Psychological Trauma: Theory, Research, Practice, and Policy Vol. 10, Iss. 3,  (May 2018): 368-375. Objective: Distress tolerance (DT; the perceived or actual ability to withstand negative internal states) has emerged as a promising transdiagnostic risk factor in clinically severe populations. However, little is known about etiological factors associated with the development of DT. We hypothesized that greater levels of childhood trauma would be associated with lower perceived and behavioral DT, beyond theoretically relevant covariates.. To read the full article, log in using your NHS OpenAthens details.