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Fensken M, Forzano LAB, Soda L. The Relationship Between Negative Urgency and Anxiety and Worry in American College Students. Psychol Rep 2024:332941241264483. [PMID: 39031972 DOI: 10.1177/00332941241264483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2024]
Abstract
The primary objective was to assess the degree to which intolerance of uncertainty accounts for the association between negative urgency and anxiety and worry. The sample included 389 American college students from a state college in the Northeastern United States. Hayes' PROCESS v4.1 (2022) macro was used to investigate the mediating effects of intolerance of uncertainty on the relationship between negative urgency and worry and anxiety. A direct effect of negative urgency on worry was found and a mediating effect of intolerance of uncertainty was observed. A direct effect of negative urgency on state anxiety was found, and a mediating effect of intolerance of uncertainty was observed. The study advances support for the mediatory role of intolerance of uncertainty between negative urgency and anxiety and worry in American college students.
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Affiliation(s)
- Michael Fensken
- Department of Psychology, State University of New York-Brockport, Brockport, NY, USA
| | - Lori-Ann B Forzano
- Department of Psychology, State University of New York-Brockport, Brockport, NY, USA
| | - Lauren Soda
- Department of Psychology, State University of New York-Brockport, Brockport, NY, USA
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Laposa JM, Katz DE, Lisi DM, Hawley LL, Quigley L, Rector NA. Longitudinal changes in intolerance of uncertainty and worry severity during CBT for generalized anxiety disorder. J Anxiety Disord 2022; 91:102623. [PMID: 35994883 DOI: 10.1016/j.janxdis.2022.102623] [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: 12/20/2021] [Revised: 06/17/2022] [Accepted: 08/11/2022] [Indexed: 10/15/2022]
Abstract
Intolerance of uncertainty (IU) is a key construct in generalized anxiety disorder (GAD), but little is known about the concurrent and temporal patterns of associations between IU and GAD symptom severity during treatment. In addition, most of the extant literature focuses on IU as a unidimensional construct, whereas some researchers conceptualize IU as being comprised of two dimensions, inhibitory and prospective IU. Ninety individuals with GAD completed measures of IU and worry severity at pre-treatment, session 4, session 8, and end of treatment (session 12), during group-based cognitive behavior therapy (CBT) for GAD. Longitudinal multilevel modeling showed that IU predicted worry severity concurrently, but not prospectively over time; this pattern of associations was found with the total IUS score and the inhibitory (but not prospective) subscale score. Further, the relationship between IU total scores and worry severity became stronger over time. The relationship between inhibitory (but not prospective) IU and worry also became stronger over time. When the order of the variables in the model was reversed, worry severity also predicted concurrent but not future IU. Therefore, change in IU is associated with change in worry throughout the course of CBT, particularly as treatment progresses, though its directional association as a cause and/or effect remains unclear.
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Affiliation(s)
- Judith M Laposa
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, 100 Stokes St., Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Ontario, Canada.
| | - Danielle E Katz
- Forest Hill Centre for Cognitive Behavioural Therapy, 439 Spadina Road, Toronto, Ontario, Canada
| | - Diana M Lisi
- Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada
| | - Lance L Hawley
- Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Ontario, Canada; Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada
| | - Leanne Quigley
- Ferkauf Graduate School of Psychology, 1165 Morris Park Ave, The Bronx, NY, United States
| | - Neil A Rector
- Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Ontario, Canada; Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada
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Yao N, Yang Y, Huang S. Validation of the Chinese Version of the Perseverative Thinking Questionnaire. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-022-00470-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Intolerance of Uncertainty Relates to Anxiety and Depression Through Negative Coping and Worry: Evidence from a Repeated-Measures Study. Int J Cogn Ther 2022. [DOI: 10.1007/s41811-021-00130-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Kennedy C, Deane FP, Chan AY. Intolerance of uncertainty and psychological symptoms among people with a missing loved one: Emotion regulation difficulties and psychological inflexibility as mediators. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2021. [DOI: 10.1016/j.jcbs.2021.05.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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