Distress tolerance (DT) is a transdiagnostic risk factor for psychopathology. The Behavioral Indicator of Resiliency to Distress (BIRD) task assesses DT by measuring task persistence in the face of distress. BIRD task performance has been associated with internalizing and externalizing symptoms in nonclinical youth, but these relationships have not been explored in clinical youth. Validating this task in a clinical sample would clarify its utility as a more objective indicator of DT. We aimed to investigate the correlates and predictors of BIRD task performance in a clinical sample of 348 youth assessed at pretreatment in community mental health clinics (CMHC; n = 209; ages 12–18; 66.8% female) or at a university-based research clinic (RC; n = 139; ages 10–18; 49.6% female). We aimed to evaluate the concurrent validity of the BIRD task by examining the associations between quitting the task and pre-task subjective units of distress (SUDs) and youth- and parent-reported anxiety, depressive, and externalizing symptoms, as well as youth-reported DT. Youth who reported greater subjective units of distress (SUDS) prior to the task reported greater anxiety and depressive symptoms, externalizing symptoms, and poorer DT. Those who quit the task early reported greater parent-reported school and separation anxiety. Surprisingly, fewer participants quit the task in this study compared with previous studies. The current results provide evidence that the BIRD may not be measuring the same construct as self-reported DT. Whereas a self-report measure captures one’s perceived ability to handle negative emotions, the BIRD captures one’s actual ability to persist in the face of frustration. These results suggest that youth’s perception of their ability to handle negative emotions may be distinct from their actual persistence when faced with distress. Assessing both perceived and actual DT may have clinical utility for youth with internalizing symptoms.

中文翻译：

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一项以大学和社区为基础的情绪障碍青年样本中的抗应激任务行为指标（BIRD）行为指标的验证和临床相关性

遇险耐受性（DT）是精神病理学的一种经诊断的危险因素。遇险弹性行为指标（BIRD）任务通过在面对困境时测量任务的持久性来评估DT。BIRD的任务表现与非临床青年的症状内在化和外在化有关，但尚未在临床青年中探讨这些关系。在临床样品中验证此任务将阐明其作为DT的更客观指标的效用。我们旨在调查社区心理健康诊所（CMHC；n  = 209； 12-18岁；女性66.8％）或在大学研究中接受评估的348名青年的临床样本中，BIRD任务绩效的相关性和预测因素。诊所（RC; n = 139; 10-18岁；女性占49.6％）。我们的目标是通过检查退出任务和任务前主观病情单元（SUD）与青少年和父母报告的焦虑，抑郁和外在症状以及青少年之间的关联性来评估BIRD任务的并发有效性。报告的DT。在任务前报告较大的主观困扰单位（SUDS）的青年报告其焦虑和抑郁症状，外在症状和DT较差。那些早日退出任务的人报告说，父母报告的学校和分居焦虑更高。令人惊讶的是，与以前的研究相比，本研究中退出该任务的参与者更少。目前的结果提供了证据，表明BIRD可能无法测量与自我报告的DT相同的结构。而自我报告的措施可以捕捉到自己的BIRD拥有感知到的处理负面情绪的能力，可以捕捉面对挫折时坚持不懈的实际能力。这些结果表明，青年对自己处理不良情绪的能力的认识可能与他们在面对困境时的持久性有所不同。评估感知的和实际的DT对具有内在症状的年轻人可能具有临床效用。