Distress tolerance and posttraumatic stress disorder: a systematic review and meta-analysis

Akbari, Mehdi; Hosseini, Zahra Sadat; Seydavi, Mohammad; Zegel, Maya; Zvolensky, Michael J.; Vujanovic, Anka A.

doi:10.1080/16506073.2021.1942541

Cited by 44 publications

(34 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As hypothesized, significant main effects were observed for DT and hedonic capacity, respectively, with regard to overall PTSD symptom severity; main effects accounted for 4.4% of unique variance beyond covariates (Nawijn et al, 2015; Vujanovic & Zegel, 2020). While DT was negatively associated with PTSD symptom severity, low hedonic capacity was positively associated with PTSD symptomatology as consistent with past work (Akbari et al, 2022: Nawijn et al, 2015). Post hoc analyses revealed a significant main effect of DT on the severity of all PTSD symptom clusters, such that low DT was related to heightened PTSD symptoms (and vice versa).…”

Section: Discussionsupporting

confidence: 85%

The main and interactive effects of distress tolerance and reward function on posttraumatic stress disorder symptoms among firefighters.

Zegel¹,

McGrew²,

Wardle³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

View full text Add to dashboard Cite

Background: Firefighters are at heightened risk of posttraumatic stress disorder (PTSD), underscoring the importance of understanding clinically targetable factors to inform evidence-based intervention development. Hedonic capacity, or the ability to experience pleasure, is a facet of reward functioning. Anhedonia (i.e., low or absent hedonic capacity) is a hallmark symptom of PTSD. Distress tolerance (DT), or the perceived ability to withstand negative emotional states, has also demonstrated associations with PTSD. Objective: The purpose of the present study was to examine the main and interactive effects of self-reported hedonic capacity (Snaith-Hamilton Pleasure Scale) and DT (Distress Tolerance Scale) on PTSD symptom severity among firefighters. Method: A hierarchical linear regression was performed among a sample of 802 trauma-exposed career firefighters, who completed a battery of self-report questionnaires. Covariates included trauma load (i.e., number of trauma types), years in the fire service, and depression symptoms (excluding anhedonia). Results: Both hedonic capacity (B = 2.71, SE = .95, p = .005) and DT (B = À.21, SE = .03, p , .001) were incrementally associated with PTSD symptom severity. The interactive effect of hedonic capacity and DT was associated with heightened PTSD symptom severity (B = .25, SE = .07, p , .001). Conclusions: Hedonic capacity and DT were independently and transactionally associated with heightened PTSD symptom severity among trauma-exposed firefighters. These findings provide evidence for the utility in developing interventions that target DT and impaired hedonic capacity among firefighters, particularly those experiencing PTSD symptomatology. Clinical Impact StatementResults suggest that firefighters with PTSD symptoms may benefit from treatments that address an individual's ability to tolerate distress and/or their capacity to experience pleasure.

show abstract

Section: Discussionsupporting

confidence: 85%

The main and interactive effects of distress tolerance and reward function on posttraumatic stress disorder symptoms among firefighters.

Zegel¹,

McGrew²,

Wardle³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

View full text Add to dashboard Cite

show abstract

“…From the beginning of the COVID‐19 outbreak, people have experienced elevated psychological distress in their everyday lives (e.g., Akbari, Seydavi, et al, 2021 ; Brailovskaia et al, 2021 ; Cao et al, 2020 ; Chen et al, 2021 ; Duong, 2021 ; Kontoangelos et al, 2020 ; Lee, 2020 ; Mansueto et al, 2021 ; Shevlin et al, 2020 ) including depression and anxiety (Huang & Zhao, 2020 ; Oh et al, 2021 ; Wierenga et al, in press ), obsessive–compulsive symptoms (Abba‐Aji et al, 2020 ; Seçer & Ulaş, 2020 ; Wheaton et al, 2021 ), substance use (Akbari et al, 2020 ; Czeisler et al, 2020 ), post‐traumatic stress symptoms (Akbari, Hosseini, et al, 2021 ; Johnson et al, 2020 ; Liu et al, 2020 ), suicidal ideation (Czeisler et al, 2020 ), health anxiety (Akbari, Spada, et al, 2021 ; Özdin & Özdin, 2020 ), psychological distress (Wang et al, 2020 ; Wu et al, 2020 ), hopelessness (Hacimusalar et al, 2020 ), loneliness and fatigue (Hou et al, 2020 ; Mansueto et al, 2021 ), loss and grief (Wallace et al, 2020 ; Zhai & Du, 2020 ), sleep problems (Duong, 2021 ; Jahrami et al, 2021 ) and reduced life satisfaction (Duong, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

The Persian COVID‐19 Anxiety Syndrome Scale (C‐19ASS): Psychometric properties in a general community sample of Iranians

Akbari

Seydavi

Zamani

et al. 2021

Clin Psychology and Psychoth

Self Cite

View full text Add to dashboard Cite

There is a potential for a long‐lasting psychological and social impact from the COVID‐19 pandemic. Recently, the COVID‐19 Anxiety Syndrome Scale (C19‐ASS) has been developed, which measures individuals' coping mechanisms in relation to the fear or threat of COVID‐19. The C19‐ASS was developed and has been used so far only in Western samples. Further psychometric evaluation is needed in ethnically diverse samples. Therefore, the current study sought to test the psychometric properties in a large sample of Iranians ( n = 1429; female = 52.1%; Mean age = 35.83, ±12.89) who completed a cross‐sectional survey. Exploratory factor analysis revealed that the Persian C19‐ASS has a two‐factor structure corresponding to the perseveration and avoidance subscales of the original scale. Confirmatory factor analyses also supported a two‐factor solution, which showed a firm model fit and high internal consistencies. Furthermore, it showed excellent divergent validity from generalized anxiety, indicating that it is concerned explicitly with COVID‐19, supported by correlational analyses and exploratory factor analysis. Test of incremental validity indicated the Persian C19‐ASS explained more variance in functional impairment and COVID‐19 anxiety than the gender, marital and educational status, generalized anxiety, neuroticism, openness, consciousness and having lost someone close due to COVID‐19. Also, based on a mediation test, it was found that C19‐ASS mediates the relationship between the Big Five personality traits (except openness and consciousness) and health anxiety, generalized anxiety, depression and COVID‐19 anxiety. Overall, the current findings provide further evidence for the construct of the COVID‐19 anxiety syndrome. The COVID‐19 anxiety syndrome is discussed in light of the S‐REF model that provides an explanatory framework for this pandemic‐related construct.

show abstract

“…From the beginning of the COVID-19 outbreak, reports and studies indicating the presence of elevated psychological distress started emerging (e.g., Brailovskaia et al, 2021; Cao et al, 2020; Chen et al, 2021; Duong, 2021; Kontoangelos et al, 2020; Lee, 2020; Mansueto et al, 2021; Shevlin et al, 2020; Wang et al, 2020; Wu, Styra, & Gold, 2020). The psychological distress experienced was extensive, including depression and anxiety (Huang & Zhao, 2020; Oh et al, 2021), obsessive-compulsive (Abba-Aji et al, 2020; Wheaton et al, 2021; Seçer & Ulaş, 2020) and post-traumatic stress symptoms (Johnson et al, 2020; Liu et al, 2020; Akbari et al, 2021) as well as health anxiety (Akbari et al, 2021; Özdin & Bayrak Özdin, 2020). Furthermore, increases in substance use (Czeisler et al, 2020; Akbari et al, 2020), suicidal ideation (Czeisler et al, 2020), loneliness and fatigue (Mansueto et al, 2021; Hou et al, 2020), loss and grief (Wallace et al, 2020; Zhai & Du, 2020), sleep problems (Duong, 2021; Jahrami et al, 2021), and reduced life satisfaction (Duong, 2021) were also observed.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress and work and social adjustment in the COVID-19 pandemic: a cross-Country analysis

Distaso

Nikčević

Spada

2022

Preprint

View full text Add to dashboard Cite

We investigate the determinants of several measures of psychological distress and work and social adjustment, using data from a large survey covering six countries and three continents over the COVID-19 pandemic. Our analysis reveals substantial cross-country heterogeneity and identifies a strong effect of COVID-19 specific measures of distress onto generic ones, but not the other way around. The results confirm the importance of controlling for individual characteristics, which help explain some of the cross-country differences. Finally, they also highlight specific categories of individuals who have recorded extremely high levels of psychological distress.

show abstract

Distress tolerance and posttraumatic stress disorder: a systematic review and meta-analysis

Cited by 44 publications

References 88 publications

The main and interactive effects of distress tolerance and reward function on posttraumatic stress disorder symptoms among firefighters.

The main and interactive effects of distress tolerance and reward function on posttraumatic stress disorder symptoms among firefighters.

The Persian COVID‐19 Anxiety Syndrome Scale (C‐19ASS): Psychometric properties in a general community sample of Iranians

Psychological distress and work and social adjustment in the COVID-19 pandemic: a cross-Country analysis

Contact Info

Product

Resources

About