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. 2012;16(3):198-211.
doi: 10.1080/13811118.2012.695269.

The moderating role of distress tolerance in the relationship between posttraumatic stress disorder symptom clusters and suicidal behavior among trauma exposed substance users in residential treatment

Michael D Anestis  1 , Matthew T Tull, Courtney L Bagge, Kim L Gratz
Affiliations

The moderating role of distress tolerance in the relationship between posttraumatic stress disorder symptom clusters and suicidal behavior among trauma exposed substance users in residential treatment

Michael D Anestis et al. Arch Suicide Res. 2012.

Abstract

The co-occurrence of posttraumatic stress disorder (PTSD) and substance use disorders (SUDs) is associated with greater risk for suicidal behavior than either disorder alone. Research highlights the relevance of PTSD symptoms in particular to suicide risk within this population. Research has also provided support for an association between distress tolerance (DT) and both PTSD symptoms and suicidal behavior. This study examined the role of DT in the relationship between PTSD symptom severity and suicidal behavior in a sample of 164 SUD inpatients with a history of Criterion A traumatic exposure. Results indicated that DT moderated the relationship between PTSD symptoms (overall, re-experiencing, and hyperarousal) and medically attended suicide attempts, with the magnitude of the relationship increasing at higher levels of DT.

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References

    1. Anderson BA, Howard MO, Walker RD, Suchinsky RT. Characteristics of substance-abusing veterans attempting suicide: A national study. Psychological Reports. 1995;77:1231–1242. - PubMed
    1. Anestis MD, Bagge CL, Tull MT, Joiner TE. Clarifying the role of emotion dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample. Journal of Psychiatric Research. 2011;45:603–611. - PubMed
    1. Anestis MD, Lavender JA, Marshall-Berenz EC, Gratz KL, Tull MT, Joiner TE. Evaluating distress tolerance measures: Interrelations and associations with impulsive behaviors. Cognitive Therapy and Research. in press.
    1. Asmundson JGG, Bonin MF, Frombach IK, Norton GR. Evidence of a disposition toward fearfulness and vulnerability to posttraumatic stress disorder in dysfunctional pain patients. Behaviour Research and Therapy. 2000;38:801–812. - PubMed
    1. Asmundson JGG, Wright KD, McCreary DR, Pedlar D. Posttraumatic stress disorder symptoms in United Nations peacekeepers: An examination of factor structure in peacekeepers with and without chronic pain. Cognitive Behaviour Therapy. 2003;32:26–37. - PubMed

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