010; McHugh et al., 2010).”
BackgroundCohen, J. R., Danielson, C. K., Adams, Z. W., & Ruggiero, K. J. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9545-y · Cited by 36
“2013), adding to a growing body of research that questions the predictive utility of DT for emotional distress (McHugh et al. 2011).”
BackgroundMoshier, S. J., Hearon, B. A., Calkins, A. W., Szuhany, K. L., Utschig, A. C., Smits, J. A. J., & Otto, M. W. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9489-9 · Cited by 34
“Since this time, AS has performed well relative to other measures of distress tolerance, providing relatively strong assessment across domains of distress despite its most obvious focus on distress in relation to anxiety-like symptoms (McHugh et al. 2011).”
BackgroundSelf-citationDistress tolerance and physiological reactivity to stress predict women's problematic alcohol use
Holzhauer, C. G., Wemm, S., & Wulfert, E. (2017) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000116 · Cited by 33
Distress intolerance during smoking cessation treatment
Farris, S. G., Leyro, T. M., Allan, N. P., Øverup, C. S., Schmidt, N. B., & Zvolensky, M. J. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.08.002 · Cited by 33
“G. Farris), mjzvolen@central. ersity, Department of Psychidence, RI 02906. discriminant (specific to stimuli or provocation; McHugh et al., 2011).”
BackgroundInfluentialConfirming the Factor Structure and Validity of the Distress Tolerance Scale (DTS) in Youth
Tonarely, N. A., & Ehrenreich-May, J. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-019-00935-z · Cited by 33
Distress intolerance and clinical functioning in persons with schizophrenia
Nugent, K. L., Chiappelli, J., Rowland, L. M., Daughters, S. B., & Hong, L. E. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.07.026 · Cited by 33
“Both the PASAT and the MTPT have been widely used as measures of distress intolerance (Daughters et al., 2005b; McHugh et al., 2011).”
BackgroundMethodSelf-citationHelping Yourself before Helping Others: How Sense of Control Promotes Charitable Behaviors
Xu, Q., Kwan, C. M. C., & Zhou, X. (2020) · Journal of Consumer Psychology · doi:10.1002/jcpy.1163 · Cited by 34
Macatee, R. J., & Cougle, J. R. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.05.006 · Cited by 31
Luberto, C. M., & McLeish, A. C. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.09.013 · Cited by 29
Ali, B., Green, K. M., Daughters, S. B., & Lejuez, C. W. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.04.016 · Cited by 30
Self-citationAnxiety sensitivity as a transdiagnostic treatment target
Smits, J. A. J., Otto, M. W., Powers, M. B., & Baird, S. O. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813495-5.00001-2 · Cited by 37
Self-citationFelton, J. W., Collado, A., Havewala, M., Shadur, J. M., MacPherson, L., & Lejuez, C. W. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1405354 · Cited by 35
“…to find a prospective relation between DT and depressive symptoms among adolescent populations (e.g., Cummings et al., 2013), suggesting a more complicated pattern of relations between DT and consequent emotional distress (e.g., McHugh et al., 2011), specifically during this developmental period.”
BackgroundSelf-citationMcIntosh, R., Ironson, G., & Krause, N. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110403 · Cited by 28
“Distress tolerance can also mitigate the effects of traumatic stress on many of the afore-mentioned mental health outcomes, making it an important psychosomatic index of resilience [66][57].”
BackgroundVujanovic, 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
“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).”
BackgroundAssociations 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
“Available evidence in community (McHugh et al., 2011) and trauma-exposed samples (MarshallBerenz et al., 2010) indicates that existing measures of DT do not correspond well with one another, and are therefore not assessing one global DT construct.”
BackgroundDistress tolerance in social versus solitary college student drinkers
Williams, C. L., Vik, P. W., & Wong, M. M.-H. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.06.025 · Cited by 27
Buckner, J. D., Jeffries, E. R., Terlecki, M. A., & Ecker, A. H. (2016) · Behavior Modification · doi:10.1177/0145445515610315 · Cited by 26
“…addition task; Lejuez, Kahler, & Brown, 2003), which have been associated with proxy measures of motivation in prior work (i.e., treatment attrition; Daughters, Lejuez, Bornovalova, et al., 2005) and which have not been found to correlate with self-report measures of DT (McHugh et al., 2011).”
Farris, S. G., Zvolensky, M. J., Otto, M. W., & Leyro, T. M. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881115575536 · Cited by 25
“Error terms for distress intolerance measures (by measurement method; self-report versus behavioral task) were allowed to correlate with each other based on an a priori decision (McHugh et al., 2011).”
MethodResultSelf-citationSemcho, S. A., Southward, M. W., Stumpp, N. E., MacLean, D. L., Hood, C. O., Wolitzky-Taylor, K., & Sauer-Zavala, S. (2023) · Journal of Emotion and Psychopathology · doi:10.55913/joep.v1i1.9 · Cited by 26
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 27
“…has found little to no convergence among self-report and behavioral indices of distress tolerance (Leyro et al., 2010; Marshall-Berenz et al., 2010; McHugh et al., 2011), it is important to examine the variously defined dimensions of the distress tolerance construct in relation to suicidality…”
InfluentialMacatee, R. J., Albanese, B. J., Clancy, K. J., Allan, N. P., Bernat, E. M., Cougle, J. R., & Schmidt, N. B. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000323 · Cited by 28
“…associations between behavioral and self-report DI measures suggests that they may be measuring largely different constructs (Kiselica et al., 2015; McHugh et al., 2011; McHugh & Otto, 2011), though the self-report DI measure used in the present study was explicitly chosen to better capture…”
BackgroundMethodInfluentialVujanovic, A. A., & Zegel, M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816022-0.00012-0 · Cited by 28
Epkins, C. C. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-015-9502-1 · Cited by 24
A 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
“…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).”
BackgroundInfluentialPeng, Y., Knotts, J. D., Taylor, C. T., Craske, M. G., Stein, M. B., Bookheimer, S. Y., Young, K. S., Simmons, A. N., Yeh, H., Ruiz, J., et al. (2021) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.12.005 · Cited by 24
Acceptance of cravings: How smoking cessation experiences affect craving beliefs
Nosen, E., & Woody, S. R. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.003 · Cited by 26
Cameron, A., Reed, K. M. P., & Ninnemann, A. L. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.08.012 · Cited by 25
“…& 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.”
BackgroundWolitzky-Taylor, K. B., Glasner, S. V., Tanner, A. S., Ghahremani, D. G., & London, E. D. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104032 · Cited by 22
The association between affect amplification and urgency
Weitzman, M. L., McHugh, R. K., & Otto, M. W. (2011) · Depression and Anxiety · doi:10.1002/da.20830 · Cited by 22
Self-citationDistress Tolerance and Perceived Barriers to Smoking Cessation
Kraemer, K., McLeish, A. C., Jeffries, E., Avallone, K. M., & Luberto, C. M. (2013) · Substance Abuse · doi:10.1080/08897077.2013.771597 · Cited by 22
“Further, as physical and emotional DT are distinct constructs (14), it would be helpful for future studies to utilize self-report and behavioral measures of both physical and emotional DT to examine potential differential effects on smoking cessation processes.”
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 22
Kraemer, K. M., Luberto, C. M., Hall, D. L., Ngo, L. H., & Yeh, G. Y. (2020) · Behaviour Research and Therapy · doi:10.1016/j.brat.2020.103746 · Cited by 21
“First, there is consensus that one’s perceived ability to tolerate distress (measured via self-report) is distinct from one’s actual capacity to withstand distress (measured via behavioral tasks; McHugh et al., 2011).”
BackgroundShort, 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
Vinci, C., Mota, N. P., Berenz, E. C., & Connolly, K. M. (2016) · Military Psychology · doi:10.1037/mil0000100 · Cited by 20
“It is important to note that self-report measures of DT and behavioral measures are generally uncorrelated (Bernstein, Marshall, & Zvolensky, 2011; Marshall-Berenz et al., 2010; McHugh et al., 2011), as they potentially assess different aspects of DT.”
BackgroundNeuroticism as an underlying construct in youth emotional disorders
Tonarely, N. A., Sherman, J. A., Grossman, R. A., Shaw, A. M., & Ehrenreich, J. T. (2020) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2020.84.3.214 · Cited by 21
A multi-method analysis of incompleteness in behavioral treatment of contamination-based OCD
Mathes, B. M., Kennedy, G. A., Wilver, N. L., Carlton, C. N., & Cougle, J. R. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.12.008 · Cited by 17
Vujanovic, 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
A novel method for assessing distress intolerance: adaptation of a measure of willingness to pay.
McHugh, R., Hearon, B. A., Halperin, D., & Otto, M. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2011.04.003 · Cited by 18
Self-citation
Metadata
- Authors
- McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M., & Otto, M. W.
- Affiliations
- Boston University (US)
- University of Maryland, College Park (US)
- Corresponding author
- McHugh, R. Kathryn
- ORCID
- Venue
- Cognitive Therapy and Research
- Published
- 2010-02-07
- Volume
- 35
- Issue
- 3
- Pages
- 266-275
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- PMC
- PMC3721199
- OpenAlex
- W2073155588
- Cited by
- 206
- References
- 38
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 7 · 2023: 9 · 2022: 9 · 2021: 13 · 2020: 15 · 2019: 21 · 2018: 22 · 2017: 15 · 2016: 11 · 2015: 18 · 2014: 14 · 2013: 16 · 2012: 16
- FWCI
- 18.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cognitive Therapy and Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA022974, R01DA015375, R21DA022741)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- distress intolerance, convergent validity, self-report measures, behavioral measures, anxiety sensitivity, drug addiction, cigarette smokers, individual differences, coping
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