ArticleJournal of consulting and clinical psychology2019
Distress tolerance trajectories following substance use treatment.
Article in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Impact of a brief distress intolerance intervention on acute stress modulation of response inhibition neurophysiology in cannabis use disorder.Addictive behaviors · 2023Trial
- Change in impulsivity is prospectively associated with treatment outcomes for binge-eating disorder.Psychological medicine · 2023Trial
- Distress Intolerance, Social Anxiety, and Depressive Symptoms in Adolescents: Evidence from Random-Intercept Cross-Lagged Panel and Cross-Lagged Panel Network Analyses.Journal of youth and adolescence · 2026Article
- Longitudinal association of distress tolerance with borderline and antisocial personality traits in a substance use treatment sample attempting sobriety.Personality disorders · 2026Article
- Distress Intolerance Is Associated With a Greater Reward Positivity to Aversive Avoidance Feedback.Psychophysiology · 2026Article
- Transcriptomic signatures in tetrapartite brain region identifies shared and unique gene signatures for substance-use.Frontiers in cellular neuroscience · 2026Article
- Distress tolerance is linked with substance use motivations and problems in young adults across four continents.Journal of personality · 2025Article
- Sex Differences in Opioid Misuse among Adults with Chronic Lower Back Pain: The Roles of Negative Affect and Related Transdiagnostic Factors.Journal of substance use · 2025Article
- Childhood maltreatment and substance use risk: A moderated mediation model of autonomic reactivity and distress tolerance.Child abuse & neglect · 2024Article
- Psychometric properties of the Distress Tolerance Scale in a clinical sample.Psychological assessment · 2024Article
- 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
- Childhood Traumatic Experiences and Negative Alcohol-Related Consequences in Adulthood: A Cross-Cultural Examination of Distress Tolerance and Drinking to Cope.Substance use & misuse · 2023Article
- Distress tolerance: prospective associations with cognitive-behavioral therapy outcomes in adults with posttraumatic stress and substance use disorders.Cognitive behaviour therapy · 2022Article
- Effects of Buprenorphine Dose and Therapeutic Engagement on Illicit Opiate Use in Opioid Use Disorder Treatment Trials.International journal of environmental research and public health · 2022Article
- Distress tolerance among emergency department patients in acute pain: Associations with substance use treatment.Stress and health : journal of the International Society for the Investigation of Stress · 2021Article
- Distress Tolerance as a Familial Vulnerability for Distress-Misery Disorders.Behavior therapy · 2020Article
- Triple Network Resting State Connectivity Predicts Distress Tolerance and Is Associated with Cocaine Use.Journal of clinical medicine · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveDistress tolerance (DT), the ability to withstand aversive internal states, represents an important risk factor for substance use relapse and a potential treatment target. Neurobiological research in substance using populations suggests that continued substance use could erode DT, whereas abstinence could bolster it. The current study characterized trajectories of behavioral and self-reported indices of DT and examined the prospective effect of substance use on DT trajectories among those seeking treatment for substance use.
methodIndividuals (N = 263, Mage = 42.68, SD = 11.8, 70.7% male, 94.7% African American) in residential substance use treatment completed subjective (Distress Tolerance Scale) and behavioral (Mirror Tracing Persistence Task-computerized version) DT measures, as well as report of daily substance use (timeline follow-back) over 5 assessment time-points from pretreatment to 12 months posttreatment. Latent curve modeling estimated DT trajectories and their associations with substance use behavior, including abstinence duration (days until first use) and substance use frequency (percentage of substance use days between assessments).
resultsSelf-reported and behavioral DT indicators both exhibited positive, nonlinear change over time (standardized slope parameter estimates: Distress Tolerance Scale β = 0.61, p < .01; Mirror Tracing Persistence Task β = 0.34, p < .01). Abstinence duration was associated with greater improvement in behavioral (β = .20, p = .03) DT specifically. Frequency of use was statistically significantly associated with attenuated behavioral DT at 6-month (β = -.12, p = .03) and 12-month follow-ups (β = -.08, p = .045).
conclusionsDT appears to improve appreciably posttreatment, and return to substance use may shape the degree of this improvement. Collectively, these findings support the conceptualization of DT as a malleable treatment target and emphasize the benefit of abstinence on improvement in DT. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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