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

  • Julia W. FeltonEmail author
  • Kelly L. Strutz
  • Heather L. McCauley
  • Cara A. Poland
  • Kathryn J. Barnhart
  • Carl W. Lejuez
Brief Report


Alcohol use disorders (AUD) and major depressive disorder (MDD) co-occur frequently in both the general population (Carton et al. 2018) and specifically among those seeking treatment for substance use (SU) (Grant et al. 2004). Individuals in SU treatment with co-occurring mood disorders experience worse outcomes (Torrens et al. 2005) and higher rates of relapse following treatment termination (Hasin et al. 2002). Identifying shared vulnerabilities associated with these disorders has the potential to improve identification of at-risk individuals entering SU treatment and could yield more effective and targeted intervention strategies. Thus, the current study examined the role of two psychological factors commonly implicated in the onset and maintenance of AUDs, delay discounting and distress tolerance, that may influence co-occurring MDD among a sample of individuals receiving inpatient SU treatment.

Delay discounting, or the tendency to perceive something as less valuable...


Funding Information

This work was supported in part by the National Institute on Drug Abuse under Grant R01DA19405 (PI: Carl Lejuez). The funders were not involved in the work reported in this manuscript or in the composition of the submission.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent Statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as received in 2000. Informed consent was obtained from all patients for being included in the study.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Public Health, College of Human MedicineMichigan State UniversityFlintUSA
  2. 2.Department of Obstetrics, Gynecology and Reproductive Biology, College of Human MedicineMichigan State UniversityGrand RapidsUSA
  3. 3.Department of Human Development and Family StudiesCollege of Social SciencesEast LansingUSA
  4. 4.Department of Women’s HealthSpectrum HealthGrand RapidsUSA
  5. 5.Department of Medicine, College of Human MedicineMichigan State UniversityGrand RapidsUSA
  6. 6.Department of Public Health, College of Health ProfessionsGrand Valley State UniversityAllendaleUSA
  7. 7.Cofrin Logan Center for Addiction Research and Treatment,Department of PsychologyUniversity of KansasLawrenceUSA

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