The authors report they have no financial relationships within the past 3 years to disclose.
Distress tolerance and obsessions: an integrative analysis†
Article first published online: 16 JUN 2011
© 2011 Wiley-Liss, Inc.
Depression and Anxiety
Volume 28, Issue 10, pages 906–914, 3 October 2011
How to Cite
Cougle, J. R., Timpano, K. R., Fitch, K. E. and Hawkins, K. A. (2011), Distress tolerance and obsessions: an integrative analysis. Depress. Anxiety, 28: 906–914. doi: 10.1002/da.20846
- Issue published online: 3 OCT 2011
- Article first published online: 16 JUN 2011
- Manuscript Accepted: 8 MAY 2011
- Manuscript Revised: 27 APR 2011
- Manuscript Received: 24 MAR 2011
- obsessive–compulsive disorder;
- distress tolerance;
- obsessive beliefs;
Background: Recent research implicates a potential relationship between poor distress tolerance (DT) and obsessive–compulsive disorder (OCD) and obsessions in particular, though this evidence has been largely indirect. We sought to examine the incremental and specific associations between DT and obsessions using multiple methodologies. Methods: We conducted three separate studies using independent nonclinical samples (total N=558) that involved cross-sectional (Study 1) and prospective self-report designs (Study 2), as well as the use of an in vivo neutralization task (Study 3). Results: Poor DT was specifically associated with obsessing but not other OCD symptoms, even when covarying for several theoretically relevant constructs. Further, poor DT was predictive of residual change in obsessing symptoms 1-month later. Poor DT was also associated with neutralization in response to an OCD-like intrusion and postneutralization period anxiety. Conclusions: These consistent findings provide support for an important relationship between DT and obsessions and suggest that interventions targeting DT may have special benefit for the treatment of obsessions. Depression and Anxiety, 2011. © 2011 Wiley-Liss, Inc.