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E-ISSN : 2733-4538
The purpose of this study is to examine the relationship between self-reported distress tolerance and behavioral distress tolerance in addition to the relationship between behavioral distress tolerance and depression or anxiety. For this, two studies were completed. In the first study, 88 university students completed Distress Tolerance Scale (DTS), Center for Epidemiologic Scale-Depression (CES-D), Beck Anxiety Inventory (BAI) and Distress Tolerance Test (DTT). There was no significant relationship between self-reported distress tolerance and DTT task persistence. In addition, there was no significant difference in DTT task persistence between high depression group and low depression group. Mild anxiety group persisted in DTT longer than normal group when controlling for negative affect. These results suggest that persistence in DTT does not reflect behavioral distress tolerance and the contextual variable such as personal importance of DTT can affect the persistence in the test. Therefore, DTT was modified to include the personal value of the test. In the second study, 102 university students completed DTS, CES-D, BAI and modified DTT. There was a tendency for self-reported distress tolerance to show correlation with behavioral distress tolerance when controlling for negative affect and value. And, low depression group persisted in DTT longer than high depression group. There was no significant difference in DTT persistence between high anxiety group and low anxiety group. 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.
박성아 (2010). 경계선 성격장애 성향자의 정서에 대한 두려움과 고통 감내력. 서울대학교 대학원 석사학위논문.
이현희, 김은정, 이민규 (2003). 한국판 정적 정서 및 부적 정서 척도의 타당화 연구. 한국심리학회지: 임상, 22(4), 935-946.
장하연 (2012). 역기능적 신념, 고통수준과 고통 감내력이 사회적 수행불안에 미치는 영향: PASAT-C과제와 자기보고식 검사를 활용하여. 한림대학교 대학원 석사학위논문.
전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D의 개발. 한국심리학회지: 건강, 6(1), 59-76.
정지현, 권석만 (2013). 고통 감내력과 심리적 건강의 관계: 탈중심화와 회피적 대처의 매개효과. 한국심리학회지: 임상, 32(3), 627-647.
조맹제, 김계희 (1993). 주요우울증환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D)의 진단적 타당성 연구. 신경정신의학, 32, 381-399.
한국심리주식회사 (2014). 한국판 Beck 불안척도. 대구: 한국심리주식회사.
Anestis, M. D., Lavender, J. M., Marshall-Berenz, E. C., Gratz, K. L., Tull, M. T., & Joiner, T. E. (2012). Evaluating distress tolerance measures: interrelations and associations with impulsive behaviors. Cognitive Therapy and Research, 36, 593-602.
Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44(12), 1849-1858.
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.
Bernstein, A., Zvolensky, M. J., Vujanovic, A. A., & Moos, R. (2009). Integrating anxiety sensitivity, distress tolerance, and discomfort intolerance: a hierarchical model of affect sensitivity and tolerance. Behavior Therapy, 40, 291-301.
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.
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.
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.
Cougle, J. R., Timpano, K. R., Sarawagi, S., Smith, C. M., Fitch, K. E. (2013). A multi-modal investigation of the roles of distress tolerance and emotional reactivity in obsessive-compulsive symptoms. Anxiety, Stress, and Coping, 1, 1-15.
Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson L., & Lejuez, C. (2013). Time doesn’t change everything: the longitudinal course of distress tolerance and its relationship with externalizing and internalizing symptoms during early adolescence. Journal of Abnormal Child Psychology, 41, 735-748.
Daughters, S. B., Lejuez, C. W., Bornovalova, M. A., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005a). Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility. Journal of Abnormal Psychology, 114(4), 729-734.
Daughters, S. B., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Brown, R. A. (2005b). Psychological distress tolerance and duration of most recent abstinence attempt among residential treatment-seeking substance abusers. Psychology of Addictive Behaviors, 19(2), 208- 211.
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, 509-524.
Eisenberger, R., & Leonard, J. M. (1980). Effects of conceptual task difficulty on generalized persistence. American Journal of Psychology, 93(2), 285-298.
Ellis, A. J., Fischer, K. M., & Beevers, C. G. (2010). Is dysphoria about being red and blue? Potentiation of anger and reduced distress tolerance among dysphoric individuals. Cognition and Emotion, 24(4), 596-608.
Ellis, A. J., Vanderlind, W. M., & Beevers, C. G. (2013). Enhanced anger reactivity and reduced distress tolerance in Major Depressive Disorder. Cognitive Therapy and Research, 37(3), 498-509.
Feldman, G., Dunn, E., Stemke, C., Bell, K., & Greeson, J. (2014). Mindfulness and rumination as predictors of persistence with a distress tolerance task. Personality and Individual Differences, 56, 154-158.
Gaher, R. M., Hofman, N. L., Simons, J. S., & Hunsaker, R. (2013). Emotion regulation deficits as mediators between trauma exposure and borderline symptoms. Cognitive Therapy and Research, 37, 466-475.
Gratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. (2011). An experimental investigation of emotional willingness and physical pain tolerance in deliberate self-harm: the moderating role of interpersonal distress. Comprehensive Psychiatry, 52(1), 63-74.
Heaton, R. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtis, G. (1993). Wisconsin Card Sorting Test (WCST) manual-Revised and expanded. Odessa: Psychological Assessment Resources.
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.
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.
Kraemer, K. M., Luberto, C. M., & McLeish, A. C. (2013). The moderating role of distress tolerance in the association between anxiety sensitivity physical concerns and panic and PTSD-related re-experiencing symptoms. Anxiety, Stress, & Coping, 26, 330-342.
Lang, P. J., Bradley, M. M., & Cuthbert, B. (1999). International affective picture system (IAPS): Technical manual and affective ratings. Gainesville, FL: The Center for Research in Psychophysiology, University of Florida.
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, 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), 576-600.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Lynch, T. R., & Mizon, G. A. (2011). Distress overtolerance and distress intolerance: A behavioral perspective. In Zvolensky, M. J., Bernstein, A., & Vujanovic, A. A.(Eds). Distress tolerance: theory, research, and clinical applications. New York: Guilford Press.
Marshall-Berenz, E. C., Vujanovic, A. A., Bonn- Miller, M. O., Bernstein, A., & Zvolensky, M. J. (2010). Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample. Journal of Traumatic Stress, 23(5), 623-630.
McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M., & Otto, M. W. (2011). Shared variance among self-report and behavioral measures of distress intolerance. Cognitive Therapy and Research, 35(3), 266-275.
McHugh, R. K., & Otto, M. W. (2012). Refining the measurement of distress intolerance. Behavior Therapy, 43(3), 641-651.
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, 28-38.
Oser, M. L., Trafton, J. A., Lejuez C. W., & Bonn-Miller, M. O. (2013). Differential associations between perceived and objective measurement of distress tolerance in relation to antiretroviral treatment adherence and response among HIV-positive individuals. Behavior Therapy, 44, 432-442.
Quinn, E. P., Brandon, T. H., & Copeland, A. L. (1996). Is task persistence related to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors. Experimental and Clinical Psychopharmacology, 4(2), 186-190.
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.
Sargeant, M. N., Daughters, S. B., Curtin, J. J., Schuster, R., & Lejuez, C. W. (2011). Unique roles of antisocial personality disorder and psychopathic traits in distress tolerance. Journal of Abnormal Psychology, 120(4), 987-992.
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.
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.
Vujanovic, A. A., Hart, A. S., Potter, C. M., Berenz, E. C., Niles, B., & Bernstein, A. (2013). Main and interactive effects of distress tolerance and negative affect intensity in relation to PTSD symptoms among trauma- exposed adults. Journal of Psychopathology and Behavior Assessment, 35, 235-243.
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.
Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010). Distress tolerance theory, measurement, and relations to psychopathology. Current Directions in Psychological Science, 19(6), 406-410.