Distress tolerance and symptoms of depression: A review and integration of literatures.

Lass, Alisson N. S.; Winer, E. Samuel

doi:10.1037/h0101778

Cited by 14 publications

(15 citation statements)

References 75 publications

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“…Less work has examined how rumination relates to positivity in a network. This is an important gap in the literature, given that for some depressed individuals, positive experiences or emotions may be distressing or devalued (Lass & Winer, 2020; Winer & Salem, 2016). Indeed, depressed individuals seem not only to not approach positivity, as do nondepressed populations (Pool et al, 2016; Winer et al, 2011), but they also evidence a reverse pattern by which they avoid positive information.…”

Section: Introductionmentioning

confidence: 99%

Examining rumination, devaluation of positivity, and depressive symptoms via community‐based network analysis

et al. 2021

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Objective: Components of rumination, including brooding and reflection, as well as devaluating prospective positivity, may help maintain depressive symptoms. We examined these components together for the first time using network analysis. Methods: We examined the robustness of rumination communities of closely related items in one network and then examined the interrelationships between rumination communities, devaluation of positivity, and depression, in a second network. Results: Three rumination communities emerged, replicating findings of Bernstein et al. (2019). Within a dense network, nodes representing brooding, reflective pondering, and difficulty trusting positive feelings were most influential. In addition, the node representing the depressive symptom negative self-views shared strong edges with nodes representing devaluation of positivity and brooding. Conclusion: Brooding, reflective pondering, and elements of devaluing positivity are influential to depressive symptoms and may be important future experimental and therapeutic targets. Depressed individuals with negative self-views may engage in brooding and devalue their experience of positivity.

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Section: Introductionmentioning

confidence: 99%

Examining rumination, devaluation of positivity, and depressive symptoms via community‐based network analysis

et al. 2021

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“…The number of articles referring to distress tolerance has skyrocketed in the last 15 years. There are multiple reviews describing the state of knowledge about distress tolerance and a wide swath of psychopathology (Akbari et al, 2022; Andrés et al, 2021; Lass & Winer, 2020; Leyro et al, 2010; Robinson & Freeston, 2014; Veilleux, 2019), which the interested reader is encouraged to pursue. For now, I will provide a brief and necessarily cursory review describing some of the controversies and issues currently surrounding distress tolerance research that the proposed model is intended to address.…”

Section: State Of Knowledge About Distress Tolerancementioning

confidence: 99%

“…In addition, people with more frequent and intense negative affect, as indicated by high anxiety sensitivity, high neuroticism, and increased symptoms of depression and anxiety, tend to report greater difficulties tolerating distress (Bernstein et al, 2009; Juarascio, Manasse, et al, 2020; Lass & Winer, 2020; Leyro et al, 2010; Macatee et al, 2020; Marshall-Berenz et al, 2010). Moreover, distress intolerance has been described as a skill deficit underlying use of maladaptive emotion-regulation strategies (Naragon-Gainey et al, 2017), reflecting findings that people who struggle with distress tolerance also report greater emotion dysregulation (Brandt et al, 2012; Carpenter & Trull, 2013; Iverson et al, 2012; Naragon-Gainey et al, 2017).…”

Section: State Of Knowledge About Distress Tolerancementioning

confidence: 99%

“…The ability to withstand distress is typically referred to as distress tolerance , which has been touted as an important transdiagnostic risk factor for psychopathology (Leyro et al, 2010). Greater depression (Lass & Winer, 2020), cigarette smoking (Leventhal & Zvolensky, 2015; Veilleux, 2019), posttraumatic stress disorder (Akbari et al, 2022), obsessive-compulsive disorder (Robinson & Freeston, 2014), and a variety of other symptoms/syndromes (see Leyro et al, 2010, for a review) are associated with impairments in distress tolerance. Even beyond diagnosable psychopathology, poor distress tolerance is also associated with emotion dysregulation (Conway et al, 2021; Naragon-Gainey et al, 2017), executive dysfunction (Andrés et al, 2021), and lower self-control (Juarascio, Manasse, et al, 2020; Veilleux, Skinner, et al, 2021).…”

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confidence: 99%

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A Theory of Momentary Distress Tolerance: Toward Understanding Contextually Situated Choices to Engage With or Avoid Distress

Veilleux

2022

Clinical Psychological Science

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As a transdiagnostic vulnerability factor, low distress tolerance predicts a wide variety of psychopathology. The current article extends past research, which has typically adopted an individual-differences approach, by articulating a social-cognitive theory of momentary distress tolerance. This new model intentionally separates actions taken to remain engaged with distress (i.e., tolerance) from avoidance/escape actions associated with intolerance, and highlights willingness to experience distress as central to tolerance. In addition, self-efficacy for tolerating distress is highlighted as a central predictor of the tolerance/intolerance process, influenced by distress intensity and momentary psychological resources (e.g., hunger, tiredness, degree of life stressors, social support). Finally, the model also explains how repeated experiences of distress tolerance and/or intolerance coalesce into a global self-perception indicative of individual differences in distress tolerance. Reasons why the proposed model has the potential to overcome current challenges in distress tolerance research are reviewed, and future directions for both research and clinical practice are highlighted.

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“…Distress tolerance is the perceived capacity to withstand negative emotional or other aversive states (e.g., physical discomfort) and the behavioral capacity of withstanding distressing internal states elicited by some type of stressor (Zvolensky et al, 2010). Distress tolerance impacts multiple forms of psychopathology and can be conceptualized as a transdiagnostic risk factor underlying several pathological symptoms, such as anxiety (Michel et al, 2016), depression (Lass & Winer, 2020), and alcohol use (Howell et al, 2010). A dearth of research has been conducted to examine the association between distress tolerance and aggression.…”

Section: Introductionmentioning

confidence: 99%

Modeling state‐ and trait‐level associations between aggression, somatic symptoms, substance use, and distress tolerance

Yang

2023

Aggressive Behavior

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The current study examined the state‐ and trait‐level associations of psychological and physical aggression to somatic symptoms, and alcohol and drug use and tested the influence of distress tolerance on these associations, while controlling for stress, sex, and minority status. A naturalistic observation was used to collect data with a sample of 245 college students at three time points with 2 weeks apart. Random‐intercept cross‐lagged panel models were used to disaggregate within‐person effects (autoregressive and cross‐lagged effects) from the between‐person (latent trait‐level) associations. The findings revealed that there were autoregressive effects of psychological aggression between Time 1 (T1) and Time 2 (T2) and of physical aggression between T1 and T2. There was a bidirectional association between psychological aggression and somatic symptoms at T2 and Time 3 (T3), in which T2 psychological aggression predicted T3 somatic symptoms and verse vera. T1 drug use predicted T2 physical aggression, which in turn predicted T3 somatic symptoms, indicating physical aggression being a mediator between earlier drug use and later somatic symptoms. Distress tolerance was negatively associated with psychological aggression and somatic symptoms, respectively, and such an influence did not differ across time occasions. The findings indicated the importance of incorporating physical health in the prevention and intervention of psychological aggression. Clinicians may also consider including psychological aggression in the screening of somatic symptoms or physical health. Empirical‐supported therapy components for enhancing distress tolerance may help mitigate psychological aggression and somatic symptoms.

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Distress tolerance and symptoms of depression: A review and integration of literatures.

Cited by 14 publications

References 75 publications

Examining rumination, devaluation of positivity, and depressive symptoms via community‐based network analysis

Examining rumination, devaluation of positivity, and depressive symptoms via community‐based network analysis

A Theory of Momentary Distress Tolerance: Toward Understanding Contextually Situated Choices to Engage With or Avoid Distress

Modeling state‐ and trait‐level associations between aggression, somatic symptoms, substance use, and distress tolerance

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