1
|
Chaaya R, Hallit R, Postigo A, Malaeb D, Sakr F, Dabbous M, Alhuwailah A, Shuwiekh HAM, Obeid S, Fekih-Romdhane F, Hallit S. Psychometric properties of the Arabic version of the intolerance of uncertainty scale: a multinational study. BMC Psychol 2024; 12:156. [PMID: 38491549 PMCID: PMC10943895 DOI: 10.1186/s40359-024-01631-x] [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: 11/18/2023] [Accepted: 02/28/2024] [Indexed: 03/18/2024] Open
Abstract
INTRODUCTION It is common for people to experience anxiety when contemplating their unknown future. Studies have shown that those who tend to worry more about their future are more likely to be intolerant of uncertainty. In order to study the way people from the Middle East tackle uncertainty, a valid and reliable scale is needed. In this context, the present study aimed to examine the psychometric properties of the Arabic version of the 12-item Intolerance of Uncertainty Scale (IUS-12) in a community sample of native Arabic-speaking participants from Lebanon, Egypt, and Kuwait. METHODS A sample of 2038 university students answered the survey, with a mean age of 22.30 ± 4.15 years and 77.5% females. A Google Form link was dissipated among participants that included some demographic questions, the IUS-12 and the Depression, Anxiety and Stress Scale (DASS-8). RESULTS Following the confirmatory factor analysis (CFA), a bi-dimensional model of the Arabic version of the IUS-12 was found. The scale showed an excellent internal reliability for the prospective anxiety (ω = 0.85 / α = 0.85) and inhibitory anxiety (ω = 0.87 / α = 0.87). Additionally, the results illustrated configural, metric, and scalar invariance across genders and countries. Furthermore, Egypt and Lebanon were seen to have statistically significant higher levels of inhibitory anxiety compared to Kuwait, while only Egypt showed statistically significant higher prospective anxiety compared to Kuwait. Finally, higher psychological distress was significantly and positively associated with higher prospective and inhibitory anxiety. CONCLUSION The results of this study provide support for the psychometric reliability and validity of the Arabic version of the IUS-12, allowing for its generalizability and suitability for use among individuals from different Arabic-speaking nations.
Collapse
Affiliation(s)
- Roni Chaaya
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Rabih Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, P.O. Box 446, Lebanon.
- Department of Infectious Disease, Bellevue Medical Center, Mansourieh, Lebanon.
- Department of Infectious Disease, Notre Dame des Secours University Hospital, Postal code 3, Byblos, Lebanon.
| | - Alvaro Postigo
- Department of Psychology, University of Oviedo, Oviedo, Spain
| | - Diana Malaeb
- College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Fouad Sakr
- School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Mariam Dabbous
- School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | | | - Hanaa Ahmed Mohamed Shuwiekh
- Department of Psychology, Fayoum University, Fayoum, Egypt
- Department of Psychology, Badr University of Cairo, Cairo, Egypt
| | - Sahar Obeid
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi hospital, 2010, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, P.O. Box 446, Lebanon.
- Applied Science Research Center, Applied Science Private University, Amman, Jordan.
| |
Collapse
|
2
|
Andrews JL, Li M, Minihan S, Songco A, Fox E, Ladouceur CD, Mewton L, Moulds M, Pfeifer JH, Van Harmelen AL, Schweizer S. The effect of intolerance of uncertainty on anxiety and depression, and their symptom networks, during the COVID-19 pandemic. BMC Psychiatry 2023; 23:261. [PMID: 37069541 PMCID: PMC10109227 DOI: 10.1186/s12888-023-04734-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 03/29/2023] [Indexed: 04/19/2023] Open
Abstract
Individuals vary in their ability to tolerate uncertainty. High intolerance of uncertainty (the tendency to react negatively to uncertain situations) is a known risk factor for mental health problems. In the current study we examined the degree to which intolerance of uncertainty predicted depression and anxiety symptoms and their interrelations across the first year of the COVID-19 pandemic. We examined these associations across three time points (May 2020 - April 2021) in an international sample of adults (N = 2087, Mean age = 41.13) from three countries (UK, USA, Australia) with varying degrees of COVID-19 risk. We found that individuals with high and moderate levels of intolerance of uncertainty reported reductions in depression and anxiety symptoms over time. However, symptom levels remained significantly elevated compared to individuals with low intolerance of uncertainty. Individuals with low intolerance of uncertainty had low and stable levels of depression and anxiety across the course of the study. Network analyses further revealed that the relationships between depression and anxiety symptoms became stronger over time among individuals with high intolerance of uncertainty and identified that feeling afraid showed the strongest association with intolerance of uncertainty. Our findings are consistent with previous work identifying intolerance of uncertainty as an important risk factor for mental health problems, especially in times marked by actual health, economic and social uncertainty. The results highlight the need to explore ways to foster resilience among individuals who struggle to tolerate uncertainty, as ongoing and future geopolitical, climate and health threats will likely lead to continued exposure to significant uncertainty.
Collapse
Affiliation(s)
| | - Meiwei Li
- University of New South Wales, Sydney, Australia
| | | | | | - Elaine Fox
- School of Psychology, University of Adelaide, Adelaide, Australia
| | | | | | | | | | | | - Susanne Schweizer
- University of New South Wales, Sydney, Australia
- University of Cambridge, Cambridge, UK
| |
Collapse
|
3
|
Kumar S, Voracek M. The relationships of family income and caste-status with religiousness: Mediation role of intolerance of uncertainty. PLoS One 2022; 17:e0273174. [PMID: 36026518 PMCID: PMC9417042 DOI: 10.1371/journal.pone.0273174] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 08/03/2022] [Indexed: 11/18/2022] Open
Abstract
The relationship between lower socioeconomic status (SES) and religiousness is well known; however, its (psychological mediation) mechanism is not clear. In the present study, we studied the mediation role of intolerance of uncertainty (IU; a personality measure of self-uncertainty) in the effect of SES on religiousness and its dimensions (i.e., believing, bonding, behaving, and belonging), in two different samples (students sample, N = 868, and community sample, N = 250), after controlling the effects of factors like age, sex, handedness, and self-reported risk-taking. The results showed that IU mediated the effects of lower family income and lower caste status (in students’ sample only) on religiousness and its dimensions; higher caste status had a direct effect on religiousness (and its dimensions), and; among the sub-factors of IU, only prospective IU affected religiousness. Thus, along with showing that IU is a mediator of the effects of lower family income and lower caste status on religiousness, the present study supports the contention that religiousness is a latent variable that varied factors can independently initiate. Moreover, the present study suggests a nuanced model of the relationship between the hierarchical caste system and religiousness.
Collapse
Affiliation(s)
- Sanjay Kumar
- Department of Psychology, D.A.V. College, Muzaffarnagar, India
- * E-mail: (SK); (MV)
| | - Martin Voracek
- Faculty of Psychology, Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna¸ Austria
- * E-mail: (SK); (MV)
| |
Collapse
|
4
|
Palma EMS, Reis de Sousa A, Andrade de Morais F, Evangelista Luz R, Freitas Neto ÁL, Lima PPF. Coping moderates the relationship between intolerance of uncertainty and stress in men during the Covid-19 pandemic. Rev Esc Enferm USP 2022; 56:e20210303. [PMID: 35007317 PMCID: PMC10132738 DOI: 10.1590/1980-220x-reeusp-2021-0303] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 11/10/2021] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVE To test the explanatory power of coping strategies and intolerance of uncertainty on men's perceived stress levels and test the moderating role of coping strategies in the relationship between intolerance of uncertainty and perceived stress during the Covid-19 pandemic. METHOD This was an online cross-sectional study in which 1,006 men living in Brazil during the Covid-19 pandemic participated. Participants were recruited using a snowball sampling technique and completed a questionnaire containing measures of all study variables. Data were examined using a correlation and a regression analysis. RESULTS Intolerance of uncertainty (β = .51) and refusal (β = .15) positively predicted perceived stress, whereas control (β = -.31) and isolation (β = -.06) negatively predicted it. Together, these variables explained 52% of men's perceived stress (p < .001). Isolation and social support lessened the relationship between intolerance of uncertainty and stress (p < .001). CONCLUSION Men high in intolerance of uncertainty and refusal were more vulnerable to stress during the pandemic. However, coping helped mitigate the relationship between intolerance of uncertainty and perceived stress, thus being a promising psychosocial intervention in this context.
Collapse
Affiliation(s)
| | - Anderson Reis de Sousa
- Universidade Federal da Bahia, Escola de Enfermagem, Pós-Graduação em Enfermagem e Saúde, Salvador, BA, Brazil
| | | | | | | | | |
Collapse
|
5
|
de Sousa AR, Teixeira JRB, Palma EMS, Moreira WC, Santos MB, de Carvalho HEF, Almeida ÉS, Florencio RMS, de Queiroz AM, Merces MCD, Mota TN, Araújo IFM, da Silva JC, dos Santos SD, Camargo ELS, Lourenção LG, da Silva RAR, Carvalho ESDS, Lua I, Barros S, de Araújo TM, de Oliveira MAF, Pereira Á, Abreu W, da Cruz Sequeira CA. Psychological Distress in Men during the COVID-19 Pandemic in Brazil: The Role of the Sociodemographic Variables, Uncertainty, and Social Support. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010350. [PMID: 35010610 PMCID: PMC8744977 DOI: 10.3390/ijerph19010350] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/16/2021] [Accepted: 12/18/2021] [Indexed: 12/28/2022]
Abstract
Objective: To analyze the relationships between sociodemographic variables, intolerance to uncertainty (INT), social support, and psychological distress (i.e., indicators of Common Mental Disorders (CMDs) and perceived stress (PS)) in Brazilian men during the COVID-19 pandemic. Methods: A cross-sectional study with national coverage, of the web survey type, and conducted with 1006 Brazilian men during the period of social circulation restriction imposed by the health authorities in Brazil for suppression of the coronavirus and control of the pandemic. Structural equation modeling analysis was performed. Results: Statistically significant direct effects of race/skin color (λ = 0.268; p-value < 0.001), socioeconomic status (SES) (λ = 0.306; p-value < 0.001), household composition (λ = 0.281; p-value < 0.001), PS (λ = 0.513; p-value < 0.001), and INT (λ = 0.421; p-value < 0.001) were evidenced in the occurrence of CMDs. Black-skinned men with higher SES, living alone, and with higher PS and INT levels presented higher prevalence values of CMDs. Conclusions: High levels of PS and INT were the factors that presented the strongest associations with the occurrence of CMDs among the men. It is necessary to implement actions to reduce the stress-generating sources as well as to promote an increase in resilience and the development of intrinsic reinforcements to deal with uncertain threats.
Collapse
Affiliation(s)
- Anderson Reis de Sousa
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | - Jules Ramon Brito Teixeira
- Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana 44001-970, BA, Brazil; (J.R.B.T.); (S.D.d.S.); (E.S.d.S.C.); (T.M.d.A.)
| | | | - Wanderson Carneiro Moreira
- Escola de Enfermagem, Universidade de São Paulo, Sao Paulo 05403-000, SP, Brazil; (W.C.M.); (S.B.); (M.A.F.d.O.)
- Coordenação de Saúde do Adolescente, Jovem e Homem, Diretoria Técnica, Secretaria de Saúde, Prefeitura Municipal de Ananindeua, Ananindeua 67130-600, PA, Brazil
| | - Milena Bitencourt Santos
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | | | - Éric Santos Almeida
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | | | | | | | - Tilson Nunes Mota
- Secretaria de Ciência, Tecnologia e Inovação, Salvador 41745-004, BA, Brazil;
| | - Isabella Félix Meira Araújo
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | - Josielson Costa da Silva
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | - Sélton Diniz dos Santos
- Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana 44001-970, BA, Brazil; (J.R.B.T.); (S.D.d.S.); (E.S.d.S.C.); (T.M.d.A.)
| | | | | | | | - Evanilda Souza de Santana Carvalho
- Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana 44001-970, BA, Brazil; (J.R.B.T.); (S.D.d.S.); (E.S.d.S.C.); (T.M.d.A.)
| | - Iracema Lua
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador 40110-040, BA, Brazil;
| | - Sônia Barros
- Escola de Enfermagem, Universidade de São Paulo, Sao Paulo 05403-000, SP, Brazil; (W.C.M.); (S.B.); (M.A.F.d.O.)
| | - Tânia Maria de Araújo
- Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana 44001-970, BA, Brazil; (J.R.B.T.); (S.D.d.S.); (E.S.d.S.C.); (T.M.d.A.)
| | - Márcia Aparecida Ferreira de Oliveira
- Escola de Enfermagem, Universidade de São Paulo, Sao Paulo 05403-000, SP, Brazil; (W.C.M.); (S.B.); (M.A.F.d.O.)
- Programa de Pós-Graduação em Enfermagem, Centro de Ciências da Saúde, Universidade Federal de Santa Maria, Santa Maria 97105-900, RS, Brazil
| | - Álvaro Pereira
- Escola de Enfermagem, Universidade Federal da Bahia, Salvador 40231-300, BA, Brazil; (A.R.d.S.); (M.B.S.); (É.S.A.); (I.F.M.A.); (J.C.d.S.); (Á.P.)
| | - Wilson Abreu
- Centro de Investigação em Tecnologias e Serviços de Saúde, Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal;
| | - Carlos Alberto da Cruz Sequeira
- Centro de Investigação em Tecnologias e Serviços de Saúde, Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal;
- Correspondence:
| |
Collapse
|
6
|
Kumar S, Saini R, Jain R, Sakshi. Confirmatory factor analysis of the Intolerance of Uncertainty Scale (short form) in India. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2021. [DOI: 10.1080/00207411.2021.1969321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Sanjay Kumar
- Department of Psychology, D.A.V. College, Muzaffarnagar, UP, India
| | - Reena Saini
- Department of Psychology, D.A.V. College, Muzaffarnagar, UP, India
| | - Ranjeeta Jain
- Department of Psychology, D.A.V. College, Muzaffarnagar, UP, India
| | - Sakshi
- Department of Psychology, D.A.V. College, Muzaffarnagar, UP, India
| |
Collapse
|