E-ISSN : 2733-4538
Distress tolerance(DT) is an important transdiagnostic construct that has been implicated in the development and maintenance of psychological disorders. In the absence of a clear standard many self-report measures of distress tolerance have been developed from different theoretical backgrounds and applied inconsistently. The absence of a consistent assessment strategy has limited the ability to compare across studies. The Distress Intolerance Index(DII) is an important measure in the aspect that it tries to resolve this problem of existing measures of DT. It was developed through evaluation of the latent factor structure of existing measures of DT and examining which items best capture the core construct. This study was conducted for development of the Korean version of the DII(K-DII) and for examination of the psychometric properties of the measure using non-clinical college students. Results of confirmatory factor analysis provided support for a single-factor latent structure of the K-DII. The internal consistency, test-retest reliability, convergent and divergent validity, and the criterion validity of the K-DII were good. These findings suggest that the K-DII is a reliable, valid measure for assessment of DT.
김명소, 김혜원, 차경호 (2001). 심리적 안녕감의 구성개념분석: 한국 성인 남녀를 대상으로. 한국심리학회지: 사회 및 성격, 15(2). 19-39.
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로. 가톨릭대학교 박사학위 논문.
박정현, 서은국 (2005). 사람의 내-외적인 모습에 두는 상대적 비중과 행복관과의 관계. 한국심리학회지: 사회 및 성격, 19, 19-31.
손재민 (2005). 정서조절 방략 사용에서의 개인차: 인지적 재해석인과 정서표현 억제인의 비교. 서울대학교 석사학위 논문.
유성진 (2010). 불안증상의 발현에서 위험회피 기질과 체험회피 시도의 역할: 불안감내력 장애의 개념화. 서울대학교 박사학위 논문.
조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26(4), 1015-1038.
홍상황, 김영환 (1998). 경계선 성격장애 척도의 타당화 연구: 대학생을 대상으로. 한국심리학회지: 임상, 17(1), 259-271.
Anestis, M. D., & Joiner, T. E. (2012). Behaviorally-indexed distress tolerance and suicidality. Journal of Psychiatric Research, 46(6), 703-707.
Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011). Clarifying the role of emotion dysregulation in the interpersonal- psychological theory of suicidal behavior in an undergraduate sample. Journal of psychiatric research, 45(5), 603-611.
Anestis, M. D., Selby, E. A., Fink, E. L., & Joiner, T. E. (2007). The multifaceted role of distress tolerance in dysregulated eating behaviors. International Journal of Eating Disorders, 40(8), 718-726.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A.(1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting & Clinical Psychology, 56, 893-897.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological bulletin, 107(2), 238.
Bradley, S. J. (2000). Affect regulation and the development of psychopathology. NY: The Guilford Press.
Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005). Distress tolerance and early smoking lapse. Clinical Psychology Review, 25(6), 713-733.
Brown, R. A., Palm, K. M., Strong, D. R., Lejuez, C. W., Kahler, C. W., Zvolensky, M. J., et al. (2008). Distress tolerance treatment for early-lapse smokers: rationale, program description, and preliminary findings. Behavioral Modification, 32(3), 302-332.
Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230-258.
Buckner, J. D., Keough, M. E., & Schmidt, N. B. (2007). Problematic alcohol and cannabis use among young adults: The roles of depression and discomfort and distress tolerance. Addictive Behaviors, 32(9), 1957-1963.
Cho, M. J., & Kim, K. H. (1998). Use of the center for epidemiologic studies depression (CES-D) scale in Korea. The Journal of nervous and mental disease, 186(5), 304-310.
Corstorphine, E., Mountford, V., Tomlinson, S., Waller, G., & Meyer, C. (2007). Distress tolerance in the eating disorders. Eating Behaviors, 8(1), 91-97.
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.
Daughters, S. B., Sargeant, M. N., Bornovalova, M. A., Gratz, K. L., & Lejuez, C. W. (2008). The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users. Journal of Personality Disorders, 22(5), 509-524.
Dennhardt, A. A., & Murphy, J. G. (2011). Associations between depression, distress tolerance, delay discounting, and alcohol- related problems in European American and African American college students. Psychology of addictive behaviors, 25(4), 595.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54.
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of general psychology, 2(3), 271.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of personality and social psychology, 85(2), 348-362.
Harrington, N. (2005). It’s too difficult! Frustration intolerance beliefs and procrastination. Personality and Individual Differences, 39(5), 873-883.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Press.
Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., ... & McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The psychological record, 54(4), 553-578.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of consulting and Clinical Psychology, 64(6), 1152.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55.
Kaiser, A. J., Milich, R., Lynam, D. R., & Charnigo, R. J. (2012). Negative urgency, distress tolerance, and substance abuse among college students. Addictive behaviors, 37(10), 1075-1083.
Kwon, S. (1992). Differential roles of dysfunctional attitudes and automatic thoughts in depression: An integrated model of depression. Unpublished doctoral dissertation, University of Queensland, Australia.
Lejuez, C. W., Kahler, C. W., & Brown, R. A. (2003). A modified computer version of the Paced Auditory Serial Addition Task (PASAT) as a laboratory-based stressor. The Behavior Therapist, 26(4), 290-293.
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.
Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press.
McHugh, R. K., & Otto, M. W. (2012). Refining the measurement of distress intolerance. Behavior Therapy, 43(3), 641-651.
McHugh, R. K., Hearon, B. A., Halperin, D. M., & Otto, M. W. (2011). A novel method for assessing distress intolerance: adaptation of a measure of willingness to pay. Journal of Behavior Therapy and Experimental Psychiatry, 42(4), 440-446.
Morey, L. C. (1991). The Personality Assessment Inventory professional manual. Odessa, FL: Psychological Assessment Resources.
Nock, M. K., & Mendes, W. B. (2008). Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. Journal of Consulting and Clinical Psychology, 76(1), 28.
Ocañez, K. L., Kathryn McHugh, R., & Otto, M. W. (2010). A meta‐analytic review of the association between anxiety sensitivity and pain. Depression and anxiety, 27(8), 760-767.
Peterson, R. A., & Reiss, S. (1992). Anxiety Sensitivity Index revised manual, Worthington, OH: International Diagnostic Systems Publishing Corporation.
Radloff, L. S. (1977). The CES-D scale A self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401.
Ryff, C. D., & Keyes, C. L. (1995). The structure of psychological well-being revisited. Journal of personality and social psychology, 69, 719-719.
Schmidt, N. B., Richey, J. A., & Fitzpatrick, K. K. (2006). Discomfort intolerance: Development of a construct and measure relevant to panic disorder. Journal of anxiety disorders, 20(3), 263-280.
Simon, N. M., Weiss, A. M., Kradin, R., Evans, K. C., Reese, H. E., Otto, M. W., ... & Pollack, M. H. (2006). The relationship of anxiety disorders, anxiety sensitivity and pulmonary dysfunction with dyspnea-related distress and avoidance. The Journal of nervous and mental disease, 194(12), 951-957.
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.
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate behavioral research, 25(2), 173-180.
Trafton, J. A., & Gifford, E. V. (2011). Biological bases of distress tolerance. Distress tolerance: Theory, research, and clinical applications, 80-102.
Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38(1), 1-10.
Tull, M. T., Schulzinger, D., Schmidt, N. B., Zvolensky, M. J., & Lejuez, C. W. (2007). Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users. Behavior modification, 31(2), 220-242.
Vujanovic, A. A., Marshall, E. C., Gibson, L. E., & Zvolensky, M. J. (2010). Cognitive-affective characteristics of smokers with and without posttraumatic stress disorder and panic psychopathology. Addictive behaviors, 35(5), 419-425.
Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and individual differences, 30(4), 669-689.
Williams, A. D. (2012). Distress tolerance and experiential avoidance in compulsive acquisition behaviours. Australian Journal of Psychology, 64(4), 217-224.
Zvolensky, M. J., Bernstein, A., & Vujanovic, A. A. (2011). Distress tolerance. New York: Guilford.
Zvolensky, M. J., Leyro, T. M., Bernstein, A., & Vujanovic, A. A. (2011). Historical perspectives, theory, and measurement of distress tolerance. Distress tolerance: theory, research, and clinical applications, 3-27.