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August 30, 2026BMC PsychologyOpen Access

Measurement properties of self-report instruments assessing distress tolerance and tolerance for mental pain in adults: a COSMIN systematic review

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Authors

ZZZhiruo ZhouCentral South UniversityJLJianxia LyuSichuan Cancer HospitalHZHao ZhangDong-A University

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Implication

Systematic review reveals promising structural validity but incomplete validation of distress tolerance scales in adults, highlighting the need for comprehensive psychometric testing.

Key Points

  • To evaluate the psychometric properties and certainty of evidence for self-report instruments measuring distress tolerance and tolerance for mental pain in adults.
  • Conducted a systematic review following PRISMA 2020 and COSMIN guidelines across PubMed, Embase, Web of Science, CINAHL, Cochrane Library, and Chinese databases through April 2026.
  • Assessed methodological quality and measurement properties using the COSMIN Risk of Bias checklist and rated evidence certainty using a modified GRADE approach.
  • Analyzed 17 studies evaluating self-report tools, including the Distress Tolerance Scale (DTS) and Tolerance for Mental Pain Scale (TMPS).
  • Evidence was strongest for structural validity and internal consistency, but content validity, measurement error, cross-cultural validity, and responsiveness lacked adequate testing.
  • Assessed instruments were categorized as COSMIN Category B, indicating potential utility but insufficient evidence to justify high-confidence clinical recommendations.

Cite This Study

Zhou et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0a36c1a8fb52e79cef8https://doi.org/10.1186/s40359-026-05400-w
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