Domain-general and domain-specific strategies for the assessment of distress intolerance.
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Recent research has provided evidence that distress intolerance-the perceived inability to tolerate distressing states-varies based on the domain of distress (e.g., pain, anxiety). Although domain-specific assessment strategies may provide information targeted to specific disorders or maladaptive behaviors, domain-general measures have the potential to facilitate comparisons across studies, disorders, and populations. The current study evaluated the utilization of self-report measures of distress intolerance as domain-general measures by examining their association with indices of behavioral avoidance and substance craving. Two groups of participants (N = 55) were recruited including a substance-dependent group and a comparison group equated based on the presence of an affective disorder. Results provided support for the validity of domain-general measures for assessing distress intolerance across varied domains. The importance of both domain-general and domain-specific measurement of distress intolerance is discussed.
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High anxiety sensitivity is a particularly effective indicator of low distress tolerance.
“A particularly well-performing marker of low DT is elevated anxiety sensitivity - the fear of anxiety and related sensations.”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as McHugh & Otto, 2011
Distress tolerance can be measured through self-report or performance tasks covering various kinds of emotional or bodily distress.
“DT can be assessed by self-report or performance measures across any number of domains of emotional or somatic distress (McHugh & Otto, 2011).”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as McHugh & Otto, 2011
Self-report and behavioral measures of distress tolerance correlate only partially.
“Because self-report and behavioral measures of DT are only partially correlated, we will utilize both assessment strategies (McHugh & Otto, 2011; M.W. Otto et al., in press).”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as McHugh & Otto, 2011
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- Authors
- McHugh, R. K., & Otto, M. W.
- Affiliations
- Boston University (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2011
- Volume
- 25
- Issue
- 4
- Pages
- 745-749
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC3232280
- OpenAlex
- W1974369239
- Cited by
- 95
- References
- 27
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 8 · 2020: 8 · 2019: 9 · 2018: 13 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 4
- FWCI
- 7.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Clara Mayo Memorial
- American Psychological Association
- National Institute on Drug Abuse (DA017904)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- distress intolerance, self-report measures, behavioral avoidance, drug craving, substance dependence, mood disorders, measurement validity, pain tolerance
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Avoidance Learning, Female, Humans, Male, Pain, Psychiatric Status Rating Scales, Psychological Tests, Stress, Psychological, Reproducibility of Results, Mood Disorders, Substance-Related Disorders, Self Report
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