The Associations among Distress Tolerance, Unhelpful Coping Behaviors, and Symptoms of Depression: A Network Analysis

Lass, Alisson N. S.; Winer, E. Samuel; Collins, Amanda C; Rokke, Paul D.

doi:10.1007/s10608-020-10131-2

Cited by 17 publications

(17 citation statements)

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“…The application of this methodology to health sciences, specifically mental health, makes it possible to assess how certain behaviors or symptoms are associated with others ( Levinson et al, 2017 ; Blanco et al, 2020 ; Di Blasi et al, 2021 ). In fact, there is some research using the network approach in university students finding that in this population, worry, trouble relaxing, and depressed mood are core symptoms ( Bai et al, 2021 ) and when an abusive condition exists, networks report links to negative mood, sleep, and concentration problems ( An et al, 2021 ); as well as a reduced ability to tolerate distress is associated with increased symptoms of depression ( Lass et al, 2020 ). Despite this, there are few studies of well-being in the university students using this methodology.…”

Section: Introductionmentioning

confidence: 99%

Depression, COVID-19 Anxiety, Subjective Well-being, and Academic Performance in University Students With COVID-19-Infected Relatives: A Network Analysis

et al. 2022

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This study aimed to examine the relationship between anxiety, depression, subjective well-being, and academic performance in Peruvian university health science students with COVID-19-infected relatives. Eight hundred two university students aged 17–54 years (Mean 21.83; SD = 5.31); 658 females (82%) and 144 males (18%); who completed the Patient Health Questionnaire-2, Coronavirus Anxiety Scale, Subjective Well-being Scale (SWB), and Self-reporting of Academic Performance participated. A partial unregularized network was estimated using the ggmModSelect function. Expected influence (EI) values were calculated to identify the central nodes and a two-tailed permutation test for the difference between the two groups (COVID-19 infected and uninfected). The results reveal that a depression and well-being node (PHQ1-SWB3) presents the highest relationship. The most central nodes belonged to COVID-19 anxiety, and there are no global differences between the comparison networks; but at the local level, there are connections in the network of COVID-19-infected students that are not in the group that did not present this diagnosis. It is concluded that anxious–depressive symptomatology and its relationship with well-being and evaluation of academic performance should be considered in order to understand the impact that COVID-19 had on health sciences students.

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Section: Introductionmentioning

confidence: 99%

Depression, COVID-19 Anxiety, Subjective Well-being, and Academic Performance in University Students With COVID-19-Infected Relatives: A Network Analysis

et al. 2022

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“…11See Evanovich et al (2019), Kiselica et al (2014, 2015), (Lass et al, 2020; and Leyro, Zvolensky & Bernstein, 2010) for a comprehensive review of the construct of distress tolerance, including facets relating to physical distress tolerance, which is beyond the scope of the current paper.…”

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confidence: 99%

“…Distress tolerance (DT) refers to the perceived capacity to endure and cope with uncomfortable or negative emotional states (Lass et al, 2020 ; Leyro et al, 2010 ; Simons & Gaher, 2005 ) 1 . DT has been conceptualized as a trait‐like construct, with individual differences in the ability to tolerate distressing experiences (Simons & Gaher, 2005 ).…”

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confidence: 99%

“…Furthermore, DT has been implicated as a transdiagnostic risk/resilience factor in the onset and maintenance of various psychopathologies, including borderline personality disorder (Iverson et al, 2012 ), Post‐traumatic stress disorder (PTSD) (Vujanovic & Zegel, 2020 ), substance use disorder (Bornovalova et al, 2008 ), anxiety disorders (McHugh & Otto, 2012 ), and disordered eating (Juarascio et al, 2016 ). Indeed, research has demonstrated that low DT significantly predicts the use of maladaptive emotion regulation strategies including suppression of feelings, avoidance, rumination and substance use (Jeffries et al, 2016 ; Lass et al, 2020 ; Zegel et al, 2019 ). Similarly, poorer DT has been associated with an increased use of unhelpful self‐regulation strategies such as substance use, binge eating, or nonsuicidal self‐injury (Lass et al, 2020 ; McHugh & Otto, 2012 ).…”

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confidence: 99%

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The relationship between distress tolerance and symptoms of depression: Validation of the Distress Tolerance Scale (DTS) and short‐form (DTS‐SF)

2022

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Objective: Distress tolerance (DT) has been found to be implicated in the development and maintenance of depressive symptomatology and various other significant psychological conditions. As such, it is critical to have measures of DT that are effective and easy to administer. This study aimed to examine the factor structure, psychometric properties, and clinical utility of the Distress Tolerance Scale (DTS) and the short‐form version, the Distress Tolerance Scale Short‐form (DTS‐SF), in a large population of individuals with varying levels of self‐reported depressive symptoms. Method: A total of 959 participants completed an online battery of questionnaires which included an assessment of depressive symptoms as well as the DTS and related measures. Results: Confirmatory factor analyses validated the four‐factor structure of the DTS and the one‐factor structure of the DTS‐SF. Good construct validity and good internal consistency were observed across both the DTS and DTS‐SF. Conclusion: Overall, this paper provides new evidence for the validity, reliability and discriminative ability of the DTS and the brief version of the questionnaire, the DTS‐SF.

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“…The GWOT has negatively affected veterans' mental health (Hoge et al, 2004), which the COVID-19 pandemic has compounded (Na et al, 2021a). This study will survey the scholarship of the pandemic through advanced statistical analyses focusing on network analysis (Ebrahimi et al, 2021;Lass et al, 2020;Martín-Brufau et al, 2020;Skjerdingstad et al, 2021;Vos et al, 2021;Wang et al, 2020;Williamson et al, 2021;Yu & Mahendran, 2021). Next, we will review the literature of different approaches from emotional (negative affect), attachment, and resilience theoretical frameworks, as a growing body of literature is burgeoning (Carbajal et al, 2021;Byllesby et al, 2016;Greene et al, 2020;Mikulincer & Shaver, 2016;Moccia et al, 2020;Ponder et al, 2023;Price & van Stolk-Cooke, 2015;Seligowski et al, 2016).…”

mentioning

confidence: 99%

The Impact of COVID-19 on Veterans’ Resilience, Attachment, and Negative Affect

Mallory

Ponder²,

Sherrill³

et al. 2022

Journal of Veterans Studies

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On March 13, 2020, the US issued an emergency declaration in response to the COVID-19 pandemic, necessitating increased domestic engagement of the military to mount the national public health response. The US military's increased domestic health response to the COVID-19 pandemic, combined with the effects of its involvement in a 20-year war exacerbated by recent tensions around America's exit from Afghanistan, has led to increased stress on our already overburdened forces. This study compares baseline data from a treatment-seeking veteran sample before the onset of COVID-19 (n = 119) to veterans who sought counseling services during the pandemic (n = 100). We used six standardized mental health measures that assess attachment avoidance, attachment anxiety, resilience, depression, generalized anxiety, posttraumatic stress disorder (PTSD), and suicidality. Independent samples t-tests revealed that depression, generalized anxiety, and PTSD significantly decreased from before the pandemic to after its onset. However, the strength of the correlations between all six measures increased. We interpret the findings through an attachment and resiliency framework. We also explore the role of negative affect that might underlie depression, generalized anxiety, and PTSD. Lastly, we review and discuss a transdiagnostic approach to the therapeutic process, accounting for the COVID-19 pandemic.

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The Associations among Distress Tolerance, Unhelpful Coping Behaviors, and Symptoms of Depression: A Network Analysis

Cited by 17 publications

References 54 publications

Depression, COVID-19 Anxiety, Subjective Well-being, and Academic Performance in University Students With COVID-19-Infected Relatives: A Network Analysis

Depression, COVID-19 Anxiety, Subjective Well-being, and Academic Performance in University Students With COVID-19-Infected Relatives: A Network Analysis

The relationship between distress tolerance and symptoms of depression: Validation of the Distress Tolerance Scale (DTS) and short‐form (DTS‐SF)

The Impact of COVID-19 on Veterans’ Resilience, Attachment, and Negative Affect

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