Tolerance for Mental Pain Scale (TMPS): Italian validation and evaluation of its protective role in depression and suicidal ideation

Mental Pain, Psychological Distress, and Suicidal Ideation During the COVID-19 Emergency: the Moderating Role of Tolerance for Mental Pain

“…The current findings fit with previous research showing that higher tolerance for mental pain is predictive of less depressive symptomatology and reduced suicidal ideation (Landi et al, 2020a , b ). Findings are also consistent with a recent study conducted on a US national sample of 10,368 adults during the COVID-19 pandemic in March 2020, in which depressive symptomatology, previously associated with mental pain, was shown to be a significant predictor of suicidality, while psychological resources, previously associated with mental pain tolerance, functioned as a protective factor (Fitzpatrick et al, 2020 ).…”

“…The Italian version of the Tolerance for Mental Scale-10 (TMPS-10; Meerwijk et al, 2019 ), translated and validated by Landi, Furlani, and colleagues ( 2020a ) was used to assess the extent to which people can manage the pain (e.g., “I can get the pain out of my mind,”) or endure it (e.g. “I believe that the time will make the pain disappear”).…”

“…Conversely, tolerance for mental pain , or the extent to which one can endure and manage the aversive state of mental pain, has been considered a protective mental health factor related to adaptive responses to psychological pain during stressful periods (Meerwijk et al, 2019 ). As such, tolerance for mental pain has been associated with higher emotion regulation skills (e.g., Becker et al, 2019 ) and with lowered depressive symptomatology and suicidal ideation (e.g., Landi et al, 2020a , b ; Meerwijk & Weiss, 2018 ). Moreover, the level of tolerance for mental pain has been shown to differentiate suicidal attempters from non-suicidal psychiatric inpatients (e.g., Levinger et al, 2015 ; Segal-Engelchin et.…”

Mental Pain Surrounding Suicidal Behaviour: A Review of What Has Been Described and Clinical Recommendations for Help

“…MP is a transdiagnostic construct which has been recognised as one of the most important proximal predictors of suicidal risk well beyond depression (14,18,19). "MP is also understood as "psychache" (20) and defined as an acute state of intense psychological pain associated with negative cognitive and emotional aspects of the self-i.e., thoughts of selfdisappointment or inadequacies and feelings of guilt, anguish, fear, panic, angst, loneliness, and helplessness often accompanied by a sense of disconnection, loss, or incompleteness of the self (13,21,22).…”

The mediating role of tolerance for psychological pain in the relationship of childhood trauma to suicidal ideation in individuals with a substance use disorder

“…An exploratory factor analysis revealed three factors: surfeit of the pain, belief in the ability to cope with the pain, and containing the pain. Although replicated in studies with both clinical and community samples (e.g., Becker et al., 2019; Levinger, Somer, & Holden, 2015), this three‐factor structure has been called into question (e.g., Demirkol, Tamam, Namlı, & Davul, 2019; Landi et al., 2020), with researchers suggesting greater validity, reliability, and parsimony of a reduced measure with half of the items, loading on just two factors (Meerwijk, Mikulincer, & Weiss, 2019): managing the pain (which reflects the presence of coping strategies that enable individuals who experience psychological pain to actively stop or reduce it) and enduring the pain (which represents the existence of passive coping strategies, inferred from the belief that the pain will eventually disappear).…”