{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T04:53:17Z","timestamp":1750913597740,"version":"3.36.0"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Distress tolerance, or the perceived ability to tolerate negative emotional states, is often associated with posttraumatic stress disorder (PTSD) such that higher distress tolerance is generally associated with less severe PTSD symptom levels. As distress tolerance is often considered a risk and maintenance factor in distress disorders, examining the association between changes in distress tolerance and changes in PTSD symptoms may have clinical relevance. The present study examined the associations between PTSD symptom severity and distress tolerance across three assessment points over 12 weeks among 212 patients receiving outpatient psychotherapy services. Using random\u2010intercept cross\u2010lagged panel modeling (RI\u2010CLPM), concurrent and prospective associations between PTSD and distress tolerance were examined. PTSD symptoms at Time 1 and Time 2 significantly predicted distress tolerance at Time 2, \u03b2 = \u2212.296, and Time 3, \u03b2 = \u2212.395, respectively. Distress tolerance did not predict subsequent PTSD symptom severity. Exploratory analyses examined distress tolerance and four PTSD symptom clusters over time. Patterns of results differed across clusters, though it was consistent that only PTSD symptom clusters predicted subsequent distress tolerance and not vice versa. The results support the interrelationship of changes in psychopathology and emotional distress tolerance and indicate that distress tolerance may be an important factor in symptom remission during PTSD treatment.<\/jats:p>","DOI":"10.1002\/jts.23092","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T16:36:01Z","timestamp":1723566961000},"page":"29-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The association between posttraumatic stress disorder symptom severity and distress tolerance in traumatic stress treatment"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4149-8963","authenticated-orcid":false,"given":"Brianna M.","family":"Byllesby","sequence":"first","affiliation":[{"name":"Department of Psychology University of South Dakota  Vermillion South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick A.","family":"Palmieri","sequence":"additional","affiliation":[{"name":"Traumatic Stress Center, Summa Health  Akron Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2021.1942541"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2022).Diagnostic and statistical manual of mental disorders(5th ed. text rev.).https:\/\/doi.org\/10.1176\/appi.books.9780890425787","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12048"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2017.01.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.03.085"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/10731911231156646"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191120954914"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.006"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010012\u20109704\u2010x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843X.114.4.729"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000549"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862\u2010014\u20109413\u20106"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","unstructured":"Foa E. B. Hembree E. A. Rothbaum B. O. &Rauch S. A. M.(2019).Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist guide(2nd ed).Oxford University Press.","DOI":"10.1093\/med-psych\/9780190926939.001.0001"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.99.1.20"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22554"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038889"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22783"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010015\u20109730\u20104"},{"key":"e_1_2_6_22_1","unstructured":"Heiland A. M. &Veilleux J. C.(2023).Reductions in distress intolerance via intervention: A review.Cognitive Therapy and Research. Advance online publication.https:\/\/doi.org\/10.1007\/s10608\u2010023\u201010425\u20101"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191114559407"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000076"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010081219\u2010093304"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/08995605.2018.1478548"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019712"},{"key":"e_1_2_6_29_1","first-page":"52","volume-title":"Distress tolerance: Theory, research, and clinical applications","author":"Lynch T. R.","year":"2011"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2019.12.008"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20568"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843X.115.3.624"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0001098"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.12.126"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2023.101281"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcr.2018.10.002"},{"volume-title":"Mplus: Statistical analysis with latent variables user's guide","year":"2017","author":"Muth\u00e9n L. K.","key":"e_1_2_6_37_1"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000403"},{"volume-title":"Cognitive processing therapy for PTSD: A comprehensive manual","year":"2017","author":"Resick P. A.","key":"e_1_2_6_39_1"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11031\u2010005\u20107955\u20103"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/emo0000745"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010016\u20100735\u20109"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/mil0000100"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862\u2010012\u20109325\u20102"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445515621490"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2021.2007995"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-816022-0.00012-0"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.032408.153510"},{"key":"e_1_2_6_49_1","unstructured":"Weathers F. W. Litz B. T. Keane T. M. Palmier P. A. Marx B. P. &Schnurr P. P.(2013).The PTSD Checklist for DSM\u20105 (PCL\u20105).https:\/\/www.ptsd.va.gov\/professional\/assessment\/adult\u2010sr\/ptsd\u2010checklist.asp"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/0963721410388642"}],"container-title":["Journal of Traumatic Stress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.23092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T10:29:13Z","timestamp":1738664953000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jts.23092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,13]]},"references-count":49,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/jts.23092"],"URL":"https:\/\/doi.org\/10.1002\/jts.23092","archive":["Portico"],"relation":{},"ISSN":["0894-9867","1573-6598"],"issn-type":[{"type":"print","value":"0894-9867"},{"type":"electronic","value":"1573-6598"}],"subject":[],"published":{"date-parts":[[2024,8,13]]},"assertion":[{"value":"2024-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}