Examining Associations Between Distress Tolerance, Perceived COVID-19 Threat, and Psychological Outcomes: The Moderating Role of Social Support

Abstract

The COVID-19 pandemic has caused significant psychological distress worldwide. It is important to enhance our understanding of the interpersonal and intrapersonal processes that can be addressed to promote psychological well-being after experiencing an adverse event like a pandemic. Therefore, to understand the direct and indirect associations between distress tolerance and diverse psychological outcomes following the onset of the COVID-19 pandemic, we examined whether perceived COVID-19 threat mediates the association between distress tolerance and several psychological outcomes (i.e., psychological well-being, depression, anxiety, and stress). We also investigated whether social support moderates the indirect associations between distress tolerance and these psychological outcomes. We collected online survey data between April and July 2020 from individuals living in Canada (N = 139). Moderated mediation analyses indicated higher distress tolerance was associated with lower perceived COVID-19 threat which in turn was associated with higher psychological well-being, and lower depression and stress. Additionally, social support satisfaction enhanced the indirect association between distress tolerance and psychological well-being. Our findings may inform the design of interventions that promote psychological well-being after the onset of an adversity like the COVID-19 pandemic by presenting distress tolerance, perceived threat, and social support as targets for intervention. Future research should investigate the moderating role of different types of social support on the association between distress tolerance and psychological outcomes.

Keywords

• distress tolerance
• social support
• illness perception
• covid-19 pandemic
• psychological well-being
• psychological symptoms