Negative urgency, distress tolerance, and symptoms of substance use, eating, and borderline personality disorders in treatment-seeking young people.

Autor: Mattingley S; School of Psychology, Deakin University, Geelong, Victoria, Australia., Youssef GJ; School of Psychology, Deakin University, Geelong, Victoria, Australia.; Centre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, Victoria, Australia.; Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia., Graeme L; School of Psychology, Deakin University, Geelong, Victoria, Australia., Sloan E; School of Psychology, Deakin University, Geelong, Victoria, Australia., Manning V; Monash Addiction Research Centre (MARC), Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.; Turning Point, Eastern Health, Richmond, Victoria, Australia., Hall K; School of Psychology, Deakin University, Geelong, Victoria, Australia.; Centre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, Victoria, Australia.
Jazyk: angličtina
Zdroj: Journal of clinical psychology [J Clin Psychol] 2024 Feb; Vol. 80 (2), pp. 261-278. Date of Electronic Publication: 2023 Aug 19.
DOI: 10.1002/jclp.23579
Abstrakt: Objective: Negative urgency (NU) and distress tolerance (DT) are two similar yet distinct constructs with putative transdiagnostic relevance, particularly across psychopathology characterized by impulsivity (e.g., substance use disorders [SUD], eating disorders featuring binging and/or purging ED-B/P, and borderline personality disorder [BPD]). Yet, there remains a lack of research into NU and DT across SUD, ED-B/P, and BPD symptomatology in clinical populations. The present study sought to elucidate the transdiagnostic utility of NU and DT across impulsive-type psychology by examining the unique and interactive roles of NU and DT across SUD, ED-B/P, and BPD symptomatology within a treatment-seeking sample of young people.
Method: Participants (N = 385; 62.3% female; aged 16-25 years) were recruited from youth health services across Melbourne, Australia. Participants completed an online survey including self-report measures of NU and DT as well as SUD, ED-B/P, and BPD symptoms. Mixed effects logistic regression was used to explore unique and interactive associations of NU and DT with symptoms.
Results: Both NU (adjusted odds ratio [OR adj ] = 1.22; 95% confidence interval [CI] = [1.16, 1.28]) and global DT (OR adj  = 0.59; 95% CI = [0.47, 0.74]) uniquely predicted symptoms. However, associations with global DT and most of its components differed across psychopathology types. No significant interactions between NU and DT in predicting symptoms were found.
Conclusions: These results support the transdiagnostic utility of NU across SUD, ED-B/P, and BPD, while suggesting the role of DT across these disorders is more nuanced. These findings have important implications for NU and DT as potential intervention targets.
(© 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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