Temporal Precedence of Distress Tolerance in Predicting Anxiety and Depression: A Daily Diary Approach During Mindfulness-Based Intervention

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy Pub Date : 2026-05-01 Epub Date: 2025-12-03 DOI:10.1016/j.beth.2025.11.006

Yanjuan Li, Amy Hu, Yiran Ding, Xinyi Tang, Xin Jiang, Yu Leng, Mo Chen, Stefan G. Hofmann, Xinghua Liu

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Abstract

This study used a daily diary method to examine the temporal relationship between distress tolerance (DT), anxiety, and depression during a mindfulness-based intervention (MBI). A total of 83 participants with high emotional distress completed daily diaries of mindfulness, DT, anxiety and depression over one week before, during, and after the intervention. Linear mixed models showed significant improvements in all measured variables (p < 0.001) one week after the intervention. Dynamic structural equation modeling found that daily DT at time t significantly predicted daily anxiety (β = −0.06, p = 0.006), but not daily depression (β = −0.03, p = 0.076) at time t + 1. In the first three weeks, no significant time-lagged relationships were observed. However, in the last four weeks, daily DT at time t significantly predicted both daily anxiety (β = −0.11, p < 0.001) and daily depression (β = −0.08, p = 0.002) at time t + 1. Reverse relationships were not significant. These findings support the temporal precedence of DT over anxiety and depression, especially when interventions target DT enhancement.

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预测焦虑和抑郁的痛苦耐受性的时间优先：在正念干预期间的每日日记方法

本研究采用每日日记的方法来检验正念干预（MBI）期间痛苦耐受性（DT）、焦虑和抑郁之间的时间关系。共有83名高情绪困扰的参与者在干预前、干预期间和干预后的一周内完成了每天的正念、DT、焦虑和抑郁日记。线性混合模型显示，干预一周后，所有测量变量均有显著改善（p <； 0.001）。动态结构方程建模发现日常DT在时间t显著预测每日焦虑(β = −0.06,p = 0.006),但不是每天抑郁(β = −0.03,p = 0.076)在时间t + 1。在前三周，没有观察到明显的时间滞后关系。然而,在过去的四个星期,每天DT在时间t显著预测每日焦虑(β = −0.11,p & lt; 0.001)和日常抑郁症(β = −0.08,p = 0.002)在时间t + 1。反向关系不显著。这些发现支持DT在时间上优先于焦虑和抑郁，特别是当干预目标是DT增强时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavior Therapy Multiple-

CiteScore

7.40

自引率

2.70%

发文量

113

审稿时长

121 days

期刊介绍： Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.