ArticleDrug and alcohol dependence2015
The interacting effect of depressive symptoms, gender, and distress tolerance on substance use problems among residential treatment-seeking substance users.
Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
28 citing papers in PubMed.
- Effects of a brief ED-based alcohol and violence intervention on depressive symptoms.General hospital psychiatry · 2017Trial
- The indirect effects of discrimination on substance use in bisexual adults through internalized binegativity, concealment, and distress tolerance.Addictive behaviors reports · 2026Article
- Longitudinal association of distress tolerance with borderline and antisocial personality traits in a substance use treatment sample attempting sobriety.Personality disorders · 2026Article
- Distress tolerance is linked with substance use motivations and problems in young adults across four continents.Journal of personality · 2025Article
- The main and interactive effects of distress tolerance and reward function on posttraumatic stress disorder symptoms among firefighters.Psychological trauma : theory, research, practice and policy · 2023Article
- The mediating effect of distress tolerance on the relationship between stressful life events and suicide risk in patients with major depressive disorder.BMC psychiatry · 2023Article
- Prelimbic Cortex Activity during a Distress Tolerance Task Predicts Cocaine-Seeking Behavior in Male, But Not Female Rats.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023Article
- Distress tolerance: prospective associations with cognitive-behavioral therapy outcomes in adults with posttraumatic stress and substance use disorders.Cognitive behaviour therapy · 2022Article
- The Validity of the Short Inventory of Problems and Drinking Intensity among Urban American Indian Adults.Substance use & misuse · 2021Article
- Negative mood as a mediator of the association between insomnia severity and marijuana problems in college students.Journal of sleep research · 2020Article
- Sex-related differences in subjective, but not neural, cue-elicited craving response in heavy cannabis users.Drug and alcohol dependence · 2020Article
- Examining Relationships between Gender, Opioid Dependence, and Distress Tolerance among Patients in Substance Use Disorder Treatment.Substance use & misuse · 2020Article
- Feasibility and Acceptability of an mHealth-Based Approach as an HIV Prevention Strategy Among People Who Use Drugs on Pre-Exposure Prophylaxis.Patient preference and adherence · 2020Article
- Distress tolerance trajectories following substance use treatment.Journal of consulting and clinical psychology · 2019Article
- A technology-augmented intervention to prevent peer violence and depressive symptoms among at-risk emergency department adolescents: Protocol for a randomized control trial.Contemporary clinical trials · 2019Article
- Distress tolerance to auditory feedback and functional connectivity with the auditory cortex.Psychiatry research. Neuroimaging · 2018Article
- Sex Differences in the Association between Heavy Drinking and Behavioral Distress Tolerance and Emotional Reactivity Among Non-Depressed College Students.Alcohol and alcoholism (Oxford, Oxfordshire) · 2018Article
- Gender moderates the association between distress tolerance and alcohol use among individuals with opioid use disorder.Drug and alcohol dependence · 2018Article
- Childhood trauma and distress tolerance in a trauma-exposed acute-care psychiatric inpatient sample.Psychological trauma : theory, research, practice and policy · 2018Article
- Distress tolerance: Associations with trauma and substance cue reactivity in low-income, inner-city adults with substance use disorders and posttraumatic stress.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundDepression is associated with substance use problems; however, the specific individual characteristics influencing this association are not well identified. Empirical evidence and theory suggest that gender and distress tolerance-defined behaviorally as an individual's ability to persist in goal-directed behavior while experiencing negative affective states-are important underlying factors in this relationship. Hence, the purpose of the current study was to examine whether gender and distress tolerance moderate the relationship between depressive symptoms and substance use problems.
methodsParticipants included 189 substance users recruited from a residential substance abuse treatment center. The Short Inventory of Problems-Alcohol and Drugs scale was used to measure self-reported substance use problems. The Beck Depression Inventory was used to assess self-reported depressive symptoms. Gender was self-reported, and distress tolerance was behaviorally indexed by the Computerized Paced Auditory Serial Addition Task.
resultsHierarchical linear regression analysis indicated a significant three-way interaction of depressive symptoms, gender, and distress tolerance on substance use problems, adjusting for relevant demographic variables, anxiety symptoms, impulsivity, as well as DSM-IV psychiatric disorders. Probing of this three-way interaction demonstrated a significant positive association between depressive symptoms and substance use problems among females with low distress tolerance.
conclusionFindings indicate that female treatment-seeking substance users with high levels of depressive symptoms exhibit greater substance use problems if they also evidence low distress tolerance. Study implications are discussed, including the development of prevention and intervention programs that target distress tolerance skills.
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