Distress Tolerance Intervention for Improving Self-Management of Chronic Conditions: A Systematic Review

Abstract

Background: The inability to tolerate distress can negatively influence effective self-management (SM) of chronic conditions by interfering with the ability to focus on illness needs and impairing problem-solving and prioritizing capabilities, as well as engagement in SM activities. Interventions to increase distress tolerance offer a holistic approach to chronic disease SM and may enhance the individual’s ability to apply SM skills and resources to improve quality of life and overall health. The purpose of this systematic review was to deepen understanding of the relationships among distress tolerance and goal-oriented problem-solving as an aspect of chronic disease SM. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations were used to develop a search strategy, selection criteria, screening, and identification and extraction procedures. PubMed, CINAHL, PsychInfo, and Scopus were searched from 2006 to December 2017 using the following search terms: distress tolerance, chronic conditions, self-management. Results: Across the 11 studies included in the literature review, there was a high level of heterogeneity in the use of subjective and objective measures to assess distress tolerance, and only one study included instruments to measure goal-oriented problem-solving, the target of distress tolerance interventions that are assumed to influence the selected health outcome. Conclusion: Further research is needed on the efficacy of distress tolerance interventions for improving SM of chronic conditions. Theory-driven interventions that explicate the precise goal-oriented problem-solving and SM behaviors that are expected to change as a result of the distress tolerance intervention will provide insight on the efficacy of the intervention and help close the theory–practice gap.

Keywords

stress and coping common themes stress management/relaxation healing modalities chronic conditions specific conditions

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References

American Holistic Nurses Association. (n.d.). What is holistic nursing? Retrieved from http://www.ahna.org/About-Us/What-is-Holistic-Nursing

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Blixen

C. E.

Kanuch

Perzynski

A. T.

Thomas

Dawson

N. V.

Sajatovic

(2016). Barriers to self-management of serious mental illness and diabetes. American Journal of Health Behavior, 40, 194-204.

Bonsaksen

Fagermoen

M. S.

Lerdal

(2015). Factors associated with self-esteem in persons with morbid obesity and in persons with chronic obstructive pulmonary disease: A cross-sectional study. Psychology, Health & Medicine, 20, 431-442.

Bornovalova

M. A.

Gratz

K. L.

Daughters

S. B.

Hunt

E. D.

Lejuez

C. W.

(2012). Initial RCT of a distress tolerance treatment for individuals with substance use disorders. Drug and Alcohol Dependence, 122, 70-76.

Centers for Disease Control and Prevention. (2015). Serious psychological distress among adults: United States, 2009–2013. Washington, DC: CDC Press.

Centers for Disease Control and Prevention, National Center for Health Statistics. (2013). Summary health statistics for the U.S. population: National Health Interview Survey, 2012. Washington, DC: CDC Press.

10.

Damush

T. M.

Kroenke

Bair

M. J.

Krebs

E. E.

Poleshuck

(2016). Pain self-management training increases self-efficacy, self-management behaviours and pain and depression outcomes. European Journal of Pain, 20, 1070-1078.

11.

Daughters

S. B.

Ross

T. J.

Bell

R. P.

J. Y.

Ryan

Stein

E. A.

(2017). Distress tolerance among substance users is associated with functional connectivity between prefrontal regions during a distress tolerance task. Addiction Biology, 22, 1378-1390. doi:10.1111/adb.12396

12.

Di Benedetto

Lindner

Aucote

Churcher

McKenzie

Croning

Jenkins

(2014). Co-morbid depression and chronic illness related to coping and physical and mental health status. Psychology, Health & Medicine, 19, 253-262.

13.

Glasgow

R. E.

(2001). Psychosocial barriers to diabetes self-management and quality of life. Spectrum, 14, 33-39.

14.

Hambrook

Oldershaw

Rimes

Schmidt

Tchanturia

Treasure

. . . Chalder

(2011). Emotional expression, self-silencing, and distress tolerance in anorexia nervosa and chronic fatigue syndrome. British Journal of Clinical Psychology, 50, 310-325.

15.

Hasan

N. S.

Babson

K. A.

Banducci

A. N.

Bonn-Miller

M. O.

(2015). The prospective effects of perceived and laboratory indices of distress tolerance on cannabis use following a self-guided quit attempt. Psychology of Addictive Behaviors, 29, 933-940.

16.

Kapson

H. S.

Leddy

M. A.

Haaga

D. A. F.

(2012). Specificity of effects of cognitive behavioral therapy on coping, acceptance and distress tolerance in a randomized controlled trial for smoking cessation. Journal of Clinical Psychology, 68, 1231-1240.

17.

Khalid-Khan

Segal

S. C.

Jopling

E. N.

Southmayd

Marchand

(2016). Effectiveness of a modified dialectical behavior therapy for adolescents within a stepped-care model. International Journal of Adolescent Medicine & Health, 30. Advance online publication. doi:10.1515/ijamh-2016-0030.

18.

Leyro

T. M.

Vujanovic

A. A.

Bonn-Miller

M. O.

(2015). Examining associations between cognitive-affective vulnerability and HIV symptom severity, perceived barriers to treatment adherence, and viral load among HIV-positive adults. International Journal of Behavioral Medicine, 22, 139-148.

19.

Leyro

T. M.

Zvolensky

M. J.

Bernstein

(2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136, 576-600.

20.

Linehan

M. M.

(1993). Cognitive behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.

21.

Lohman

M. C.

Mezuk

Dumenci

(2017). Depression and frailty: Concurrent risks for adverse health outcomes. Aging & Mental Health, 21, 399-408.

22.

Lorig

K. R.

Sobel

D. S.

Ritter

P. L.

Laurent

Hobbs

(2001). Effect of a self-management program for patients with chronic disease. Effective Clinical Practice, 4, 256-262.

23.

Magidson

J. F.

Seitz-Brown

C. J.

Listhaus

Lindberg

Anderson

K. E.

Daughters

S. B.

(2013). Distress tolerance and use of antiretroviral therapy among HIV-infected individuals in substance abuse treatment. AIDS, Patient Care and STDs, 27, 518-523.

24.

McGlynn

E. A.

Asch

S. M.

Adams

Keesey

Hicks

DeCristifaro

Kerr

E. A.

(2003). The quality of health care delivered to adults in the United States. New England Journal of Medicine, 348, 2635-2645.

25.

McHugh

R. K.

Weiss

R. D.

Cornelius

Martel

M. O.

Jamison

R. N.

Edwards

R. R.

(2016). Distress intolerance and prescription opioid misuse among patients with chronic pain. Journal of Pain, 17, 806-814.

26.

Moher

Liberati

Tetzlaff

Altman

D. G.

(2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151, 264-269.

27.

Moore

S. M.

Schiffman

Waldrop-Valverde

Redeker

N. S.

McCloskey

D. J.

Kim

M. T.

. . . Grady

(2016). Recommendations of common data elements to advance the science of self-management of chronic conditions. Journal of Nursing Scholarship, 48, 437-447.doi:10.1111/jnu.12233

28.

Nagelkerk

Reick

Meengs

(2006). Perceived barriers and effective strategies to diabetes self-management. Journal of Advanced Nursing, 54, 151-158.

29.

Noordali

Cumming

Thompson

J. L.

(2015). Effectiveness of mindfulness-based interventions on physiological and psychological complications in adults with diabetes: A systematic review. Journal of Health Psychology, 22, 965-983.

30.

O’Cleirigh

Ironson

Smits

J. A. J.

(2007). Does distress tolerance moderate the impact of major life events on psychosocial variables and behaviors important in the management of HIV? Behavioral Therapy, 38, 314-323.

31.

Oser

M. L.

Trafton

J. A.

Lejuez

C. W.

Bonn-Miller

M. O.

(2013). Differential associations between perceived and objective measurement of distress tolerance in relation to antiretroviral treatment adherence and response among HIV-positive individuals. Behavior Therapy, 44, 432-442.

32.

Potter

C. M.

Vujanovic

A. A.

Marshall-Berenz

E. C.

Bernstein

Bonn-Miller

M. O.

(2011). Posttraumatic stress and marijuana use coping motives: The mediating role of distress tolerance. Journal of Anxiety Disorders, 25, 437-443.

33.

Rezaee

M. E.

Pollock

(2015). Multiple chronic conditions among outpatient pediatric patients, southeastern Michigan, 2008-2013. Preventing Chronic Disease, 12, 140397.

34.

Richard

A. A.

Shea

(2011). Delineation of self-care and associated concepts. Journal of Nursing Scholarship, 43, 255-264.

35.

Ruo

Rumsfeld

J. S.

Hlatky

M. A.

Liu

Browner

W. S.

Whooley

M. A.

(2003) Depressive symptoms and health-related quality of life: The Heart and Soul Study. Journal of the American Medical Association, 290, 215-221.

36.

Ryan

Sawin

K. J.

(2009). The individual and family self-management theory: Background and perspectives on context, process, and outcomes. Nursing Outlook, 57, 217-225.

37.

Schmidt

N. B.

Richey

J. A.

Fitzpatrick

K. K.

(2006). Discomfort intolerance: Development of a construct and measure relevant to panic disorder. Journal of Anxiety Disorders, 20, 263-280.

38.

Schulman-Green

Jaser

Martin

Alonzo

Grey

McCorkle

. . . Whittemore

(2012). Processes of self-management in chronic illness. Journal of Nursing Scholarship, 44, 136-144.

39.

Simons

J. S.

Gaher

R. M.

(2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83-102.

40.

Sirois

F. M.

Molnar

D. S.

Hirsch

J. K.

(2015). Self-compassion, stress, and coping in the context of chronic illness. Self and Identity, 14, 334-347.

41.

Stein

M. D.

Herman

D. S.

Moitra

Hecht

Lopez

Anderson

B. J.

Brown

R. A.

(2015). A preliminary randomized controlled trial of a distress tolerance treatment for opioid dependent persons initiating buprenorphine. Drug & Alcohol Dependence, 147, 243-250.

42.

Stewart

D. E.

Yuen

(2011). A systematic review of resilience in the physically ill. Psychosomatics, 52, 199-209.

43.

van Dooren

F. E.

Nefs

Schram

M. T.

Verhey

F. R.

Denollet

Pouwer

(2013). Depression and risk of mortality in people with diabetes mellitus: A systematic review and meta-analysis. PLoS One, 8(3), e57058.

44.

von Elm

Altman

D. G.

Egger

Pocock

S. J.

Gøtzsche

P. C.

Vandenbroucke

J. P.

& STROBE Initiative. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61, 344-349.

45.

Wang

Z. Y.

Liu

Shi

Wang

(2016). Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: A cross-sectional study. Psychology, Health & Medicine, 21, 571-582. doi:10.1080/13548506.2015.1127396

46.

Ward

B. W.

(2017). Barrier to health care for adults with multiple chronic conditions, United States, 2012-2015 (NCHS Data Brief No. 275). Washington, DC: National Center for Health Statistics.

47.

Whittemore

Knafl

(2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52, 546-553.

48.

Wilski

Tasiemski

(2016). Illness perception, treatment beliefs, self-esteem, and self-efficacy as correlates of self-management in multiple sclerosis. Acta Neurologica Scandinavica, 133, 338-345.

49.

Zvolensky

Hogan

(2013). Distress tolerance and its role in psychopathology. Cognitive Therapy & Research, 37, 419-420.