Psychometric properties of the spanish version of The Distress Tolerance Scale and its relationship with personality and psychopathological symptoms

  1. Bonifacio Sandín 1
  2. Jeffrey S. Simons 2
  3. Rosa M. Valiente 1
  4. Raluca M. Simons 2
  5. Paloma Chorot 1
  1. 1 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

  2. 2 University of South Dakota, Vermillion, South Dakota
Journal:
Psicothema

ISSN: 0214-9915

Year of publication: 2017

Volume: 29

Issue: 3

Pages: 421-428

Type: Article

DOI: 10.7334/PSICOTHEMA2016.239 DIALNET GOOGLE SCHOLAR

More publications in: Psicothema

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Abstract

Background: Distress tolerance is defined as the individual’s capacity to experience and withstand negative psychological states. The goal of this study was to examine the psychometric properties and the factor structure of the Spanish version of the Distress Tolerance Scale (DTS) and to test its relationship with psychopathological symptoms and personality. Method: A sample of 650 participants completed the DTS, the Eysenck Personality Questionnaire Revised–Abbreviated) (EPQR-A), and the Symptom Assessment-45 Questionnaire (SA-45). Results: The DTS showed good internal consistency (Cronbach’s alpha) and adequate temporal stability (7-month test-retest). Results of a confirmatory factor analysis supported the hypothesized 4-factor structure (tolerance, appraisal, absorption, and regulation) that load onto a higher-order general factor. A structural equation model (SEM) was tested to provide evidence of construct validity. Neuroticism was inversely associated with distress tolerance, and distress tolerance partially mediated the effects of neuroticism on current symptoms. Results indicated that the Spanish DTS mediated associations between personality traits and current psychiatric symptoms. Conclusions: Results support the use of this version as a useful tool for assessing distress tolerance in clinical and research settings in Spanish-speaking countries. In addition, we found that distress tolerance may form a link between neuroticism and psychopathology.

Bibliographic References

  • 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.
  • Azizi, A. R. (2010). Reliability and validity of the Persian version of Distress Tolerance Scale. Iranian Journal of Psychiatry, 5, 154.
  • Barajas, S. (2015). Evitación y psicopatología: un estudio a través de una tarea experimental y su relación con medidas de autoinforme [Avoidance and psychopathology: A study through an experimental task and its relation with self-report measures]. Revista de Psicopatología y Psicología Clínica, 20, 63-73.
  • Bernstein, A., Marshall, E. C., & Zvolensky, M. J. (2011). Multi-method evaluation of distress tolerance measures and construct (s): Concurrent relations to mood and anxiety psychopathology and quality of life. Journal of Experimental Psychopathology, 2, 386-399.
  • 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, T. A., & Barlow, D. H., (2009). A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. Psychologial Assessment, 2, 256-271.
  • Bujarski, S., Norberg, M., & Copeland, J. (2012). The association between distress tolerance and cannabis use-related problems: The mediating and moderating roles of coping motives and gender. Addictive Behaviors, 37, 1181-1184.
  • Costa, P. T., & McCrae, R. R. (1980). Influence of extraversion and neuroticism on subjective well-being: Happy and unhappy people. Journal of Personality and Social Psychology, 38, 668.
  • Davison, M., Bershadsky, B., Bieber, J., Silversmith, D., Maruish, M., & Kane, R. (1997). Development of a brief, multidimensional, self-report instrument for treatment outcomes assessment in psychiatric settings: Preliminary findings. Assessment, 4, 259-276.
  • Eysenck, H. J. (1967). The biological basis of personality. Springfield, Ill: Thomas.
  • Eysenck, H. J., & Eysenck, H. J. (1976). Psychoticism as a dimension of personality. London: Hodder and Stoughton.
  • Flora, D., & Curran, P. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466-491.
  • Francis, L. J., Brown, L. B., & Philipchalk, R. (1992). The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR-A): Its use among students in England, Canada, the USA and Australia. Personality and Individual Differences, 13, 443-449.
  • 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.
  • García-Escalera, J., Chorot, P., Valiente, R., Reales, J. M., & Sandín, B. (2016). Efficacy of transdiagnostic cognitive-behavioral therapy for anxiety and depression in adults, children and adolescents: A meta-analysis. Revista de Psicopatología y Psicología Clínica, 21, 147-175.
  • Geisinger, K. F. (1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychological Assessment, 6, 304-312.
  • 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.
  • Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equations Modeling, 6, 1-55.
  • Inchausti, F., Delgado, A. R., & Prieto, G. (2015). Obsessive-compulsive disorder and its relationship with disgust vulnerability and conscientiousness. Psicothema, 27, 254-260.
  • 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.
  • Kiselica, A. M., Webber, T., & Bornovalova, M. A. (2014). Stability and change in distress tolerance and its prospective relationship with borderline personality features: A short-term longitudinal study. Personality Disorders: Theory, Research, and Treatment, 5, 247-256.
  • Leyro, T. M., Bernstein, A., Vujanovic, A. A., McLeish, A. C., & Zvolensky, M. J. (2011). Distress Tolerance Scale: A Confirmatory Factor Analysis Among Daily Cigarette Smokers. Journal of Psychopathology and Behavioral Assessment, 33, 47-57.
  • 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, 576-600.
  • 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, 623-630.
  • Muthén, L. K., & Muthén, B. O. (2012). Mplus statistical modeling software: Release 7.1. Los Angeles, CA: Muthén & Muthén.
  • Pedrosa, I., Suárez-Álvarez, J., García-Cueto, E., & Muñiz, J. (2016). A computerized adaptive test for enterprising personality assessment in youth. Psicothema, 28, 471-478.
  • Raykos, B. C., Byrne, S. M., & Watson, H. (2009). Confirmatory and exploratory factor analysis of the distress tolerance scale (DTS) in a clinical sample of eating disorder patients. Eating Behaviors, 10, 215-219.
  • Roncero, M., Fornés, G., García-Soriano, G., & Belloch, A. (2014). Modelo de personalidad HEXACO: relaciones con psicopatología emocional en una muestra española [HEXACO personality model: Relationships with emotional psychopatholgy in a Spanish simple]. Revista de Psicopatología y Psicología Clínica, 19, 1-14.
  • Sandín, B., Chorot, P., & Valiente, R. M. (2012). Transdiagnóstico: nueva frontera en psicología clínica [Transdiagnostic: A new frontier in clinical psychology]. Revista de Psicopatología y Psicología Clínica, 17, 185-203.
  • Sandín, B., Sánchez-Arribas, C., Chorot, P., & Valiente, R. M. (2015). Anxiety sensitivity, catastrophic misinterpretations and panic self-efficacy in the prediction of panic disorder severity: Towards a tripartite cognitive model of panic disorder. Behaviour Research and Therapy, 67, 30-40.
  • Sandín, B., Valiente, R. M., Chorot, P., Santed, M. A., & Lostao, L. (2008). SA-45: forma abreviada del SCL-90 [SA-45: A brief form of the SCL-90]. Psicothema, 20, 290-296.
  • Sandín, B., Valiente, R. M., Olmedo Montes, M., Chorot, P., & Santed Germán, M. A. (2002). Versión española del cuestionario EPQR-Abreviado (EPQR-A) (II): replicación factorial, fiabilidad y validez [Spanish versión of the EPQR-A (II): Factor analysis replication, reliability and validity]. Revista de Psicopatología y Psicología Clínica, 7, 207-216.
  • 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, 263-280.
  • Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83-102.
  • Wagener, A., & Blairy, S. (2015). Version française de la Distress Tolerance Scale et de la Discomfort Intolerance Scale. Canadian Journal of Behavioral Sciences, 47, 241-250.
  • Watson, D. (2009). Differentiating the mood and anxiety disorders: A quadripartite model. Annual Review of Clinical Psychology, 5, 221-247.
  • Widiger, T. A., & Trull, T. J. (1992). Personality and psychopathology: An application of the five-factor model. Journal of Personality, 60, 363-393.
  • Wray, T. B., Simons, J. S., Dvorak, R. D., & Gaher, R. M. (2012). Trait-based affective processes in alcohol-involved “risk behaviors”. Addictive Behaviors, 37, 1230-1239.
  • Yu, C. Y. (2002). Evaluating cutoff criteria of model fit indices for latent variable models in binary and continuous outcomes. Doctoral dissertation, University of California, Los Angeles.