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Okayama S, Minihan S, Andrews JL, Daniels S, Grunewald K, Richards M, Wang W, Hasan Y, Schweizer S. Intolerance of uncertainty and psychological flexibility as predictors of mental health from adolescence to old age. Soc Psychiatry Psychiatr Epidemiol 2024:10.1007/s00127-024-02724-z. [PMID: 38981933 DOI: 10.1007/s00127-024-02724-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Accepted: 06/24/2024] [Indexed: 07/11/2024]
Abstract
PURPOSE The COVID-19 pandemic brought with it significant social, economic and health uncertainties. These were proposed to impact young people more compared to adults, leading adolescents to report more mental health problems during the pandemic. The current study examined whether differences in cognitive risk (tolerance of uncertainty) and protective (psychological flexibility) factors accounted for age-related differences in depression and anxiety. METHODS These associations were investigated in the COVID-19 Risks Across the Lifespan (CORAL) cohort (N = 2280, 11-89 years). RESULTS The results showed that adolescents experienced greater intolerance of uncertainty and lower psychological flexibility compared to adults and older adults. Tolerance of uncertainty did not account for age-related differences in depression or anxiety. However, psychological flexibility conferred more protective advantage for anxiety in adults compared to adolescents. CONCLUSION The observed age-related differences in risk and protective factors advance our understanding of developmental vulnerabilities to depression and anxiety. Implications for mental health interventions in the context of future pandemics are discussed.
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Affiliation(s)
- Sakiko Okayama
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Savannah Minihan
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Jack L Andrews
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Sarah Daniels
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Karina Grunewald
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Matthew Richards
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Weike Wang
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Yasmin Hasan
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia
| | - Susanne Schweizer
- Department of Psychology, University of New South Wales, Kensington, Sydney, Australia.
- University of Cambridge, Cambridge, UK.
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2
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Appel H, Sanatkar S. Systematic Search and Scoping Review of Physicians' Intolerance of Uncertainty and Medical Decision-Making Uncertainties During the COVID-19 Pandemic: A Summary of the Literature and Directions for Future Research. J Clin Psychol Med Settings 2024; 31:338-358. [PMID: 37932520 PMCID: PMC11102404 DOI: 10.1007/s10880-023-09974-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2023] [Indexed: 11/08/2023]
Abstract
Pandemic-related uncertainties and intolerance of uncertainty (IU) could negatively affect physicians' well-being and functioning, being associated with experiences of distress and problematic decision-making processes. To summarize the available quantitative and qualitative evidence of physicians' IU and decisional uncertainty during COVID-19 and problems associated with it, a systematic search was conducted to identify all relevant articles describing physician uncertainty with regard to medical decision making and well-being in COVID-19 pandemic conditions. Medical, psychological, and preprint databases were searched. Ten articles met all eligibility criteria, with eight describing quantitative and two describing qualitative research outcomes, assessed primarily in European regions and via online surveys. Associations between IU and symptoms of poor mental health and mental health risk factors were widespread, but inconsistencies emerged. Qualitative studies emphasized decisional uncertainty as a stressor for physicians, and quantitative studies suggest it may have fostered more unproven treatment choices. While the prevalence and impact of physician uncertainty under COVID-19 conditions requires further investigation, sighting available literature indicates that IU coincided with experiences of poor mental health and, at least towards the beginning of the pandemic, with willingness to endorse unproven treatments. Efforts to reduce uncertainty-related problems for physicians seem warranted, for example, through normalizing experiences of uncertainty or reducing avoidable uncertainty through maintaining open and timely communication channels.
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Affiliation(s)
- Helmut Appel
- Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.
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Alfasi Y. We only know that we don't know: attachment patterns and psychological coping during the COVID-19 pandemic - the mediation role of intolerance of uncertainty. THE JOURNAL OF SOCIAL PSYCHOLOGY 2023; 163:806-825. [PMID: 35430955 DOI: 10.1080/00224545.2022.2061326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 03/18/2022] [Indexed: 10/18/2022]
Abstract
The global outbreak of the COVID-19 pandemic created sudden changes in many areas of daily life and increased uncertainty about the future. Two studies examined the association between attachment patterns and mental well-being during the pandemic, the mediating role of intolerance of uncertainty (IOU), and factors related to social relationships and self-perceptions. The results of the first study, conducted at the outbreak of the pandemic, indicated that individuals with high levels of attachment anxiety experienced more negative emotions and fewer positive emotions at that time, and that IOU and perceived social support mediated these associations. The results of the second study, conducted several months into the pandemic, indicated an association between attachment anxiety and avoidance, and perceived stress during the time of the pandemic. Results of Study 2 also indicated that IOU mediated the association between attachment anxiety and stress, and that sense of coherence (SOC) mediated the association between attachment anxiety and avoidance, and stress. These findings underscore the adverse psychological effects of uncertain situations, especially for individuals with a fragile foundation of interpersonal support, thus emphasizing the need for action to reduce uncertainty, especially in times of emergency.
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Polusny MA, Marquardt CA, Hubbling M, Campbell EH, Arbisi PA, Davenport ND, Lim KO, Lissek S, Schaefer JD, Sponheim SR, Masten AS, Noorbaloochi S. Adaptation in Young Military Recruits: Protocol for the Advancing Research on Mechanisms of Resilience (ARMOR) Prospective Longitudinal Study. JMIR Res Protoc 2023; 12:e51235. [PMID: 37792432 PMCID: PMC10585449 DOI: 10.2196/51235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Military services provide a unique opportunity for studying resilience, a dynamic process of successful adaptation (ie, doing well in terms of functioning and symptoms) in response to significant adversity. Despite the tremendous interest in positive adaptation among military service members, little is known about the processes underlying their resilience. Understanding the neurobiological, cognitive, and social mechanisms underlying adaptive functioning following military stressor exposure is essential for enhancing the resilience of military service members. OBJECTIVE The primary objective of the Advancing Research on Mechanisms of Resilience (ARMOR) longitudinal study is to characterize the trajectories of positive adaptation among young military recruits in response to basic combat training (BCT), a well-defined, uniform, and 10-week period of intense stress (aim 1), and identify promotive and protective processes contributing to individual variations in resilience (aim 2). The secondary objective is to investigate the pathways by which neurobehavioral markers of self-regulation assessed using electroencephalography and magnetic resonance imaging contribute to adaptive trajectories (aim 3). METHODS ARMOR is an ongoing, prospective longitudinal cohort study of young military recruits who recently joined the National Guard but have not yet shipped out for BCT. Participants (N=1201) are assessed at 5 time points over the initial >2 years of military service beginning before BCT (baseline) and followed up at 2 weeks and 6, 12, and 18 months after BCT. Participants complete web-based questionnaires assessing vulnerability and protective factors, mental health, and socioemotional functioning at each time point and a battery of neurocognitive tests at time 0. A subset of participants also complete structured diagnostic interviews and additional self-report measures and perform neurobehavioral tasks before and after BCT during electroencephalography sessions and before BCT only during magnetic resonance imaging sessions. RESULTS This UG3/UH3 project was initially funded in August 2017, with the UG3 pilot work completed at the end of 2018. The UH3 phase of the project was funded in March 2019. Study enrollment for the UH3 phase began on April 14, 2019, and ended on October 16, 2021. A total of 1201 participants are enrolled in the study. Follow-up data collection for the UH3 phase is ongoing and projected to continue through February 2024. We will disseminate the findings through conferences, webinars, open access publications, and communications with participants and stakeholders. CONCLUSIONS The ARMOR study provides a rich data set to identify the predictors and mechanisms of resilient and nonresilient outcomes in the context of military stressors, which are intended to empirically inform the development of prevention and intervention strategies to enhance the resilience of military trainees and potentially other young people facing significant life challenges. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/51235.
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Affiliation(s)
- Melissa A Polusny
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Center for Care Delivery and Outcomes Research, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Craig A Marquardt
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Michelle Hubbling
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Emily Hagel Campbell
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Center for Care Delivery and Outcomes Research, Minneapolis, MN, United States
| | - Paul A Arbisi
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Nicholas D Davenport
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Kelvin O Lim
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Shmuel Lissek
- Department of Psychology, University of Minnesota-Twin Cities, Minneapolis, MN, United States
| | - Jonathan D Schaefer
- Department of Psychology, Vanderbilt University, Nashville, TN, United States
| | - Scott R Sponheim
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, United States
- Department of Psychology, University of Minnesota-Twin Cities, Minneapolis, MN, United States
| | - Ann S Masten
- Institute of Child Development, University of Minnesota-Twin Cities, Minneapolis, MN, United States
| | - Siamak Noorbaloochi
- Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States
- Center for Care Delivery and Outcomes Research, Minneapolis, MN, United States
- Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, United States
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Jacoby RJ, Szkutak A, Shin J, Lerner J, Wilhelm S. Feeling uncertain despite knowing the risk: Patients with OCD (but not controls) experience known and unknown probabilistic decisions as similarly distressing and uncertain. J Obsessive Compuls Relat Disord 2023; 39:100842. [PMID: 38249753 PMCID: PMC10795542 DOI: 10.1016/j.jocrd.2023.100842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
Patients with obsessive compulsive disorder (OCD) present as risk-averse and avoidant of feared stimuli, yet the literature examining risk aversion in OCD is conflicting. One possible explanation is that patients may exhibit aversion only on ambiguous tasks where the likelihood of possible outcomes is unknown. To test this idea, the current study assigned 30 patients with OCD versus 30 non-psychiatric controls (NPC) to conditions of known versus unknown risk (i.e., probabilities) on the Beads Task. Importantly, the task involved real financial stakes. We also examined self-reported intolerance of uncertainty (IU) as a mechanism. Results revealed a significant risk information x group interaction for certainty about the decision. Specifically, while NPCs felt significantly less certain on the unknown risk (versus known risk) task, the OCD group felt uncertain regardless of risk information. Results also revealed a significant main effect of group for distress after deciding, such that the OCD group was more distressed across all task versions compared to NPCs. Elevated trait IU was associated with higher task-related distress. Results indicate that even when patients with OCD are given information about likelihoods, they still feel uncertain and experience distress. Findings have clinical implications for addressing risk aversion and ambiguity/uncertainty in treatment.
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Affiliation(s)
- Ryan J. Jacoby
- Massachusetts General Hospital/Harvard Medical School, 185 Cambridge Street, Suite 2000, Boston, MA, 02114, USA
| | - Abigail Szkutak
- Teachers College, Columbia University, 422F Thompson Hall, 525 W 120th Street, New York, NY, 10027, USA
| | - Jin Shin
- Washington University in St. Louis, CB 1125, One Brookings Drive, St. Louis, MO, 63130-4899, USA
| | - Jennifer Lerner
- Harvard Kennedy School,, 79 John F. Kennedy Street, Cambridge, MA 02138, USA
| | - Sabine Wilhelm
- Massachusetts General Hospital/Harvard Medical School, 185 Cambridge Street, Suite 2000, Boston, MA, 02114, USA
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Polusny MA, Marquardt CA, Hubbling S, Campbell EH, Arbisi PA, Davenport ND, Lim KO, Lissek S, Schaefer JD, Sponheim SR, Masten AS, Noorbaloochi S. Advancing Research on Mechanisms of Resilience (ARMOR) Prospective Longitudinal Study of Adaptation in Young Military Recruits: Protocol and rationale for methods and measures. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2023:2023.07.07.23292348. [PMID: 37502945 PMCID: PMC10370239 DOI: 10.1101/2023.07.07.23292348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
Background Military service provides a unique opportunity for studying resilience, a dynamic process of successful adaptation (i.e., doing well in terms of functioning and symptoms) in response to significant adversity. Despite tremendous interest in positive adaptation among military service members, little is known about the processes underlying their resilience. Understanding neurobiological, cognitive, and social mechanisms underlying adaptive functioning following military stressor exposure is essential to enhance the resilience of military service members. Objectives The primary objective of the Advancing Research on Mechanisms of Resilience (ARMOR) longitudinal study is to characterize trajectories of positive adaptation among young military recruits in response to Basic Combat Training (BCT), a well-defined, uniform, 10-week period of intense stress (Aim 1) and identify promotive and protective processes contributing to individual variations in resilience (Aim 2). The secondary objective is to investigate pathways by which neurobehavioral markers of self-regulation assessed by electroencephalography (EEG) and magnetic resonance imaging (MRI) contribute to adaptive trajectories (Aim 3). Methods ARMOR is an ongoing, prospective longitudinal cohort study of young military recruits who recently joined the National Guard but have not yet shipped for BCT. Participants (N=1,201) are assessed at five timepoints over the initial 2+ years of military service beginning before BCT (baseline) and followed up at 2 weeks, 6, 12, and 18 months post-BCT. At each time point, participants complete online questionnaires assessing vulnerability and protective factors, mental health and social-emotional functioning, and, at Time 0 only, a battery of neurocognitive tests. A subset of participants also complete structured diagnostic interviews, additional self-report measures, and perform neurobehavioral tasks before and after BCT during EEG sessions, and, at pre-BCT only, during MRI sessions. Results Study enrollment began April 14, 2019 and ended in October 16, 2021. A total of 1,201 participants are enrolled in the study (68.9% male; mean age = 18.9, SD = 3.0). Follow-up data-collection is ongoing and projected to continue through March 2024. We will disseminate findings through conferences, webinars, open access publications, and communications with participants and stakeholders. Conclusions Results are expected to elucidate how young military recruits adapt to military stressors during the initial years of military service. Understanding positive adaptation of military recruits in the face of BCT has implications for developing prevention and intervention strategies to enhance resilience of military trainees and potentially other young people facing significant life challenges.
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Affiliation(s)
- Melissa A Polusny
- Minneapolis VA Health Care System, Minneapolis, MN
- Center for Care Delivery Outcomes Research, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
| | - Craig A Marquardt
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
| | - Shelly Hubbling
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
| | - Emily Hagel Campbell
- Minneapolis VA Health Care System, Minneapolis, MN
- Center for Care Delivery Outcomes Research, Minneapolis, MN
| | - Paul A Arbisi
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | - Nicholas D Davenport
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
| | - Kelvin O Lim
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
| | - Shumel Lissek
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | | | - Scott R Sponheim
- Minneapolis VA Health Care System, Minneapolis, MN
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | - Ann S Masten
- Institute of Child Development, University of Minnesota, Minneapolis, MN
| | - Siamak Noorbaloochi
- Minneapolis VA Health Care System, Minneapolis, MN
- Center for Care Delivery Outcomes Research, Minneapolis, MN
- Department of Medicine, University of Minnesota Medical School
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Radoman M, Gorka SM. Intolerance of uncertainty and functional connectivity of the anterior insula during anticipation of unpredictable reward. Int J Psychophysiol 2023; 183:1-8. [PMID: 36122824 PMCID: PMC11062179 DOI: 10.1016/j.ijpsycho.2022.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 09/04/2022] [Accepted: 09/11/2022] [Indexed: 01/04/2023]
Abstract
Individuals with high intolerance of uncertainty (IU) tend to display maladaptive cognitive, behavioral, physiological, and/or neural responses during anticipation of uncertain or ambiguous outcomes, both positive and negative in valence. Importantly, high IU has been proposed as a key transdiagnostic phenotypic risk factor for the onset and maintenance of several psychiatric disorders. Within the context of reward processing, high IU has been related to dysfunctional reward anticipation, which may be mediated by hyperactive anterior insula (AIC) response to uncertainty. The present study further investigated the relationship between the AIC and IU by examining the association between individual differences in IU and task-based functional connectivity of the right AIC using functional magnetic resonance imaging (fMRI). Participants (N = 171) completed a self-report measure of IU and a reward anticipation task during fMRI. Generalized psychophysiological interaction (gPPI) analyses were performed with a seed in the right AIC. In the U-threat model, we found that greater self-reported levels of IU were correlated with increased functional connectivity between the right AIC and the dorsal anterior cingulate cortex (dACC) and the right dorsolateral prefrontal cortex (dlPFC). In the P-threat model, we did not find these associations, perhaps indicating that they may be more robust during uncertainty. These preliminary findings suggest that parts of salience and central executive control networks may be impacted by and underlie the expression of IU. Future studies should examine the generalizability of these findings to clinical populations and investigate how disruption of these functional networks may contribute to psychopathology.
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Affiliation(s)
- Milena Radoman
- Department of Psychiatry, University of Illinois at Chicago, 1601 W Taylor Street, Chicago, IL 60612, USA; Department of Anatomy and Cell Biology, University of Illinois at Chicago, 840 S Wood Street, Chicago, IL 60612, USA; The Graduate Program in Neuroscience, University of Illinois at Chicago, 840 S Wood Street, Chicago, IL 60612, USA.
| | - Stephanie M Gorka
- Department of Psychiatry and Behavioral Health, Ohio State University, 1670 Upham Drive, Columbus, OH 43205, USA
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Golets A, Farias J, Pilati R, Costa H. COVID-19 pandemic and tourism: The impact of health risk perception and intolerance of uncertainty on travel intentions. CURRENT PSYCHOLOGY 2023; 42:2500-2513. [PMID: 34539156 PMCID: PMC8436199 DOI: 10.1007/s12144-021-02282-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2021] [Indexed: 10/26/2022]
Abstract
Understanding tourist behavior during and after major tourism crises is essential to help destinations recover. The COVID-19 pandemic - a period of uncertainty and risk - makes it relevant to assess factors that influence travel intentions. There has been little research on tourist behavior during health crises and, in particular, on perceived health risk and uncertainty effects on travel intentions. This study was carried out at the beginning of the pandemic in Brazil and aims to investigate the role of health risk perception and intolerance of uncertainty on travel intentions for 2020 and 2021. We applied an online survey to 1150 Brazilian participants from April to May 2020. Our findings indicate that perceived COVID-19 severity, perceived probability of infection, and expected duration of the pandemic are significant predictors of travel intentions for both years. This paper contributes to a deeper understanding of crisis-resistant tourists' characteristics and provides insights for destinations' recovery.
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Affiliation(s)
- Anastasiya Golets
- grid.7632.00000 0001 2238 5157Centre of Sustainable Development, University of Brasilia, Brasilia, Brazil
| | - Jéssica Farias
- grid.7632.00000 0001 2238 5157Institute of Psychology, University of Brasilia, Brasilia, Brazil
| | - Ronaldo Pilati
- grid.7632.00000 0001 2238 5157Institute of Psychology, University of Brasilia, Brasilia, Brazil
| | - Helena Costa
- grid.7632.00000 0001 2238 5157Faculty of Business Administration, Accounting, Economics and Public Policy Management, University of Brasilia, Brasilia, Brazil
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Raja U, Jahanzeb S, Malik MAR, Baig MUA. Dispositional causes of burnout, satisfaction, and performance through the fear of COVID-19 during times of pandemic. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2022; 72:APPS12417. [PMID: 35942401 PMCID: PMC9349792 DOI: 10.1111/apps.12417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 06/11/2022] [Accepted: 06/25/2022] [Indexed: 11/27/2022]
Abstract
Rooted in research into personality, we propose that the Big Five traits would be related to fear of COVID-19 (FOC), which in turn would lead to heightened job burnout, reduced job satisfaction, and decreased performance. Utilizing a three-wave time-lagged design, we collected our data from employees working in the United States and Canada (N = 300 × 3). We found good support for our hypotheses. Extraversion, neuroticism, and conscientiousness had significant direct effects on FOC. Fear of COVID-19 was positively related to job burnout and negatively related to job satisfaction and performance. Extraversion, neuroticism, and conscientiousness had significant indirect effects on burnout, job satisfaction, and job performance via FOC. Hence, this study identifies a key mechanism, an individual's worry about losing their valuable resources (e.g. their health, and that of their family members and friends, etc.), through which selected dimensions of personality might affect employees' work outcomes. We discuss our findings and provide suggestions for future research in this domain.
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Affiliation(s)
- Usman Raja
- Goodman School of BusinessBrock UniversitySt. CatharinesOntarioCanada
| | - Sadia Jahanzeb
- Goodman School of BusinessBrock UniversitySt. CatharinesOntarioCanada
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Lees T, White R, Zhang X, Ram N, Gatzke-Kopp LM. Decision-making in uncertain contexts: The role of autonomic markers in resolving indecision. Int J Psychophysiol 2022; 177:220-229. [PMID: 35640857 DOI: 10.1016/j.ijpsycho.2022.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 05/23/2022] [Accepted: 05/26/2022] [Indexed: 10/18/2022]
Abstract
Although impulsivity is associated with an increased willingness to make risky decisions, uncertainty intolerance may also contribute to maladaptive decision-making behavior, where individuals neglect to pursue potential rewards even when probabilities for success are in their favor. Several theories have sought to explain the neural systems that guide decision-making in this context, with evidence supporting a role for increased sympathetic activation. However, it remains unclear whether the sympathetic system is associated with greater apprehension in response to uncertain outcomes, or whether it serves to guide behavioral decisions in the context of this uncertainty. Furthermore, although postulated as a within-person process, most research has examined the association between decision behavior and sympathetic activation at the between-person level. We hypothesize that in the context of uncertainty between-person differences in skin conductance will be associated with longer deliberation times; whereas within-person trial-level increases in skin conductance will be associated with a tendency to reject uncertain options. Data were collected from n = 56 children aged 7-11 years, using a computerized card game in which children chose to accept or reject cards of varying point value at varying levels of probability. Skin conductance level (SCL) was recorded throughout the task. No significant between-person associations emerged. However, within-person analyses indicated that momentary deliberation time moderated the association between momentary skin-conductance and decision outcome. This moderation was such that for trials during which the individual deliberated longer (i.e., was more indecisive), a concurrent increase in skin conductance was associated with a significantly higher likelihood of rejecting the card. The within-person nature of these results suggests that skin conductance may help in resolving indecision in the context of uncertainty.
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Affiliation(s)
- Ty Lees
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, 115 Health & Human Development Building, University Park, PA 16802, USA.
| | - Roisin White
- Department of Human Development and Family Studies, The Pennsylvania State University, 115 Health & Human Development Building, University Park, PA 16802, USA
| | - Xutong Zhang
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, St. Joseph's Healthcare Hamilton, West 5th Campus, Administration B3, 100 West 5th Street, Hamilton, Ontario L8N 3K7, Canada.
| | - Nilam Ram
- Departments of Communication and Psychology, Stanford University, Building 120, Room 110, 450 Jane Stanford Way, Stanford University, Stanford 94305, CA, USA.
| | - Lisa M Gatzke-Kopp
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, 115 Health & Human Development Building, University Park, PA 16802, USA; Department of Human Development and Family Studies, The Pennsylvania State University, 115 Health & Human Development Building, University Park, PA 16802, USA.
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11
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Bartoszek G, Ranney RM, Curanovic I, Costello SJ, Behar E. Intolerance of uncertainty and information-seeking behavior: Experimental manipulation of threat relevance. Behav Res Ther 2022; 154:104125. [DOI: 10.1016/j.brat.2022.104125] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 04/21/2022] [Accepted: 05/13/2022] [Indexed: 11/02/2022]
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12
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Hunt C, Exline JJ, Fletcher TL, Teng EJ. Intolerance of uncertainty prospectively predicts the transdiagnostic severity of emotional psychopathology: Evidence from a Veteran sample. J Anxiety Disord 2022; 86:102530. [PMID: 35033969 DOI: 10.1016/j.janxdis.2022.102530] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 11/01/2021] [Accepted: 01/09/2022] [Indexed: 11/16/2022]
Abstract
Intolerance of uncertainty (IU) has been conceptualized as a transdiagnostic vulnerability for emotional psychopathology, but few studies have tested whether it prospectively predicts emotional psychopathology, and none have utilized transdiagnostic and clinician-rated outcomes. To fill this gap, the present study tested whether IU prospectively predicted the clinician-rated severity of transdiagnostic emotional psychopathology six months later in a treatment-seeking Veteran sample. Participants completed the Intolerance of Uncertainty 12-item scale (IUS-12) and the Structured Clinical Interview for the DSM-5 (SCID-5) at Time 1 and again six-months later (Time 2); assessed emotional disorders included both anxiety-related disorders (i.e., post-traumatic stress disorder, generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive compulsive disorder, specific phobia) and depressive conditions (i.e., major depressive disorder and persistent depressive disorder). Linear regression analyses revealed a bidirectional prospective relation between IU and emotional psychopathology, wherein higher Time 1 IUS-12 predicted greater Time 2 emotional disorder severity and greater Time 1 emotional disorder severity predicted higher Time 2 IUS-12. Follow-up analyses revealed that IU prospectively predicted the maintenance (but not the development) of anxiety-related issues, whereas prediction of Time 2 depression was nullified when controlling for Time 1 anxiety pathology. These findings implicate IU as a transdiagnostic vulnerability for emotional psychopathology and suggest the construct can be particularly useful as a treatment target and prognostic indicator for anxiety-related conditions.
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Affiliation(s)
- Christopher Hunt
- Michael E. Debakey Veteran's Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, USA
| | - Julie J Exline
- Department of Psychological Sciences, Case Western Reserve University, 11220 Bellflower Rd., Cleveland, OH 44106, USA
| | - Terri L Fletcher
- Michael E. Debakey Veteran's Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, USA; Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA; South Central Mental Illness Research, Education and Clinical Center, 2450 Holcombe Blvd., Houston, TX 77030, USA
| | - Ellen J Teng
- Michael E. Debakey Veteran's Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, USA; Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA; South Central Mental Illness Research, Education and Clinical Center, 2450 Holcombe Blvd., Houston, TX 77030, USA.
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13
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Farias J, Pilati R. Violating social distancing amid the COVID‐19 pandemic: Psychological factors to improve compliance. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2021. [DOI: 10.1111/jasp.12853] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Jéssica Farias
- Laboratory of Social Psychology, Institute of Psychology, Department of Social and Work Psychology University of Brasilia Brasília Brazil
| | - Ronaldo Pilati
- Laboratory of Social Psychology, Institute of Psychology, Department of Social and Work Psychology University of Brasilia Brasília Brazil
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Rieger E, Prasetya K, Christensen BK, Shou Y. Identifying the contingencies of self-worth associated with eating disorder symptoms: The use of choice-based conjoint analysis. Int J Eat Disord 2021; 54:2167-2179. [PMID: 34713917 DOI: 10.1002/eat.23634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/19/2021] [Accepted: 10/19/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Self-worth contingent on shape/weight is a diagnostic criterion and key maintaining factor for eating disorders. However, the role of other contingencies of self-worth (i.e., domains in which self-worth is invested) is largely unknown. Moreover, research has relied on self-ratings of contingency strength, which are subject to distortion through socially desirable responding and limited self-awareness, and may have limitations in terms of ecological validity. To overcome these limitations, the present study investigated a broad range of contingencies of self-worth in relation to eating disorder pathology and employed a choice-based conjoint (CBC) approach for assessing these contingencies. METHOD Young women and men from the community (N = 428) completed a CBC task to assess the domains in which self-worth is invested, the Eating Disorder Examination Questionnaire (EDE-Q) to assess eating disorder symptomatology, and the Balanced Inventory of Desirable Responding to assess socially desirable responding. RESULTS Beta regression analyses showed that CBC thinness and athletic competence predicted higher scores on all EDE-Q scales. CBC muscularity and facial attractiveness predicted higher scores, while coping ability and quality of relationships predicted lower scores, on various aspects of eating disorder symptoms. CBC social acceptance predicted lower eating disorder symptoms in males only. DISCUSSION The findings suggest that a broader range of contingencies of self-worth beyond shape/weight are relevant to eating disorder pathology and should be considered as potential underlying mechanisms and treatment targets. In addition, this first use of the CBC method in eating disorder research provides initial support for its validity and utility.
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Affiliation(s)
- Elizabeth Rieger
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Kevin Prasetya
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Bruce K Christensen
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Yiyun Shou
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
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YIĞMAN F, FİDAN S. Transdiagnostik Faktör Olarak Belirsizliğe Tahammülsüzlük. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2021. [DOI: 10.18863/pgy.827416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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16
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Du G, Lyu H. Future Expectations and Internet Addiction Among Adolescents: The Roles of Intolerance of Uncertainty and Perceived Social Support. Front Psychiatry 2021; 12:727106. [PMID: 34512423 PMCID: PMC8426547 DOI: 10.3389/fpsyt.2021.727106] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 07/27/2021] [Indexed: 11/13/2022] Open
Abstract
Internet addiction is a common and challenging problem among adolescents. Previous studies have shown that future time orientation is an important protective factor against internet addiction. In this study, the mediating effect of intolerance of uncertainty and the moderating role of perceived social support were examined on the association between future expectations, regarded as the "prospective life course" perspective of future time orientation, and internet addiction among adolescents. A total of 1,006 Chinese adolescents (54% male and 46% female; Mage = 15.42 years, SD = 1.32) recruited from middle schools completed questionnaires. Results indicated that future expectations were significantly negatively associated with internet addiction, and the link was mediated by intolerance to uncertainty in adolescents. Further, the latent moderated structural equation showed that perceived social support moderated the association between future expectations and intolerance of uncertainty. The association was significant only for adolescents with a higher level of perceived social support. The findings of this study provide specific guidelines for how to prevent adolescent internet addiction.
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Affiliation(s)
| | - Houchao Lyu
- Faculty of Psychology, Time Psychology Research Center, Southwest University, Chongqing, China
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17
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Yang Z, Zhao X, Zhu Z, Fu Y, Hu Y. How Patients with an Uncertain Diagnosis Experience Intolerance of Uncertainty: A Grounded Theory Study. Psychol Res Behav Manag 2021; 14:1269-1279. [PMID: 34408511 PMCID: PMC8367199 DOI: 10.2147/prbm.s318263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 07/30/2021] [Indexed: 01/30/2023] Open
Abstract
PURPOSE To develop a conceptual framework to explain how patients with uncertain diagnoses experience intolerance of uncertainty (IU) in order to achieve an in-depth understanding of the process of facing uncertainty in this population. PATIENTS AND METHODS A grounded theory study using semi-structured interviews was conducted with 21 patients with uncertain diagnoses in China from December 2018 to March 2019. The coding process followed the procedures of Strauss and Corbin: open coding, axial coding, and selective coding. RESULTS We developed a conceptual framework called 'Facing an Uncertain Diagnosis'. This framework considers not only the external and internal context of IU generation but also the ongoing process of how IU impacts patients' psychological status, cognitive response, behavior, and decision making. CONCLUSION We suggest that healthcare professionals should be aware of the high level of IU and its psychological, cognitive, and behavioral manifestations in patients with uncertain diagnoses. Healthcare professionals should also be more cautious in shared decision making with patients with uncertain diagnoses.
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Affiliation(s)
- Zhongfang Yang
- School of Nursing, Fudan University, Shanghai, People’s Republic of China
- Fudan University Centre for Evidence-based Nursing: A Joanna Briggs Institute Centre of Excellence, Shanghai, People’s Republic of China
| | - Xia Zhao
- Peking Union Medical College Hospital, Beijing, People’s Republic of China
| | - Zheng Zhu
- School of Nursing, Fudan University, Shanghai, People’s Republic of China
- Fudan University Centre for Evidence-based Nursing: A Joanna Briggs Institute Centre of Excellence, Shanghai, People’s Republic of China
| | - Yanfen Fu
- School of Nursing, Dali University, Dali, Yunnan, Province, People’s Republic of China
| | - Yan Hu
- School of Nursing, Fudan University, Shanghai, People’s Republic of China
- Fudan University Centre for Evidence-based Nursing: A Joanna Briggs Institute Centre of Excellence, Shanghai, People’s Republic of China
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18
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The Mediating Role of Entrepreneurial Mindset between Intolerance of Uncertainty and Career Adaptability. SUSTAINABILITY 2021. [DOI: 10.3390/su13137099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Entrepreneurship education has been employed broadly in higher education, and one of the most popularly targeted outcomes is enhancing entrepreneurial mindset. However, the role of entrepreneurial mindset has not been examined in relation to career adaptability, which has been acknowledged as an important resource for adjustment, especially with the increased uncertainty caused by COVID-19. The current study investigated the relations among intolerance of uncertainty—specifically its sub-factors, prospective anxiety and inhibitory anxiety—career adaptability, and entrepreneurial mindset in 274 Korean college students facing school-to-work transition during COVID-19. The study conducted path analysis and evaluated the mediating effect of entrepreneurial mindset, using a 95% bootstrapping confidence interval, to better understand the role of entrepreneurial mindset in general career development in the context of uncertainty. The results found that inhibitory anxiety had an inverse association with career adaptability and entrepreneurial mindset, while prospective anxiety had a positive relation with career adaptability and entrepreneurial mindset. Entrepreneurial mindset and career adaptability showed a significantly positive relation, and the mediating role of entrepreneurial mindset between intolerance of uncertainty and career adaptability was also supported. Discussions on the role of entrepreneurial mindset are initiated and practical implications for entrepreneurship education are proposed along with the limitations of the study.
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Adaptation of the brief sensation seeking scale in Spanish young adults: Psychometric properties and validity evidence. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-019-00190-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Bavolar J, Kacmar P, Hricova M, Schrötter J, Kovacova-Holevova B, Köverova M, Raczova B. Intolerance of uncertainty and reactions to the COVID-19 pandemic. The Journal of General Psychology 2021; 150:143-170. [PMID: 34006200 DOI: 10.1080/00221309.2021.1922346] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The COVID-19 pandemic has presented a threat to mental health worldwide. The current study aims to investigate the role of intolerance of uncertainty in cognitive, emotional and behavioral reactions to this pandemic and propose a path model of these reactions. In the first two months of the COVID-19 pandemic in Slovakia, participants in a general sample (n = 1,011) as well as an older adult sample (n = 655) completed measures regarding intolerance of uncertainty, mental health (anxiety, well-being, perceived stress) and adherence to preventive measures. Two rounds of data collection were carried out in the first sample. Intolerance of uncertainty was found to be related to mental health indicators and the structural equation model showed a direct and indirect effect on them as well as on the adherence to preventive measures. However, the comparison of data from different time points has brought inconsistent results. The findings highlight the role of intolerance of uncertainty in reaction to threat and indicate the potential of uncertainty reduction e.g., getting clear messages from authorities, as a way of decreasing mental health problems.
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21
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Morriss J, Biagi N, Lonsdorf TB, Andreatta M. The role of intolerance of uncertainty in the acquisition and extinction of reward. Eur J Neurosci 2021; 53:3063-3071. [DOI: 10.1111/ejn.15173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 02/25/2021] [Accepted: 03/02/2021] [Indexed: 12/22/2022]
Affiliation(s)
- Jayne Morriss
- Centre for Integrative Neuroscience and Neurodynamics School of Psychology and Clinical Language Sciences University of Reading Reading UK
| | - Nicolo Biagi
- Centre for Integrative Neuroscience and Neurodynamics School of Psychology and Clinical Language Sciences University of Reading Reading UK
| | - Tina B. Lonsdorf
- Institute for Systems Neuroscience University Medical Center Hamburg‐Eppendorf Hamburg Germany
| | - Marta Andreatta
- Department of Psychology, Education & Child Studies Erasmus University Rotterdam Rotterdam The Netherlands
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22
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van Elburg A, Danner UN, Sternheim LC, Lammers M, Elzakkers I. Mental Capacity, Decision-Making and Emotion Dysregulation in Severe Enduring Anorexia Nervosa. Front Psychiatry 2021; 12:545317. [PMID: 33776810 PMCID: PMC7991306 DOI: 10.3389/fpsyt.2021.545317] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 01/28/2021] [Indexed: 12/20/2022] Open
Abstract
Severe and Enduring Anorexia Nervosa (SE-AN) is a chronic eating disorder characterized by long-term starvation and its physical and psychological sequelae, and severe loss of quality of life. Interactions between neurobiological changes caused by starvation, vulnerability (personality) traits, and eating behaviors play a role. Several other factors, such as increased fear and decreased social cognition, have also been found in relation to SE-AN. With this in mind, we aim to add to the understanding of SE-AN by introducing the concept of mental capacity (MC), which refers to the ability to understand and process information-both on a cognitive and an emotional level-and then make a well-informed choice. MC may be an important construct within the context of SE-AN. Furthermore, we will argue how impaired decision-making processes may underlie, fuel, or contribute to limited MC in SE-AN. We will speculate on the importance of dysfunctional emotion processing and anxiety-related processes (e.g., a high intolerance of uncertainty) and their potential interaction with decision-making. Lastly, we will propose how these aspects, which to our knowledge have previously received little attention, may advise research and treatment or help in dealing with the "want but cannot" situation of life-threatening AN.
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Affiliation(s)
- Annemarie van Elburg
- Department of Clinical Psychology, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands.,Rintveld Center for Eating Disorders, Altrecht Mental Health Institute, Zeist, Netherlands
| | - Unna Nora Danner
- Department of Clinical Psychology, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands.,Rintveld Center for Eating Disorders, Altrecht Mental Health Institute, Zeist, Netherlands
| | - Lot Catharina Sternheim
- Department of Clinical Psychology, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands
| | | | - Isis Elzakkers
- Rintveld Center for Eating Disorders, Altrecht Mental Health Institute, Zeist, Netherlands
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Byrne KA, Peters C, Willis HC, Phan D, Cornwall A, Worthy DA. Acute stress enhances tolerance of uncertainty during decision-making. Cognition 2020; 205:104448. [PMID: 32927385 DOI: 10.1016/j.cognition.2020.104448] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 07/15/2020] [Accepted: 08/26/2020] [Indexed: 02/07/2023]
Abstract
Acute stress has been shown to influence reward sensitivity, feedback learning, and risk-taking during decision-making, primarily through activation of the hypothalamic pituitary axis (HPA). However, it is unclear how acute stress affects decision-making among choices that vary in their degree of uncertainty. To address this question, we conducted two experiments in which participants repeatedly chose between two options-a high-uncertainty option that offered highly variable rewards but was advantageous in the long-term, and a low-uncertainty option that offered smaller yet more consistent rewards. The Socially Evaluated Cold Pressor Task (SECPT) was utilized to induce acute stress. Participants in Experiment 1 (N = 114) were exposed to either the SECPT or a warm-water control condition and then completed the decision-making under uncertainty task. Compared to the control condition, those exposed to the acute stress manipulation chose the high-uncertainty option that provided highly variable but larger rewards over the option that provided stable, smaller rewards. Experiment 2 (N = 95) incorporated a salivary cortisol measure. Results replicated the behavioral findings in Experiment 1 and demonstrated that the acute stress manipulation increased salivary cortisol. This work suggests that moderate acute stress is associated with tolerance of outcome variability in contexts that depend on learning to maximize rewards.
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Affiliation(s)
| | | | | | - Dana Phan
- Clemson University, United States of America
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DeSerisy M, Musial A, Comer JS, Roy AK. Functional connectivity of the anterior insula associated with intolerance of uncertainty in youth. COGNITIVE, AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2020; 20:493-502. [PMID: 32124254 PMCID: PMC7272284 DOI: 10.3758/s13415-020-00780-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Intolerance of uncertainty (IU) is a trait characteristic marked by distress in the face of insufficient information. Elevated IU has been implicated in the development and maintenance of anxiety disorders, particularly during adolescence, which is characterized by dramatic neural maturation and the onset of anxiety disorders. Previous task-based work implicates the bilateral anterior insula in IU. However, the association between anterior insula intrinsic functional connectivity (iFC) and IU has not been examined in adolescents. Fifty-eight healthy youth (mean age = 12.56; 55% boys) completed the Intolerance of Uncertainty Scale for Children (IUSC-12) and a 6-minute resting state fMRI scan. Group-level analyses were conducted using a random-effects, ordinary least-squares model, including IUSC-12 scores (Total, Inhibitory subscale, Prospective subscale), and three nuisance covariates (age, sex, and mean framewise displacement). IUSC-12 Inhibitory subscale scores were predictive of iFC between the left and right anterior insula and right prefrontal regions. IUSC-12 Prospective subscale scores significantly predicted iFC between the anterior insula and the anterior cingulate cortex. IUSC-12 total scores did not predict significant iFC of the bilateral anterior insula. Follow-up analyses, including anxiety (MASC Total Score) in the models, failed to find significant results. This could suggest that the associations found between IUSC-12 scores and anterior insula iFC are not unique to IU and, rather, reflect a broader anxiety-related connectivity pattern. Further studies with larger samples are needed to tease apart unique associations. These findings bear significance in contributing to the literature evaluating the neural correlates of risk factors for anxiety in youth.
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Affiliation(s)
- Mariah DeSerisy
- Fordham University, Dealy Hall 436, 441 East Fordham Road, Bronx, NY, 10458, USA.
| | - Alec Musial
- Fordham University, Dealy Hall 436, 441 East Fordham Road, Bronx, NY, 10458, USA
| | | | - Amy K Roy
- Fordham University, Dealy Hall 436, 441 East Fordham Road, Bronx, NY, 10458, USA
- Hassenfeld Children's Hospital of New York at NYU Langone Child Study Center, New York, NY, USA
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Intolerance of uncertainty and eating disorder behaviour: Piloting a consumption task in a non-clinical sample. J Behav Ther Exp Psychiatry 2019; 65:101492. [PMID: 31202086 DOI: 10.1016/j.jbtep.2019.101492] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 05/28/2019] [Accepted: 05/30/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND OBJECTIVES Intolerance of uncertainty (IU) is a transdiagnostic process contributing to the maintenance of anxiety disorders, and is a potential target for treatment. Recent literature has investigated IU as a cognitive process underpinning pathological fear and anxiety in Anorexia Nervosa (AN). The current study was designed to examine trait and state IU, and their relationship to restrictive eating disorder symptoms, anxiety, worry, cognitive rigidity and eating behaviour. METHODS A sample of undergraduate women (N = 85) completed measures of eating disorder symptoms, IU, cognitive rigidity and worry. Participants were randomised to complete an eating task under one of two conditions: the "certain" condition received a high-calorie meal and nutritional information, while the "uncertain" condition received the meal alone. During the meal, state IU and state anxiety were examined at three time-points (baseline, pre-eating, post-eating). RESULTS Trait IU was correlated with cognitive rigidity, worry, global eating disorder symptoms, and, in particular, dietary restraint. No differences emerged between conditions with respect to eating-related anxiety, or amount of food eaten. Controlling for condition and eating disorder symptoms, state IU predicted pre-eating anxiety. Beyond the contribution of condition, BMI and eating disorder symptoms, state IU predicted consumption, specifically greater dietary restriction. LIMITATIONS The study employed a non-clinical sample. CONCLUSIONS IU may be implicated in a rigid cognitive style, the anxiety response to energy-dense food, and restrictive eating behaviour. Should these findings be replicated in a clinical sample, then IU might emerge as an adjunctive treatment target for AN.
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Neither wrong nor right: Theta and delta power increase during performance monitoring under conditions of uncertainty. Int J Psychophysiol 2019; 146:225-239. [DOI: 10.1016/j.ijpsycho.2019.09.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 08/08/2019] [Accepted: 09/27/2019] [Indexed: 12/21/2022]
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Adib-Rad H, Basirat Z, Faramarzi M, Mostafazadeh A, Bijani A. Psychological distress in women with recurrent spontaneous abortion: A case-control study. Turk J Obstet Gynecol 2019; 16:151-157. [PMID: 31673466 PMCID: PMC6792057 DOI: 10.4274/tjod.galenos.2019.88899] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Accepted: 06/09/2019] [Indexed: 12/29/2022] Open
Abstract
Objective The aim of the present study was to evaluate psychological problems in women with recurrent spontaneous abortion (RSA). Materials and Methods In this case-control study, 115 women with RSA were assigned to the case group and 240 non-pregnant women comprised the control group. The revised version of the Symptom Checklist-90 (SCL-90-R) and the Intolerance of Uncertainty scale (IUS) were used for assessing mental health problems. Results The results showed that the mean Global Severity Index (GSI) of the SCL-90-R and the IUS scores in the case and control groups were 109.10±59.85 and 68.91±22.17, and 82.98±52.99 and 59.19±23.01, respectively. GSI was the strongest predictor of RSA [odds ratio (OR)=6.43; 95% confidence interval (CI): 3.52-11.72]. The chance estimate of RSA was approximately 2.1 times higher in women in rural areas (OR=2.07; 95% CI: 1.16-3.69), and 2 times higher at 12 months after the last pregnancy (OR=1.99; 95% CI: 1.42-2.78). Conclusion Psychological problems are greater after RSA. Therefore, it is suggested that the treatment of RSA emphasizes psychological counseling and psychological management.
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Affiliation(s)
- Hajar Adib-Rad
- Babol University of Medical Sciences, Institute of Health Research, Infertility and Reproductive Health Research Center, Babol, Iran
| | - Zahra Basirat
- Babol University of Medical Sciences, Institute of Health Research, Infertility and Reproductive Health Research Center, Babol, Iran
| | - Mahbobeh Faramarzi
- Babol University of Medical Sciences, Institute of Health Research, Infertility and Reproductive Health Research Center, Babol, Iran
| | - Amrollah Mostafazadeh
- Babol University of Medical Sciences, Institute of Health Research, Cellular and Molecular Biology Research Center, Babol, Iran
| | - Ali Bijani
- Babol University of Medical Sciences, Institute of Health Research, Social Determinants of Health Research Center, Babol, Iran
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Fallowfield L, Solis-Trapala I, Starkings R, Catt S, May S, Jenkins V. Talking about risk in the context of genomic tests (TARGET): development and evaluation of an educational program for clinicians. Breast Cancer Res Treat 2019; 177:641-649. [PMID: 31201584 PMCID: PMC6745030 DOI: 10.1007/s10549-019-05316-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 06/06/2019] [Indexed: 11/25/2022]
Abstract
Purpose Gene expression profiling (GEP) test scores calculate risks of recurrence and likely benefit of adjuvant chemotherapy in ER-positive, HER2-negative, early-stage breast cancer. As health literacy and numeracy skills in the general population are poor, healthcare professionals (HCPs) require a wide repertoire of communication skills to explain clearly risk of recurrence scores (RSs) and uncertainty. We developed and evaluated an educational program for HCPs discussing GEP test results and adjuvant treatment. Methods Eight-hour workshops contained elements aimed at improving knowledge, communication skills and self-awareness; these included the science underpinning GEP tests, an interactive risk psychology lecture, exercises and facilitated group discussions regarding seven filmed scenarios involving discussions about high, intermediate and low RSs. Attendees were recorded explaining RSs with patient simulators pre and post workshop. Researchers, blinded to time point, analysed recordings using a study-specific scoring system. Primary objective outcomes were improvements post workshop in HCPs’ competence and confidence when communicating 17 pre-specified key information areas. We estimated odds ratios (OR) using conditional logistic regression to compare pre- and post-workshop scores. Results 65 HCPs attended. Objective analyses revealed significant positive shifts post workshop which included explaining GEP tests (OR 2.98; 95% CI 1.38–6.42; P = .001), recurrence RSs (OR 3.99; 95% CI 1.72–9.25; P < .001), benefits of chemotherapy (OR 3.99; 95% CI 1.82–8.75; P < .001; and harms OR 2.31; 95% CI 1.37–3.92; P < .001) using jargon free language (OR 5.29; 95% CI 2.27–12.35; P < .001). Patient simulator assessments also showed significant improvements as did HCPs’ self-assessments and ratings of their self-confidence when discussing different GEP tests with diverse patient types (P < .001). Conclusion These short, intensive, interactive TARGET workshops significantly improved HCPs’ communication about GEP results in ways likely to promote more informed decision-making by patients about chemotherapy. Electronic supplementary material The online version of this article (10.1007/s10549-019-05316-7) contains supplementary material, which is available to authorised users.
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Affiliation(s)
- L Fallowfield
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RX, UK.
| | - I Solis-Trapala
- Faculty of Medicine and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK
| | - R Starkings
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RX, UK
| | - S Catt
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RX, UK
| | - S May
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RX, UK
| | - V Jenkins
- Sussex Health Outcomes Research & Education in Cancer (SHORE-C), Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RX, UK
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Morriss J. What do I do now? Intolerance of uncertainty is associated with discrete patterns of anticipatory physiological responding to different contexts. Psychophysiology 2019; 56:e13396. [DOI: 10.1111/psyp.13396] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 04/29/2019] [Accepted: 04/30/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Jayne Morriss
- Centre for Integrative Neuroscience and Neurodynamics, School of Psychology and Clinical Language Sciences University of Reading Reading UK
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Bottesi G, Carraro E, Martignon A, Cerea S, Ghisi M. “I’m Uncertain: What Should I Do?”: an Investigation of Behavioral Responses to Everyday Life Uncertain Situations. Int J Cogn Ther 2019. [DOI: 10.1007/s41811-019-00040-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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Uljarević M, Labuschagne I, Bobin R, Atkinson A, Hocking DR. Brief Report: The Impact of Sensory Hypersensitivity and Intolerance of Uncertainty on Anxiety in Williams Syndrome. J Autism Dev Disord 2018; 48:3958-3964. [PMID: 29948532 DOI: 10.1007/s10803-018-3631-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
This study explored the interrelationship between intolerance of uncertainty, sensory hyper-sensitivity and anxiety in Williams syndrome (WS). Thirty-two parents or guardians of individuals with WS (Mage = 24.76 years, SD = 7.55) were included. Associations between anxiety, intolerance of uncertainty, sensory hyper-sensitivity, and ASD symptoms were assessed. Linear regression analysis revealed that intolerance of uncertainty and sensory hyper-sensitivity were unique independent predictors of anxiety, while social communication score was not. There was evidence of a mediating effect of sensory hyper-sensitivity on the relationship between intolerance of uncertainty and anxiety. These findings bear strong resemblance to the pattern seen in ASD and emphasize the need for development of anxiety interventions that attempt to reduce negative beliefs about unpredictable situations in WS.
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Affiliation(s)
- Mirko Uljarević
- Stanford Autism Center, Department of Psychiatry and Behavioral Sciences, Child and Adolescent Psychiatry, School of Medicine, Stanford University, Stanford, CA, 94305, USA
| | - Izelle Labuschagne
- School of Psychology, Australian Catholic University, Melbourne, VIC, Australia
| | - Rebecca Bobin
- School of Psychology, Australian Catholic University, Melbourne, VIC, Australia
| | - Anna Atkinson
- Developmental Neuromotor & Cognition Lab, School of Psychology and Public Health, La Trobe University, Bundoora, Melbourne, VIC, 3086, Australia
| | - Darren R Hocking
- Developmental Neuromotor & Cognition Lab, School of Psychology and Public Health, La Trobe University, Bundoora, Melbourne, VIC, 3086, Australia.
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Lauderdale SA, Martin KJ, Moore J. Aversive Indecisiveness Predicts Risks for and Symptoms of Anxiety and Depression Over Avoidant Indecisiveness. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2018. [DOI: 10.1007/s10942-018-0302-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sternheim L, Harrison A. The acceptability, feasibility and possible benefits of a group-based intervention targeting intolerance of uncertainty in adolescent inpatients with anorexia nervosa. COGENT PSYCHOLOGY 2018. [DOI: 10.1080/23311908.2018.1441594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Affiliation(s)
- L. Sternheim
- Faculty of Social Sciences, Clinical Psychology, Utrecht University, Heidelberglaan 1, Utrecht 3584 CS, The Netherlands
| | - A. Harrison
- Department of Psychology and Human Development, University College London, Institute of Education, 25 Woburn Square, London WC1H 0AA, UK
- Ellern Mede Service for Eating Disorders, The Ridgeway, Mill Hill, London NW5, UK
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Tanovic E, Gee DG, Joormann J. Intolerance of uncertainty: Neural and psychophysiological correlates of the perception of uncertainty as threatening. Clin Psychol Rev 2018; 60:87-99. [DOI: 10.1016/j.cpr.2018.01.001] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 01/05/2018] [Accepted: 01/05/2018] [Indexed: 12/20/2022]
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Sternheim LC, Fisher M, Harrison A, Watling R. Predicting intolerance of uncertainty in individuals with eating disorder symptoms. J Eat Disord 2017; 5:26. [PMID: 28883918 PMCID: PMC5580198 DOI: 10.1186/s40337-017-0152-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 05/10/2017] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Intolerance of Uncertainty (IU) is recognized for its contribution to various psychopathologies, in particular anxiety and depression. Studies highlight the relevance of IU for Eating Disorders (EDs) however, potential factors contributing to IU in EDs remain unstudied. METHODS Three hundred and forty-nine women with ED symptoms and 214 individuals without ED symptoms were recruited and compared on levels of IU, insecure (anxious and avoidant) attachment styles, extraversion and openness. Secondly, the contribution of these factors to IU were tested. RESULTS Compared to the non-ED group, the ED group scored higher on IU, insecure attachment, and lower on extraversion and openness. Regression analyses confirmed that higher insecure attachment, and lower extraversion predicted higher IU scores in the ED group, and that insecure attachment predicted higher IU scores in the non-ED group. CONCLUSIONS Results confirm the relevance of IU to ED, and demonstrate that personality traits and insecure attachment styles contribute to IU in ED. Findings add to the growing literature on IU in ED and suggest that people with EDs may benefit from clinical interventions targeting IU.
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Affiliation(s)
- Lot C. Sternheim
- Department of Psychology, Utrecht University, Utrecht, The Netherlands
- Social, Health and Organisation Psychology, Faculty of Social Sciences, Utrecht University, Heidelberglaan 1, 3584 CS Utrecht, The Netherlands
| | - Martin Fisher
- School of Psychotherapy & Psychology, Regent’s University London, London, UK
| | - Amy Harrison
- School of Psychotherapy & Psychology, Regent’s University London, London, UK
- Ellern Mede Service for Eating Disorders, London, UK
| | - Rosamond Watling
- School of Psychotherapy & Psychology, Regent’s University London, London, UK
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Dekkers LMS, Jansen BRJ, Salemink E, Huizenga HM. Intolerance of Uncertainty Scale: Measurement invariance among adolescent boys and girls and relationships with anxiety and risk taking. J Behav Ther Exp Psychiatry 2017; 55:57-65. [PMID: 27914319 DOI: 10.1016/j.jbtep.2016.11.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Revised: 10/13/2016] [Accepted: 11/18/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND OBJECTIVES Adolescence-related increases in both anxiety and risk taking may originate in variability in Intolerance of Uncertainty (IU), rendering the study of IU of importance. We therefore studied the psychometric properties of the Intolerance of Uncertainty Scale-Short version (IUS-12), including its associations with trait anxiety and risk taking, among adolescents. METHODS A sample of 879 Dutch adolescents, from diverse educational levels, and with an equal distribution of boys and girls, was classically tested. To obtain indices of IU, and self-reported trait anxiety and need for risk taking, questionnaires were administrated; to obtain an index of risk taking behavior, adolescents performed a risk taking task. RESULTS Multi-group Confirmatory Factor Analyses revealed that the IUS-12 consists of a Prospective and an Inhibitory IU subscale, which are partially measurement invariant across sex. Cronbach's alphas and item-total correlations revealed that the IUS-12 and its subscales have reasonable-to-good internal consistency. Correlational analyses support convergent validity, as higher IUS-12 scores were related to, respectively, higher and lower levels of self-reported trait anxiety and need for risk taking. However, we found no relationship between IUS-12 scores and risk taking behavior, operationalized by performance on the risk taking task. LIMITATIONS A community, instead of clinical, sample was included. Also, IU was measured by a paper-and-pencil version of the IUS-12, instead of a computerized version. CONCLUSIONS The IUS-12 has good psychometric properties and may be a central measure to assess IU, which enables to explain the adolescence-related increase in both anxiety and risk taking.
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Affiliation(s)
- Laura M S Dekkers
- Department of Developmental Psychology, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands; Yield, Research Institute of Child Development and Education, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
| | - Brenda R J Jansen
- Department of Developmental Psychology, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands; Yield, Research Institute of Child Development and Education, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands; ABC, Amsterdam Brain and Cognition Center, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands.
| | - Elske Salemink
- Department of Developmental Psychology, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands; Yield, Research Institute of Child Development and Education, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands; ABC, Amsterdam Brain and Cognition Center, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands.
| | - Hilde M Huizenga
- Department of Developmental Psychology, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands; Yield, Research Institute of Child Development and Education, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands; ABC, Amsterdam Brain and Cognition Center, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands.
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Intolerance of uncertainty and adolescent sleep quality: The mediating role of worry. PERSONALITY AND INDIVIDUAL DIFFERENCES 2017. [DOI: 10.1016/j.paid.2016.12.025] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Mishra S, Lalumière ML. Associations Between Delay Discounting and Risk-Related Behaviors, Traits, Attitudes, and Outcomes. JOURNAL OF BEHAVIORAL DECISION MAKING 2016. [DOI: 10.1002/bdm.2000] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Sandeep Mishra
- Faculty of Business Administration; University of Regina; Regina Saskatchewan Canada
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Mosca O, Lauriola M, Carleton RN. Intolerance of Uncertainty: A Temporary Experimental Induction Procedure. PLoS One 2016; 11:e0155130. [PMID: 27254099 PMCID: PMC4890765 DOI: 10.1371/journal.pone.0155130] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2015] [Accepted: 04/25/2016] [Indexed: 11/28/2022] Open
Abstract
Background and Objectives Intolerance of uncertainty (IU) is a trans-diagnostic construct involved in anxiety and related disorders. Research focused on cross-sectional reporting, manipulating attitudes toward objective and impersonal events or on treatments designed to reduce IU in clinical populations. The current paper presents an experimental procedure for laboratory manipulations of IU and tests mediation hypotheses following the Intolerance of Uncertainty Model. Methods On pre-test, undergraduate volunteers (Study 1, n = 43;68% women. Study 2, n = 169;83.8% women) were asked to provide an idiosyncratic future negative life event. State-IU, Worry, Positive and Negative Affect were assessed after that a standardized procedure was used to identify event’s potential negative consequences. The same variables were assessed on post-test, after that participants were asked to read-through increasing and decreasing IU statements. Results Temporary changes on IU were consistently reproduced in both studies. Participants receiving increasing IU instructions reported greater state-IU, Worry and Negative Affect than those receiving decreasing IU instructions. However, this latter condition was not different from a control one (Study 2). Both studies revealed significant indirect effects of IU induction instructions on Worry and Negative Affect through state-IU. Limitations Both studies used undergraduate psychology students samples, younger than average population and predominantly female. Experimental manipulation and outcome measures belongs to the same semantic domain, uncertainty, potentially limiting generalizability. Conclusions Results supported the feasibility and efficacy of the proposed IU manipulation for non-clinical sample. Findings parallel clinical research showing that state-IU preceded Worry and Negative Affect states.
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Affiliation(s)
- Oriana Mosca
- Department of Social and Developmental Psychology, University of Rome ‘Sapienza’, Rome, Italy
- * E-mail:
| | - Marco Lauriola
- Department of Social and Developmental Psychology, University of Rome ‘Sapienza’, Rome, Italy
| | - R. Nicholas Carleton
- The Anxiety and Illness Behaviour Laboratory, University of Regina, Regina, Saskatchewan, Canada
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