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University of Houston

The Association between Perceived Distress Tolerance and Cannabis Use Problems, Cannabis Withdrawal Symptoms, and Self-Efficacy for Quitting Cannabis: The Explanatory Role of Pain-Related Affective Distress

Abstract

dc:description.abstract

Rates of cannabis use and related problems continue to rise, ranking as the third most common substance use disorder in the United States, behind only tobacco and alcohol use. Past work suggests that perceived distress tolerance is related to several clinically significant features of cannabis use (e.g., coping-oriented use). However, there has been little exploration of the mechanisms that may underlie relations between perceived distress tolerance and cannabis use problems, withdrawal severity, and self-efficacy for quitting. The current study sought to examine the experience of pain, which frequently co-occurs with cannabis use (Ashrafioun, Bohnert, Jannausch, & Ilgen, 2015), as an underlying factor in the relation between perceived distress tolerance and cannabis related problems among 203 current cannabis-using adults (29.2% female, Mage= 37.7 years, SD= 10.2, 63% African American). Results indicated that perceived distress tolerance via pain related affective distress significantly predicted the severity of cannabis use problems (Pm= 0.60), degree of cannabis withdrawal (Pm=0.39), and lower self-efficacy for quitting cannabis (Pm=0.36). Future work may usefully explore the role of pain-related affective distress as a mechanistic factor in the context of perceived distress tolerance-cannabis relations.

Degree

thesis:*
Name thesis:degree_name
Master of Arts
Level thesis:degree_level
Masters
Discipline thesis:degree_discipline
Psychology, Clinical
Grantor
University of Houston
Year dc:date.issued
2019

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Manning, Kara F.
Advisor dc:contributor.advisor
  • Zvolensky, Michael J.
Committee members dc:contributor.committeemember
  • Walker, Rheeda L.
  • Blalock, Janice A.
  • Viana, Andres G.

Subjects

dc:subject × 5

Rights

dc:rights
Statement dc:rights
  • The author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. UH Libraries has secured permission to reproduce any and all previously published materials contained in the work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).
Language dc:language.iso
eng

Identifiers

dc:identifier.*
Handle dc:identifier.uri
https://hdl.handle.net/10657/4665
OAI identifier oai:identifier
oai:uh-ir.tdl.org:10657/4665

Chain of custody

source
Harvested from
University of Houston
Base URL
uh-ir.tdl.org/server/oai/request
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Manning, Kara F.. The Association between Perceived Distress Tolerance and Cannabis Use Problems, Cannabis Withdrawal Symptoms, and Self-Efficacy for Quitting Cannabis: The Explanatory Role of Pain-Related Affective Distress. Masters thesis, University of Houston, 2019. https://hdl.handle.net/10657/4665