DBT In-Depth: Distress Tolerance
PRESENTED BY Kristin Daley, phd, dbsm
Webinar Based Exam
2 CONTINUING EDUCATION CREDITs
BASE is approved by the American Psychological Association to sponsor continuing education for psychologists. BASE maintains responsibility for this program and its content.
DESCRIPTION
Dialectical Behavior Therapy (DBT) is a newer wave cognitive behavioral therapy that was developed in the 1990’s by Dr. Marsha Linehan. Although it was initially developed as an intervention to address Borderline Personality Disorder, DBT has been empirically validated to treat a wide variety of psychological presentations. Distress Tolerance (DT) is one of the four key modules in DBT, emphasizing the importance of an individual's ability to manage conflicts and problems that may arise (Evanovich, Marshall, David, & Mumma, 2019). Low distress tolerance has been demonstrated as a particular risk factor for the development of psychological problems, and is crucial in the treatment of psychological conditions (Lass & Winer, 2020). DT has been utilized as a stand alone intervention with benefits for anxiety, depression, and OCD (Muhomba, Chugani, Uliaszek, & Kannan, Divya 2017; Choudhary &Sinha, 2018; Qi, Rappaport, Cecilione, Hettema, & Roberson-Nay, 2019). In this continuing education program, we will look at the factors that constitute distress tolerance, how it can be assessed, and specific DT skills that can be utilized by clinicians to improve outcomes.
LEARNING OBJECTIVES
Based on the content of this book, you will be able to:
· Identify the key factors that characterize distress tolerance.
· List assessment methods that can be utilized to measure client distress tolerance.
· Describe the psychological applications of distress tolerance skills.
· Formulate interventions based on increasing distress tolerance in clients.
AUDIENCE
Licensed Counselors, Social Workers and Psychologists who would like to integrate distress tolerance skills into their clinical practice. This course is designed to be an introduction to DT skills and would not be appropriate for experienced DBT clinicians.
RESOURCES
Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2020). The relationships of distress tolerance, self-compassion to posttraumatic growth, the mediating role of cognitive fusion. Journal of Aggression, Maltreatment & Trauma. https://doi.org/10.1080/10926771.2019.1711279
Carpenter, J. K., Sanford, J., & Hofmann, S. G. (2019). The effect of a brief mindfulness training on distress tolerance and stress reactivity. Behavior Therapy, 50(3), 630-645. https://doi.org/10.1016/j.beth.2018.10.003
Choudhary, V., & Sinha, V. K. (2018). Transdiagnostic applications of dialectical behaviour therapy’s distress tolerance skills in psychological management of OCD. Asian Journal of Psychiatry, 38, 1-2. https://doi.org/10.1016/j.ajp.2018.10.012.
Chung, J. J., Wakefield, M. A., Austin, S. B., & Chapman, A. L. (2020). Smiling to tolerate distress: The moderating role of attention to emotion. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. https://doi.org/10.1037/cbs0000188
Del Vecchio, T., Pochtar, R., & Jablonka, O. (2019). Mothers’ tolerance of own and child distress: Associations with discipline practices. Parenting: Science and Practice. https://doi.org/10.1080/15295192.2019.1642685
Evanovich, E. K., Marshall, A. J., David, S. J., & Mumma, G. H. (2019). A network conceptualization of the multiple facets of distress tolerance. Anxiety, Stress & Coping: An International Journal. https://doi.org/10.1080/10615806.2019.1641799
Felton, J. W., Collado, A., Havewala, M., Shadur, J. M., MacPherson, L., & Lejuez, C. W. (2019). Distress tolerance interacts with negative life events to predict depressive symptoms across adolescence. Journal of Clinical Child and Adolescent Psychology, 48(4), 633-642. https://doi.org/10.1080/15374416.2017.1405354
Lass, A. N. S., & Winer, E. S. (2020). Distress tolerance and symptoms of depression: A review and integration of literatures. Clinical Psychology: Science and Practice, specified Article e12336. https://doi.org/10.1111/cpsp.12336
Lass, A. N. S., Winer, E. S., Collins, A. C., & Rokke, P. D. (2020). The associations among distress tolerance, unhelpful coping behaviors, and symptoms of depression: A network analysis. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-020-10131-2
Muhomba, M., Chugani, C. D., Uliaszek, A. A., & Kannan, D. (2017). Distress tolerance skills for college students: A pilot investigation of a brief DBT group skills training program. Journal of College Student Psychotherapy, 31(3), 247-256. https://doi.org/10.1080/87568225.2017.1294469
Oglesby, M. E., Short, N. A., Albanese, B. J., Portero, A. K., & Schmidt, N. B. (2018). Negative interpretations of distress-related information: A novel assessment tool for distress tolerance. Journal of Anxiety Disorders, 60, 20-25 https://doi.org/10.1016/j.janxdis.2018.10.001
Qi, J., Rappaport, L. M., Cecilione, J., Hettema, J. M., & Roberson-Nay, R. (2019). Differential associations of distress tolerance and anxiety sensitivity with adolescent internalizing psychopathology. Journal of Clinical Child and Adolescent Psychology. https://doi.org/10.1080/15374416.2019.1602838
Reitzel, L. R., Short, N. A., Schmidt, N. B., Garey, L., Zvolensky, M. J., Moisiuc, A., Reddick, C., Kendzor, D. E., & Businelle, M. S. (2017). Distress tolerance links sleep problems with stress and health in homeless. American Journal of Health Behavior, 41(6), 760-774 https://doi.org/10.5993/AJHB.41.6.10
Rogers, T. A., Bardeen, J. R., Fergus, T. A., & Benfer, N. (2020). Factor structure and incremental utility of the Distress Tolerance Scale: A bifactor analysis. Assessment, 27(2), 297-308. https://doi.org/10.1177/1073191118789496
Viana, A. G., Raines, E. M., Woodward, E. C., Hanna, A. E., Walker, R., & Zvolensky, M. J. (2019). The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: Does distress tolerance matter? Cognitive Behaviour Therapy, 48(5), 430-444. https://doi.org/10.1080/16506073.2018.1536163
Yardley, P., McCall, A., Savage, A., & Newton, R. (2019). Effectiveness of a brief intervention aimed at increasing distress tolerance for individuals in crisis or at risk of self-harm. Australasian Psychiatry, 27(6), 565-568https://doi.org/10.1177/1039856219848835
Zeifman, R. J., Boritz, T., Barnhart, R., Labrish, C., & McMain, S. F. (2020). The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training. Personality Disorders: Theory, Research, and Treatment, 11(3), 181-190. https://doi.org/10.1037/per0000368
PROFESSIONAL AND ETHICAL ISSUES
There is no commercial support for this CE program, instructor, content of instruction, or any other relationship that could be construed as a conflict of interest. There is no endorsement of products.