Distress tolerance and its role in psychopathology
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Deficits in one's ability to tolerate negative affect (low DT) contribute to engagement in maladaptive behaviours that function to alleviate psychological discomfort associated with aversive emotional states, thereby strengthening a negative feedback loop through which such behaviours are maintained.
“It has been theorised that deficits in one's ability to tolerate negative affect (i.e., low DT) contributes to engagement in maladaptive behaviours that function to alleviate psychological discomfort associated with aversive emotional states, thereby strenghtening a negative feedback loop through which such behaviours are maintained (Leyro et al., 2010;Zvolensky and Hogan, 2013).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Zvolensky and Hogan, 2013
Cites
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Self-citationDistress 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 · see citing works
Self-citationInitial RCT of a distress tolerance treatment for individuals with substance use disorders
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Self-citationMarshall, E. C., Zvolensky, M. J., Vujanovic, A. A., Gregor, K., Gibson, L. E., & Leyro, T. M. (2008) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0012752 · Cited by 43 · see citing works
Self-citationBiological bases of distress tolerance.
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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
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“in adverse health consequences in later lives (Zvolensky and Hogan 2013).”
BackgroundDistress 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 · see citing works
“…cognitive-behavioral factor and identified as a risk and maintenance factor for a wide range of psychological symptoms and disorders (Zvolensky & Hogan, 2013; Leyro et al., 2010; Otto et al., 2005; M. Zvolensky & Otto, 2007), including posttraumatic stress disorder (PTSD; Crabtree…”
BackgroundSelf-citationDistress 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
Rogers, A. H., Bakhshaie, J., Garey, L., Piasecki, T. M., Gallagher, M. W., Schmidt, N. B., & Zvolensky, M. J. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.10.007 · Cited by 22 · see citing works
Self-citationHåkansson, U., Watten, R. G., Söderström, K., & Øie, M. G. (2019) · Stress and Health · doi:10.1002/smi.2868 · Cited by 20 · see citing works
“…1998; Nair, Schuler, Black, Kettinger, & Harrington, 2003; - - - - - - - - - - - - - - - - - - - - - - - - - - Creative Commons Attribution Li by John Wiley & Sons Ltd Zvolensky & Hogan, 2013) and difficulties in stress‐regulation capacities (Tronick et al., 2005), compared with normal populations.”
Distress tolerance and pain experience among young adults
Rogers, A. H., Bakhshaie, J., Mayorga, N. A., Ditre, J. W., & Zvolensky, M. J. (2018) · Psychology Health & Medicine · doi:10.1080/13548506.2018.1454598 · Cited by 22 · see citing works
“…includes all of the relevant covariates as well as the distress tolerance scale total score. with previous research on pain tolerance, and theoretical models of distress tolerance that posit distress tolerance as a risk candidate for adverse emotional and somatic symptoms (Zvolensky & Hogan, 2013).”
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“In particular, we relied on the burgeoning emotion regulation literature on the positive benefits of mindfulness and distress tolerance skills for chronically stressed samples (Russell & Park, 2018; Zvolensky & Hogan, 2013).”
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“Distress tolerance has increasingly been recognized as an important construct in development, providing new insights into the onset and maintenance of psychological disorders, as well as prevention and treatment (Zvolensky & Hogan, 2013).”
Daundasekara, S., Iwundu, C. N., Hernandez, D., Maria, D. M. S., Zvolensky, M. J., Kendzor, D. E., & Businelle, M. (2021) · Journal of Social Distress and Homelessness · doi:10.1080/10530789.2021.1908488 · Cited by 3 · see citing works
“Consistent with past work among domiciled adults (Goldney et al., 2010; Gunn et al., 2012; Zvolensky et al., 2011; Zvolensky & Hogan, 2013), probable MDD was statistically significantly associated with greater likelihood of perceived poor health status.”
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“…physical or emotional states (Leyro et al., 2010; Zvolensky et al., 2010) and it is a cognitive-behavioural and maintenance factor for a broad range of mental health problems (Zvolensky and Hogan, 2013; Zvolensky and Otto, 2007) including PTSD (Crabtree et al., 2019; Vujanovic and Zegel, 2020).”
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“18, 19 Negative urgency and NSSI Negative urgency is another variable that has been studied in relation to high-risk behaviours, including NSSI.”
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Relations between distress tolerance and psychosocial variables in adults experiencing homelessness
Robison, J. H., Neil, J. M., Cannell, B., González, J. M. R., Zvolensky, M. J., Ra, C. K., Garey, L., Cole, A. B., Kezbers, K. M., Montgomery, A., et al. (2023) · Journal of Social Distress and the Homeless · doi:10.1080/10530789.2023.2193375
“This work has fi rmly established lower DT as a risk factor for greater mood symptom severity and dysregulation (Leyro, 2011; Zvolensky & Hogan, 2013), and has been found to be associated with increased mental health problems and addictive behaviors (Bakhshaie et al., 2021; Viana et al., 2019; Zegel…”
Self-citationFazelirad, H., Moghadasin, M., Mafakheri, A., Arezoumandi, Z., & Griffiths, M. D. (2026) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-026-00663-z
- Authors
- Zvolensky, M. J., & Hogan, J.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- University of Vermont (US)
- Corresponding author
- Zvolensky, Michael J.
- Venue
- Cognitive Therapy and Research
- Published
- 2013-03-07
- Volume
- 37
- Issue
- 3
- Pages
- 419-420
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- OpenAlex
- W2032151013
- Cited by
- 25
- References
- 14
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 7 · 2015: 1
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cognitive Therapy and Research (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- distress tolerance, psychopathology, emotion regulation, nomological network, cognitive therapy
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