Evidence map›Paper›PMID 39012203›Full record

ArticleJournal of personality2025

Distress tolerance is linked with substance use motivations and problems in young adults across four continents.

Grace N Anderson, Christopher C Conway, Adrian J Bravo, Cross‐Cultural Addictions Study Team

Abstract read
In one paragraph

Article in Journal of personality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Grace N AndersonDepartment of Psychology, Fordham University, Bronx, New York, USA.ORCID https://orcid.org/0000-0002-2622-1800
Christopher C ConwayDepartment of Psychology, Fordham University, Bronx, New York, USA.ORCID https://orcid.org/0000-0002-6848-2638
Adrian J BravoDepartment of Psychological Sciences, William & Mary, Williamsburg, Virginia, USA.ORCID https://orcid.org/0000-0002-4630-6449
Cross‐Cultural Addictions Study Team

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
NIAAA NIH HHS T32 AA018108
6 · The paper itself

Abstract

introductionPeople low in trait distress tolerance are at higher risk for harmful patterns of substance use. Some evidence suggests that maladaptive motives for substance use account for this correlation. However, the generality of these associations remains in doubt because virtually all available data come from North American samples.

methodUsing data from 7 countries (total N = 5858; U.S., Argentina, Uruguay, Spain, South Africa, Canada, and England), we examined distress tolerance's association with alcohol- and cannabis-related problems in young adults. On an exploratory basis, we examined how distress tolerance related to different substance-use motivations.

resultsWe found that distress tolerance was inversely related to problematic alcohol and cannabis use (rs = -0.14 and - 0.13). There was notable variation across countries in the magnitude of these effects, particularly for cannabis-related problems. Additionally, exploratory analyses revealed statistically significant (cross-sectional) indirect effects of distress tolerance on substance-related problems via substance-use motivations related to neutralizing negative emotions.

conclusionsDistress tolerance's role in substance-use problems appears to generalize beyond North America, although effect sizes were generally small and varied notably across geographical regions. Distress tolerance's connection with negative reinforcement processes (e.g., coping motives) warrants attention as a possible mediator of its association with problematic substance use.

Indexed as

Adaptation, PsychologicalAlcoholismMarijuana AbuseMotivationPsychological DistressSubstance-Related DisordersAdolescentAdultArgentinaCanadaCross-Sectional StudiesEnglandFemaleHumansMaleSouth Africaalcohol‐related problemscannabis‐related problemscoping motivesdistress toleranceuniversity students

Identifiers

PMID39012203
PMCPMC11735688

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Registered trials

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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.