Understanding the associations among anxiety sensitivity, distress tolerance, and discomfort intolerance: A comparison of three models
Abstract
Emerging work has identified several related constructs that appear to be relevant to anxiety psychopathology including anxiety sensitivity (AS), distress tolerance (DT) and discomfort intolerance (DI). AS refers to the fear of the consequences of anxiety-related sensations. DT measures tolerance of negative emotions, whereas DI measures tolerance of uncomfortable physical sensations. Questions, however, have been raised regarding the overlap among AS, DT, and DI. The present study conducted confirmatory factor analyses to test three models of emotional and physical tolerance to determine which model provided the best fit for the associations among AS, DT, and DI. Nonclinical individuals (N = 411) and individuals with anxiety psychopathology (N = 253) completed self-report questionnaires. Results supported a hierarchical factor structure with 2 higher order factors with AS as a lower order factor of DT. The implications of these findings for the conceptualization of the relationships among AS, DT, and DI are discussed.
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One possible reason for not completing or not responding to ERP is the aversive nature of exposures, which requires patients to engage in challenging tasks without utilizing maladaptive coping strategies such as emotional suppression.
“One possible reason for not completing or not responding to ERP is the aversive nature of exposures, which requires a patient to engage in challenging tasks without utilizing maladaptive coping strategies such as emotional suppression (Hannesdottir & Ollendick, 2007;Mitchell, Riccardi, Keough, Timpano, & Schmidt, 2013).”
From How willing are you? Willingness as a predictor of change during treatment of adults with obsessive–compulsive disorder (2017) · cites this paper as Mitchell et al., 2013
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- Authors
- Mitchell, M. A., Riccardi, C. J., Keough, M. E., Timpano, K. R., & Schmidt, N. B.
- Affiliations
- Florida State University (US)
- University of Washington (US)
- University of Miami (US)
- Corresponding author
- Schmidt, Norman B.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 27
- Issue
- 1
- Pages
- 147-154
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2034479913
- Cited by
- 62
- References
- 48
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 7 · 2017: 8 · 2016: 3 · 2015: 11 · 2014: 6 · 2013: 2
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- anxiety sensitivity, distress tolerance, emotional tolerance, factor structure, hierarchical models
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Anxiety, Emotions, Fear, Female, Humans, Male, Middle Aged, Models, Psychological, Surveys and Questionnaires, Stress, Psychological, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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