Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors

Anestis, Michael D.; Lavender, Jason M.; Marshall-Berenz, Erin C.; Gratz, Kim L.; Tull, Matthew T.; Joiner, Thomas E.

doi:10.1007/s10608-011-9377-8

Cited by 78Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and Psychopathology

Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors

Anestis, Michael D., Lavender, Jason M., Marshall-Berenz, Erin C., Gratz, Kim L., Tull, Matthew T., Joiner, Thomas E.·2012·Cognitive Therapy and Research

DOI 10.1007/s10608-011-9377-8

Open this paper in CoChat — free account

Integrity signals

Registry

Crossref · 10.1007/s10608-011-9377-8

Cites

51 of 51 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

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 [4]

Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Untitled work
(1993) · Cited by 7,136 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · cited 1× · see citing works
“The DTT is a behavioral measure of distress tolerance that utilizes an alternative form of the Wisconsin Card Sort Test (Grant and Berg 1948; Heaton et al. 1993).”
Method
Cognitive-Behavioral Treatment of Borderline Personality Disorder
Cary, G. L. (1994) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1994.48.1.155 · Cited by 6,300 · see citing works
The Eating Attitudes Test: psychometric features and clinical correlates
Garner, D. M., Olmsted, M., Bohr, Y., & Garfinkel, P. (1982) · Psychological Medicine · doi:10.1017/s0033291700049163 · Cited by 4,902 · see citing works
Psychological Assessment Resources
Abidin, R. R. (1995) · Medical Entomology and Zoology · Cited by 3,140 · see citing works
Wisconsin Card Sorting Test Manual – Revised and Expanded
Heaton, R. K., Chelune, C., Talley, J., Kay, G., & Curtiss, G. (1981) · Medical Entomology and Zoology · Cited by 2,975 · see citing works
A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem.
Grant, D. A., & Berg, E. (1948) · Journal of Experimental Psychology · doi:10.1037/h0059831 · Cited by 2,244 · see citing works
The Distress Tolerance Scale: Development and Validation of a Self-Report Measure
Simons, J. S., & Gaher, R. M. (2005) · Motivation and Emotion · doi:10.1007/s11031-005-7955-3 · Cited by 1,730 · see citing works
An experimental investigation of Reactive Atomization and Deposition Processing of Ni3Al/Y2O3 Using N2-O2 Atomization
Zeng, X., Liu, H., Chu, M. G., & Lavernia, E. J. (1992) · Metallurgical Transactions A · doi:10.1007/bf03024549 · Cited by 1,520 · see citing works
Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults.
Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.72 · Cited by 1,126 · see citing works
The Journal of Abnormal Psychology
(1906) · Journal of Mental Science · doi:10.1192/bjp.52.218.580 · Cited by 877 · see citing works
Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults.
Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010) · Psychological Bulletin · doi:10.1037/a0019712 · Cited by 868 · see citing works
Distress tolerance and duration of past smoking cessation attempts.
Brown, R. A., Lejuez, C. W., Kahler, C. W., & Strong, D. R. (2002) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.111.1.180 · Cited by 627 · see citing works
Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers
Nock, M. K., & Mendes, W. B. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.28 · Cited by 572 · see citing works
An experimental investigation of emotion dysregulation in borderline personality disorder
Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.850 · Cited by 518 · see citing works
Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity
Reeves, J. L., Jaeger, B. A., & Graff‐Radford, S. B. (1986) · Pain · doi:10.1016/0304-3959(86)90117-x · Cited by 389 · see citing works
Distress tolerance and early smoking lapse
Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.05.003 · Cited by 322 · see citing works
Impulsivity and suicidality: The mediating role of painful and provocative experiences
Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.07.023 · Cited by 317 · see citing works
Problematic alcohol and cannabis use among young adults: the roles of depression and discomfort and distress tolerance
Buckner, J. D., Keough, M. E., & Schmidt, N. B. (2007) · Addictive Behaviors · doi:10.1016/j.addbeh.2006.12.019 · Cited by 301 · see citing works
The multifaceted role of distress tolerance in dysregulated eating behaviors
Anestis, M. D., Selby, E. A., Fink, E. L., & Joiner, T. E. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20471 · Cited by 278 · see citing works
Clarifying the role of emotion dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample
Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.10.013 · Cited by 271 · see citing works
Distress tolerance in the eating disorders
Corstorphine, E., Mountford, V. A., Tomlinson, S., Waller, G., & Meyer, C. (2006) · Eating Behaviors · doi:10.1016/j.eatbeh.2006.02.003 · Cited by 244 · see citing works
Shared variance among self-report and behavioral measures of distress intolerance
McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M., & Otto, M. W. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-010-9295-1 · Cited by 206 · see citing works
Psychological distress tolerance and duration of most recent abstinence attempt among residential treatment-seeking substance abusers.
Daughters, S., Lejuez, C., Kahler, C., Strong, D., & Brown, R. A. (2005) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.19.2.208 · Cited by 198 · see citing works
Discomfort intolerance: Development of a construct and measure relevant to panic disorder
Schmidt, N. B., Richey, J. A., & Fitzpatrick, K. K. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2005.02.002 · Cited by 194 · see citing works
Is task persistence related to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors.
Quinn, E. P., Brandon, T., & Copeland, A. (1996) · Experimental and Clinical Psychopharmacology · doi:10.1037/1064-1297.4.2.186 · Cited by 187 · see citing works
Pretreatment task persistence predicts smoking cessation outcome
Brandon, T. H., Herzog, T. A., Juliano, L. M., Irvin, J. E., Lazev, A. B., & Simmons, V. N. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.3.448 · Cited by 174 · see citing works
Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use and alcohol use problems among young adult drinkers
Howell, A. N., Leyro, T. M., Hogan, J., Buckner, J. D., & Zvolensky, M. J. (2010) · Addictive Behaviors · doi:10.1016/j.addbeh.2010.07.003 · Cited by 163 · see citing works
Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample
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 · cited 6× · see citing works
“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…”
BackgroundResultInfluentialSelf-citation
Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users.
Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn‐Miller, M. O. (2009) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0014961 · Cited by 156 · see citing works
A multimodal assessment of the relationship between emotion dysregulation and borderline personality disorder among inner-city substance users in residential treatment
Bornovalova, M. A., Gratz, K. L., Daughters, S. B., Nick, B., Delany-Brumsey, A., Lynch, T. R., Kosson, D., & Lejuez, C. W. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2007.07.014 · Cited by 152 · see citing works
Self-citation
The Reliability of the Pressure Algometer
Merskey, H., & Spear, F. G. (1964) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1964.tb00415.x · Cited by 122 · see citing works
An experimental investigation of emotional willingness and physical pain tolerance in deliberate self-harm: the moderating role of interpersonal distress
Gratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.04.009 · Cited by 101 · see citing works
Examining the construct validity of the Eating Disorder Inventory.
Espelage, D. L., Mazzeo, S. E., Aggen, S. H., Quittner, A. L., Sherman, R. T., & Thompson, R. A. (2003) · Psychological Assessment · doi:10.1037/1040-3590.15.1.71 · Cited by 96 · see citing works
Differences in negative mood-induced smoking reinforcement due to distress tolerance, anxiety sensitivity, and depression history
Perkins, K., Karelitz, J. L., Giedgowd, G., Conklin, C. A., & Sayette, M. (2010) · Psychopharmacology · doi:10.1007/s00213-010-1811-1 · Cited by 89 · see citing works
Multi-method evaluation of distress tolerance measures and construct(s): Concurrent relations to mood and anxiety psychopathology and quality of life
Bernstein, A., Marshall, E. C., & Zvolensky, M. J. (2011) · Journal of Experimental Psychopathology · doi:10.5127/jep.006610 · Cited by 88 · cited 3× · see citing works
“…and Mendes 2008), difficulty maintaining quit attempts from illicit drugs (Daughters et al. 2005a), nicotine use (Brown et al. 2005), gambling (Daughters et al. 2005b), and both borderline personality disorder (Bornovalova et al. 2008) and antisocial personality disorder (Daughters et al. 2008).”
Background
Dysregulated Eating and Distress: Examining the Specific Role of Negative Urgency in a Clinical Sample
Anestis, M. D., Smith, A. R., Fink, E. L., & Joiner, T. E. (2008) · Cognitive Therapy and Research · doi:10.1007/s10608-008-9201-2 · Cited by 81 · see citing works
The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users
Daughters, S. B., Sargeant, M. N., Bornovalova, M. A., Gratz, K. L., & Lejuez, C. W. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.5.509 · Cited by 80 · see citing works
Self-citation
The Relationship among Negative Affect, Distress Tolerance, and Length of Gambling Abstinence Attempt
Daughters, S. B., Lejuez, C. W., Strong, D. R., Brown, R. A., Breen, R. B., & Lesieur, H. R. (2005) · Journal of Gambling Studies · doi:10.1007/s10899-005-5554-6 · Cited by 77 · see citing works
Distress tolerance and pre-smoking treatment attrition: Examination of moderating relationships
MacPherson, L., Stipelman, B. A., Duplinsky, M., Brown, R. A., & Lejuez, C. W. (2008) · Addictive Behaviors · doi:10.1016/j.addbeh.2008.07.001 · Cited by 73 · cited 2× · see citing works
“Likewise, a recent study examining predictors of pre-treatment dropout from a behavioral activation program for depressed smokers found gender differences in the relative utility of behavioral measures of psychological and physical distress tolerance in predicting pre-treatment dropout, with psychological distress int…”
Background
Discomfort Intolerance: Evaluation of a Potential Risk Factor for Anxiety Psychopathology
Schmidt, N. B., Richey, J. A., Timpano, K. R., & Buckner, J. D. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.08.004 · Cited by 69 · see citing works
Sex and Emotion in the Acquired Capability for Suicide
Anestis, M. D., Bender, T. W., Selby, E. A., Ribeiro, J. D., & Joiner, T. E. (2011) · Archives of Suicide Research · doi:10.1080/13811118.2011.566058 · Cited by 59 · see citing works
Journal of Experimental Psychopathology
(2018) · Journal of Experimental Psychopathology · doi:10.5127/jep · Cited by 55 · see citing works
Changes in the attractiveness of activities: the effect of expectation preceding performance.
Gebhard, M. E. (1949) · Journal of Experimental Psychology · doi:10.1037/h0057543 · Cited by 54 · see citing works
Pain threshold and tolerance of hands and feet.
Murray, F. S., & Hagan, B. C. (1973) · Journal of Comparative and Physiological Psychology · doi:10.1037/h0034836 · Cited by 44 · see citing works
Biological bases of distress tolerance.
Trafton, J. A., & Gifford, E. V. (2011) · Cited by 39 · see citing works
The Relationship of Low Distress Tolerance to Excessive Worrying and Cognitive Avoidance
Huang, K., Szabó, M., & Han, J. L. (2009) · Behaviour Change · doi:10.1375/bech.26.4.223 · Cited by 37 · see citing works
Evaluating emotional sensitivity and tolerance factors in the prediction of panic-relevant responding to a biological challenge
Kutz, A. M., Marshall, E. C., Bernstein, A., & Zvolensky, M. J. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.07.025 · Cited by 26 · see citing works
Untitled work
Wiser (1999) · doi:10.1002/(sici)1097-4679(199906)55:6
Untitled work
Garner (1983) · doi:10.1002/1098-108x(198321)2:2

Flagged first, then by citations

1 of the 52 references couldn’t be matched to a known paper.

Sorted by citations

Revisiting residents’ support for tourism development: The role of tolerance
Qin, X., Shen, H., Ye, S., & Zhou, L. (2021) · Journal of Hospitality and Tourism Management · doi:10.1016/j.jhtm.2021.02.010 · Cited by 116 · see citing works
Time Doesn’t Change Everything: The Longitudinal Course of Distress Tolerance and its Relationship with Externalizing and Internalizing Symptoms during Early Adolescence
Cummings, 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 · see citing works
Metacognitions or distress intolerance: The mediating role in the relationship between emotional dysregulation and problematic internet use
Akbari, M. (2017) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2017.10.004 · Cited by 85 · see citing works
The Moderating Role of Distress Tolerance in the Relationship Between Posttraumatic Stress Disorder Symptom Clusters and Suicidal Behavior Among Trauma Exposed Substance Users in Residential Treatment
Anestis, M. D., Tull, M. T., Bagge, C. L., & Gratz, K. L. (2012) · Archives of Suicide Research · doi:10.1080/13811118.2012.695269 · Cited by 76 · see citing works
Examining the interactive effect of posttraumatic stress disorder, distress tolerance, and gender on residential substance use disorder treatment retention.
Tull, 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 · see citing works
Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis
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 · see citing works
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 58 · see citing works
The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment
Anestis, M. D., Gratz, K. L., Bagge, C. L., & Tull, M. T. (2012) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2012.04.004 · Cited by 55 · see citing works
Self-citation
The 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 45 · see citing works
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 · see citing works
Behavioral Assessment of the Negative Emotion Aspect of Distress Tolerance: Tolerance to Emotional Images
Veilleux, J. C., Pollert, G. A., Zielinski, M. J., Shaver, J. A., & Hill, M. A. (2017) · Assessment · doi:10.1177/1073191116689819 · Cited by 41 · see citing works
The role of distress tolerance in the relationship between cognitive schemas and alcohol problems among college students
Simons, R. M., Sistad, R. E., Simons, J. S., & Hansen, J. M. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.10.020 · Cited by 40 · see citing works
PTSD Symptom Clusters Are Differentially Associated with Components of the Acquired Capability for Suicide
Zuromski, K. L., Davis, M. T., Witte, T. K., Weathers, F. W., & Blevins, C. A. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12098 · Cited by 38 · see citing works
The Co-occurrence of Pediatric Chronic Pain and Anxiety
Mano, K. E. J., O’Bryan, E. M., Gibler, R. C., & Beckmann, E. A. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000763 · Cited by 37 · see citing works
A Theory of Momentary Distress Tolerance: Toward Understanding Contextually Situated Choices to Engage With or Avoid Distress
Veilleux, J. C. (2022) · Clinical Psychological Science · doi:10.1177/21677026221118327 · Cited by 40 · see citing works
Major Depression and Risky Sexual Behavior Among Substance Dependent Patients: The Moderating Roles of Distress Tolerance and Gender
Tull, M. T., & Gratz, K. L. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9490-3 · Cited by 35 · see citing works
Distress tolerance and symptoms of depression: A review and integration of literatures
Lass, A. N. S., & Winer, E. S. (2020) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12336 · Cited by 62 · see citing works
Distress 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 · see citing works
Perceived 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
Distress
Matthews, G. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-800951-2.00026-1 · Cited by 32 · see citing works
Distress tolerance in PTSD
Vujanovic, A. A., & Zegel, M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816022-0.00012-0 · Cited by 25 · see citing works
Distress tolerance across self-report, behavioral and psychophysiological domains in women with eating disorders, and healthy controls
Yiu, A., Christensen, K., Arlt, J. M., & Chen, E. Y. (2018) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2018.05.006 · Cited by 25 · see citing works
Factor Structure and Incremental Utility of the Distress Tolerance Scale: A Bifactor Analysis
Rogers, T. A., Bardeen, J. R., Fergus, T. A., & Benfer, N. (2018) · Assessment · doi:10.1177/1073191118789496 · Cited by 26 · see citing works
The interactive role of distress tolerance and eating expectancies in bulimic symptoms among substance abusers
Lavender, J. M., Happel, K., Anestis, M. D., Tull, M. T., & Gratz, K. L. (2014) · Eating Behaviors · doi:10.1016/j.eatbeh.2014.10.006 · Cited by 24 · see citing works
An Investigation of the Mediating Roles of Emotion Regulation Difficulties, Distress Tolerance, Self-Compassion, and Self-Disgust in the Association Between Childhood Trauma and Nonsuicidal Self-Injury
Erol, Y., & İnözü, M. (2023) · Archives of Suicide Research · doi:10.1080/13811118.2023.2237083 · Cited by 23 · see citing works
Translational Clinical Neuroscience Perspectives on the Cognitive and Neurobiological Mechanisms Underlying Alcohol-Related Aggression
Beck, A., Heinz, A. J., & Heinz, A. (2013) · Current topics in behavioral neurosciences · doi:10.1007/7854_2013_258 · Cited by 23 · see citing works
Distress tolerance and lifetime frequency of non‐suicidal self‐injury (NSSI): A systematic review and meta‐analysis
Akbari, M., Seydavi, M., Firoozabadi, M. A., & Babaeifard, M. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2957 · Cited by 21 · see citing works
Hurting Inside and Out? Emotional and Physical Pain in Self-Harm Ideation and Enactment
Kirtley, O. J., O’Connor, R. C., & O’Carroll, R. E. (2015) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2015.8.2.156 · Cited by 21 · see citing works
The Relation of Anxiety to Nonsuicidal Self Injury Is Indirect Through Mindfulness
Bock, R. C., Berghoff, C. R., Baker, L. D., Tull, M. T., & Gratz, K. L. (2021) · Mindfulness · doi:10.1007/s12671-021-01660-2 · Cited by 20 · see citing works
Distress tolerance in romantic relationships: A daily diary exploration with methodological considerations
Doorley, J. D., Kashdan, T. B., Alexander, L. A., Blalock, D. V., & McKnight, P. E. (2019) · Motivation and Emotion · doi:10.1007/s11031-019-09751-3 · Cited by 17 · see citing works
Coping with Suicidal Urges: An Important Factor for Suicide Risk Assessment and Intervention
Interian, A., Chesin, M. S., Kline, A., Hill, L. S., King, A. R., Miller, R. B., Latorre, M., Gara, M. A., & Stanley, B. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1678538 · Cited by 17 · see citing works
Differential Associations Between Perceived and Objective Measurement of Distress Tolerance in Relation to Antiretroviral Treatment Adherence and Response Among HIV-Positive Individuals
Oser, 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
Testing an affective judgment model of distress tolerance in college heavy drinkers
Seo, J., & Kwon, S. (2016) · Addictive Behaviors · doi:10.1016/j.addbeh.2016.02.021 · Cited by 15 · see citing works
Reductions in Distress Intolerance via Intervention: A Review
Heiland, A. M., & Veilleux, J. C. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10425-1 · Cited by 14 · see citing works
When is your distress harder to tolerate? A qualitative analysis of situations in which distress tolerance is impaired and strengthened
Veilleux, J. C., Hyde, K. C., & Clift, J. B. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.12.008 · Cited by 13 · see citing works
The Relationship Between Eating Disorder Symptoms and Treatment Rejection among Young Adult Men in Residential Substance Use Treatment
Elmquist, J., Shorey, R., Anderson, S., Temple, J. R., & Stuart, G. L. (2016) · Substance Abuse: Research and Treatment · doi:10.4137/sart.s33396 · Cited by 11 · see citing works
The Indirect Effect of Distress Tolerance on Young Adult Alcohol Use Behaviors via Coping Motives
Wahesh, E., Moreton, A., & McKechnie, M. (2020) · Journal of Addictions & Offender Counseling · doi:10.1002/jaoc.12084 · Cited by 12 · see citing works
The role of positive self-compassion, distress tolerance, and social problem-solving in the relationship between perfectionism and disordered eating among racially and ethnically diverse college students
Rand-Giovannetti, D., Rozzell, K. N., & Latner, J. D. (2022) · Eating Behaviors · doi:10.1016/j.eatbeh.2022.101598 · Cited by 12 · see citing works
The relationship between psychiatric symptoms and affective forecasting bias
Dev, A. S., Hall, K. A. A., & Timpano, K. R. (2022) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2022.101825 · Cited by 11 · see citing works
Examining Relationships between Gender, Opioid Dependence, and Distress Tolerance among Patients in Substance Use Disorder Treatment
Tull, M. T., Edmonds, K. A., Forbes, C. N., Richmond, J. R., Rose, J. P., Anestis, M. D., & Gratz, K. L. (2020) · Substance Use & Misuse · doi:10.1080/10826084.2020.1741632 · Cited by 11 · see citing works
Does distress intolerance moderate the link between ADHD symptoms and number of sexual partners?
Eck, K. V., Flory, K., & Willis, D. (2014) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-014-0140-3 · Cited by 10 · see citing works
[Effects of gonadotropin releasing hormone analog and growth hormone on height in girls with idiopathic central precocious puberty].
Wang, C., Liang, L., Liu, P.-N., Jin, X.-J., Chen, L.-Q., Yang, F., Lian, Q., & Chen, R.-M. (2014) · PubMed · Cited by 10 · see citing works
Therapeutic songwriting to address distress tolerance for adults on an acute care mental health unit: A pilot study
Silverman, M. J. (2020) · The Arts in Psychotherapy · doi:10.1016/j.aip.2020.101716 · Cited by 9 · see citing works
The Nomological Network of a Behavioral Distress Tolerance Task in Veterans
Brown, R. C., Overstreet, C., Sheerin, C. M., Berenz, E. C., Hawn, S. E., Pickett, T., McDonald, S., Danielson, C., & Amstadter, A. (2018) · Journal of Traumatic Stress · doi:10.1002/jts.22349 · Cited by 9 · see citing works
A network conceptualization of the multiple facets of distress tolerance
Evanovich, E. K., Marshall, A. J., David, S. J., & Mumma, G. H. (2019) · Anxiety Stress & Coping · doi:10.1080/10615806.2019.1641799 · Cited by 10 · see citing works
The Factorial Structure, Psychometric Properties and Sensitivity to Change of the Distress Tolerance Scale for Children with Emotional Disorders.
Caiado, B., Santos, D., Pereira, B., Góis, A. C., Canavarro, M. C., & Moreira, H. (2024) · Children · doi:10.3390/children11010115 · Cited by 8 · see citing works
“…research has indicated that 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 (e.g., [4–7]), including anxiety and depressive symptoms and disorders [8,9].”
Background
What is distress tolerance? Presenting a need for conceptual clarification based on qualitative findings
Lass, A. N. S., Veilleux, J. C., DeShong, H. L., & Winer, E. S. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.05.003 · Cited by 10 · see citing works
Association of emotion reactivity and distress intolerance with suicide attempts in U.S. Army soldiers
Naifeh, J. A., Nock, M. K., Dempsey, C. L., Georg, M. W., Aliaga, P. A., Dinh, H. M., Fullerton, C. S., Mash, H. B. H., Kao, T., Sampson, N. A., et al. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12821 · Cited by 7 · see citing works
Distress Intolerance in Relation to Reliance on Cigarettes for Weight, Shape, and Appetite Control
Burr, E. K., O’Keeffe, B., Kibbey, M. M., Coniglio, K., Leyro, T., & Farris, S. G. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09858-9 · Cited by 7 · see citing works
Psychometric Properties of the Italian Version of the Distress Tolerance Scale (DTS)
Melli, G., Chiorri, C., Lebruto, A., Drabik, M. J., Puccetti, C., & Caccico, L. (2021) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-021-09876-1 · Cited by 8 · see citing works
Cross-national examination of the Distress Tolerance Scale using Rasch methodology
Oorjitham, S., Medvedev, O. N., Bravo, A. J., Cross-Cultural Addictions Study Team, Conway, C., Henson, J. M., Hogarth, L., Ibáñez, M. I., Kaminer, D., Keough, M. T., et al. (2024) · Current Psychology · doi:10.1007/s12144-024-05894-w · Cited by 5 · see citing works
A Model Of Distress Tolerance In Self-Damaging Behaviors: Examining The Role Of Emotional Reactivity And Learned Helplessness
Sommers, B. (2017) · doi:10.32597/dissertations/1633 · Cited by 5 · see citing works
The effect of perceived stress on binge eating behavior among Chinese university students: a moderated mediation model
Li, C., Gu, J., Li, Y., Xia, B., & Meng, X. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1351116 · Cited by 4 · see citing works
Mothers’ Tolerance of Own and Child Distress: Associations with Discipline Practices
Vecchio, T. D., Pochtar, R., & Jablonka, O. (2019) · Parenting · doi:10.1080/15295192.2019.1642685 · Cited by 4 · see citing works
Biopsychosocial Vulnerability-Stress Modeling for an Incarcerated Population
Shelton, D., Barta, B., Trestman, R. L., & Wakai, S. T. (2016) · OpenCommons at University of Connecticut (University of Connecticut) · Cited by 4 · see citing works
Application of Biopsychosocial Vulnerability-Stress Model To a Criminal Justice Population
Shelton, D., Barta, B., & Anderson, E. H. (2016) · OpenCommons at University of Connecticut (University of Connecticut) · Cited by 4 · see citing works
Moderating Effect of Distress Tolerance on the Relationship Between Negative Affect Intensity and Adaptive and Maladaptive Emotion Regulation Strategies
이지영, & 정지현 (2016) · Korean Journal of Health Psychology · doi:10.17315/kjhp.2016.21.4.003 · Cited by 5 · see citing works
Validation of the Arabic versions of the long (15 items) and short (4 items) forms of the distress tolerance scale (DTS)
Noureddine, A., Malaeb, D. N., Sawma, T., Sakr, F., Dabbous, M., Obeïd, S., Hallit, S. R., & Fekih‐Romdhane, F. (2025) · Middle East Current Psychiatry · doi:10.1186/s43045-025-00541-x · Cited by 3 · see citing works
Biofeedback-assisted relaxation and progressive muscle relaxation potential for enhancing students’ distress tolerance
Jarašiūnaitė–Fedosejeva, G., Perminas, A., Gustainienė, L., Pečiulienė, I., & Kavaliauskaitė-Keserauskienė, R. (2015) · Cited by 3 · see citing works
The Effects of Dialectical Behavioural Therapy ( DBT ) on Cognitive and Emotional Symptoms of Adult ADHD : A Randomised Pilot Study
Basiri, N. (2025) · Counselling and Psychotherapy Research · doi:10.1002/capr.12900 · Cited by 2 · see citing works
Does emotional distress tolerance negatively predict problematic smartphone use or vice versa? Evidence from a longitudinal study and a daily diary study
Chen, S., Yang, L., Qu, Y., & Zhou, N. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108531 · Cited by 2 · see citing works
Distress Intolerance and Cannabis Use: An Initial Empirical Investigation
Hogan, J. (2015) · ScholarWorks -A service of University of Vermont Libraries (University of Vermont) · Cited by 2 · see citing works
Two aspects of distress tolerance: The relationship between subjective cognition and behavioral response
정지현, & Kwon, S. (2015) · The Korean Journal of Clinical Psychology · doi:10.15842/kjcp.2015.34.1.011 · Cited by 2 · see citing works
Elevated integration within the reward network underlies vulnerability to distress
Kozak, S., Dezachyo, O., Stanford, W., Bar‐Haim, Y., Censor, N., & Dayan, E. (2022) · Cerebral Cortex · doi:10.1093/cercor/bhac460 · Cited by 2 · see citing works
Enhancing distress tolerance to uplift motivation in recovery: Results from an open development trial
Bhuptani, P. H., Block, A., Muñoz, P. J., Bello, M. S., Ramsey, S. E., Ranney, M. L., Carey, K. B., Rich, J. D., & Langdon, K. J. (2023) · Digital Health · doi:10.1177/20552076231158575 · Cited by 1 · see citing works
Psychometrics Properties of the Persian Version of Distress Tolerance Scale for Alcoholics and Drug Addicts
Babakhanian, M., Nia, H. S., Ghazanfarpour, M., Ramayah, M. A. P., & Hosseini, L. (2025) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-129765 · Cited by 1 · see citing works
Negative interpretations of distress-related information: A novel assessment tool for distress tolerance
Oglesby, M. E., Short, N. A., Albanese, B. J., Portero, A. K., & Schmidt, N. B. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.10.001 · Cited by 1 · see citing works
An Experimental Investigation of How Peer Criticism and Praise Affect Urges for Self-Injury
Haliczer, L. A. (2021) · ScholarWorks@UMassAmherst (University of Massachusetts Amherst) · doi:10.7275/17887393 · Cited by 1 · see citing works
Evaluation of Behavioral Distress Tolerance Task Stability Across Settings
Overstreet, C. M. (2015) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/qtgt-mf81
Proximal factors associated with non-suicidal self-injury in daily life
Uitvlugt, K. (2018) · Summit (Simon Fraser University)
Mothers' Drinking Motives
Umemoto, S. K. (2021) · doi:10.15760/etd.7752
Distress Tolerance in the Context of Emotional Reactivity and Learned Helplessness
Khan, F., Khan, A., Jan, S. U., & Khan, H. (2022) · International Journal of Cyber Behavior Psychology and Learning · doi:10.4018/ijcbpl.298687
Association between cognition and personality factors among female harmful substance users
Sannamoth, R., & Halder, S. (2023) · Telangana Journal of Psychiatry · doi:10.4103/tjp.tjp_36_22
Investigation of the Relative Contributions of Distress Tolerance, Anxiety Sensitivity, and Experiential Avoidance to Predisposing of Disordered EatingPreprint
Mayeli, P., Yousefi, S., & Ashouri, A. (2023) · Research Square · doi:10.21203/rs.3.rs-3298893/v1 · Cited by 2 · see citing works
The role of distress tolerance and expectancies in women's alcohol consumption
Holzhauer, C. G. (2014) · Scholars Archive - University at Albany (University at Albany, State University of New York) · doi:10.54014/4h88-c4km

Examining the structure of distress tolerance: Are behavioral and self-report indicators assessing the same construct?
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
Multi-method evaluation of distress tolerance measures and construct(s): Concurrent relations to mood and anxiety psychopathology and quality of life
Bernstein, A., Marshall, E. C., & Zvolensky, M. J. (2011) · Journal of Experimental Psychopathology · doi:10.5127/jep.006610 · Cited by 88 · see citing works
The 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 45 · see citing works
The Distress Tolerance Scale: Development and Validation of a Self-Report Measure
Simons, J. S., & Gaher, R. M. (2005) · Motivation and Emotion · doi:10.1007/s11031-005-7955-3 · Cited by 1,730 · see citing works
Shared variance among self-report and behavioral measures of distress intolerance
McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M., & Otto, M. W. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-010-9295-1 · Cited by 206 · see citing works

Authors: Anestis, M. D., Lavender, J. M., Marshall-Berenz, E. C., Gratz, K. L., Tull, M. T., & Joiner, T. E.
Affiliations: Florida State University (US)
University of Mississippi Medical Center (US)
Corresponding author: Anestis, Michael D.
ORCID: Anestis, Michael D.
Lavender, Jason M.
Gratz, Kim L.
Tull, Matthew T.
Joiner, Thomas E.
Venue: Cognitive Therapy and Research
Publisher: Springer Science and Business Media LLC
Published: 2011-08-05
Volume: 36
Issue: 6
Pages: 593-602
ISSN: 0147-5916 (ISSN-L)
1573-2819
DOI: 10.1007/s10608-011-9377-8
OpenAlex: W2027433947
Cited by: 78
References: 52
Citations by year: 2025: 6 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 7 · 2013: 3 · 2012: 5
FWCI: 4.82
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Cognitive Therapy and Research (publishedVersion)
Rutgers University Community Repository (Rutgers University) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: distress tolerance, impulsive behavior, bulimic symptoms, self-report measures, behavioral measures, construct validity, convergent validity, discriminant validity, emotional dysregulation

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive Behaviors

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks