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The relationship between distress tolerance and psychological health: Mediation effects of decentering and avoidant coping

Abstract

The purpose of this study is to examine the relationship between distress tolerance and psychological health and the mediation effect of decentering and avoidant coping between distress tolerance and psychological health. A total of 240 university students completed an assessment battery consisting of the measures of distress tolerance, decentering, avoidant coping, positive and negative affect, depressive symptoms, anxiety symptoms, satisfaction with life, and psychological well-being. Hierarchical regression analyses showed that distress tolerance was a significant predictor of depressive symptoms, anxiety symptoms, satisfaction with life, and psychological well-being when controlling for gender and general affect. A bootstrap approach was used to test the mediation effect of decentering and avoidant coping. The results showed that decentering and avoidant coping mediated the influence of distress tolerance on depressive symptoms and psychological well-being. In addition, avoidant coping mediated the effect of distress tolerance on anxiety symptoms and decentering mediated the effect of distress tolerance on satisfaction with life. Based on the overall findings, the meaning and clinical implications of the current study were discussed. Finally, the limitations of this study were discussed along with suggestions for further research.

keywords
distress tolerance, decentering, avoidant coping, psychological health, mediation effect, 고통 감내력, 탈중심화, 회피적 대처, 심리적 건강, 매개효과

Reference

1.

김명소, 김혜원, 차경호 (2001). 심리적 안녕감의 구성개념분석: 한국 성인 남녀를 대상으로. 한국심리학회지: 사회 및 성격,15(2), 19-39.

2.

김빛나 (2008). 탈중심화가 내부초점적 반응양식과 우울증상에 미치는 영향. 서울대학교 석사학위 청구논문.

3.

문정순, 한규석 (2012). 마음챙김과 심리적 안녕감과의 관계: 공상자각과 탈중심화의매개효과. 한국심리학회지: 일반, 31(1),93-110.

4.

박성아 (2010). 경계선 성격장애 성향자의 정서에 대한 두려움과 고통감내력. 서울대학교석사학위 청구논문.

5.

서영석 (2010). 상담심리연구에서 매개효과와조절효과 검증: 개념적 구분 및 자료 분석 시 고려 사항. 한국심리학회지: 상담 및심리치료, 22(4), 1147-1168.

6.

이현희, 김은정, 이민규 (2003). 한국판 정적정서 및 부적 정서 척도의 타당화 연구.한국심리학회지: 임상, 22(4), 935-946.

7.

전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D의 개발. 한국심리학회지: 건강, 6(1), 59-76.

8.

조명한, 차경호 (1998). 삶의 질에 대한 국가 간비교. 아산재단 연구총서. 서울: 집문당.

9.

조용래 (2011). 자기 자비, 생활 스트레스 및탈중심화가 심리적 건강에 미치는 효과:매개중재모형. 한국심리학회지: 임상,30(3), 767-787.

10.

최해연, 민경환 (2003). 정서이해와 정서표현에의한 대처 척도 보완과 정서-중심적 대처하위 차원의 기능성 연구. 한국심리학회지: 사회 및 성격, 17(3), 105-118.

11.

하승수, 권석만 (2011). 표현적 글쓰기가 특정공포증상에 미치는 영향: 한국과 미국의대학생 집단을 대상으로. 한국심리학회지:임상, 30(2), 359-380.

12.

Abrantes, A. M., Strong, D. R., Lejuez, C. W., Kahler, C. W., Carpenter, L. L., Price, L. H., Niaura, R., & Brown, R. A.(2008). The role of negative affect in risk for early lapse among low distress tolerance smokers. Addictive Behaviors, 33, 1394-1401.

13.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A.(1988). An Inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.

14.

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy for depression. New York: Guilford Press.

15.

Bernstein, A., Zvolensky, M. J., Vujanovic, A. A., & Moos, R. (2009). Integrating anxiety sensitiviy, distress tolerance, and discomfort intolerance: a hierarchical model of affect sensitivity and tolerance. Behavior Therapy, 40, 291-301.

16.

Buhr, K., & Dugas, M. J. (2002). The Intolerance of Uncertainty Scale: Psychometric properties of the English version. Behaviour Research and Therapy, 40, 931-945.

17.

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267-283.

18.

Cougle, J. R., Timpano, K. R., Fitch, K. E., & Hawkins, K. A. (2011). Distress tolerance and obsessions: An integrative analysis. Depression and Anxiety, 28, 906-914.

19.

Cougle, J. R., Timpano, K. R., Sarawagi, S., Smith, C. M., Fitch, K. E. (2012). A multi-modal investigation of the roles of distress tolerance and emotional reactivity in obsessive-compulsive symptoms. Anxiety, Stress, and Coping, 1, 1-15.

20.

Daughters, S. B., Lejuez, C. W., Bornovalova, M. A., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005). Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. Journal of Abnormal Psychology, 114(4) , 729-734.

21.

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49, 71- 75.

22.

Folkman, S., & Lazarus, R. (1986). Stress processes and depressive symptomatology. Journal of Abnormal Psychology, 95, 107-113.

23.

Frenkel-Brunswik. E. (1948). Review of personality: A biosocial approach to origins and structure. Psychological Bulletin, 45, 348-351.

24.

Fresco, D. M., Moore, M. T., van Dulmen, M. H. M., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38, 234-246.

25.

Harrington, N. (2005). The Frustration Discomfort Scale: development and psychometric properties. Clinical Psychology and Psychotherapy, 12, 374-387.

26.

Hayes, S. C., Wilson, K., Gifford, E., Follette, V., & Strosahl, K.(1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.

27.

Howell, A. N., Leyro, T. M., Hogan, J. Buckner, J. D., & Zvolensky, M. J. (2010). Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use and alcohol use problems among young adult drinkers. Addictive Behaviors, 35, 1144-1147.

28.

Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010). Anxiety symptomatology: the association with distress tolerance and anxiety sensitivity. Behavior Therapy, 41, 567-574.

29.

Keyes, C. L., & Lopez, S. J. (2002). Toward as science of mental health: Positive directions in diagnosis and interventions. In Snyder, C. R., & Lopez, S. J.(Eds.), Handbook of positive psychology(pp.45-59). London: Oxford University Press.

30.

Kwon, S-K. (1992). Differential roles of dysfunctional attitudes and automatic thoughts in depression: An integrated model of depression. Unpublished doctoral dissertation, Queensland University, Australia.

31.

Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychological Bulletin, 136(4), 576-600.

32.

Linehan, M. M. (1993). Cognitive -behavioral treatment of borderline personality disorder. New York: Guilford Press.

33.

McHugh, R. K., & Otto, M. W. (2012). Refining the measurement of distress intolerance. Behavior Therapy, 43, 641-651.

34.

O'Cleirigh, C., Ironson, G., & Smits, J. A. J. (2007). Does distress tolerance moderate the impact of major life events on psychosocial variables and behaviors important in the management of HIV? Behavior Therapy, 38, 314-323.

35.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891.

36.

Ryff, C. D. (1989). Happiness is everything, or Is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081.

37.

Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. Northvale, NJ: Jason Aronson.

38.

Schmidt, N. B., & Lerew, D. R. (1998). Prospective evaluation of psychological risk factors as predictors of functional impairment during acute stress. Journal of Occupational Rehabilitation, 8, 199-212.

39.

Segal, Z. V., Williams, J. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.

40.

Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and Validation of a Self-Report Measure. Motivation and Emotion, 29(2), 83-102.

41.

Timpano, K. R., Buckner, J. D., Richey, A., Murphy, D. L., & Schmidt, N. B. (2009). Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors. Depression and Anxiety, 26, 343-353.

42.

Vujanovic, A. A., Hart, A. S., Potter, C. M., Berenz, E. C., Niles, B., & Bernstein, A. (2012). Main and interactive effects of distress tolerance and negative affect intensity in relation to PTSD symptoms among traumaexposed adults. Journal of Psychopathology and Behavior Assessment, DOI 10.1007/s10862-012- 9325-2.

43.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.

44.

Zvolensky, M. J., & Otto, M. W. (2007). Affective intolerance, sensitivity, and processing: advances in clinical science introduction. Behavior Therapy, 38, 228-233.

45.

Zvolensky, M. J., Bernstein, A., & Vujanovic, A. A. (2011). Distress tolerance: theory, research, and clinical applications. The Guilford Press: New York.

46.

Zvolensky, M. J., Leyro, T. M., Bernstein, A., & Vujanovic, A. A. (2011). Historical perspectives, theory, and measurement of distress tolerance. In Zvolensky, M. J., Bernstein, A., & Vujanovic, A. A.(Eds). Distress tolerance: theory, research, and clinical applications. The Guilford Press: New York.

47.

Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. M. (2010). Distress tolerance: theory, measurement, and relations to psychopathology. Current Direction in Psychological Science, 19(6), 406-410.

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