Oval Hall - Bulgarian Red Cross

Intolerance concept in different clinical entities

Aslıhan DÖNMEZ, Kadir ÖZDEL, Emre SARGIN Speaker

There are several concepts in the psychology literature dealing intolerance of different emotional states. It can be traced back to the forties. In early years intolerance of frustration and intolerance of ambiguity were prominent constructs that are seen important factors in the development and maintenance of emotional disorders. Rational emotive behavioral therapy, which is one of the original forms of cognitive behavioral therapies, gives strong emphasis to low frustration tolerance as an etiological factor to psychopathology and offers to improve frustration tolerance as a therapeutic mediator. Distress intolerance and discomfort intolerance are similar but different constructs on that we have been growing literature. This literature suggested those constructs as possible for the development and maintenance of various emotional problems including depression, anxiety disorders, eating disorders, alcohol & substance use problems and so forth. In this symposium we are going to discuss different types of intolerance constructs in various clinical entities. First we are going to discuss. Then the second presenter will be presenting the relation between frusturation discomfort and different kinds of obesity, such as emotional eaters and food addicts. Third presenter will discuss the relation between  symptom severity in premenstrual disorder and distress tolerance and discomfort intolerance. Finally last presenter will be discussing what kind of relationship there is between dissociative experiences and alexithymia and frustration discomfort in conversion disorder patients.

Presenter: Emre Sargin
Affiliation: Assistant Prof. Uskudar University-Istanbul,
Title: The Role of Frustration Intolerance and Alexithymia in Conversion Disorder Patients
Authors: Emre Sargın, Muge Sargin, Hakan Turkcapar

Conversion disorder is a frequent psychiatric diagnose in Turkey. Despite this frequency, factors that determine the dissociative experiences in conversion disorder are not adequately focused. On the other hand it is widely accepted that frustration intolerance may be the key factor in many psychiatric disorders. Alexithymia may also be an important factor for somatoform disorders since there is a deficit in emotion regulation processes. In our study we are going to focus on the factors that predict the dissocative experiences in conversion disorder patients. For this purpose, we have given dissociative experiences scale (DES), Toronto Alexythymia Scale (TAS) and Frustration Discomfort Scale (FDS) to 79 conversion disorder patients. The results showed that the subdimension "emotional intolerance "of FDS significantly predict the presence of dissociative experiences in conversion disorder patients. This result is discussed in consideration of the recent literature.  

Presenter: Aslıhan Dönmez
Affiliation: Professor of Psychiatry Uskudar University-Istanbul,

Title: The Relation Between Frustration Intolerance and Different Kinds of Obesity; such as Emotional Eaters and Food Addicts

The percentage of obesity is increasing with a high rate worldwide. It is one of the leading causes of death since it causes many diseases such as diabetes and coronary heart disease. In 1980 there were 875 million obese people worldwide and in the last 30 years the problem has doubled in number.

Previous views about obesity was mainly focused on over-consumption of unhealthy food, but during the last decades, increased number of studies have shown that obesity can be caused by psychological problems. In this presentation, we will report the results of our study which was conducted with 150 subjects (both obese and normal weight), who were evaluated with Yale Food Addiction Scale, Frustration Intolerance Scale, and Emotional Eating Scale. We hypothesized that the people with low frustration intolerance would show significantly more disordered eating pattern, such as emotional eating and food addiction, than normal weight people.

Presenter: Kadir Özdel
Affiliation: Associate Professor, University of Medical Science, Department of Psychiatry, Diskapi YB Teaching and Research Hospital, Ankara

Title: From casual premenstrual symptoms to premenstrual dysphoric disorder: Relationships between symptom severity, distress tolerance and discomfort tolerance

Authors: Gamze Erzin Şahin, Kadir Özdel, Şenol Bayram, Ozan Kotal, Hasan Kılıç, Erol Göka


Distress tolerance (DT) and Discomfort tolerance are well-established psychological constructs that are related but distinct. Distress tolerance is defined as an individual’s perceived capacity to withstand negative emotional states or the capacity to continue goal-directed behavior in the context of negative affect. As for discomfort tolerance, it mainly is about the capacity to withstand negative bodily sensations. PMDD which consists bodily and psychological symptoms, is a DSM-5 diagnosis determined under the category of depressive disorders. In this study we examined the relationship between distress & discomfort tolerance levels and premenstrual symptoms. We discussed the importance of two relevant psychological constructs on the clinic of premenstrual dysphoric disorder.