ArticleDrug and alcohol dependence2016
Depression, posttraumatic stress, and alcohol misuse in young adult veterans: The transdiagnostic role of distress tolerance.
Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 60 citations in OpenAlex.
- The relative importance of resilience factors prior, during, and after stress-inducing exams in medical students.Scientific reports · 2026Article
- The role of distress tolerance in the momentary relationship between negative affect and drinking in daily life.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Daily state distress tolerance and alcohol use motivation among individuals with posttraumatic stress disorder symptoms who endorse hazardous alcohol use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- The role of distress tolerance in treatment of posttraumatic stress and substance use disorders: a systematic review.Cognitive behaviour therapy · 2026Review
- Association between distress tolerance and cannabis use disorder symptoms is stronger among U.S. young adults who identify as Hispanic and non-Hispanic Black.Addictive behaviors reports · 2025Article
- Examining the Roles of Psychological Inflexibility and Distress Tolerance on Cigarette Dependence and Binge Drinking among Individuals who Co-use Cannabis for Therapeutic Purposes.International journal of mental health and addiction · 2025Article
- Assessing shared psychological constructs as risk factors in comorbid PTSD-AUD combat-exposed male veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Article
- Insomnia treatment effects on negative emotionality among veterans in treatment for alcohol use disorder.Alcohol, clinical & experimental research · 2024Article
- What Is the Role of Affective Cognition in Trauma and Posttraumatic-Stress-Disorder-Related Drinking? A Systematic Review.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Psychometric properties of the Distress Tolerance Scale in a clinical sample.Psychological assessment · 2024Article
- Online crowdsourcing to study trauma and mental health symptoms in military populations: A case for Amazon's Mechanical Turk (MTurk) platform.Psychological trauma : theory, research, practice and policy · 2023Article
- Distress tolerance mitigates effects of posttraumatic stress, traumatic brain injury, and blast exposure on psychiatric and health outcomes.Rehabilitation psychology · 2023Article
- Prospective Associations Between Anxiety Sensitivity, Distress Intolerance, Depressive Symptoms, and Indices of Alcohol and Cannabis Use Among Veterans.Journal of studies on alcohol and drugs · 2023Article
- Sleep Paralysis and Lucid Dreaming-Between Waking and Dreaming: A Review about Two Extraordinary States.Journal of clinical medicine · 2023Review
- Article
- Association of emotion reactivity and distress intolerance with suicide attempts in U.S. Army soldiers.Suicide & life-threatening behavior · 2022Article
- Longitudinal Examination of the Impact of Resilience and Stressful Life Events on Alcohol Use Disorder Outcomes.Substance use & misuse · 2021Article
- Longitudinal associations between negative urgency, symptoms of depression, cannabis and alcohol use in veterans.Experimental and clinical psychopharmacology · 2020Article
- The architecture of co-morbidity networks of physical and mental health conditions in military veterans.Proceedings. Mathematical, physical, and engineering sciences · 2020Article
- Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members.Journal of affective disorders · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAlcohol misuse is common among young adult veterans, and is commonly associated with depression and posttraumatic stress disorder (PTSD). In fact, rates of comorbid depression, PTSD, and problem drinking are high in this population. Although distress tolerance, the capacity to experience and withstand negative psychological states, has been examined as a potential transdiagnostic factor that accounts for the development of mental health disorders, problem drinking, and the comorbidity between these presenting concerns, its role has not been evaluated in a veteran population.
methodsYoung adult veterans were recruited for an online survey related to alcohol use. Participants (n=783) completed self-report measures of alcohol use, depression and PTSD symptoms, and distress tolerance. Mediation models were conducted to examine whether distress tolerance mediated the relationship between (1) probable PTSD, (2) probable depression, and (3) comorbid probable PTSD and depression with alcohol misuse. Moderated mediation models were conducted to examine gender as a moderator.
resultsSignificant bivariate associations were observed among mental health symptoms, distress tolerance, and alcohol misuse. Distress tolerance significantly mediated the relationship between probable depression and PTSD (both alone and in combination) and alcohol misuse. Evidence of moderated mediation was present for probable PTSD and probable comorbid PTSD and depression, such that the indirect effect was stronger among males.
conclusionsThese results suggest that distress tolerance may be a transdiagnostic factor explaining the comorbidity of depression and PTSD with alcohol misuse in young adult veterans. These findings may inform screening and intervention efforts with this high-risk population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.