Distress Tolerance Treatment for Early-Lapse Smokers

Brown, Richard A.; Palm, Kathleen M.; Strong, David R.; Lejuez, Carl W.; Kahler, Christopher W.; Zvolensky, Michael J.; Hayes, Steven C.; Wilson, Kelly G.; Gifford, Elizabeth J.

doi:10.1177/0145445507309024

Cited by 129 publications

(94 citation statements)

References 66 publications

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“…Twelve studies were excluded due to a lack of a control group [23,24,25,26,27,28,29,30,31,32,33,34]. Seven studies were excluded because they focused on nonclinical or non-treatment-seeking samples.…”

Section: Methodsmentioning

confidence: 99%

Acceptance and Commitment Therapy: A Meta-Analytic Review

Powers¹,

Vörding²,

Emmelkamp³

2009

Psychother Psychosom

506

273

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Background: There are now a substantial number of controlled trials investigating the efficacy of acceptance and commitment therapy (ACT). This meta-analysis combined multiple well-controlled studies to help clarify the overall impact of ACT relative to waiting lists, psychological placebos, treatment as usual, and established therapies. Method: A comprehensive literature search produced 18 randomized controlled trials (n = 917) that were included in the final analyses. Effect size was computed with Hedges’s g which can be interpreted with Cohen’s convention of small (0.2), medium (0.5), and large (0.8) effects. Results: There was a clear overall advantage of ACT compared to control conditions (effect size = 0.42). The average ACT-treated participant was more improved than 66% of the participants in the control conditions. Analyzed separately ACT was superior to waiting lists and psychological placebos (effect size = 0.68) and treatment as usual (effect size = 0.42). However, ACT was not significantly more effective than established treatments (effect size = 0.18, p = 0.13). Also, ACT was not superior to control conditions for the distress problems (anxiety/depression: effect size = 0.03, p = 0.84). Conclusions: The results reveal that ACT is more effective than control conditions for several problem domains, but there is no evidence yet that ACT is more effective than established treatments.

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Section: Methodsmentioning

confidence: 99%

Acceptance and Commitment Therapy: A Meta-Analytic Review

Powers¹,

Vörding²,

Emmelkamp³

2009

Psychother Psychosom

506

273

View full text Add to dashboard Cite

show abstract

“…Third, experimental research has been limited by the lack of established methods for reducing DI. Bornovalova, Gratz, Daughters, Hunt, and Lejuez (2012) found a six-session group treatment to be effective at decreasing DI, and did so without a focus on specific domains (e.g., nicotine withdrawal symptoms; Brown et al, 2008), instead attempting to target the construct more generally. However, because of the number of components, it is difficult to determine which elements of the intervention are most important to changing DI.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a computerized intervention for low distress tolerance and its effect on performance on a neutralization task

Macatee

Cougle

2015

Journal of Behavior Therapy and Experimental Psychiatry

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“…Importantly, there is recognition that how individuals interpret and respond to distressing psychological or physiological states is linked to the maintenance of problematic substance use (e.g., Brown et al, 2005). Specifically, sensitivity to, and intolerance of, unpleasant physiological and psychological states may amplify the experience of distress, which may in turn motivate avoidance-focused behaviors (e.g., Brown et al, 2008;Tull et al, 2007). Two transdiagnostic vulnerability factors that appear to be predictors of both problematic substance use and affective psychopathology are anxiety sensitivity and distress intolerance.…”

mentioning

confidence: 99%

Anxiety Sensitivity and Distress Intolerance as Predictors of Cannabis Dependence Symptoms, Problems, and Craving: The Mediating Role of Coping Motives

Farris

Metrik

Bonn‐Miller

et al. 2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The tendency to react with fear to anxietyrelated sensations (anxiety sensitivity) and the inability to tolerate distressing psychological or physiological states (distress intolerance) are implicated in the comorbidity between affective psychopathology and cannabis use disorders. Emotionally vulnerable cannabis users may be particularly apt to use cannabis to cope with distress, which may both lead to and maintain its problematic use (e.g., dependence, craving). The current study tested a comprehensive model of anxiety sensitivity and distress intolerance as predictors of the number of cannabis dependence symptoms and problems, and severity of cannabis craving following deprivation from cannabis, and the mediating role of cannabis coping motives. Method: Participants (n = 103; mean age = 21.2 years, SD = 4.3; 35.9% female) were non-treatment-seeking frequent cannabis users.Data were cross-sectional in nature. Anxiety sensitivity was assessed via self-report, and distress intolerance was assessed via both self-report and breath-holding duration. Results: Greater perceived distress intolerance, but not breath-holding duration or anxiety sensitivity, was associated with a greater number of cannabis dependence symptoms and problems and elevated cannabis craving. These relations were mediated by cannabis coping motives. Conclusions: Findings provide specificity for the etiologic mechanisms related to emotional vulnerability and maintenance of cannabis problems. Perceived distress intolerance appears to be uniquely related to maladaptive coping motives for cannabis use, which could be meaningfully targeted in interventions for emotionally vulnerable cannabis users. (J. Stud. Alcohol Drugs, 77, 889-897, 2016)

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Distress Tolerance Treatment for Early-Lapse Smokers

Cited by 129 publications

References 66 publications

Acceptance and Commitment Therapy: A Meta-Analytic Review

Acceptance and Commitment Therapy: A Meta-Analytic Review

Development and evaluation of a computerized intervention for low distress tolerance and its effect on performance on a neutralization task

Anxiety Sensitivity and Distress Intolerance as Predictors of Cannabis Dependence Symptoms, Problems, and Craving: The Mediating Role of Coping Motives

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