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

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  1. Allan, N. P., Macatee, R. J., Norr, A. M., & Schmidt, N. B. (2014). Direct and interactive effects of distress tolerance and anxiety sensitivity on generalized anxiety and depression. Cognitive Therapy and Research, 38(5), 530–540.

    Article  Google Scholar 

  2. Bailey, A. J., Gerst, K., & Finn, P. R. (2018). Delay discounting of losses and rewards in alcohol use disorder: the effect of working memory load. Psychology of Addictive Behaviors, 32(2), 197–204.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Beddington, J., Cooper, C. L., Goswami, U., Huppert, F. A., Jenkins, R., Jones, H. S., et al. (2008). The mental wealth of nations, 455, 3.

    Google Scholar 

  4. Bickel, W. K., Koffarnus, M. N., Moody, L., & Wilson, A. G. (2014). The behavioral- and neuro-economic process of temporal discounting: a candidate behavioral marker of addiction. Neuropharmacology, 76, 518–527.

    CAS  Article  PubMed  Google Scholar 

  5. Bradizza, C. M., Brown, W. C., Ruszczyk, M. U., Dermen, K. H., Lucke, J. F., & Stasiewicz, P. R. (2018). Difficulties in emotion regulation in treatment-seeking alcoholics with and without co-occurring mood and anxiety disorders. Addictive Behaviors, 80, 6–13.

    Article  PubMed  Google Scholar 

  6. Carton, L., Pignon, B., Baguet, A., Benradia, I., Roelandt, J.-L., Vaiva, G., Thomas, P., Amad, A., de Timary, P., Naassila, M., Geoffroy, P. A., & Rolland, B. (2018). Influence of comorbid alcohol use disorders on the clinical patterns of major depressive disorder: a general population-based study. Drug and Alcohol Dependence, 187, 40–47.

    Article  PubMed  Google Scholar 

  7. Cooper, M. L., Russell, M., Skinner, J. B., Frone, M. R., & Mudar, P. (1992). Stress and alcohol use: moderating effects of gender, coping, and alcohol expectancies. Journal of Abnormal Psychology, 101(1), 139–152.

    CAS  Article  PubMed  Google Scholar 

  8. Field, M., Santarcangelo, M., Sumnall, H., Goudie, A., & Cole, J. (2006). Delay discounting and the behavioural economics of cigarette purchases in smokers: the effects of nicotine deprivation. Psychopharmacology, 186(2), 255–263.

    CAS  Article  PubMed  Google Scholar 

  9. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part I: description. Journal of Personality Disorders, 9(2), 83–91.

    Article  Google Scholar 

  10. Giordano, L., Bickel, W., Loewenstein, G., Jacobs, E., Marsch, L., & Badger, G. (2002). Mild opioid deprivation increases the degree that opioid-dependent outpatients discount delayed heroin and money. Psychopharmacology, 163(2), 174–182.

    CAS  Article  PubMed  Google Scholar 

  11. Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., et al. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. ARCH GEN PSYCHIATRY, 61, 10.

    Google Scholar 

  12. Hasin, D., Liu, X., Nunes, E., McCloud, S., Samet, S., & Endicott, J. (2002). Effects of major depression on remission and relapse of substance dependence. Archives of General Psychiatry, 59(4), 375–380.

    Article  PubMed  Google Scholar 

  13. Khan, A. J., Pedrelli, P., Shapero, B. G., Fisher, L., Nyer, M., Farabaugh, A. I., & MacPherson, L. (2018). The association between distress tolerance and alcohol related problems: the pathway of drinking to cope. Substance Use & Misuse, 53(13), 2199–2209.

    CAS  Article  Google Scholar 

  14. Kirby, K. N., Petry, N. M., & Bickel, W. K. (1999). Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. Journal of Experimental psychology: general, 128(1), 78, 10.

  15. Koob, G. F. (2011). Theoretical frameworks and mechanistic aspects of alcohol addiction: alcohol addiction as a reward deficit disorder, In Behavioral neurobiology of alcohol addiction(pp. 3-30). Berlin, Heidelberg: Springer.

    Google Scholar 

  16. Leventhal, A. M. (2008). Sadness, depression, and avoidance behavior. Behavior Modification, 32(6), 759–779.

    Article  Google Scholar 

  17. Mazur, J. E. (1987). An adjusting procedure for studying delayed reinforcement. Commons, ML.; Mazur, JE.; Nevin, JA, 55-73.

  18. Mellis, A. M., Athamneh, L. N., Stein, J. S., Sze, Y. Y., Epstein, L. H., & Bickel, W. K. (2018). Less is more: negative income shock increases immediate preference in cross commodity discounting and food demand. Appetite, 129, 155–161.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Muthén, L. K., & Muthén, B. O. (2012). Mplus user’s guide (1998–2012). Los Angeles, CA: Muthén & Muthén, 6.

  20. Pulcu, E., Trotter, P. D., Thomas, E. J., McFarquhar, M., Juhász, G., Sahakian, B. J., ... & Elliott, R. (2014). Temporal discounting in major depressive disorder. Psychological medicine, 44(9), 1825-1834.

  21. Simmen-Janevska, K., Forstmeier, S., Krammer, S., & Maercker, A. (2015). Does trauma impair self-control? Differences in delaying gratification between former indentured child laborers and nontraumatized controls. Violence and Victims, 30(6), 1068–1081.

    Article  PubMed  Google Scholar 

  22. Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102.

    Article  Google Scholar 

  23. Torrens, M., Fonseca, F., Mateu, G., & Farré, M. (2005). Efficacy of antidepressants in substance use disorders with and without comorbid depression. Drug and Alcohol Dependence, 78(1), 1–22.

    CAS  Article  PubMed  Google Scholar 

  24. Yi, R., & Landes, R. D. (2012). Temporal and probability discounting by cigarette smokers following acute smoking abstinence. Nicotine & Tobacco Research, 14(5), 547–558.

    CAS  Article  Google Scholar 

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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.

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Correspondence to Julia W. Felton.

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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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Felton, J.W., Strutz, K.L., McCauley, H.L. et al. Delay Discounting Interacts with Distress Tolerance to Predict Depression and Alcohol Use Disorders among Individuals Receiving Inpatient Substance Use Services. Int J Ment Health Addiction 18, 1416–1421 (2020).

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