Delay Discounting Interacts with Distress Tolerance to Predict Depression and Alcohol Use Disorders among Individuals Receiving Inpatient Substance Use Services

Personality-linked psychological factors including distress tolerance and delay discounting have been shown to underlie both Alcohol Use and Major Depressive Disorders. Although these disorders commonly co-occur, especially among individuals seeking in-patient treatment, no study has examined the as...

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Bibliographic Details
Published in:International journal of mental health and addiction 2020-10, Vol.18 (5), p.1416-1421
Main Authors: Felton, Julia W., Strutz, Kelly L., McCauley, Heather L., Poland, Cara A., Barnhart, Kathryn J., Lejuez, Carl W.
Format: Article
Language:English
Subjects:
Alcohol use
Brief Report
Community and Environmental Psychology
Drug use
Emotions
Health Psychology
Low income groups
Medicine
Medicine & Public Health
Mental depression
Psychiatry
Psychology
Psychopathology
Public Health
Questionnaires
Rehabilitation
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Summary:Personality-linked psychological factors including distress tolerance and delay discounting have been shown to underlie both Alcohol Use and Major Depressive Disorders. Although these disorders commonly co-occur, especially among individuals seeking in-patient treatment, no study has examined the association between distress tolerance, delay discounting and dual diagnoses. This project evaluated these relations in a sample of 79 low-income adults receiving in-patient substance use treatment. It was hypothesized that individuals with low levels of distress tolerance and elevated discounting would be more likely to report co-occurring disorders. Utilizing structural equation modeling, we found that the interaction between distress tolerance and delay discounting was associated with co-occurring Alcohol Use and Major Depressive Disorders in the expected direction. Findings suggest these constructs could be used for targeting prevention efforts for vulnerable individuals as well as refining current interventions to improve treatment outcomes.
ISSN:1557-1874
1557-1882
DOI:10.1007/s11469-019-00163-5