Refining the measurement of distress intolerance

McHugh, R. Kathryn; Otto, Michael W.

doi:10.1016/j.beth.2011.12.001

Cited by 190Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and PsychopathologyMental Health Research Topics

Refining the measurement of distress intolerance

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McHugh, R. Kathryn, Otto, Michael W.·2012·Behavior Therapy

DOI 10.1016/j.beth.2011.12.001PMC PMC3483633

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Abstract

Distress intolerance is an important transdiagnostic variable that has long been implicated in the development and maintenance of psychological disorders. Self-report measurement strategies for distress intolerance (DI) have emerged from several different models of psychopathology and these measures have been applied inconsistently in the literature in the absence of a clear gold standard. The absence of a consistent assessment strategy has limited the ability to compare across studies and samples, thus hampering the advancement of this research agenda. This study evaluated the latent factor structure of existing measures of DI to examine the degree to which they are capturing the same construct. Results of confirmatory factor analysis in three samples totaling 400 participants provided support for a single-factor latent structure. Individual items of these four scales were then correlated with this factor to identify those that best capture the core construct. Results provided consistent support for 10 items that demonstrated the strongest concordance with this factor. The use of these 10 items as a unifying measure in the study of DI and future directions for the evaluation of its utility are discussed.

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Distress tolerance has been negatively associated with anxiety.
“Distress tolerance has been negatively associated with numerous other mental health concerns, including PTSD [120] and anxiety [121].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [121]

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Authors: McHugh, R. K., & Otto, M. W.
Affiliations: Boston University (US)
Corresponding author: McHugh, R. Kathryn
ORCID: McHugh, R. Kathryn
Otto, Michael W.
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2012-09
Volume: 43
Issue: 3
Pages: 641-651
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2011.12.001
PMC: PMC3483633
OpenAlex: W2069613671
Cited by: 190
References: 56
Citations by year: 2026: 14 · 2025: 9 · 2024: 12 · 2023: 19 · 2022: 16 · 2021: 14 · 2020: 20 · 2019: 20 · 2018: 15 · 2017: 13 · 2016: 11 · 2015: 12 · 2014: 7 · 2013: 4 · 2012: 2
FWCI: 6.18
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA017904)
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 › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: distress intolerance, self-report measures, factor structure, construct validity, psychological distress, mental illness, item selection
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Stress, Psychological, Self Report

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