An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample

Vujanovic, Anka A.; Bonn-Miller, Marcel O.; Potter, Carrie M.; Marshall, Erin C.; Zvolensky, Michael J.

doi:10.1007/s10862-010-9209-2

Cited by 134Posttraumatic Stress Disorder ResearchResilience and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample

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Vujanovic, Anka A., Bonn-Miller, Marcel O., Potter, Carrie M., Marshall, Erin C., Zvolensky, Michael J.·2011·Journal of Psychopathology and Behavioral Assessment

DOI 10.1007/s10862-010-9209-2PMC PMC3202991

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Abstract

The present investigation examined the incremental associations between distress tolerance, or the perceived capacity to tolerate emotional distress, and global posttraumatic stress symptom severity as well as symptom cluster severity, beyond the variance accounted for by number of trauma exposure types and negative affectivity. The sample consisted of 140 adults (72 women; M(age)=25.9, SD=11.1) who endorsed exposure to traumatic life events, as defined by posttraumatic stress disorder diagnostic criterion A (American Psychiatric Association 2000). Participants did not meet diagnostic criteria for current axis I psychopathology. Distress tolerance demonstrated significant incremental associations with global posttraumatic stress symptom severity (p<.01) as well as re-experiencing (p<.05), avoidance (p=.05), and hyperarousal (p<.001) symptom cluster severity. Given the cross-sectional study design, causation cannot be inferred. Theoretical implications and future directions for better understanding associations between distress tolerance and posttraumatic stress are discussed.

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Lower distress tolerance is associated with higher PTSD symptom severity.
“recent studies have shown that lower distress tolerance is associated with higher PTSD symptom severity (Marshall-Berenz, Vujanovic & Zvolensky, 2011; Vujanovic, Bonn-Miller, Potter, Marshall, & Zvolensky, 2011; Vujanovic, Hart, Potter, Berenz, Niles, & Bernstein, 2013).”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as Vujanovic, Bonn-Miller, Potter, Marshall, & Zvolensky, 2011
Low 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 Vujanovic et al., 2011

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Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2022) · doi:10.1176/appi.books.9780890425787 · Cited by 23,476 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences
Cohen, P., Cohen, P., West, S. G., & Aiken, L. S. (2014) · Psychology Press eBooks · doi:10.4324/9781410606266 · Cited by 20,819 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
American Psychiatric Association (2000) · doi:10.1176/appi.books.9780890423349 · Cited by 11,069 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences.
Henry, N. W., Cohen, J., & Cohen, P. R. (1977) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2064799 · Cited by 7,231 · see citing works
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences.
Tufte, E. R., Cohen, J., & Cohen, P. (1979) · Journal of the American Statistical Association · doi:10.2307/2286442 · Cited by 5,214 · see citing works
The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.4.445 · Cited by 2,709 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003) · Cited by 2,213 · 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
Untitled work
(2000) · Medical Entomology and Zoology · Cited by 1,187 · see citing works
Anxiety and It's Disorders
Prakash, R. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0318d · Cited by 1,031 · 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
Self-citation
The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II Diagnoses
Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., et al. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.291 · Cited by 771 · see citing works
Handbook of PTSD: Science and Practice
Bisson, J. I. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.07121921 · Cited by 723 · see citing works
Intolerance of uncertainty and social anxiety
Boelen, P. A., & Reijntjes, A. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.04.007 · Cited by 436 · cited 2× · see citing works
“In terms of anxiety and its disorders, studies have found that lower levels of tolerance for emotional distress and physical stress, and a lesser ability to withstand acute episodes of emotional stress, are significantly related to an increased risk of anxiety symptoms and panic attacks (Boelen and Reijntjes 2009; Bon…”
Background
Posttraumatic Stress Disorder and Obesity
Perkonigg, A., Owashi, T., Stein, M. B., Kirschbaum, C., & Wïttchen, H. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.09.026 · Cited by 419 · see citing works
Methods to Improve Diagnostic Accuracy in a Community Mental Health Setting
Basco, M. R., Bostic, J. Q., Davies, D., Rush, A. J., Witte, B. P., Hendrickse, W. A., & Barnett, V. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.10.1599 · Cited by 388 · see citing works
Handbook of PTSD : science and practice
Friedman, M. J., Keane, T. M., & Resick, P. A. (2007) · Cited by 351 · 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
Self-citation
Anxiety sensitivity and PTSD symptom severity are reciprocally related: Evidence from a longitudinal study of physical trauma survivors.
Marshall, G. N., Miles, J. N. V., & Stewart, S. H. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0018009 · Cited by 288 · see citing works
Distress tolerance and early adolescent externalizing and internalizing symptoms: the moderating role of gender and ethnicity
Daughters, S. B., Reynolds, E. K., MacPherson, L., Kahler, C. W., Danielson, C. K., Zvolensky, M., & Lejuez, C. W. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.12.001 · Cited by 203 · cited 2× · see citing works
“…stress, are significantly related to an increased risk of anxiety symptoms and panic attacks (Boelen and Reijntjes 2009; Bonn-Miller et al. 2009; Daughters et al. 2009; Marshall et al. 2008), fears about the negative consequences of anxiety symptoms (Timpano et al. 2009), and escape behavior in…”
BackgroundSelf-citation
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
Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors
Timpano, K. R., Buckner, J. D., Richey, J. A., Murphy, D. L., & Schmidt, N. B. (2009) · Depression and Anxiety · doi:10.1002/da.20469 · Cited by 151 · see citing works
Triggering the false suffocation alarm in panic disorder patients by using a voluntary breath-holding procedure
Asmundson, G. J. G., & Stein, M. B. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.2.264 · Cited by 106 · see citing works
The Role of Negative Affect Intensity and the Fear of Emotions in Posttraumatic Stress Symptom Severity Among Victims of Childhood Interpersonal Violence
Tull, M. T., Jakupcak, M., McFadden, M. E., & Roemer, L. (2007) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e318093ed5f · Cited by 76 · see citing works
Risk pathways for PTSD: Making sense of the literature.
Vogt, D. S., King, D. W., & King, L. A. (2007) · Cited by 59 · see citing works
Untitled work
(1995) · Cited by 52 · see citing works
Experimental psychopathology, clinical science, and practice: An irrelevant or indispensable alliance?
Forsyth, J. P., & Zvolensky, M. J. (2001) · Applied and Preventive Psychology · doi:10.1016/s0962-1849(01)80002-0 · Cited by 50 · see citing works
Self-citation
Incremental Associations Between Facets of Anxiety Sensitivity and Posttraumatic Stress and Panic Symptoms Among Trauma‐Exposed Adults
Vujanovic, A. A., Zvolensky, M. J., & Bernstein, A. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070801969039 · Cited by 48 · see citing works
Self-citation
Emotional responding to hyperventilation as a predictor of agoraphobia status among individuals suffering from panic disorder
Telch, M. J., Jacquin, K. M., Smits, J. A. J., & Powers, M. B. (2003) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(03)00037-5 · Cited by 44 · see citing works
Panic reactivity to voluntary hyperventilation challenge predicts distress tolerance to bodily sensations among daily cigarette smokers
Marshall, 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-citation
Discomfort intolerance: Evaluation of incremental validity for panic-relevant symptoms using 10% carbon dioxide-enriched air provocation
Bonn‐Miller, M. O., Zvolensky, M. J., & Bernstein, A. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.06.007 · Cited by 26 · see citing works
Self-citation

Flagged first, then by citations

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Research works printed but not linked: 1

First M Spitzer R Gibbon M Williams J Structured clinical interview for DSM-IV (nonpatient edition) 1995 Biometrics Research Department, New York State Psychiatric Institute New York

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Affective dynamics among veterans: Associations with distress tolerance and posttraumatic stress symptoms.
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
Urban Stress Indirectly Influences Psychological Symptoms through Its Association with Distress Tolerance and Perceived Social Support among Adults Experiencing Homelessness
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-citation
A longitudinal investigation of the association between rumination, hostility, and PTSD symptoms among trauma-exposed individuals
Mathes, 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
Distraction/Suppression and Distress Endurance diminish the extent to which generalized conditioned fear is associated with maladaptive behavioral avoidance
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
The Role of Emotion Regulation as a Potential Mediator between Secondary Traumatic Stress, Burnout, and Compassion Satisfaction in Professionals Working in the Forced Migration Field
Tessitore, F., Caffieri, A., Parola, A., Cozzolino, M., & Margherita, G. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032266 · Cited by 32 · 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
Does optimism act as a buffer against posttraumatic stress over time? A longitudinal study of the protective role of optimism after the 2011 Oslo bombing.
Birkeland, M. S., Blix, I., Solberg, Ø., & Heir, T. (2016) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000188 · Cited by 28 · see citing works
The relationship between distress tolerance regulation, counterfactual rumination, and PTSD symptom clusters
Erwin, 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
STAIR Narrative Therapy: A Skills Focused Approach to Trauma-Related Distress
Hassija, C. M., & Cloître, M. (2015) · Current Psychiatry Reviews · doi:10.2174/1573400511666150629105544 · Cited by 26 · see citing works
The Moderating Role of Rational Beliefs in the Relationship between Irrational Beliefs and Posttraumatic Stress Symptomology
Hyland, P., Shevlin, M. E., Adamson, G., & Boduszek, D. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465813000064 · Cited by 25 · 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
Self-citation
Mental and physical training with meditation and aerobic exercise improved mental health and well-being in teachers during the COVID-19 pandemic
Demmin, D. L., Silverstein, S. M., & Shors, T. J. (2022) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2022.847301 · Cited by 24 · see citing works
“, 2010), depression (Lass and Winer, 2020), and posttraumatic stress symptoms (Vujanovic et al., 2011).”
Background
Low Distress Tolerance and Hyperarousal Posttraumatic Stress Disorder Symptoms: A Pathway to Alcohol Use?
Duranceau, 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
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 24 · see citing works
Main and Interactive Effects of Anxiety Sensitivity and Physical Distress Intolerance with regard to PTSD Symptoms among Trauma-Exposed Smokers
Farris, 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
Self-citation
Problematic 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
Main and Interactive Effects of Mental Contamination and Tolerance of Negative Emotions in Relation to Posttraumatic Stress Symptoms Following Sexual Trauma
Fergus, T. A., & Bardeen, J. R. (2015) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-015-9511-0 · Cited by 23 · see citing works
Posttraumatic stress, uncontrollability, and emotional distress tolerance
Hancock, L., & Bryant, R. A. (2018) · Depression and Anxiety · doi:10.1002/da.22783 · Cited by 24 · 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
Examining Associations Between Cognitive-Affective Vulnerability and HIV Symptom Severity, Perceived Barriers to Treatment Adherence, and Viral Load Among HIV-Positive Adults
Leyro, T. M., Vujanovic, A. A., & Bonn‐Miller, M. O. (2014) · International Journal of Behavioral Medicine · doi:10.1007/s12529-014-9404-8 · Cited by 21 · see citing works
Self-citation
Examination of the Relationship Between PTSD and Distress Tolerance in a Sample of Male Veterans With Comorbid Substance Use Disorders
Vinci, C., Mota, N. P., Berenz, E. C., & Connolly, K. M. (2016) · Military Psychology · doi:10.1037/mil0000100 · Cited by 20 · see citing works
Distress intolerance and worry: the mediating role of cognitive variables
Kertz, S. J., Stevens, K., McHugh, R., & Björgvinsson, T. (2015) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2014.974571 · Cited by 16 · see citing works
A Novel Adaptation of Distress Tolerance Skills Training Among Military Veterans: Outcomes in Suicide-Related Events
Denckla, C. A., Bailey, R. W., Jackson, C., Tatarakis, J., & Chen, C. K. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.04.001 · Cited by 20 · see citing works
Fruit and vegetable consumption and emotional distress tolerance as potential links between food insecurity and poor physical and mental health among homeless adults
Hernandez, D. C., Daundasekara, S. S., Arlinghaus, K. R., Sharma, A. P., Reitzel, L. R., Kendzor, D. E., & Businelle, M. S. (2019) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2019.100824 · Cited by 19 · see citing works
How trauma related to sex trafficking challenges parenting: Insights from Mexican and Central American survivors in the US
Castaner, M. M., Fowler, R., Landers, C., Cohen, L., & Orjuela, M. A. (2021) · PLoS ONE · doi:10.1371/journal.pone.0252606 · Cited by 17 · see citing works
The Influence of a Personal Values Intervention on Cold Pressor-Induced Distress Tolerance
Smith, B. M., Villatte, J., Ong, C. W., Butcher, G. M., Twohig, M., Levin, M. E., & Hayes, S. (2018) · Behavior Modification · doi:10.1177/0145445518782402 · Cited by 17 · 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
Posttraumatic Stress and Parenting Behaviors: The Mediating Role of Emotion Regulation
Kumar, S. A., Franz, M. R., Brock, R. L., & DiLillo, D. (2019) · Journal of Family Violence · doi:10.1007/s10896-019-00124-5 · Cited by 17 · see citing works
Distress Tolerance as a Mechanism Linking Violence Exposure to Problematic Alcohol use in Adolescence
Heleniak, C., Bolden, C. R., McCabe, C. J., Lambert, H. K., Rosen, M. L., King, K. M., Monahan, K. C., & McLaughlin, K. A. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-021-00805-0 · Cited by 16 · see citing works
Acting with Awareness and Distress Tolerance Relate to PTSD Symptoms Among Women with Substance Use Disorder
Arnaudova, I., & Amaro, H. D. L. A. (2020) · Mindfulness · doi:10.1007/s12671-020-01362-1 · Cited by 16 · see citing works
More of a Good Thing Is Not Always Better: Validation of a Distress Overtolerance Measure
Gorey, C. M., Rojas, E. C., & Bornovalova, M. A. (2016) · Assessment · doi:10.1177/1073191116654218 · Cited by 16 · see citing works
Maternal and paternal emotional contributions to children's distress tolerance: Relations to child depressive symptoms
Doan, S. N., Son, H., & Kim, L. N. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.06.008 · Cited by 16 · see citing works
Cumulative Trauma Exposure and Mindfulness in College Students
Im, S., Greenlaw, M., & Lee, J. E. (2020) · Journal of College Counseling · doi:10.1002/jocc.12147 · Cited by 15 · see citing works
Emotional labour, emotional regulation strategies, and secondary traumatic stress: a cross-sectional study of allied mental health professionals in the UK
Singh, J., & Hassard, J. (2021) · The Social science journal (Fort Collins) · doi:10.1080/03623319.2021.1979825 · Cited by 14 · see citing works
Prediction of PTSD related to COVID-19 in emergency staff based on the components of self-compassion and perceived social support
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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-citation
Anxiety sensitivity and distress tolerance typologies and relations to posttraumatic stress disorder: A cluster analytic approach
Overstreet, 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
Alcohol expectancies and distress tolerance: Potential mechanisms in the relationship between posttraumatic stress and alcohol use
Himmerich, S. J., & Orcutt, H. K. (2018) · Personality and Individual Differences · doi:10.1016/j.paid.2018.08.004 · Cited by 11 · see citing works
Cross-Domain Assessment of Distress Intolerance: Associations With Borderline Personality Disorder Features
Conway, C., Penrod, M. T., Pugsley, G. M., Larrazabal, M. A., & Snyder, C. E. (2018) · Journal of Personality Disorders · doi:10.1521/pedi_2018_32_359 · Cited by 9 · see citing works
Panic symptoms and elevated suicidal ideation and behaviors among trauma exposed individuals: Moderating effects of post-traumatic stress disorder
Albanese, B. J., Norr, A. M., Capron, D. W., Zvolensky, M. J., & Schmidt, N. B. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.05.006 · Cited by 10 · see citing works
Self-citation
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:10.1007/978-3-319-08359-9_66 · Cited by 17 · see citing works
Self-citation
The Effect of Mindfulness-Based Stress Reduction Intervention on Psychological Flexibility, Distress Tolerance, and Re-Experiencing the Trauma in Veterans with Post-Traumatic Stress Disorder
H, K., Ph.D. in Psychology, A. P., Shojaei, F., Iran, I., Soltanizadeh, M., & Assistant Professor, I. (2018) · Military Caring Sciences · doi:10.29252/mcs.4.4.236 · Cited by 9 · see citing works
The Mindfulness Inventory: Nine Dimensions (MI:ND)
Malouf, E. T., Tangney, J. P., Monfort, S. S., Yarbro, J., Youman, K., & Schrader, S. W. (2022) · Springer eBooks · doi:10.1007/978-3-030-77644-2_26-1 · Cited by 8 · see citing works
Associations between positive memory count and hazardous substance use in a trauma‐exposed sample: Examining the moderating role of emotion dysregulation
Compton, S. E., Slavish, D. C., Weiss, N. H., Bowen, H. J., & Contractor, A. A. (2023) · Journal of Clinical Psychology · doi:10.1002/jclp.23495 · Cited by 8 · see citing works
The Role of Anxiety and Depression in the Emotion Regulation Strategies of People Suffering from Post-Traumatic Stress Disorder
Ouhmad, N., Deperrois, R., Combalbert, N., & El‐Hage, W. (2023) · The Journal of Psychology · doi:10.1080/00223980.2022.2134279 · Cited by 8 · see citing works
Intracolleague Aggression in a Group of Dutch Prison Workers
Bogaerts, S., & van der Laan, A. M. (2012) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x12442825 · Cited by 7 · see citing works
Associations between distress tolerance and posttraumatic stress symptoms among combat veterans and their parents: The mediating role of parents’ accommodation
Zerach, G., & Gordon‐Shalev, T. (2022) · Journal of Social and Personal Relationships · doi:10.1177/02654075221089046 · Cited by 7 · see citing works
The Effect of Participating in a Trauma- and Stressful Event-Focused Study
Larsen, S. E., & Berenbaum, H. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.22029 · Cited by 7 · see citing works
Mindfulness Interventions for Disaster Resilience in Southeast Asia
Panting, A., Heise, A. G., Hechanova, M. R. M., & Waelde, L. C. (2020) · Community, environment and disaster risk management · doi:10.1108/s2040-726220200000021006 · Cited by 8 · see citing works
An initial investigation of the association between distress intolerance and posttraumatic stress within military sexual trauma survivors.
McGrew, S. J., Ennis, C. R., Vujanovic, A. A., Franklin, C. L., & Raines, A. M. (2019) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000516 · Cited by 6 · see citing works
Self-citation
A Neurobiological Perspective of Mental Health Following Torture Trauma
Liddell, B. J., & Bryant, R. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-97046-2_7 · Cited by 5 · see citing works

Tolerating Distress After Trauma: Differential Associations Between Distress Tolerance and Posttraumatic Stress Symptoms
Fetzner, M. G., Peluso, D. L., & Asmundson, G. J. G. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9413-6 · Cited by 43 · 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 · see citing works
Self-citation
The association between posttraumatic stress disorder symptom severity and distress tolerance in traumatic stress treatment
Byllesby, B. M., & Palmieri, P. A. (2024) · Journal of Traumatic Stress · doi:10.1002/jts.23092 · Cited by 1 · see citing works
Main and interactive effects of distress tolerance and negative affect intensity in relation to PTSD symptoms among trauma-exposed adults
Vujanovic, A. A., Hart, A. S., Potter, C. M., Berenz, E. C., Niles, B., & Bernstein, A. (2013) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9325-2 · Cited by 88 · see citing works
Self-citation
Distress Tolerance
Vujanovic, A. A., Rathnayaka, N. S., Amador, C. D., & Schmitz, J. M. (2015) · Behavior Modification · doi:10.1177/0145445515621490 · Cited by 47 · see citing works
Self-citation

Authors: Vujanovic, A. A., Bonn-Miller, M. O., Potter, C. M., Marshall, E. C., & Zvolensky, M. J.
Affiliations: Boston University (US)
VA Boston Healthcare System (US)
University of Vermont (US)
Corresponding author: Vujanovic, Anka A.
ORCID: Vujanovic, Anka A.
Zvolensky, Michael J.
Venue: Journal of Psychopathology and Behavioral Assessment
Publisher: Springer Science and Business Media LLC
Published: 2010-11-12
Volume: 33
Issue: 1
Pages: 129-135
ISSN: 0164-0305 (ISSN-L)
0882-2689
1573-3505
DOI: 10.1007/s10862-010-9209-2
PMC: PMC3202991
OpenAlex: W2014439955
Cited by: 134
References: 38
Citations by year: 2026: 1 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 14 · 2019: 8 · 2018: 17 · 2017: 10 · 2016: 12 · 2015: 7 · 2014: 9 · 2013: 11 · 2012: 5
FWCI: 7.75
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Psychopathology and Behavioral Assessment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01da027533-04)
National Institute of Mental Health (F31MH080453, R01MH076629)
National Institute on Drug Abuse (R01-DA027533)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: distress tolerance, post-traumatic stress disorder, trauma exposure, re-experiencing, avoidance, hyperarousal, negative affectivity, symptom clusters, emotional distress

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An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample

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