Validation of the distress tolerance scale‐short form in obsessive compulsive disorder

Garner, Lauryn E.; Kirk, Nathaniel Van; Tifft, Eric D.; Krompinger, Jason W.; Mathes, Brittany M.; Fraire, Maria G.; Falkenstein, Martha J.; Brennan, Brian P.; Crosby, Jesse M.; Elias, Jason A.

doi:10.1002/jclp.22554

Cited by 26 publications

(29 citation statements)

References 47 publications

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“…Firstly, a brief measure of distress tolerance was used to reduce respondent burden at admission. However, the four-item scale showed a satisfactory single-factor structure, and short-form measures have shown acceptable performance in prior research (Garner et al, 2018;Veilleux et al, 2018). The low burden to participants is particularly useful for integration into comprehensive cross-sectional assessments and routine monitoring programs.…”

Section: Discussionmentioning

confidence: 97%

“…Four items were taken from the Distress Tolerance Scale (Simons & Gaher, 2005) to measure emotional and behavioral tendencies in response to distressing events. Selection of these items were informed by recent research from Garner et al (2018), who found four items showed an acceptable single‐factor structure in clinical and non‐clinical samples: (1) “My feelings of distress are so intense that they completely take over”; (2) “Being distressed or upset is always a major ordeal for me”; (3) “I can't handle feeling distressed or upset”; (4) “I'll do anything to stop feeling distressed or upset”. These items tapped into the four distress tolerance components proposed by Simons and Gaher (2005), such as tolerance, appraisal, absorption, and regulation.…”

Section: Methodsmentioning

confidence: 99%

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Distress tolerance as a moderator of the dynamic associations between interpersonal needs and suicidal thoughts

Kyron

Hooke

Bryan

et al. 2021

Suicide & Life Threat Behav

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Background: Identifying the interaction between dispositional and dynamic risk factors is necessary in understanding, predicting, and managing suicide risk. Interpersonal factors have consistently been linked to suicidal ideation over short-term periods. Additionally, distress tolerance may be a relevant dispositional protective factor against stressful events. Methods: Seven hundred and seventeen psychiatric inpatients (Male = 30.31%, Average Age = 40.71 years, Min = 14, Max = 82) self-reported their distress tolerance at hospital admission, and interpersonal needs and suicidal ideation on a daily basis. Dynamic structural equation modelling was used to examine whether within-level dynamics were moderated by distress tolerance.Results: Both perceived burdensomeness and thwarted belongingness were significantly associated with same-day suicidal ideation. Higher distress tolerance was associated with weaker daily associations between suicidal ideation and both perceived burdensomeness and thwarted belongingness. Distress tolerance was also associated with lower variability in suicidal ideation. Moderating effects were also evident when lifetime suicide attempts were added as a covariate, which was associated with stronger associations between interpersonal dysfunction and suicidal ideation, and higher variability in ideation.Conclusions: Distress tolerance may be important to consider when examining the dynamic relationships between suicidal ideation and proximal factors.

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Distress tolerance as a moderator of the dynamic associations between interpersonal needs and suicidal thoughts

Kyron

Hooke

Bryan

et al. 2021

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…A four-item Distress Tolerance Scale – Short Form (DTS; Garner et al, 2018) was used to assess individuals’ perceived ability to withstand negative affect. The four items measured distinct factors, including distress tolerance (e.g., “I cannot handle feeling distressed or upset.”).…”

Section: Methodsmentioning

confidence: 99%

Alterations in reward and emotional processing differentiate among adults with a history of childhood maltreatment: Implications for substance use behaviors.

Bounoua

Church

Sadeh

2021

Emotion

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Although childhood maltreatment is a well-established risk factor for a multitude of poor psychosocial outcomes, considerably less is known about mechanisms driving this risk transmission. Recent theoretical models posit that types of childhood maltreatment (deprivation vs. threat) may lead to alterations in reward and emotional processing that confer risk for later psychosocial problems. However, empirical examination of these theories is currently limited. We used a person-centered approach to identify profiles of reward and emotional processing in a sample of 758 adults reporting elevated childhood maltreatment. Latent profile analysis indicated a 3-class solution best fit the data: a blunted reward class (n = 220; 29.0%) characterized by low reward processing and average emotional processing; a disrupted emotional processing class (n = 242; 31.9%) marked by normative levels of reward processing but high emotional pain and experiential avoidance and low distress tolerance; and an emotional resilience class (n = 296; 39.1%) characterized by normative reward and emotional processing. Consistent with theoretical models, the specificity of disruption was differentially associated with dimensions of childhood maltreatment, with individuals in the blunted reward class reporting more childhood neglect and individuals in the disrupted emotional processing class reporting more childhood physical/sexual abuse. These profiles of disrupted reward and emotional processing also showed differential relations with the frequency and affective motivations for lifetime substance use. Findings provide empirical support for novel conceptual models of childhood maltreatment that focus on the consequences that may represent mechanisms for problematic behaviors like substance use.

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“…Distress Tolerance. Distress tolerance, an individual's perceived ability to experience and endure negative psychological states, was assessed with the Distress Tolerance Scale-Short Form (DTS-SF; Garner et al, 2018), a self-report of overall distress tolerance with four 5point Likert items ranging from 1 (strongly agree) to 5 (strongly disagree). The DTS-SF is a subset of the items from the 15-item Distress Tolerance Scale (DTS; Simons & Gaher, 2005) with the highest factor loadings from each of the original DTS subscales (Leyro et al, 2011): tolerance, appraisal, absorption, and regulation.…”

Section: Trait-level Moderatorsmentioning

confidence: 99%

Anxiety sensitivity, distress intolerance, and negative interpretation bias strengthen the relationship between trait anxiety and depersonalization

French

Eberle

Teachman

2021

Anxiety, Stress, & Coping

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Depersonalization is common in anxiety disorders, but little is known about factors that influence co-occurring anxiety and depersonalization. We investigated trait moderators of the relationships between state and trait anxiety and depersonalization to better understand their co-occurrence and to identify potential points of intervention. Adults recruited on Amazon Mechanical Turk (N = 303) completed two computer tasks designed to increase variability in state anxiety and depersonalization as well as several self-report questionnaires. As hypothesized (preregistration: https://osf.io/xgazd), anxiety positively predicted depersonalization at both a state level, β = 0.43, 95% CI [0.39, 0.47], and trait level, β = 0.60, 95% CI [0.51, 0.70]. Moreover, as hypothesized, the trait anxiety-trait depersonalization relationship was strengthened by greater anxiety sensitivity, β = 0.25, 95% CI [0.17, 0.34]; distress intolerance, β = 0.15, 95% CI [0.05, 0.25]; and negative interpretation bias for anxiety sensations (inverse transformed), β = -0.21, 95% CI [-0.30, -0.13], and for depersonalization sensations (inverse transformed), β = -0.27, 95% CI [-0.35, -0.19]. None of these hypothesized trait moderators significantly strengthened the state anxiety-state depersonalization relationship.These findings suggest that on a trait level, anxiety and depersonalization more frequently cooccur when people catastrophically misinterpret their symptoms or have lower emotional distress tolerance.

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Validation of the distress tolerance scale‐short form in obsessive compulsive disorder

Abstract: The DTS-SF was found to be a valid and reliable measure with high clinical utility for quickly and accurately measuring DT.

Cited by 26 publications

References 47 publications

Distress tolerance as a moderator of the dynamic associations between interpersonal needs and suicidal thoughts

Distress tolerance as a moderator of the dynamic associations between interpersonal needs and suicidal thoughts

Alterations in reward and emotional processing differentiate among adults with a history of childhood maltreatment: Implications for substance use behaviors.

Anxiety sensitivity, distress intolerance, and negative interpretation bias strengthen the relationship between trait anxiety and depersonalization

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