Chinesization and revision of distress tolerance scale and its applicability evaluation / 中华行为医学与脑科学杂志

Objective:To translate and revise the distress tolerance scale (DTS) and evaluate its psychometric properties in Chinese college student, and to conduct cross-cultural comparisons.Methods:A total of 1 125 college students were measured by the DTS, the 9-item patient health questionnaire-9(PHQ-9), the generalized anxiety disorder-7 (GAD-7) and the type D personality scale-14(DS14). In addition, 433 college student were retested by DTS after 3 weeks.SPSS 26.0 and AMOS 20.0 softwares were used for reliability and validity analysis.Results:(1)The Chinese revised DTS contained 13 items(DTS-13), the items' discrimination was good with the discrimination indices all above 0.4( r=0.402-0.760, all P<0.001). (2)DTS-13 showed a good structural validity with four factors: tolerance, absorption, appraisal and regulation.The confirmatory factor analysis showed a good model fit( χ2/ df=4.751, RMR=0.042, RMSEA=0.058, GFI=0.963, AGFI=0.941, NFI=0.958, CFI=0.966). (3)The criterion correlations of DTS-13 with negative emotions of DS14, depression of PHQ-9 and anxiety of GAD-7 were -0.509, -0.392 and -0.403, respectively.(4)The internal consistency reliability, split-half reliability and test-retest reliability of DTS-13 were 0.895, 0.846 and 0.788.The internal consistency reliabilities of four factors ranged from 0.717 to 0.782 and the retest reliabilities ranged from 0.548 to 0.923.(5)The distress tolerance score of Chinese college students was (3.20±0.71), which was lower than that of American youth ( t=-4.977, P<0.001) and Spanish college students ( t=-13.024, P<0.001). Male students had higher distress tolerance than female students ( t=3.317, P<0.001). Conclusion:The revised DTS-13 retains a four-factor structure and has good psychometric properties.It is suitable for evaluating the capacity of individuals to experience and withstand negative psychological states, and can be used for cross-cultural comparison.

Associations between postoperative analgesic consumption and distress tolerance, anxiety, depression, and pain catastrophizing: a prospective observational study

Abstract Background Patients' postoperative treatment might be affected by their psychological state. The study aimed to evaluate the effects of anxiety, coping ability (stress tolerance), depression, and pain catastrophizing on analgesic consumption in patients scheduled for sleeve gastrectomy. Methods This prospective observational study consisted of 72 patients. The Distress Tolerance Scale (DTS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Pain Catastrophizing Scale (PCS) were completed in the preoperative period. In the postoperative period, pain intensity, as measured with the Visual Analogue Scale (VAS), and morphine consumption (mg) were evaluated after 2, 6, 8, and 24 hours. Total morphine consumption was recorded. Results The results revealed a strong negative correlation between distress tolerance and postoperative total morphine consumption (r = -0.702, p< 0.001). There was a strong positive correlation between total morphine consumption and pain catastrophizing (r = 0.801, p< 0.001). A moderate positive correlation was observed between total morphine consumption and anxiety and between total morphine consumption and depression (r = 0.511, p< 0.001; r = 0.556, p< 0.001, respectively). Linear regression revealed that distress tolerance, anxiety, depression, and pain catastrophizing are predictors of postoperative morphine consumption (β = 0.597, p< 0.001; β = 0.207, p= 0.036; β = 0.140, p= 0.208; β = 0.624, p< 0.001, respectively). Conclusions Distress tolerance, anxiety, depression, and pain catastrophizing can be predictive of postoperative analgesic consumption. In the estimation of postoperative analgesic consumption, distress tolerance, as well as anxiety, depression, and pain catastrophizing, were found to be important predictors.

Relationship between emotional trauma and depression of college students: mediating effect of distress tolerance and rumination / 中华行为医学与脑科学杂志

Objective:To explore the relationship between emotional trauma and depressive symptoms.Methods:In November 2021, a total of 1 650 university students were assessed using scales including childhood trauma questionnaire (CTQ), distress tolerance scale (DTS), rumination response scale (RRS) and the depression anxiety stress scale (DASS). SPSS 20.0 and AMOS 25.0 software were used to analyze the data with Spearman correlation analysis, Mann-Whitney U test and mediation analysis. Results:The differences of DTS, RRS and DASS were significant between high and low trauma group(all P<0.01). Emotional trauma (16.70(6.09)) was negatively correlated with distress tolerance(10.95(2.15)) ( r=-0.26, P<0.01), and positively correlated with rumination(39.51(10.74)) and depression(4.93(5.76)) ( r=0.31, 0.38, both P<0.01). The testing of mediating effect indicated that emotional trauma had direct effect ( β=0.20, P<0.001) and indirect effect on depression through distress tolerance and rumination. Conclusion:Emotional trauma, distress tolerance and rumination are important factors influencing depression, and it could provide guidance for undergraduate psychological intervention of depression.

Emerging Personality Disorder – management and treatment applying Dialectical Behavioral Therapy: a case study

It is of essential importance to identify clinical conditions of childhood and adolescence that present a high risk to evolve any kind of Personality Disorder. Personality disorder does not suddenly come out at age eighteen years old. Early sighs of some pathological behaviour that evolves before 19 years predict long term deficits in functioning and a higher chance is there these patients continue to present some symptoms up to 20 years. Some childhood and early adulthood predictive factors are responsible for excellent recovery of Personality disorder. Unfortunately, PD diagnosis and treatments both gets delayed. Adolescence represents a sensitive and vulnerable phase for the development of any kind of Personality Disorder. There is a dearth of information about emerging personality development in childhood and in adolescence. The present study attempts to explore the role of Dialectical Behavioural Therapy in the management of a 14 years old Female, Hindu, Bengali speaking, Unmarried, hailing from an urban neutral family with a diagnosis of emerged personality disorder with prominent features of impulsivity, interpersonal relationship problems, self-harm behaviours, anger outbursts. Thus the aim of the present study is to reduce these behaviours which is having an impact in her life and improving overall well-being of the individual. She was treated with DBT approach, bringing in improvement after 14 sessions.. The execution of DBT for suicidal adolescent has been presented by a case study.

Early Maladaptive Schemas, Depression, Distress and Discomfort Tolerance in Migraine Headache

ABSTRACT Background: Depression and maladaptive schemas were found to worsen the pain experience in individuals with chronic pain. Objectives: The aim of the present study was to evaluate the relationship between depressive symptoms, early maladaptive schemas, distress and discomfort tolerance in female patients with migraine. Methods: Seventy eight female migraine patients(37 depressed and 41 non-depressed subjects according to BDI scores) and 55 healthy controls were evaluated with Numeric Pain Rating Scale(NPRS),Beck Depression Inventory(BDI),Young Schema Questionnaire-Short Form-3(YSQ-SF-3),Discomfort Intolerance Scale(DIS) and Distress Tolerance Scale(DTS). Results: Distress and discomfort tolerance were lower in both migraine groups than control subjects. EMSs were higher in depressed migraine patients than in non-depressed migraine group and non-clinical controls. A positive correlation between BDI and YSQ-SF-3 scores(p<0.001), a negative correlation between BDI and DIS(p<0.01), and also a negative correlation between BDI and DTS(p<0.001) were found among migraine patients. Hierarchical regression analysis revealed that 20% of the depressive symptoms were explained with DIS scores, while explanatoriness raised up to 46% by addition of YSQ-SF-3 scores to the model. Discussion: Cognitive interventions for modifying EMSs and improving distress and discomfort tolerance might be added to the treatment strategies in female migraine patients.

El malestar emocional como síntoma de estrés postraumático / Emotional distress as a symptom of post-traumatic stress

El trastorno por estrés postraumático (TEPT) tiene una importante prevalencia en la población, por lo que conocer los mecanismos psicológicos para la vulnerabilidad y el mantenimiento del trastorno es claramente relevante. Entre dichos mecanismos, se ha postulado el constructo de malestar emocional como transdiagnóstico a diversos trastornos mentales. El objetivo del presente estudio fue poner a prueba un modelo hipotético que analizaba la asociación entre tres variables pertenecientes a dicho constructo (evitación experiencial, tolerancia al malestar e intolerancia a la incertidumbre inhibitoria) y el TEPT. Participaron 328 estudiantes universitarios (74.7% mujeres y 25.3% hombres, con una media de edad de 21 años) que habían experimentado al menos un acontecimiento traumático de acuerdo con los criterios del DSM-5, quienes completaron una batería de cuestionarios. Se efectuó un análisis de ecuaciones estructurales cuyos resultados apoyaron parcialmente el modelo hipotético. La evitación experiencial mostró asociarse positiva y significativamente con la tolerancia al malestar, la intolerancia a la incertidumbre inhibitoria y los síntomas del TEPT. La tolerancia al malestar también se vinculó de forma positiva y significativa con dichos síntomas. Sin embargo, la intolerancia a la incertidumbre inhibitoria no mostró relación con esta sintomatología. En apoyo a la evidencia empírica precedente, los hallazgos de este estudio inciden en el papel de la evitación experiencial y la tolerancia al malestar como variables moderadoras de la sintomatología postraumática. Asimismo, apuntan hacia la necesidad de considerar estas variables en las intervenciones psicológicas para el tratamiento del TEPT

Post-traumatic stress disorder or PTSD has an important prevalence in the population, so knowing the psychological mechanisms of vulnerability and maintenance of this disorder is clearly relevant. Among those mechanisms, the emotional distress construct has been postulated as a trans-diagnostic tool related to different mental disorders. The objective of the present study was to test a hypothetical model for the analysis of the association between three variables of this construct (experiential avoidance, distress tolerance, and inhibitory uncertainty intolerance) and PTSD. The subjects of study amounted to 328 university students (74.7% women and 25.3% men, with a median age of 21) who had experienced at least one traumatic event according to the DSM-5 criteria. They were made to complete a set of questionnaires. A structural equation analysis was carried out, with results partially coincident with the hypothetical model. Exponential avoidance showed a positive and significant association with distress tolerance, inhibitory uncertainty intolerance and PTSD symptoms. Distress tolerance was also associated with these symptoms in a positive and significant way. However, inhibitory uncertainty intolerance was not associated with this symptomatology. Following the preexisting empirical evidence, the findings of this study have an impact on the role of experiential avoidance and distress tolerance, as variables that moderate post-traumatic symptomatology. Furthermore, the findings point to the need to consider these variables in psychological interventions for the treatment of PTSD

The relationship between eating attitudes and distress tolerance in obsessive compulsive disorder

Abstract Objective: The main purpose of this study is to investigate the eating attitudes of obsessive compulsive disorder (OCD) patients, while the secondary purpose is to examine the relationship between eating attitudes and distress tolerance. Methods: The study included 60 OCD patients and 60 healthy individuals as a control group. The data of the study were collected using the Padua Inventory (PE), Eating Attitudes Test (EAT-26), Distress Tolerance Scale (DTS) and Beck Depression Inventory (BDI). Results: In comparison to the control group, the EAT-26 (p = 0.001) and BDI (p = 0.001) scores of the patient group were significantly higher, while the DTS total score (p = 0.001) was significantly low. The patients were divided into two groups based on the EAT-26 cutoff score. In the group with EAT-26 ≥ 30; the total PI score (p = 0.035), rumination (p = 0.010), impulses (p = 0.001) and sub-scale scores and BDI scores (p = 0.038) were significantly higher, while the DTS total score (p = 0.005), tolerance (p = 0.000), regulation (p = 0.013) and self-efficacy (p = 0.009) sub-scale scores were significantly lower. Discussion: Our study found that the eating habits of the OCD patients were more irregular than those of the healthy individuals. Further, the distress tolerance of the patients with irregular eating attitudes was significantly lower.

Regulación emocional y habilidades académicas: relación en niños de 9 a 11 años de edad / Emotion regulation and academic skills: Relationship in children aged 9 to 11

Resumen Las habilidades académicas constituyen un componente específico del éxito escolar y numerosos factores influyen en su adquisición y consolidación. Uno de estos es la habilidad de regulación emocional de tolerancia al distrés, que se define por la capacidad de resistir esta dos emocionales negativos en pos de un objetivo. El propósito de este trabajo fue analizar la relación entre la tolerancia al distrés y las habilidades académicas de comprensión lectora y cálculo matemático en 107 niños de escolaridad primaria de 9 a 11 años de edad. Los resultados mostraron que la tolerancia al distrés resultó un predictor significativo de la comprensión lectora de textos expositivos y del cálculo matemático, no así de la comprensión lectora de textos narrativos. Es posible que la tolerancia al distrés resulte un factor relevante para el éxito académico en varios dominios.

Abstract Academic skills are a specific component of academic success, and many factors influence their acquisition and consolidation. One of these factors is the ability to emotionally regu late distress tolerance, as defined by the ability to withstand negative emotional states in pursuit of a goal. This paper undertook to analyse the relationship between distress tole rance and reading comprehension and mathematical computations in 107 primary school children aged 9 to 11. The results showed that distress tolerance was a significant predictor of reading comprehension of expository texts and mathematical computations, albeit not so for reading comprehension of narrative texts. Distress tolerance is likely to be a relevant factor for academic success in several domains.