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Examining the structure of distress tolerance: Are behavioral and self-report indicators assessing the same construct?
Journal article   Peer reviewed

Examining the structure of distress tolerance: Are behavioral and self-report indicators assessing the same construct?

Ti Hsu, Emily B.K. Thomas, Emma K. Welch, Michael W. O'Hara and Jennifer E. McCabe
Journal of contextual behavioral science, Vol.27, pp.143-151
01/2023
DOI: 10.1016/j.jcbs.2023.02.001
PMCID: PMC9997101
PMID: 36911144

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Abstract

Distress tolerance, or the ability to tolerate physically and emotionally aversive experiences, is a target of psychological intervention in contextual behavioral science. It has been conceptualized as a self-reported ability, as well as a behavioral tendency, and operationalized with a wide variety of questionnaires and behavioral tasks. The current study aimed to investigate whether behavioral tasks and self-report assessments of distress tolerance measure the same underlying dimension, two correlated dimensions, or whether method factors accounted for covariation above and beyond a general content dimension. A university student sample (N = 288) completed behavioral tasks associated with distress tolerance and self-report distress tolerance measures. Confirmatory factor analysis indicated that behavioral and self-report assessments of distress tolerance do not comprise a single dimension of distress tolerance, or two correlated dimensions of self-report or behavioral distress tolerance. Results also failed to support a bifactor conceptualization with a general distress tolerance dimension and domain-specific method dimensions for behavioral and self-report assessments. Findings suggest that more precision and attention to contextual factors are required in the operationalization and conceptualization of distress tolerance. •Distress tolerance (DT) is a transdiagnostic target of psychological intervention.•Self-report surveys and behavioral tasks are both used to measure DT.•No research to date has determined if surveys and tasks measure the same construct.•Confirmatory factor analysis assessed how tasks and surveys hang together.•Unidimensional, two-factor, and bifactor models all demonstrated inadequate fit.
Behavioral tasks Confirmatory factor analysis Distress tolerance Self-report

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