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Dialectical Behavioural Therapy
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Distress tolerance practices techniques for coping in an emotional crisis. Some individuals experience extreme physical and emotional distress more frequently and forcefully than others. When experiencing these intense emotions, they believe that they will never go away, and these individuals are unable to cope with the high level of distress they are experiencing (Mckay et al., 2007; Miller et al., 2007). In such situations impulsive behavioural urges come into play, often their emotional mind sets in and harmful unhelpful behaviours are carried out to rid the person of their distress as quickly as possible. Often these impulsive behaviours are followed by further emotional and physical pain and lead to prolonged suffering (McKay, 2007).
Prenatal Diagnosis
Published in Rosa Maria Quatraro, Pietro Grussu, Handbook of Perinatal Clinical Psychology, 2020
Assess the patient’s resources, coping skills, and attachment history. These are relevant to the client’s ability to cope with both their loss experience and the therapy for traumatic bereavement. Techniques of distress tolerance and emotional regulation will be introduced to help individuals learn to tolerate and modulate their affect as well as self-sooth after the emotionally challenging therapeutic exercises are completed (Linehan, 1993).
Help Patients Resist Urges
Published in Scott A. Simpson, Anna K. McDowell, The Clinical Interview, 2019
Scott A. Simpson, Anna K. McDowell
Tolerating these urges is not comfortable, and we all have different abilities to tolerate distress. Distress tolerance arises from one’s genetics, temperament, upbringing, and role models.1 Despite the various contributors, distress tolerance is considered a long-standing trait even as it may vary over time in response to stress and illness.2 Poor distress tolerance appears to be a risk factor for and closely associated with chronic anxiety, mood, pain, and addiction disorders.3 Conversely, interventions to enhance coping skills that can be used when the patient is distressed may improve treatment of these conditions.4 One such intervention, “urge surfing,” has been described by mindfulness therapists.5 Urge surfing employs mindfulness practices to help the patient get through the urge to act on a harmful behavior without acting on that behavior. Urge surfing is a potential useful tool for the patient and clinician as they review skills that can be helpful to the patient in resisting unwanted urges.
Validity of the 15-item five-facet mindfulness questionnaire among an ethnically diverse sample of university students
Published in Journal of American College Health, 2023
Hanjoe Kim, Nan Li, Amanda Broyles, Lena Musoka, Virmarie Correa-Fernández
Another important aspect of establishing validity of a measure is to examine its relationship to similar constructs. That is, establishing correlations with other psychological constructs expected to be related to the construct of interest (ie, mindfulness). This kind of assessment of mindfulness has been insufficient to date,2 including associations with transdiagnostic markers of mental health, such as psychological inflexibility/experiential avoidance and distress tolerance. Psychological inflexibility/experiential avoidance refers to attempts to control or avoid unwanted internal experiences (eg, thoughts and feelings) in a way that impedes one’s ability to live according to one’s values.29 Distress tolerance is defined as one’s ability to withstand emotional distress.30,31 Extant research on the construct validity of the FFMQ in particular has found inverse relationships between the original version of this questionnaire and measures of experiential avoidance (ie, AAQ-II),21,32 while another study revealed suboptimal patterns of relationship.33 To the best knowledge of the authors, no published studies have documented the psychometric validity of the FFMQ when compared with measures of distress tolerance, a factor theorized to be positively related to mindfulness.
Depression is associated with poor physical health through lower distress tolerance among adults experiencing homelessness
Published in Journal of Social Distress and Homelessness, 2022
Sajeevika S. Daundasekara, Chisom N. Iwundu, Daphne C. Hernandez, Diane Santa Maria, Michael J. Zvolensky, Darla E. Kendzor, Michael S. Businelle
Although there is substantial literature on depression and its association to poor health status among domiciled adults (Goldney et al., 2010; Gunn et al., 2012; Herrman et al., 2002), this topic is understudied among homeless samples. Specifically, underlying mechanisms that link depression with poor health have rarely been examined in homeless samples. A theoretically relevant construct in the pathway of depression and poor health could be distress tolerance (Reitzel et al., 2017; Zvolensky et al., 2011). Distress tolerance reflects the perceived or actual capacity to withstand negative emotions and distress related to cognitive or physical states (Leyro et al., 2010; Zvolensky et al., 2011). Distress tolerance is an etiological and maintenance factor underlying multiple psychological disorders and maladaptive externalizing behaviors (Zvolensky et al., 2011). Distress tolerance is implicated in the maintenance of depression (Cougle et al., 2012; Dennhardt & Murphy, 2011). Theoretically, individuals with lower levels of distress tolerance may be more apt to avoid or engage in emotion-focused coping behaviors in response to internal distress cues (Zvolensky et al., 2011).
Tolerance for specific negative affective states and coping-oriented cannabis use motives among college student cannabis users
Published in Journal of American College Health, 2022
Sarah A. Hartmann, Alison C. McLeish
One factor that may be useful to examine is distress tolerance, defined as an individual’s ability to withstand and tolerate negative or aversive emotional states.19 An individual with high levels of distress tolerance has the ability to carry on when faced with distressing situations and/or negative affective states.20 Conversely, those low in distress tolerance are unable to tolerate these negative affective states and may go to great lengths to avoid them, often by using maladaptive emotion regulation strategies (e.g. substance use).21 Consistent with this theory, distress tolerance has been identified as a key factor in the development and maintenance of substance use disorders.22–26 In terms of cannabis use, specifically, lower levels of distress tolerance are associated with greater cannabis use and associated problems as well as greater cannabis dependence symptoms and increased craving.27–29 Distress tolerance also plays an important role in motivating cannabis use. Research has consistently shown that lower levels of distress tolerance are primarily associated with coping-oriented motives, compared to other motives, among both treatment-seeking and nontreatment-seeking samples.30–33 Indeed, coping motives have been found to mediate the association between distress tolerance and cannabis use-related problems as well as dependence and craving symptoms.27–29,34