Changes in distress intolerance and treatment outcome in a partial hospital setting
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Despite the well-established role of distress intolerance (DI) in a wide range of psychological disorders, few studies have examined whether DI improves during treatment and whether these changes are associated with symptom outcomes. Patients (N=626) enrolled in a brief cognitive-behavioral partial hospital program completed pre- and posttreatment measures of DI. Results indicated that DI decreased significantly during treatment, with more than 30% of the sample exhibiting a reduction of more than 2 standard deviations from the sample mean. Women reported higher DI than men at baseline; however, there were no gender differences in changes in DI over time. Participants also completed a pre- and posttreatment measure of depression and a subset completed a measure of anxiety (n=167). DI was associated with more severe depression and anxiety at pre- and posttreatment, with participants who reported a decrease in DI also reporting lower depression and anxiety symptoms at post-treatment. These results further highlight the transdiagnostic relevance of DI and suggest that DI may be a relevant factor in treatment outcome for depression and anxiety.
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Improvements in distress tolerance are associated with successful treatment outcomes.
“Research has also shown improvements in DT to be associated with successful treatment outcomes”
From The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity. (2019) · cites this paper as McHugh et al., 2014
An increase in distress tolerance after cognitive-behavioral therapies was associated with decreased anxiety and depression symptoms.
“an increase in DT after cognitive-behavioral therapies was associated with decreased anxiety and depression symptoms (McHugh et al., 2014).”
From Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials (2024) · cites this paper as McHugh et al., 2014
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- Authors
- McHugh, R. K., Kertz, S. J., Weiss, R. B., Baskin-Sommers, A. R., Hearon, B. A., & Björgvinsson, T.
- Affiliations
- Harvard University (US)
- Corresponding author
- McHugh, R. Kathryn
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 45
- Issue
- 2
- Pages
- 232-240
- ISSN
- 0005-7894 (ISSN-L)
- PMC
- PMC4191891
- OpenAlex
- W2050913466
- Cited by
- 79
- References
- 72
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 9 · 2022: 5 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 14 · 2017: 12 · 2016: 6 · 2015: 2 · 2014: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (T32DA015036)
- 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 › Psychotherapy Techniques and Applications
- Keywords
- distress intolerance, partial hospitalization, cognitive behavioral therapy, treatment outcomes, depression, anxiety, transdiagnostic factors, gender differences, symptom severity
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Depression, Female, Hospitals, Humans, Male, Middle Aged, Psychotherapy, Brief, Severity of Illness Index, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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