Reexamining the Mental Pain–Suicidality Link in Adolescence: The Role of Tolerance for Mental Pain

Becker, Gideon; Orbach, Israel; Mikulincer, Mario; Iohan, Maya; Gilboa–Schechtman, Eva; Grossman-Giron, Ariella

doi:10.1111/sltb.12506

Cited by 17 publications

(20 citation statements)

References 40 publications

(76 reference statements)

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“…Higher scores indicate higher tolerance for psychological pain. Good to excellent internal reliability has been reported for the factor "Surfeit of the pain", with values ranging from .84 to .91 (Becker et al, 2018;Meerwijk and Weiss, 2018). Internal reliability of the other two factors ranged from unacceptable to fair, as mentioned earlier.…”

Section: Tolerance For Psychological Pain-tolerance For Psychologicalsupporting

confidence: 52%

“…In contrast, a high score on "Managing the pain" indicates the presence of coping skills to actively stop or reduce the pain, thereby lowering the risk of suicide. Becker et al (2018) reported positive associations between tolerance for psychological pain and coping skills. In this context, it is also interesting that Li et al (2017) concluded that avoidance, a particular coping mechanism, may be a stronger predictor of suicide risk than the intensity of psychological pain.…”

Section: Discussionmentioning

confidence: 98%

“…The scale was available from Dr. Orbach 1 upon request (see supplemental file). Becker et al (2018) provided initial support for the TMPS's factor structure in a sample of Israeli adolescents and reported that Cronbach α, a measure of internal consistency, for the three factors ranged from .72 to .84. As internal consistency values below .70 are considered questionable or unacceptable for research (Cicchetti, 1994;Nunnally and Bernstein, 1994), the lower bound of .72 is of some concern.…”

Section: Introductionmentioning

confidence: 96%

“…As internal consistency values below .70 are considered questionable or unacceptable for research (Cicchetti, 1994;Nunnally and Bernstein, 1994), the lower bound of .72 is of some concern. Other than Becker et al (2018), only a handful of studies have reported results obtained with the TMPS. A study in a general population sample of Greek adults reported that tolerance for psychological pain was inversely associated with suicide risk and that tolerance for psychological pain, in particular the factor "Containing the pain", had a unique contribution to suicide risk (Soumani et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults

Meerwijk

Mikulincer

Weiss

2019

Psychiatry Research

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The purpose of the present study was to analyze the factor structure of the Tolerance for Mental Pain Scale (TMPS) in a sample of United States adults and examine its associations with suicidal behavior and intensity of psychological pain. Data were collected through an online general population survey (N = 225), and statistical analysis consisted of factor analysis and descriptive statistics of the data. Confirmatory factor analysis did not indicate a good fit with the originally proposed three-factor model. Subsequent exploratory factor analysis showed a good fit for a twofactor solution while enabling reduction of the scale to ten items, which we refer to as TMPS-10. The TMPS-10 scores were significantly lower for respondents with a lifetime history of attempted suicide and significantly inversely associated with the intensity of psychological pain. We recommend using the TMPS-10 to assess tolerance for mental pain for research purposes. With half the number of items of the original scale, the TMPS-10 has a lower response burden and minimizes the risk of over-inflating internal consistency due to redundant items.

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Section: Tolerance For Psychological Pain-tolerance For Psychologicalsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults

Meerwijk

Mikulincer

Weiss

2019

Psychiatry Research

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“…Klonsky and May [40] emphasize the importance of the comorbidity of unbearable mental pain and hopelessness in the development of suicidal thought in "Three-Step Theory of Suicide." Becker et al [41] detected a negative relationship between tolerance to psychological pain and the severity of psychological pain, perceived stress level, depression, hopelessness, and suicidal thoughts and attempts in the adolescent group. In our study, strong, significant, and negative correlations were detected between TMPS-10 total score and PS, BDI, BHS, and BSIS total scores.…”

Section: Discussionmentioning

confidence: 98%

Validity and reliability study of the Turkish version of the tolerance for mental pain scale-10

Demirkol

Tamam

Namlı

et al. 2019

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: Psychological pain has been accepted as one of the most critical psychological risk factors underlying suicidal ideation and behaviour. Suicide is chosen as a way to get rid of intense, painful and unbearable psychological pain. Since the level of tolerance rather than the intensity of psychological pain was considered to be more predictive for suicide, we aimed to investigate the validity and reliability of the Turkish version of Tolerance for Mental Pain Scale-10 (TMPS-10). METHODS: A total of 121 patients diagnosed with depression in 62 of them had previous suicide attempts and 105 healthy controls who applied to the outpatient clinics of Çukurova University Faculty of Medicine Psychiatry Department were included in the study. Beck Depression Inventory (BDI), Beck Scale for Suicidal Ideation (BSIS), Beck Hopelessness Scale (BHS), Psychache Scale (PS) and TMPS-10 were applied to participants. RESULTS: In the internal consistency analysis, Cronbach's alpha coefficient was 0.96 for enduring the pain, 0.96 for managing the pain, 0.98 for the whole scale, and item-total correlation coefficients were found to be between 0.87 and 0.93. The scale fit well to both the two-factor and single-factor structure in the confirmatory factor analysis. The multi-group confirmatory factor analysis showed that both the depressive patients and the control group interpreted the scale items in the same way. In convergent validity analysis, there was a negative, linear, high and statistically significant relationship between TMPS-10 scores and PS, BSIS, BDI and BHS scores (r = −0.935; −0.779; −0.890; −0.808; p < .0.001, respectively). In discriminant function analysis, TMPS-10 successfully differentiated the depressive group and the control group, as well as the depressive patients who did or did not attempt suicide (96.5%, 88.1%, respectively). CONCLUSION: The Turkish version of TMPS-10 is valid and reliable, and may be useful in research and clinical practices about suicide. ARTICLE HISTORY

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Mental pain intensity and tolerance as predictors of psychotherapy process and outcome

et al. 2020

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Background: The extensive reliance on symptoms for the study of psychotherapy is often criticized. In this study we examined whether the subjective sense of mental pain predicts psychotherapy process and outcome, above and beyond the effect of symptomatic distress. Methods: Outpatients (n = 53) treated in a psychiatric hospital completed measures of mental pain intensity and tolerance, symptomatic distress, and session climate at pretreatment and posttreatment. Multilevel modeling was utilized to assess the predictive effect of mental pain, while controlling baseline symptomatic distress. Results: Patients with high mental pain at baseline showed significant reductions in distress, while patients with low mental pain showed no significant improvement. Moreover, low mental pain and high mental pain tolerance predicted decreases in session smoothness. Conclusions: Mental pain can serve as a predictive marker for psychotherapy process and outcome, and complement the reliance on symptomatic distress in psychotherapy research.

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Reexamining the Mental Pain–Suicidality Link in Adolescence: The Role of Tolerance for Mental Pain

Abstract: Findings imply that mental pain tolerance may be a better indicator for suicidal behavior during adolescence than reported pain intensity.

Cited by 17 publications

References 40 publications

Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults

Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults

Validity and reliability study of the Turkish version of the tolerance for mental pain scale-10

Mental pain intensity and tolerance as predictors of psychotherapy process and outcome

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