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Time Doesn’t Change Everything: The Longitudinal Course of Distress Tolerance and its Relationship with Externalizing and Internalizing Symptoms During Early Adolescence
Open accessAbstract
Although distress tolerance is an emerging construct of empirical interest, we know little about its temporal change, developmental trajectory, and prospective relationships with maladaptive behaviors. The current study examined the developmental trajectory (mean- and individual-level change, and rank-order stability) of distress tolerance in an adolescent sample of boys and girls (N = 277) followed over a four-year period. Next we examined if distress tolerance influenced change in Externalizing (EXT) and Internalizing (INT) symptoms, and if EXT and INT symptoms in turn influenced change in distress tolerance. Finally, we examined if any of these trends differed by gender. Results indicated that distress tolerance is temporally stable, with little mean- or individual-level change. Latent growth models reported that level of distress tolerance is cross-sectionally associated with both EXT and INT symptoms, yet longitudinally, only associated with EXT symptoms. These results suggest that distress tolerance should be a focus of research on etiology and intervention.
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“the engagement in such maladaptive emotional regulation strategies can predispose and perpetuate psychopathological symptoms, particularly those related to anxiety and depression [8,9,25]”
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 [25]
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“previous studies have shown that low distress tolerance is a predictor of more severe anxiety and depressive symptoms in nonclinical samples of children and adolescents”
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 [25]
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In the citing paper
“Lower distress tolerance levels were found to be associated with more severe internalizing symptoms”
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 [25]
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“Recently, with the emergence of transdiagnostic approaches, distress tolerance is viewed as an important transdiagnostic factor underlying psychopathology; namely, emotional disorders (e.g., [8,69]), including in childhood [25,50].”
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 [25]
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“Globally, these results are in line with our hypotheses and with those postulated in previous studies (e.g., [25,28,29]).”
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 [25]
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Cites
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Leventhal, A. M., & Zvolensky, M. J. (2015) · Psychological Bulletin · doi:10.1037/bul0000003 · Cited by 524
Piqueras, J. A., Martín-Vivar, M., Sandín, B., Costas, C. S. L., & Pineda, D. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.04.022 · Cited by 219
Distress 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
Changes in distress intolerance and treatment outcome in a partial hospital setting
McHugh, R. K., Kertz, S. J., Weiss, R. B., Baskin-Sommers, A. R., Hearon, B. A., & Björgvinsson, T. (2014) · Behavior Therapy · doi:10.1016/j.beth.2013.11.002 · Cited by 79
“Although much of the research on DI has focused on substance use disorders, recent research has highlighted the relevance of this risk factor in depression and anxiety (e.g., Cummings et al., 2013; Daughters et al., 2009).”
Allan, N. P., Macatee, R. J., Norr, A. M., & Schmidt, N. B. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9623-y · Cited by 78
“…associated with low selfreported and behaviorally-indexed DT across multiple nonclinical samples (Dennhardt and Murphy 2011; Anestis et al. 2012; Buckner et al. 2007; Ellis et al. 2010; Gorka et al. 2012), though this literature is not entirely consistent (Brown et al. 2009; Cummings et al. 2013).”
Background
Metadata
- Authors
- Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C.
- Affiliations
- University of South Florida (US)
- University of Maryland, College Park (US)
- Corresponding author
- Bornovalova, Marina A.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2013-01-18
- Volume
- 41
- Issue
- 5
- Pages
- 735-748
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC4158838
- OpenAlex
- W2028767276
- Cited by
- 111
- References
- 91
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 14 · 2020: 13 · 2019: 8 · 2018: 9 · 2017: 15 · 2016: 6 · 2015: 3 · 2014: 7 · 2013: 6
- FWCI
- 8.15
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- National Institute on Drug Abuse (P30DA028807, DA18647, R01DA018647, DA028807)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- distress tolerance, developmental trajectories, externalizing problems, internalizing problems, early adolescence, rank-order stability, gender differences, latent growth curve models, adolescent psychopathology
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Child Behavior Disorders, Cross-Sectional Studies, Female, Frustration, Humans, Individuality, Internal-External Control, Longitudinal Studies, Male, Orientation, Pattern Recognition, Visual, Psychomotor Performance, Psychopathology, Reaction Time, Sex Factors, Stress, Psychological, Resilience, Psychological
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