Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students

Dennhardt, Ashley A.; Murphy, James G.

doi:10.1037/a0025807

Cited by 158Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesGambling Behavior and Treatments

Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students

Dennhardt, Ashley A., Murphy, James G.·2011·Psychology of Addictive Behaviors

DOI 10.1037/a0025807

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Abstract

Although levels of heavy drinking and alcohol-related problems are high in college students, there is significant variability in the number and type of problems experienced, even among students who drink heavily. African American students drink less and experience fewer alcohol-related problems than European American students, but are still at risk, and little research has investigated the potentially unique patterns and predictors of problems among these students. Depression, distress tolerance, and delay discounting have been implicated in adult substance abuse and may be important predictors of alcohol problem severity among college students. We examined the relationship between these variables and alcohol-related problems among African American and European American students (N = 206; 53% female; 68% European American; 28% African American) who reported recent heavy drinking. In regression models that controlled for drinking level, depression, distress tolerance, and delay discounting were associated with alcohol problems among African American students, but only depression was associated with alcohol problems among European American students. These results suggest that negative affect is a key risk factor for alcohol problems among college student drinkers. For African American students, the inability to tolerate negative emotions and to organize their behavior around future outcomes may also be especially relevant risk factors.

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“This inclusion was logically justiﬁ ed on the basis that those suffering from greater levels of mental distress are more susceptible to the problematic consequences stemming from inebriation (e.g., Camatta and Nagoshi, 1995; Dennhardt and Murphy, 2011; LaBrie et al., 2010b).”
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“have been consistently reported to be associated across the life span, depressive symptoms are modeled as a covariate in relation to self-esteem growth trajectories (Dennhardt and Murphy 2011).”
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“Heavy alcohol use is associated with significant impairment in functioning, and the presence of co-occurring depressive symptoms is associated with an even higher risk for alcoholrelated problems (Camatta & Nagoshi, 1995; Dennhardt & Murphy, 2011; Harrell & Karim, 2008; Weitzman et al., 2004).”
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“This result is not different from previously documented findings [1, 24, 29, 47].”
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“…References Subgroup within study Outcome Statistics for each study Hedges’s g and 95% CI Hedges’s g SE Lower limit Upper limitVariance Z value P value Dennhardt and Murphy (2011) Blank Distress Tolerance Scale 0.982 0.156 0.024 0.676 1.287 6.298 0.000 Diller et al. (2011) Blank Heart rate…”
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“Similar to the literature on DT and worry, greater depressive symptoms have been associated with low selfreported and behaviorally-indexed DT across multiple nonclinical samples (Dennhardt and Murphy 2011; Anestis et al. 2012; Buckner et al. 2007; Ellis et al. 2010; Gorka et al. 2012), though this literature is not en…”
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Kenney, S. R., & LaBrie, J. W. (2013) · Psychology of Addictive Behaviors · doi:10.1037/a0033262 · Cited by 77 · see citing works
The neural correlates of temporal reward discounting
Scheres, A., de Water, E., & Mies, G. W. (2013) · Wiley Interdisciplinary Reviews Cognitive Science · doi:10.1002/wcs.1246 · Cited by 74 · see citing works
Depressive symptoms, ruminative thinking, drinking motives, and alcohol outcomes: A multiple mediation model among college students in three countries
Bravo, A. J., Pilatti, A., Pearson, M. R., Mezquita, L., Ibáñez, M. I., & Ortet, G. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.08.028 · Cited by 73 · see citing works
The effects of an anxiety sensitivity intervention on anxiety, depression, and worry: Mediation through affect tolerances
Norr, A. M., Allan, N. P., Macatee, R. J., Keough, M. E., & Schmidt, N. B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.011 · Cited by 71 · see citing works
“…et al., 2010; Starr& Davila, 2012; Timpano, Buckner, Richey, Murphy, & Schmidt, 2009) and depressive symptoms in non-clinical samples (Anestis, Gratz, Bagge, & Tull, 2012; Buckner, Keough, & Schmidt, 2007; Dennhardt & Murphy, 2011; Ellis, Fischer, & Beevers, 2010; Gorka, Ali, & Daughters, 2012).”
Alcohol Use and Mental Health Conditions Among Black College Males: Do Those Attending Postsecondary Minority Institutions Fare Better Than Those at Primarily White Institutions?
Barry, A. E., Jackson, Z. A., Watkins, D. C., Goodwill, J. R., & Hunte, H. E. R. (2016) · American Journal of Men s Health · doi:10.1177/1557988316674840 · Cited by 71 · see citing works
“…health (Spurgeon, 2009; Watkins et al., 2007; Watkins & Neighbors, 2007), risky health behaviors and alcohol use at PMIs (Boynton et al., 2014; Kapner, 2008; Meilman et al., 1995), or male and female college students’ drinking behaviors broadly (Dennhardt & Murphy, 2011; Wechsler et al., 2002).”
Background
Neuroenhancement Among German University Students: Motives, Expectations, and Relationship with Psychoactive Lifestyle Drugs
Eickenhorst, P., Vitzthum, K., Klapp, B. F., Groneberg, D. A., & Mache, S. (2012) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2012.736845 · Cited by 71 · see citing works
“Research has indicated that another means by which young people cope with psychological distress is the consumption of alcohol (Cooper et al. 1995; Dennhardt & Murphy 2011), especially among male university students (Reavley et al. 2011).”
BackgroundResult
Drinking to Cope With Depressive Symptoms and Ruminative Thinking: A Multiple Mediation Model Among College Students
Bravo, A. J., Pearson, M. R., & Henson, J. M. (2016) · Substance Use & Misuse · doi:10.1080/10826084.2016.1214151 · Cited by 70 · see citing works
“∗Adrian J. Bravo is currently at the Center on Alcoholism, Substance Abuse, & Addictions, University of New Mexico. outcomes in the college student population, especially alcohol-related problems (Armeli, Conner, Cullum, & Tennen, 2010; Dennhardt & Murphy, 2011; Weitzman, 2004).”
Poor mental health, peer drinking norms, and alcohol risk in a social network of first-year college students
Kenney, S. R., DiGuiseppi, G., Meisel, M. K., Balestrieri, S. G., & Barnett, N. P. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.04.012 · Cited by 69 · see citing works
The cost of minority stress: Risky alcohol use and coping-motivated drinking behavior in African American college students
Pittman, D. M., Brooks, J. J., Kaur, P., & Obasi, E. M. (2017) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2017.1336958 · Cited by 67 · see citing works
“It is well documented that Black college students drink relatively less than their White peers (Dennhardt & Murphy, 2011; Finlay, White, Mun, Cronley, & Lee, 2012; O’Malley & Johnston, 2002), though much remains to be known about why Black students choose to drink or abstain.”
Background
Symptoms of depression and PTSD are associated with elevated alcohol demand
Murphy, J. G., Yurasek, A. M., Dennhardt, A. A., Skidmore, J. R., McDevitt‐Murphy, M. E., MacKillop, J. M., & Martens, M. P. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.06.022 · Cited by 66 · see citing works
Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis
Mattingley, S., Youssef, G. J., Manning, V., Graeme, L., & Hall, K. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.126 · Cited by 65 · see citing works
Episode-Specific Drinking-to-Cope Motivation, Daily Mood, and Fatigue-Related Symptoms Among College Students
Armeli, S., O'Hara, R. E., Ehrenberg, E., Sullivan, T. P., & Tennen, H. A. (2014) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2014.75.766 · Cited by 61 · see citing works
Examination of Anxiety Sensitivity and Distress Tolerance as Transdiagnostic Mechanisms Linking Multiple Anxiety Pathologies to Alcohol Use Problems in Adolescents
Wolitzky-Taylor, K. B., Guillot, C. R., Pang, R. D., Kirkpatrick, M. G., Zvolensky, M. J., Buckner, J. D., & Leventhal, A. M. (2015) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12638 · Cited by 59 · see citing works
“Concordant with this possibility, some studies have linked DT to alcohol problems in young adult samples (Buckner et al., 2007; Dennhardt and Murphy, 2011; Wray et al., 2012).”
Background
Behavioral economic measures of alcohol reward value as problem severity indicators in college students.
Skidmore, J. R., Murphy, J. G., & Martens, M. P. (2014) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0036490 · Cited by 56 · see citing works
The Behavioral Economics of Driving After Drinking Among College Drinkers
Teeters, J. B., & Murphy, J. G. (2015) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12695 · Cited by 52 · see citing works
African American Emerging Adults’ Experiences with Racial Discrimination and Drinking Habits: The Moderating Roles of Perceived Stress
Metzger, I. W., Salami, T. K., Carter, S., Halliday-Boykins, C. A., Anderson, R., Jernigan, M., & Ritchwood, T. D. (2018) · Cultural diversity & ethnic minority psychology · doi:10.1037/cdp0000204 · Cited by 50 · see citing works
“Bi-racial students who self-identified as mixed with African American and another race (i.e., “African American/White”, “African American and Hispanic” or “Afro Latina”; see Dennhardt & Murphy, 2011) were also included in the study.”
Transdiagnostic processes linking anxiety symptoms and substance use problems among adolescents
Wolitzky-Taylor, K. B., McBeth, J., Guillot, C. R., Stone, M. D., Kirkpatrick, M. G., Zvolensky, M. J., Buckner, J. D., & Leventhal, A. M. (2016) · Journal of Addictive Diseases · doi:10.1080/10550887.2016.1207969 · Cited by 47 · see citing works
Alcohol use and alcohol-related problems among adolescents in China
Guo, L., Deng, J., He, Y., Deng, X., Huang, J., Huang, G., Gao, X., Zhang, W., & Lu, C. (2016) · Medicine · doi:10.1097/md.0000000000004533 · Cited by 46 · see citing works
“A previous study in Europe demonstrated that depression was associated with alcohol problems among European American students.([14]) A recent meta-analysis found a significant association between alcohol use disorder and both suicidal ideation and suicide attempt.”
Background
The Nomological Network of Self-Reported Distress Tolerance
Kiselica, A. M., Rojas, E. C., Bornovalova, M. A., & Dubé, C. (2014) · Assessment · doi:10.1177/1073191114559407 · Cited by 45 · see citing works
“And indeed, a previous study reported that DT is negatively related to delay discounting, such that individuals higher in distress tolerance exhibit less delay discounting (Dennhardt & Murphy, 2011).”
Background
Alcohol consequences, not quantity, predict major depression onset among first-year female college students
Rosenthal, S. R., Clark, M. A., Marshall, B. D. L., Buka, S. L., Carey, K. B., Shepardson, R. L., & Carey, M. P. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.05.021 · Cited by 45 · see citing works
Deficits in Access to Reward Are Associated with College Student Alcohol Use Disorder
Joyner, K. J., Pickover, A. M., Soltis, K. E., Dennhardt, A. A., Martens, M. P., & Murphy, J. G. (2016) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13255 · Cited by 45 · see citing works
“This is important because a lack of reinforcement or reward is an integral component of depression, and depression has been linked to problematic substance use in college students (Dennhardt and Murphy, 2011).”
Background
Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users
Magidson, J., Listhaus, A., Seitz-Brown, C. J., Anderson, K. E., Lindberg, B., Wilson, A., & Daughters, S. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9488-x · Cited by 44 · see citing works
“Given the specificity of the sample, as well as evidence in particular suggesting that the relationship between low DT, depressive symptoms and substance use may be a particular vulnerability among African Americans (Dennhardt and Murphy 2011), present findings may not generalize to other samples.”
Result
The Association between Distress Tolerance and Alcohol Related Problems: The Pathway of Drinking to Cope
Khan, A. J., Pedrelli, P., Shapero, B. G., Fisher, L. B., Nyer, M., Farabaugh, A. H., & MacPherson, L. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1464027 · Cited by 40 · see citing works
“Yet, not all college binge drinkers experience alcohol-related problems (ARP) and only one third of the variance in predicting ARP is accounted for by consumption (Borsari, Neal, Collins, & Carey, 2001; Dennhardt & Murphy, 2011; White & Labouvie, 1989).”
BackgroundInfluential
Brief mindfulness training de-couples the anxiogenic effects of distress intolerance on reactivity to and recovery from stress among deprived smokers
Paz, R., Zvielli, A., Goldstein, P., & Bernstein, A. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.05.017 · Cited by 39 · see citing works
Depressive symptoms as predictors of alcohol problem domains and reinforcement among heavy drinking college students.
Acuff, S. F., Soltis, K. E., Luciano, M. T., Meshesha, L. Z., Pedrelli, P., Dennhardt, A. A., & Murphy, J. G. (2018) · Psychology of Addictive Behaviors · doi:10.1037/adb0000397 · Cited by 39 · see citing works
“…previous cross-sectional research, suggesting that depressive symptoms demonstrate significant relations with several alcohol-related problem domains 12-months later (Armeli et al., 2014; Dennhardt & Murphy, 2011; Pedrelli et al., 2016), namely impaired control, self-perception, and self-care.”
Influential
Motivational interviewing plus behavioral activation for alcohol misuse in college students with ADHD.
Meinzer, M. C., Oddo, L. E., Vasko, J. M., Murphy, J. G., Iwamoto, D. K., Lejuez, C. W., & Chronis-Tuscano, A. M. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000663 · Cited by 39 · see citing works
PTSD Symptoms, Suicidal Ideation, and Suicide Risk in University Students: The Role of Distress Tolerance
Kratovic, L., Smith, L. J., & Vujanovic, A. A. (2020) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2019.1709594 · Cited by 38 · see citing works
Profiles of African American College Students’ Alcohol Use and Sexual Behaviors: Associations With Stress, Racial Discrimination, and Social Support
Metzger, I. W., Cooper, S. M., Ritchwood, T. D., Onyeuku, C., & Griffin, C. (2016) · Journal of Sex Research · doi:10.1080/00224499.2016.1179709 · Cited by 33 · see citing works
“Included in the sample were biracial students who self-identified as mixed with African American and another race (e.g., “Black/White,” “Black and Hispanic,” or “Afro Latina”; see Dennhardt & Murphy, 2011).”
Background
Major Depression and Risky Sexual Behavior Among Substance Dependent Patients: The Moderating Roles of Distress Tolerance and Gender
Tull, M. T., & Gratz, K. L. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9490-3 · Cited by 35 · see citing works
“Although empirical research on the association between depression and DT is limited, a small body of research has found evidence of a negative association between depression and DT (Cougle et al. 2012; Dennhardt and Murphy 2011; Iverson et al. in press).”
Gender and depression moderate response to brief motivational intervention for alcohol misuse among college students.
Merrill, J. E., Reid, A. E., Carey, M. P., & Carey, K. B. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0037039 · Cited by 35 · see citing works
“Of importance, depression has been associated with alcohol-related consequences including other health, academic, social, and judicial problems (Dennhardt & Murphy, 2011; Geisner, Larimer, & Neighbors, 2004; Grant & Harford, 1995; LaBrie, Kenney, & Lac, 2010; Martens et al., 2008; Weitzman, 2004).”
Does Trauma Impair Self-Control? Differences in Delaying Gratification Between Former Indentured Child Laborers and Nontraumatized Controls
Simmen‐Janevska, K., Forstmeier, S., Krammer, S., & Maercker, A. R. A. (2015) · Violence and Victims · doi:10.1891/0886-6708.vv-d-13-00174 · Cited by 35 · see citing works
“…psychopathological issues, some research studies have used the delay discounting paradigm, such as in the context of alcohol-related problems (Dennhardt & Murphy, 2011), substance abuse disorders (Kirby & Petry, 2004), depression (Dombrovski et al., 2012), depressive symptoms (Lempert &…”
Method
Family and peer support moderates the relationship between distress tolerance and suicide risk in black college students
Thomas, A. L., & Brausch, A. M. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1786096 · Cited by 35 · see citing works
“Another study found that depression, distress tolerance, and discounting delayed outcomes were predictive of alcohol-related problems for Black American college students but only depression was a significant predictor of alcohol problems for White college students.(44) While these studies indicate that the role of dis…”
Background
Depressive Symptoms and Alcohol-Related Problems Among College Students: A Moderated-Mediated Model of Mindfulness and Drinking to Cope
Bravo, A. J., Pearson, M. R., Stevens, L. E., & Henson, J. M. (2016) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2016.77.661 · Cited by 34 · see citing works
“Not surprisingly, college students who experience poor mental health and depression are more likely than their counterparts to report more hazardous drinking-related outcomes and alcohol abuse (Armeli et al., 2010; Dennhardt & Murphy, 2011; Gonzalez et al., 2009; Weitzman, 2004).”
Background
Evaluating Behavioral Economic Models of Heavy Drinking Among College Students
Acuff, S. F., Soltis, K. E., Dennhardt, A. A., Berlin, K. S., & Murphy, J. G. (2018) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13774 · Cited by 34 · see citing works
“, 2017), relations are less consistent among heavy drinking college students (Dennhardt and Murphy, 2011; Teeters and Murphy, 2015).”
A Computational Analysis of Aberrant Delay Discounting in Psychiatric Disorders
Story, G. W., Moutoussis, M., & Dolan, R. J. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01948 · Cited by 34 · see citing works
“Notably growth potential creates something of a paradox.”
Background
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
Distress tolerance and symptoms of depression: A review and integration of literatures
Lass, A. N. S., & Winer, E. S. (2020) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12336 · Cited by 62 · see citing works
Future So Bright? Delay Discounting and Consideration of Future Consequences Predict Academic Performance among College Drinkers
Acuff, S. F., Soltis, K. E., Dennhardt, A. A., Borsari, B., Martens, M. P., & Murphy, J. G. (2017) · Experimental and clinical psychopharmacology · doi:10.1037/pha0000143 · Cited by 31 · see citing works
Effects of Acceptance and Commitment Therapy on Impulsive Decision-Making
Morrison, K. L., Smith, B. M., Ong, C. W., Lee, E. B., Friedel, J. E., Odum, A. L., Madden, G. J., Ledermann, T., Rung, J. M., & Twohig, M. P. (2019) · Behavior Modification · doi:10.1177/0145445519833041 · Cited by 32 · see citing works
“…levels of delay discounting in African American ( r = -.315, p < .05) and European American ( r = -.442, p < .05) alcohol using undergraduates (Dennhardt & Murphy, 2011); the latter finding has been replicated and extended to show that the relation between distress tolerance and discounting…”
Background
The impact of health literacy on college students’ psychological disturbances and quality of life: a structural equation modeling analysis
Rababah, J. A., Al‐Hammouri, M. M., & Drew, B. L. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01541-7 · Cited by 31 · see citing works
“an increased risk of alcohol use [24], unhealthy eating”
Background
Alcohol Demand, Future Orientation, and Craving Mediate the Relation Between Depressive and Stress Symptoms and Alcohol Problems
Soltis, K. E., McDevitt‐Murphy, M. E., & Murphy, J. G. (2017) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13395 · Cited by 30 · see citing works
Social Support Networks and Symptom Severity Among Patients with Co-occurring Mental Health and Substance Use Disorders
Haverfield, M. C., Ilgen, M. A., Schmidt, E. M., Shelley, A. N., & Timko, C. (2019) · Community Mental Health Journal · doi:10.1007/s10597-019-00396-7 · Cited by 30 · see citing works
Facebook addiction and impulsive decision-making
Delaney, D., Stein, L. A. R., & Gruber, R. (2018) · Addiction Research & Theory · doi:10.1080/16066359.2017.1406482 · Cited by 29 · see citing works
Keeping hope alive: racial-ethnic disparities in distress tolerance are mitigated by religious/spiritual hope among Black Americans
McIntosh, R., Ironson, G., & Krause, N. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110403 · Cited by 28 · see citing works
Superwomen and Sleep: an Assessment of Black College Women Across the African Diaspora
McLaurin-Jones, T. L., Anderson, A. S., Marshall, V. J., Lashley, M.-B., & Carter-Nolan, P. L. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09930-4 · Cited by 28 · see citing works
“that is associated with alcohol-related problems when compared with White students [29].”
Result
The impact of elevated posttraumatic stress on the efficacy of brief alcohol interventions for heavy drinking college students
Monahan, C. J., McDevitt‐Murphy, M. E., Dennhardt, A. A., Skidmore, J. R., Martens, M. P., & Murphy, J. G. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.09.004 · Cited by 27 · see citing works
The Initial Efficacy of Stand-Alone DBT Skills Training for Treating Impulsivity Among Individuals With Alcohol and Other Substance Use Disorders
Cavicchioli, M., Movalli, M., Bruni, A., Terragni, R., Goldoni, M. E., Borgia, E., Begarani, M., & Ogliari, A. L. (2023) · Behavior Therapy · doi:10.1016/j.beth.2023.02.006 · Cited by 29 · see citing works
Factor Structure and Incremental Utility of the Distress Tolerance Scale: A Bifactor Analysis
Rogers, T. A., Bardeen, J. R., Fergus, T. A., & Benfer, N. (2018) · Assessment · doi:10.1177/1073191118789496 · Cited by 24 · see citing works
Adverse childhood experiences, racial microaggressions, and alcohol misuse in Black and White emerging adults.
Marks, L. R., Acuff, S. F., Withers, A. J., MacKillop, J. M., & Murphy, J. G. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000597 · Cited by 24 · see citing works
Temporal precedence of self-regulation over depression and alcohol problems: Support for a model of self-regulatory failure.
Acuff, S. F., Soltis, K. E., Dennhardt, A. A., Borsari, B. E., Martens, M. P., Witkiewitz, K. A., & Murphy, J. G. (2019) · Psychology of Addictive Behaviors · doi:10.1037/adb0000505 · Cited by 23 · see citing works
“Greater depressive symptoms are often related to increased alcohol-related problems (Dennhardt & Murphy, 2011; Soltis, McDevitt-Murphy, & Murphy, 2017), but not to greater overall consumption of alcohol (Cranford, Eisenberg, & Serras, 2009; Pauley & Hesse, 2009; Roberts, Glod, Kim, & Hounchell,…”
Background
Initial examination of priming tasks to decrease delay discounting
Sheffer, C. E., MacKillop, J. M., Fernandez, A., Christensen, D. R., Bickel, W. K., Johnson, M. W., Panissidi, L., Pittman, J. C., Franck, C. T., Williams, J., et al. (2016) · Behavioural Processes · doi:10.1016/j.beproc.2016.05.002 · Cited by 22 · see citing works
“Whites appear to discount less than African Americans and Hispanics in the US, but these differences were only found among gamblers and college students (Andrade & Petry, 2014; De Wit et al., 2007; Dennhardt & Murphy, 2011).”
Background
Past trauma and future choices: differences in discounting in low-income, urban African Americans
van den Berk‐Clark, C., Myerson, J., Green, L., & Grucza, R. A. (2018) · Psychological Medicine · doi:10.1017/s0033291718000326 · Cited by 21 · see citing works
Protective Behavioral Strategies as a Mediator Between Depressive Symptom Fluctuations and Alcohol Consumption: A Longitudinal Examination Among College Students
Linden‐Carmichael, A. N., Braitman, A. L., & Henson, J. M. (2015) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2015.76.80 · Cited by 20 · see citing works
“Furthermore, having greater depressive symptoms is associated with daily alcohol use, alcoholrelated problems, and alcohol use disorders (Dennhardt & Murphy, 2011; Pedrelli et al., 2011; Weitzman, 2004).”
Background
Male, But Not Female, Alcohol-Dependent African Americans Discount Delayed Gains More Steeply than Propensity-Score Matched Controls
Myerson, J., Green, L., van den Berk‐Clark, C., & Grucza, R. A. (2015) · Psychopharmacology · doi:10.1007/s00213-015-4076-x · Cited by 20 · see citing works
“Previous studies have established that the degree to which people discount delayed gains differs by age, income, and education (Green et al. 1996; Reimers et al. 2009), and possibly also by race (Dennhardt and Murphy 2011).”
Drinking motives mediate the relationship between alcohol reward value and alcohol problems in military veterans.
Dennhardt, A. A., Murphy, J. G., McDevitt‐Murphy, M. E., & Williams, J. L. (2016) · Psychology of Addictive Behaviors · doi:10.1037/adb0000197 · Cited by 19 · see citing works
Access to environmental reward mediates the relation between posttraumatic stress symptoms and alcohol problems and craving.
Acuff, S. F., Luciano, M. T., Soltis, K. E., Joyner, K. J., McDevitt‐Murphy, M. E., & Murphy, J. G. (2018) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000181 · Cited by 19 · see citing works
Different pathways explain alcohol-related problems in female and male college students
Pedrelli, P., Collado, A., Shapero, B. G., Brill, C. D., & MacPherson, L. (2016) · Journal of American College Health · doi:10.1080/07448481.2016.1191016 · Cited by 19 · see citing works
Metacognitive self-reflectivity moderates the relationship between distress tolerance and empathy in schizophrenia
Bonfils, K. A., Minor, K. S., Leonhardt, B. L., & Lysaker, P. H. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.04.042 · Cited by 20 · see citing works
“…et al., 2012; Linehan, 1993), eating disorders (Anestis et al., 2007; Hambrook et al., 2011), substance use disorders (Daughters et al., 2005; Dennhardt and Murphy, 2011), depression (Bernstein et al., 2011; Dennhardt and Murphy, 2011), and anxiety (Bernstein et al., 2011; Keough et al., 2010).”
Prevention of study-related stress symptoms: health-promoting behavior among dental students
Mache, S., Vitzthum, K., & Groneberg, D. A. (2015) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-014-0341-6 · Cited by 17 · see citing works
Revisiting resilience: Examining the relationships between stress, social support, and drinking behavior among black college students with parental substance use disorder histories
Pittman, D. M., Quayson, A. A., Rush, C. R., & Minges, M. L. (2019) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2019.1707142 · Cited by 17 · see citing works
“Of those who drink, nearly 45% participate in at least one binge drinking episode, defined as 4 (female) or 5 (male) drinks in a drinking session, in a given month (Dennhardt & Murphy, 2011; Wechsler & Nelson, 2008).”
BackgroundResultInfluential
Validation of the Arabic version of the center for epidemiologic studies depression-revised: A comparison of the CESD-R and CESDR-12
Rababah, J. A., Al‐Hammouri, M. M., Drew, B. L., Ta’an, W., Alawawdeh, A., Dawood, Z. S., & Jawhar, W. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.124 · Cited by 17 · see citing works
Time horizons and substance use among African American youths living in disadvantaged urban areas
Cheong, J., Tucker, J. A., Simpson, C. A., & Chandler, S. D. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.12.016 · Cited by 17 · see citing works
“Time horizons reflect the extent to which behavior is organized around present versus future goals and have beenmeasured several ways, including psychological studies of time perspectives (Henson, Carey, Carey, & Maisto, 2006; Keough et al., 1999), behavioral economic experiments on intertemporal…”
Background
How does upward social comparison impact the delay discounting: The chain mediation of belief in a just world and relative deprivation
Pan, C., & Zhao, M. (2023) · Psychology in the Schools · doi:10.1002/pits.22989 · Cited by 17 · see citing works
Factors associated with alcohol problems among Asian American college students: gender, ethnicity, smoking and depressed mood
Kim, S. S., Lee, H. O., Kiang, P. N., Kalman, D., & Ziedonis, D. M. (2013) · Journal of Substance Use · doi:10.3109/14659891.2012.709912 · Cited by 16 · see citing works
“College students with high levels of depressed mood are also more likely to consume alcohol (Dennhardt & Murphy, 2012; Grant et al., 2009; Hussong, 2007; McCarty et al., 2012) and to have alcohol problems (Sebena et al., 2012).”
BackgroundResult
Testing an affective judgment model of distress tolerance in college heavy drinkers
Seo, J., & Kwon, S. (2016) · Addictive Behaviors · doi:10.1016/j.addbeh.2016.02.021 · Cited by 15 · see citing works
White Problem Gamblers Discount Delayed Rewards Less Steeply than their African American and Hispanic Counterparts
Andrade, L. F., & Petry, N. (2014) · Psychology of Addictive Behaviors · doi:10.1037/a0036153 · Cited by 16 · see citing works
Contextual Influences on Distress Intolerance: Priming Effects on Behavioral Persistence
Szuhany, K. L., & Otto, M. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9672-x · Cited by 14 · see citing works
“DI has been linked to substance use for coping motives (Abrantes et al. 2008; Brown et al. 2005; Buckner et al. 2007; Dennhardt and Murphy 2011; Johnson et al. 2010; Kaiser et al. 2012; Zvolensky et al. 2004), dysfunctional eating (Anestis et al. 2007; Hearon et al. 2014; Kozak and Fought 2011),…”
Background
Predictors of short-term change after a brief alcohol intervention for mandated college drinkers
Carey, K. B., Merrill, J. E., Walsh, J. L., Lust, S. A., Kalichman, S. C., & Carey, M. P. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.09.019 · Cited by 14 · see citing works
Vicarious racial discrimination, racial identity, and alcohol-related outcomes among Black young adults: An experimental approach.
Desalu, J. M., Goodhines, P. A., & Park, A. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000707 · Cited by 14 · see citing works
Temporal reliability and stability of delay discounting: A 2-year repeated assessments study of the Monetary Choice Questionnaire.
Strickland, J. C., Gelino, B. W., Rabinowitz, J. A., Ford, M. R., Dayton, L., Latkin, C. A., & Reed, D. D. (2023) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000651 · Cited by 13 · see citing works
Stress-Induced Executive Dysfunction in GDNF-Deficient Mice, A Mouse Model of Parkinsonism
Buhusi, M. C., Olsen, K. A., Yang, B. Z., & Buhusi, C. V. (2016) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2016.00114 · Cited by 13 · see citing works
“…(Bickford et al., 2001) and increased levels of biomarkers of stress are associated with increased rates of discounting (Fields et al., 2009; Diller et al., 2011), and are predictive of vulnerability to substance abuse (Airavaara et al., 2004; Shevtsova et al., 2006; Dennhardt and Murphy, 2011).”
Saúde mental de estudantes de terapia ocupacional: revisão de escopo
Constantinidis, T. C., & Matsukura, T. S. (2021) · Cadernos Brasileiros de Terapia Ocupacional · doi:10.1590/2526-8910.ctoar2139 · Cited by 13 · see citing works
Efficacy of a Cognitive-Behavioral Relapse Prevention Model in the Treatment of Opioid Dependence in Iran: A Randomized Clinical Trial
Salehi, L., & Alizadeh, L. (2018) · Shiraz E-Medical Journal · doi:10.5812/semj.14170 · Cited by 13 · see citing works
“In a study by Dennhardt and Murphy (2011), alcohol use and depression were examined in college students, and depression was found to cause an increase in alcohol use problems (28).”
Background
Sooner is Better: Longitudinal Relations Between Delay Discounting, and Depression and Anxiety Symptoms among Vietnamese Adolescents
Ho, H., Dang, H., Odum, A. L., DeHart, W. B., & Weiss, B. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00959-5 · Cited by 12 · see citing works
The Indirect Effect of Distress Tolerance on Young Adult Alcohol Use Behaviors via Coping Motives
Wahesh, E., Moreton, A., & McKechnie, M. (2020) · Journal of Addictions & Offender Counseling · doi:10.1002/jaoc.12084 · Cited by 12 · see citing works
The Association of Depression, Coping Motives and Drinking Problems among College Students: Testing the Self-Medication Hypothesis
Jang, S. M. (2017) · Health and Social Welfare Review · doi:10.15709/hswr.2017.37.1.5 · Cited by 11 · see citing works
Intoxication Effects on Impulsive Alcohol Choice in Heavy Drinkers: Correlation With Sensation Seeking and Differential Effects by Commodity
Oberlin, B. G., Carron, C. R., Ramer, N. E., Plawecki, M. H., O’Connor, S., & Kareken, D. A. (2020) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14497 · Cited by 11 · see citing works
“The lack of correlations between discounting (CCD, DD) and drinking metrics might be unexpected (for meta-analysis; Amlung et al., 2017), however it is not unusual (Dennhardt and Murphy, 2011, MacKillop et al., 2007, Stojek et al., 2014).”
Background
Belonging Buffers the Impact of Cognitive Vulnerabilities on Affective Symptoms
Broos, H. C., Llabre, M. M., & Timpano, K. R. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10267-9 · Cited by 10 · see citing works
The Role of Distress Tolerance in Multiple Facets of Hostility and Willingness to Forgive
Matheny, N. L., Smith, H. L., Summers, B. J., McDermott, K. A., Macatee, R. J., & Cougle, J. R. (2016) · Cognitive Therapy and Research · doi:10.1007/s10608-016-9808-7 · Cited by 10 · see citing works
“Prior research has found that the relationship between DT and substance use variables differs across Caucasians and AfricanAmericans (Dahne et al. 2014; Dennhardt and Murphy 2011), indicating that factors associated with DT may differ by race.”
Background
The Sequential Indirect Effect of Negative Urgency on Drinking Consequences Through Distress Intolerance and Drinking Motives: Initial Examination in College Students Reporting Past Month Alcohol Use
Yang, M.-J., Borges, A. M., & Leyro, T. M. (2019) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-019-00068-3 · Cited by 10 · see citing works

The Association between Distress Tolerance and Alcohol Outcomes via Internal Drinking Motives
Pilatti, A., Michelini, Y., Bravo, A. J., & Pautassi, R. M. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.2002900 · Cited by 22 · see citing works
Depressive Symptoms and Drinking to Cope in Relation to Alcohol Use Outcomes Among European American and African American College Students
Taylor, N. (2020) · Arizona State University Library Digital Repository (Arizona State University)
Alcohol-Related Consequences in African American and European American College Students
Skidmore, J. R., Murphy, J. G., Martens, M. P., & Dennhardt, A. A. (2012) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2012.675248 · Cited by 19 · see citing works
The roles of negative affect and coping motives in the relationship between alcohol use and alcohol-related-problems among college students
Martens, M. P., Neighbors, C., Lewis, M. A., Lee, C. M., Oster-Aaland, L., & Larimer, M. E. (2008) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2008.69.412 · Cited by 117 · see citing works
Role of impulsivity in the relationship between depression and alcohol problems among emerging adult college drinkers.
Gonzalez, V. M., Reynolds, B. A., & Skewes, M. C. (2011) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0022720 · Cited by 145 · see citing works

Authors: Dennhardt, A. A., & Murphy, J. G.
Affiliations: University of Memphis (US)
ORCID: Dennhardt, Ashley A.
Murphy, James G.
Venue: Psychology of Addictive Behaviors
Publisher: American Psychological Association (APA)
Published: 2011-12
Volume: 25
Issue: 4
Pages: 595-604
ISSN: 0893-164X (ISSN-L)
1939-1501
DOI: 10.1037/a0025807
OpenAlex: W1969664198
Cited by: 157
References: 61
Citations by year: 2026: 2 · 2025: 3 · 2024: 3 · 2023: 9 · 2022: 8 · 2021: 11 · 2020: 14 · 2019: 12 · 2018: 17 · 2017: 10 · 2016: 27 · 2015: 11 · 2014: 16 · 2013: 8 · 2012: 6
FWCI: 7.20
Type: journal article
Language: en
Open access: closed
Locations: Psychology of Addictive Behaviors (publishedVersion)
PubMed (publishedVersion)
Funders: ABMRF/The Foundation for Alcohol Research
National Institutes of Health (AA016304)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords: depression, distress tolerance, delay discounting, alcohol-related problems, university students, African American students, European American students, heavy drinking, negative affect, racial differences
MeSH terms: Adaptation, Psychological, Adult, Affect, Alcohol Drinking, Black or African American, Decision Making, Depression, Epidemiologic Methods, Female, Humans, Male, Psychiatric Status Rating Scales, Reward, Stress, Psychological, Students, United States, Universities, Alcohol-Related Disorders, White People, Young Adult

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Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students

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