The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users
Open accessAbstract
There is currently limited research on the potential mechanisms underlying the development of antisocial personality disorder (ASPD). One such mechanism, distress tolerance (defined as an individual's behavioral persistence in the face of emotional distress) may underlie the development of ASPD and its associated behavioral difficulties. It was hypothesized that substance users with ASPD would evidence significantly lower levels of distress tolerance than substance users without ASPD. To test this relationship, we assessed 127 inner-city males receiving residential substance abuse treatment with two computerized laboratory measures of distress tolerance. The mean age of the sample was 40.1 years (SD = 9.8) and 88.2% were African American. As expected, multiple logistic regression analyses indicated that distress intolerance significantly predicted the presence of an ASPD diagnosis, above and beyond key covariates including substance use frequency and associated Axis I and II psychopathology. Findings suggest that distress tolerance may be a key factor in understanding the development of ASPD, setting the stage for future studies expanding on the nature of this relationship, as well as the development of appropriate interventions for this at-risk group.
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Neither emotional distress in response to the tasks nor task performance is significantly associated with latency to task termination.
“neither emotional distress in response to the tasks nor task performance have been found to be significantly associated with latency to task termination”
From Initial RCT of a distress tolerance treatment for individuals with substance use disorders (2012) · cites this paper as Daughters et al., 2008
The Results section (Descriptives Across the Entire Sample; page unavailable) reports no significant correlation between task persistence and self-reported dysphoria measured before or after the task. The Method section describes task performance and termination latency, but the passages found do not report a statistical association between them. The task-performance part of the claim is therefore unsupported by our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measuredFindings suggest that SIDI may be portable and generalizable, and may have utility for various psychological difficulties and maladaptive behaviors thought to stem from distress intolerance.
“findings that SIDI targets distress tolerance directly (and effectively) suggest the potential portability and generalizability of this treatment, highlighting its potential utility for a variety of psychological difficulties and maladaptive behaviors thought to stem from distress intolerance”
From Initial RCT of a distress tolerance treatment for individuals with substance use disorders (2012) · cites this paper as Daughters et al., 2008
The Discussion links distress tolerance to ASPD and BPD and suggests that interventions addressing emotional discomfort may help with maladaptive behaviors. It does not discuss SIDI, test whether SIDI improves distress tolerance, or assess the treatment’s portability or generalizability. The broader rationale has some support, but the SIDI-specific claim does not. (LLM, conf=0.78)
Experimental — accuracy not yet measuredLow distress tolerance is central to the development of ASPD.
“This is consistent with the interpretation of other researchers who posit that low distress tolerance is central to the development of ASPD (Daughters et al., 2008).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Daughters et al., 2008
The Abstract says distress tolerance may be a key factor in the development of ASPD, and the Discussion reports lower distress tolerance among male inner-city substance users with ASPD. The paper treats a developmental role as a possibility requiring further study, rather than positing that low distress tolerance is central to ASPD’s development. (LLM, conf=0.85)
Experimental — accuracy not yet measuredDistress intolerance on these tasks is heightened among SUD patients with borderline personality, antisocial personality, and posttraumatic stress disorders, and predicts treatment dropout among substance users in residential treatment.
“distress intolerance on these tasks has been found to be heightened among SUD patients with borderline personality, antisocial personality, and posttraumatic stress disorders, (Bornovalova et al., 2008; Bornovalova et al., 2011; Daughters et al., 2008) and to predict treatment dropout among substance users in residential treatment”
From Initial RCT of a distress tolerance treatment for individuals with substance use disorders (2012) · cites this paper as Daughters et al., 2008
A variety of psychological difficulties and maladaptive behaviors are thought to stem from distress intolerance.
“a variety of psychological difficulties and maladaptive behaviors thought to stem from distress intolerance (e.g., Bornovalova et al., 2008; Daughters et al., 2008; Daughters et al., 2009).”
From Initial RCT of a distress tolerance treatment for individuals with substance use disorders (2012) · cites this paper as Daughters et al., 2008
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Cognitive–affective factors underlying disinhibitory disorders and legal implications
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Contextual Influences on Distress Intolerance: Priming Effects on Behavioral Persistence
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Comparison of ego strength between aggressive and non-aggressive alcoholics: a cross-sectional study
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The Nomological Network of a Behavioral Distress Tolerance Task in Veterans
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Self-citationValidation of the Korean-Distress Intolerance Index in a Korean College Sample
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Cognitive control: modeling the impact on mental health
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Abstencionismo: ¿por qué no votan los jóvenes universitarios?
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Validación de la Environmental Reward Observation Scale (EROS) en población Colombiana
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Escala de Tolerancia al Distrés: Propiedades Psicométricas en Estudiantes Universitarios Argentinos
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DISTRESS TOLERANCE AS A MEDIATOR OF THE RELATION BETWEEN STRESS MINDSET AND ANXIETY
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Biopsychosocial Vulnerability-Stress Modeling for an Incarcerated Population
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Self-citationDistress Intolerance Is Associated With a Greater Reward Positivity to Aversive Avoidance Feedback
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Substance Abuse and Animal Maltreatment
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THE EASE PROGRAM: THE DEVELOPMENT OF A DISTRESS TOLERANCE INTERVENTION FOR MIDDLE SCHOOL ADOLESCENTS
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Self-citationAgressivité chez enfants, un regard d'après la psychologie dynamique
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The Development of Behavioral Measurement Task for Distress Tolerance: Preliminary Study
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- Authors
- Daughters, S. B., Sargeant, M. N., Bornovalova, M. A., Gratz, K. L., & Lejuez, C. W.
- Affiliations
- University of Maryland, College Park (US)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2008-10
- Volume
- 22
- Issue
- 5
- Pages
- 509-524
- ISSN
- 0885-579X (ISSN-L)
- PMC
- PMC4523142
- OpenAlex
- W2110925635
- Cited by
- 80
- References
- 44
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 7 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 4 · 2013: 6 · 2012: 4
- FWCI
- 8.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R03DA018387)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- distress tolerance, antisocial personality disorder, substance use disorders, African American men, residential addiction treatment, emotional distress
- MeSH terms
- Adult, Antisocial Personality Disorder, Defense Mechanisms, Humans, Interpersonal Relations, Male, Middle Aged, Residential Treatment, Risk Factors, Stress, Psychological, United States, Urban Population, Comorbidity, Logistic Models, Substance-Related Disorders, Drug Users
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