A Chinese Adaptation of the Distress Tolerance Scale among Adolescents: Factor Structure and Psychometric Properties
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The factor structures found in previous studies of the DTS in youths were not consistent.
“Moreover, the factor structures found in these previous studies were not consistent.”
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 [38]
The Distress Tolerance Scale (DTS) had been adapted for American and Chinese youth but never for European youth.
“The Distress Tolerance Scale (DTS) was adapted for American and Chinese youth, but never for European youth.”
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 [38]
The factor structure and psychometric properties of the DTS in youths have been analyzed only in Chinese and American populations.
“the factor structure and psychometric properties of the DTS in youths have been analyzed in only Chinese and American populations.”
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 [38]
In Tonarely and Ehrenreich-May's clinical sample, the DTS factor structure was similar to Simons and Gaher's, but only tolerance, appraisal and absorption comprised the higher-order factor.
“Within the clinical sample, the factor structure was similar to that suggested by Simons and Gaher [1]. Nevertheless, similar to the findings of You and Leung [38], only tolerance, appraisal and absorption comprised the higher-order factor.”
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 [38]
You and Leung confirmed the original four-factor structure of the DTS in Chinese adolescents, although Item 6 was moved from the appraisal to the regulation subscale.
“You and Leung [38] confirmed the original four-factor structure (although Item 6 was moved from the appraisal to the regulation subscale).”
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 [38]
You and Leung postulated that only three of the four first-order factors, tolerance, appraisal and absorption, comprised the general distress tolerance factor.
“the authors postulated that only three of the four first-order factors comprised the general distress tolerance factor: tolerance, appraisal and absorption [38].”
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 [38]
The DTS was later adapted for use in clinical and nonclinical samples of children and adolescents in Chinese and American populations.
“the DTS was later adapted for use in clinical and nonclinical samples of children and adolescents in Chinese and American populations (e.g., [38,50])”
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 [38]
The sex difference result is partially consistent with previous studies in youth or adult samples in which females reported lower levels of distress tolerance than males.
“This result is partially consistent with previous studies, in either youth or adult samples, in which females reported lower levels of distress tolerance than males [1,38,50,68].”
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 [38]
Model 3 was proposed by You and Leung, based on a nonclinical sample of adolescents.
“Model 3 was proposed by You and Leung [38], based on a nonclinical sample of 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 [38]
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
(1998) · Cited by 36,049 · see citing works
Evaluating the use of exploratory factor analysis in psychological research.
Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999) · Psychological Methods · doi:10.1037/1082-989x.4.3.272 · Cited by 9,587 · 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
Monitoring the Future: National Results on Adolescent Drug Use: Overview of Key Findings
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2003) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1037/e560352009-001 · Cited by 6,930 · see citing works
(2005) · Cited by 6,097 · see citing works
A scaled difference chi-square test statistic for moment structure analysis
Satorra, A., & Bentler, P. M. (2001) · Psychometrika · doi:10.1007/bf02296192 · Cited by 5,282 · see citing works
Morbidity and mortality weekly report
Gay, N., Gay, N., & Day, A. (1997) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89440-5 · Cited by 4,684 · see citing works
Measuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140 · 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
The Development of Emotional Competence
Saarni, C. I. (1999) · Cited by 1,671 · see citing works
Youth Risk Behavior Surveillance — United States, 1999
Kann, L. K., Kinchen, S. A., Williams, B. I., Ross, J. G., Lowry, R., Grunbaum, J. A., & Kolbe, L. J. (2000) · Journal of School Health · doi:10.1111/j.1746-1561.2000.tb07252.x · Cited by 1,633 · see citing works
Emotion regulation and mental health
Gross, J. J., & Muñoz, R. F. (1995) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1995.tb00036.x · Cited by 1,595 · see citing works
Youth Risk Behavior Surveillance--United States, 1995.
Kann, L., Warren, C., Harris, W., Collins, J. L., Williams, B., Ross, J., & Kolbe, L. (1996) · MMWR CDC Surveillance Summaries · doi:10.1037/e641342009-001 · Cited by 1,266 · see citing works
Perceiving an Object and Its Context in Different Cultures
Kitayama, S., Duffy, S., Kawamura, T., & Larsen, J. T. (2003) · Psychological Science · doi:10.1111/1467-9280.02432 · Cited by 800 · see citing works
Jacobson, C. M., & Gould, M. S. (2007) · Archives of Suicide Research · doi:10.1080/13811110701247602 · Cited by 694 · see citing works
Chou, C., Bentler, P. M., & Satorra, A. (1991) · British Journal of Mathematical and Statistical Psychology · doi:10.1111/j.2044-8317.1991.tb00966.x · Cited by 646 · 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
Nock, M. K., Wedig, M. M., Holmberg, E. B., & Hooley, J. M. (2007) · Behavior Therapy · doi:10.1016/j.beth.2007.05.005 · Cited by 622 · see citing works
The Revised Diagnostic Interview for Borderlines: Discriminating BPD from other Axis II Disorders
Zanarini, M. C., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1989) · Journal of Personality Disorders · doi:10.1521/pedi.1989.3.1.10 · Cited by 596 · see citing works
Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder.
Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.9.1.85 · Cited by 461 · see citing works
Careless Responding to Reverse-Worded Items: Implications for Confirmatory Factor Analysis
Woods, C. M. (2006) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-005-9004-7 · Cited by 402 · see citing works
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 · see citing works
Pain intolerance in opioid-maintained former opiate addicts: effect of long-acting maintenance agent
Compton, P., Charuvastra, V. C., & Ling, W. (2001) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(00)00200-3 · Cited by 311 · see citing works
Gender differences in worry and associated cognitive-behavioral variables
Robichaud, M., Dugas, M. J., & Conway, M. (2003) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(02)00237-2 · Cited by 298 · see citing works
Differences in Young Adolescents' Coping Strategies Based On Gender and Ethnicity
Copeland, E. P., & Hess, R. S. (1995) · The Journal of Early Adolescence · doi:10.1177/0272431695015002002 · Cited by 278 · 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
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 1× · see citing works
“, alcohol use, delinquent behaviors) among both western and Chinese adolescents (Chen 2000; Daughters et al. 2009; Galaif et al. 2003; Huang 1997).”
BackgroundLongitudinal Relations among Depression, Stress, and Coping in High Risk Youth
Galaif, E. R., Sussman, S., Chou, C.-P., & Wills, T. A. (2003) · Journal of Youth and Adolescence · doi:10.1023/a:1023028809718 · Cited by 144 · see citing works
Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2007) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.03.011 · Cited by 139 · see citing works
Distress Tolerance Scale: A confirmatory factor analysis among daily cigarette smokers
Leyro, T. M., Bernstein, A., Vujanovic, A. A., McLeish, A. C., & Zvolensky, M. J. (2011) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-010-9197-2 · Cited by 130 · see citing works
Ko, C.-H., Yen, J.-Y., Yen, C.-F., Chen, C.-S., & Wang, S.-Y. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.0095 · Cited by 102 · cited 1× · see citing works
“a western study with a college student sample and a Chinese study with an adolescent sample reported higher level of distress tolerance in males (Ko et al. 2008; Simons and Gaher 2005).”
BackgroundDiscomfort 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
Raykos, B. C., Byrne, S. M., & Watson, H. (2009) · Eating Behaviors · doi:10.1016/j.eatbeh.2009.07.001 · Cited by 26 · see citing works
Flagged first, then by citations
2 of the 40 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Confirming 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 · see citing works
Li, H., Zhang, X., You, C., Chen, X., Cao, Y., & Zhang, G. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.720722 · Cited by 30 · see citing works
Li, Y., He, M., Wang, Z., Hofmann, S. G., & Liu, X. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100445 · Cited by 22 · see citing works
Neuroticism 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 19 · see citing works
Gu, M. (2022) · Journal of Adolescence · doi:10.1002/jad.12032 · Cited by 17 · see citing works
Zhong, J., Huang, X., Wang, X.-M., & Xu, M.-Z. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04600-7 · Cited by 13 · see citing works
Yao, Y.-J., Yan, Z., Xu, D., & Xuan, Y. (2024) · Current Psychology · doi:10.1007/s12144-024-06818-4 · Cited by 11 · see citing works
Slabbert, A., Hasking, P. A., Greene, D., & Boyes, M. E. (2021) · PeerJ · doi:10.7717/peerj.10915 · Cited by 12 · see citing works
Tonarely, N. A., Hirlemann, A., Shaw, A. M., LoCurto, J., Souer, H. R., Ginsburg, G. S., Jensen‐Doss, A., & Ehrenreich, J. T. (2020) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-020-09830-7 · Cited by 10 · see citing works
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
“Nonetheless, contrary to previous studies with adult samples, the authors postulated that only three of the four first-order factors comprised the general distress tolerance factor: tolerance, appraisal and absorption [38].”
BackgroundMethodResultInfluentialA Polish Adaptation and Validation of the Distress Tolerance Scale
Rokosz, M., & Poprawa, R. W. (2021) · Roczniki Psychologiczne · doi:10.18290/rpsych20234-3 · Cited by 7 · 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
Escala de Tolerancia al Distrés: Propiedades Psicométricas en Estudiantes Universitarios Argentinos
del Valle, M. V., Andrés, M. L., & Urquijo, S. (2020) · Acta de Investigación Psicológica · doi:10.22201/fpsi.20074719e.2020.3.359 · Cited by 6 · see citing works
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
Frustration Intolerance Scale for Students
Trip, S., Bora, C. H., & Gabriel, R. (2025) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70028 · Cited by 3 · see citing works
Bingqian, L. I. U., Xie, Q., Ye, G., Zhou, A. Y., Zhang, A. J., & Liu, X. (2023) · Journal of Evidence-Based Psychotherapies · doi:10.24193/jebp.2023.2.10 · Cited by 4 · see citing works
Li, Y., Zhang, Y., Zhao, J., Du, X., Shi, C., Lai, L., Liu, X., Cai, Z., Chen, A., & Ren, Z. (2024) · Adolescent Research Review · doi:10.1007/s40894-024-00252-0 · Cited by 2 · see citing works
Xie, Z., Bi, K., & Cui, L. (2025) · Journal of Research on Adolescence · doi:10.1111/jora.70092 · Cited by 4 · see citing works
徐, 舵. (2023) · Advances in Psychology · doi:10.12677/ap.2023.133155 · Cited by 2 · see citing works
Lee, S., Wu, L., Lin, S., Chen, T. C., & Lin, W. (2024) · Child Care Health and Development · doi:10.1111/cch.13270 · Cited by 1 · see citing works
Yao, K., Huang, X., Kuang, J., & Xu, M. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07598-2 · Cited by 1 · see citing works
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
Emotion reactivity and depression among music students: The mediating role of distress tolerance
Ou, J., Zhang, L., Sun, C., Sun, S., & 项天舒 (2026) · Acta Psychologica · doi:10.1016/j.actpsy.2026.107555
Liu, Y., Zeng, L., Zhou, F., Zhang, W., Yang, C., & Liu, H. (2026) · Archives of Dermatological Research · doi:10.1007/s00403-026-04841-y
Milgram, L., Jensen‐Doss, A., Rosenfield, D., Timpano, K. R., Ginsburg, G. S., & Ehrenreich, J. T. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2731342
Liu, Y., Liang, J., Yang, C., Huang, X., Li, Q., Wen, D., Jia, F., & Hou, C. (2026) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.70246
- Authors
- You, J., & Leung, F.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- Leung, Freedom
- ORCID
- You, Jianing
- Venue
- Journal of Psychopathology and Behavioral Assessment
- Published
- 2011-09-06
- Volume
- 34
- Issue
- 1
- Pages
- 136-144
- ISSN
- 0164-0305 (ISSN-L)
- 0882-2689
- 1573-3505
- OpenAlex
- W2024859717
- Cited by
- 26
- References
- 40
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 1
- FWCI
- 0.00
- Type
- book chapter
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Psychopathology and Behavioral Assessment (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- Distress Tolerance Scale, distress tolerance, Chinese adolescents, cross-cultural adaptation, factor structure, psychometric properties, emotion regulation, emotional reactivity, negative affectivity, gender differences, test-retest reliability, convergent validity
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