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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

20-04-2016

Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

Auteurs: Joseph R. Cohen, Carla Kmett Danielson, Zachary W. Adams, Kenneth J. Ruggiero

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2016

Abstract

The purpose of the multi-measure, multi-wave, longitudinal study was to examine the interactive relation between behavioral distress tolerance (DT) and perceived social support (PSS) in 352 tornado-exposed adolescents aged 12–17 years (M = 14.44; SD = 1.74). At baseline, adolescents completed a computer-based task for DT, and self-report measures of PSS, depressed mood, posttraumatic stress disorder (PTSD), substance use, and interpersonal conflict. Symptoms also were assessed 4 and 12 months after baseline. Findings showed that lower levels of DT together with lower levels of PSS conferred risk for elevated symptoms of prospective depression (t(262) = −2.04, p = .04; r_{effect size} = 0.13) and PTSD (t(195) = −2.08, p = .04; r_{effect size} = 0.15) following a tornado. However, only PSS was significant in substance use t(139) = 2.20, p = .03; r_{effect size=}0.18) and conflict (t(138) = −4.05, p < .0001; r_{effect size=}0.33) in our sample. Implications regarding adolescent DT, the transdiagnostic nature of PSS, and the clinical applications of our findings in the aftermath of a natural disaster are discussed.

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Only 2.1 % of all adolescents contacted were ruled out due to Internet access, suggesting that our inclusion criteria did not have an adverse impact on the generalizability of our results.

Due to budgetary reasons, only 60 % of the original sample was randomly selected to complete the Conflict Behavior Questionnaire (CBQ).

Participants who completed the DT task were compared to those who did not across all study variables. No significant differences were found across constructs (p > .20).

To provide a more stringent test of our findings, all prospective analyses were rerun with the intercept recentered to 0 at Time 2 and subsequently Time 3. Our pattern of findings remained identical across analyses providing further support that significance was maintained across the duration of the study.

Contact the first author for specific estimates for these analyses.

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Titel: Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster
Auteurs: Joseph R. Cohen
Carla Kmett Danielson
Zachary W. Adams
Kenneth J. Ruggiero
Publicatiedatum: 20-04-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2016
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-016-9545-y

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Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

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