I can't handle my desires: Development and validation of a self-report measure of desire intolerance and associations with distress intolerance.

Desire intolerance is conceptualized as a motivational counterpoint to the transdiagnostic risk factor of distress intolerance and is defined as the inability or unwillingness to "sit with" the motivation to approach a rewarding object or task. The current work describes the development and validation of a novel measure of desire intolerance. After initial item development and exploratory factor analysis (Study 1) and confirmatory factor analysis (Study 2), the 10-item unidimensional Desire Intolerance Questionnaire (DIQ) was created. Desire intolerance was conceptually related to low self-control (Studies 1-4) and both approach and avoidance motivation (Studies 2, 4, 5) and was distinct from delay of gratification (Study 3). Greater desire intolerance was also associated with higher distress intolerance (Studies 4 and 5). In Study 4, we used qualitative coding to explore what people were thinking about when they considered their "desires." Findings revealed that higher desire intolerance was associated with thinking about desired long-term outcomes more than proximal short-term hedonic pleasures. Finally, Study 4 focused on unique and independent associations between desire and distress intolerance with psychopathology, and we found that both distress intolerance were associated with heightened psychological distress and borderline personality symptoms. Only distress intolerance was uniquely associated with uncontrolled eating and self-criticism, whereas only desire intolerance was uniquely associated with aggressive behavior and dichotomous thinking. The current research supports the DIQ as a psychometrically sound indicator of difficulties withstanding desires and allows for a better understanding of intolerance as a transdiagnostic clinical phenomena. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Does Group Size Matter? Group Size and Symptom Reduction Among Incarcerated Women Receiving Psychotherapy Following Sexual Violence Victimization.

Survivors Healing from Abuse: Recovery through Exposure (SHARE) is an eight-week therapy group for incarcerated women who have experienced sexual violence victimization. SHARE requires each member to complete an imaginal exposure and to listen when others share their experiences of victimization. While trauma-focused group interventions including SHARE are associated with reductions in internalizing symptoms, little work has examined how group characteristics predict symptom decreases. The purpose of this study was to examine whether group size was associated with symptom changes pre- to post-treatment. Participants (n=140 across 29 groups) completed self-report measures of posttraumatic stress symptoms before and after completing SHARE. Multilevel modeling revealed the majority of the variance in post-treatment symptoms was attributed to individual factors rather than group factors. Symptom change was comparable for groups of two to eight women; declines in symptom improvement were observed at a group size of ten participants.