A Polish Adaptation and Validation of the Distress Tolerance Scale

Marta Rokosz; Ryszard Poprawa

doi:10.18290/rpsych20234-3

Marta Rokosz University of Wrocław, Institute of Psychology https://orcid.org/0000-0002-0194-7680
Ryszard Poprawa University of Wrocław, Institute of Psychology https://orcid.org/0000-0002-3711-8710

DOI: https://doi.org/10.18290/rpsych20234-3

Keywords: distress, distress tolerance, Polish adaptation, questionnaire validity

Abstract

Distress Tolerance Scale (DTS; Simons & Gaher, 2005) measures individual differences in experiencing and enduring negative emotional states. It consists of four dimensions: tolerance of perceived distress, assessment and acceptance of emotions, absorption of attention, and emotion regulation. The study aimed to evaluate the psychometric properties of a Polish adaptation of the Distress Tolerance Scale (DTS). A total of 1,210 individuals aged between 18 and 69 participated in the study (45% men, 51% women). After obtaining a Polish translation, we conducted EFA and CFA to examine the validity of the construct. EFA revealed a two-factor structure of the DTS, with Regulation as a separate factor. The original and modified CFA model with Regulation as a separate first-order factor showed an unsatisfactory fit to the data. Better CFA parameters were obtained with the reduced, three-factor version of the DTS. Four- and three-factor versions both show good internal consistency, temporal stability, convergent, and discriminant validity, with the exception of the Regulation subscale. As expected, distress tolerance is positively associated with positive affectivity, satisfaction with life, and self-control ability, but negatively with negative affectivity, perceived stress, and difficulties in emotion regulation. Men declared higher levels of distress tolerance than women. The Regulation subscale showed the weakest validity results; in terms of content, it seems to deviate from the concept of distress tolerance. With all those findings in mind, we recommend the valid and reliable three-factor version to be used in further studies.

References

Akbari, M. (2017). Metacognitions of distress intolerance: The mediating role in the relationship between emotional dysregulation and problematic internet use. Addictive Behaviors Reports, 6, 128–133. https://doi.org/10.1016/j.abrep.2017.10.004

Azizi, A. R. (2010). Reliability and validity of the Persian version of Distress Tolerance Scale. Iranian Journal of Psychiatry, 5(4), 154–158.

Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2013). Testing a hierarchical model of distress tolerance. Journal of Psychopathology and Behavioral Assessment, 35(4), 495–505. https://doi.org/10.1007/s10862-013-9359-0

Bedyńska, S., & Książek, M. (2012). Statystyczny drogowskaz 3: Praktyczny przewodnik wykorzystania modeli regresji oraz równań strukturalnych [Statistical guidepost: Vol. 3, A practical guide to the use of regression models and structural equations]. Sedno.

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(3), 386–399. https://doi.org/10.5127/jep.006610

Brandt, C. P., Zvolensky, M. J., & Bonn-Miller, M. O. (2013). Distress tolerance, emotion dysregulation, and anxiety and depressive symptoms among HIV+ individuals. Cognitive Therapy and Research, 37(3), 446–455. https://doi.org/10.1007/s10608-012-9497-9

Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005). Distress tolerance and early smoking lapse. Clinical Psychology Review, 25(6), 713–733. https://doi.org/10.1016/j.cpr.2005.05.003

Brzozowski, P. (2010). Skala Uczuć Pozytywnych i Negatywnych SUPIN. Polska adaptacja skali PANAS Davida Watsona i Lee Anny Clark: Podręcznik [Positive and Negative Affect Scale. A Polish adaptation of David Watson’s and Lee Anne Clark’s PANAS scale: A handbook.]. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Carey, K. B., & Correia, C. J. (1997). Drinking motives predict alcohol-related problems in college students. Journal of Studies on Alcohol, 58(1), 100–105. https://doi.org/10.15288/jsa.1997.58.100

Cohen, S., & Wiliamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The Claremont Symposium on Applied Social Psychology. The social psychology of health (pp. 31–67). Sage Publications.

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/s15327752jpa4901_13

Dragan, M. (2016). Problemowe picie alkoholu przez młode kobiety. Rola niekorzystnych doświadczeń i samoregulacji emocji [Problematic alcohol use among young women. The role of adverse experiences and emotion regulation]. Scholar.

Eisler, R. M., & Skidmore, J. R. (1987). Masculine gender role stress. Behavior Modification, 11(2), 123–136. https://doi.org/10.1177/01454455870112001

Garey, L., Bakhshaie, J., Sharp, C., Neighbors, C., Zvolensky, M. J., & Gonzalez, A. (2015). Anxiety, depression, and HIV symptoms among persons living with HIV/AIDS: The role of hazardous drinking. AIDS Care, 27(1), 80–85. https://doi.org/10.1080/09540121.2014.956042

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Holzhauer, C. G., Wemm, S., & Wulfert, E. (2017). Distress tolerance and physiological reactivity to stress predict women’s problematic alcohol use. Experimental and Clinical Psychopharmacology, 25(3), 156–165. https://doi.org/10.1037/pha0000116

Hornowska, E. (2009). Testy psychologiczne. Teoria i praktyka [Psychological tests. Theory and practice]. Scholar.

Hornowska, E., & Paluchowski, W. (2004). Problemy adaptacji kulturowej testów [Problems of cultural adaptation of tests]. In J. Brzeziński (Ed.), Metodologia badań psychologicznych [Methodology of psychological research] (pp. 576–595). PWN.

Iverson, K. M., Follette, V. M., Pistorello, J., & Fruzzetti, A. E. (2012). An investigation of experiential avoidance, emotion dysregulation, and distress tolerance in young adult outpatients with borderline personality disorder symptoms. Personality Disorders: Theory, Research, and Treatment, 3(4), 415–422. https://doi.org/10.1037/a0023703

Juczyński, Z. (2001). Skala Satysfakcji z Życia [Satisfaction with Life Scale]. In Narzędzia pomiaru w promocji i psychologii zdrowia [Measurement tools in the promotion of health and health psychology]. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Juczyński, Z., & Ogińska-Bulik, N. (2009). PSS-10 – Skala Odczuwanego Stresu [PSS-10 – Perceived Stress Scale]. In Narzędzia Pomiaru Stresu i Radzenia Sobie ze Stresem [Tools for measuring stress and coping with stress]. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

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(4), 567–574. https://doi.org/10.1016/j.beth.2010.04.002

Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25(7), 841–861. https://doi.org/10.1016/j.cpr.2005.06.002

Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin, 141(1), 176–212. https://doi.org/10.1037/bul0000003

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(1), 47–57. https://doi.org/10.1007/s10862-010-9197-2

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(4), 576–600. https://doi.org/10.1037/a0019712

McHugh, R. K., & Otto, M. W. (2012). Refining the measurement of distress intolerance. Behavior Therapy, 43(3), 641–651. https://doi.org/10.1016/j.beth.2011.12.001

Poprawa, R. (2016). Polska adaptacja Skali Impulsywnego Zachowania UPPS-P oraz jej znaczenie w predykcji wybranych eksternalizowanych problemów i zaburzeń [A Polish adaptation of the UPPS-P Impulsive Behavior Scale and its significance in the prediction of selected externalised problems and disorders]. Przegląd Psychologiczny, 59(1), 95–116.

Rosenbaum, M. (1980). Individual differences in self-control behaviors and tolerance of painful stimulation. Journal of Abnormal Psychology, 89(4), 581–590. https://doi.org/10.1037/0021-843X.89.4.581

Sandín, B., Simons, J. S., Valiente, R. M., Simons, R. M., & Chorot, P. (2017). Psychometric properties of the Spanish version of the distress tolerance scale and its relationship with personality and psychopathological symptoms. Psicothema, 29(3), 421–428. https://doi.org/10.7334/psicothema2016.239

Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99(6), 323–338. https://doi.org/10.3200/JOER.99.6.323-338

Shadur, J. M., Ninnemann, A. L., Lim, A., Lejuez, C. W., & MacPherson, L. (2017). The prospective relationship between distress tolerance and cigarette smoking expectancies in adolescence. Psychology of Addictive Behaviors, 31(5), 625–635. https://doi.org/10.1037/adb0000300

Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102. https://doi.org/10.1007/s11031-005-7955-3

TIBCO Software Inc. (2020). Data Science Textbook. https://docs.tibco.com/data-science/textbook

Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of Personality, 72(2), 271–324. https://doi.org/10.1111/j.0022-3506.2004.00263.x

Veit, C. T., & Ware, J. E. (1983). The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology, 51(5), 730–742. https://doi.org/10.1037/0022-006X.51.5.730

Wagener, A., & Blairy, S. (2015). Version française de la Distress Tolerance Scale et de la Discomfort Intolerance Scale. Canadian Journal of Behavioural Science/Revue Canadienne Des Sciences Du Comportement, 47(3), 241–250. https://doi.org/10.1037/cbs0000015

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063

You, J., & Leung, F. (2012). A Chinese adaptation of the Distress Tolerance Scale among adolescents: Factor structure and psychometric properties. Journal of Psychopathology and Behavioral Assessment, 34(1), 136–144. https://doi.org/10.1007/s10862-011-9256-3