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Original Articles

Intolerance of uncertainty, causal uncertainty, causal importance, self-concept clarity and their relations to generalized anxiety disorder

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Pages 307-323 | Received 02 Oct 2015, Accepted 23 Mar 2016, Published online: 26 Apr 2016

References

  • Aldao, A., Mennin, D. S., Linardatos, E., & Fresco, D. M. (2010). Differential patterns of physical symptoms and subjective processes in generalized anxiety disorder and unipolar depression. Journal of Anxiety Disorders, 24, 250–259.10.1016/j.janxdis.2009.12.001
  • Alden, L. E., & Regambal, M. J. (2010). Social anxiety, social anxiety disorder, and the self. In S. G. Hoffman & P. M. DiBartolo (Eds.), Social anxiety (pp. 423–445). Waltham, MA: Academic Press.10.1016/B978-0-12-375096-9.00016-X
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: Fifth Edition (DSM-5). Arlington, VA: Author.
  • Andrews, G., Hobbs, M. J., Borkovec, T. D., Beesdo, K., Craske, M. G., Heimberg, R. G., … Stanley, M. A. (2010). Generalized anxiety disorder: A review of DSM-IV generalized anxiety disorder and options for DSM-V. Depression and Anxiety, 27, 134–147.10.1002/da.v27:2
  • Baumgardner, A. H. (1990). To know oneself is to like oneself: Self-certainty and self-affect. Journal of Personality and Social Psychology, 58, 1062–1072.10.1037/0022-3514.58.6.1062
  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford.
  • Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35, 49–58.10.1016/S0005-7967(96)00069-1
  • Behar, E., Alcaine, O., Zuellig, A. R., & Borkovec, T. D. (2003). Screening for generalized anxiety disorder using the Penn State Worry Questionnaire: A receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34, 25–43.10.1016/S0005-7916(03)00004-1
  • Behar, E., DiMarco, I. D., Hekler, E. B., Mohlman, J., & Staples, A. M. (2009). Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of Anxiety Disorders, 23, 1011–1023.10.1016/j.janxdis.2009.07.006
  • Belzer, K. D., D’Zurilla, T. J., & Maydeu-Olivares, A. (2002). Social problem solving and trait anxiety as predictors of worry in a college student population. Personality and Individual Differences, 33, 573–585.
  • Bhar, S. S., & Kyrios, M. (2007). An investigation of self-ambivalence in obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 1845–1857.10.1016/j.brat.2007.02.005
  • Bigler, M., Neimeyer, G. J., & Brown, E. (2001). The divided self revisited: Effects of self-concept clarity and self-concept differentiation on psychological adjustment. Journal of Social and Clinical Psychology, 20, 396–415.10.1521/jscp.20.3.396.22302
  • Blair, K., Shaywitz, J., Smith, B. W., Rhodes, R., Geraci, M., Jones, M, … Pine, D. S. (2008). Response to emotional expressions in generalized social phobia and generalized anxiety disorder: Evidence for separate disorders. American Journal of Psychiatry, 165, 1193–1202.10.1176/appi.ajp.2008.07071060
  • Borkovec, T. D., Metzger, R. L., & Pruzinsky, T. (1986). Anxiety, worry, and the self. In L. M. Hartman & K. R. Blankstein (Eds.), Perception of self in emotional disorder and psychotherapy (pp. 219–260). New York, NY: Plenum Press.
  • Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21, 9–16.10.1016/0005-7967(83)90121-3
  • Bradley, B. P., Mogg, K., White, J., Groom, C., & Bono, J. (1999). Attentional bias for emotional faces in generalized anxiety disorder. British Journal of Clinical Psychology, 38, 267–278.10.1348/014466599162845
  • Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30, 33–37.10.1016/0005-7967(92)90093-V
  • Buhr, K., & Dugas, M. J. (2002). The Intolerance of Uncertainty Scale: Psychometric properties of the English version. Behaviour Research and Therapy, 40, 931–945.10.1016/S0005-7967(01)00092-4
  • Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal of Anxiety Disorders, 20, 222–236.10.1016/j.janxdis.2004.12.004
  • Butzer, B., & Kuiper, N. A. (2006). Relationships between the frequency of social comparisons and self-concept clarity, intolerance of uncertainty, anxiety, and depression. Personality and Individual Differences, 41, 167–176.10.1016/j.paid.2005.12.017
  • Campbell, J. D., Trapnell, P. D., Heine, S. J., Katz, I. M., Lavallee, L. F., & Lehman, D. R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141–156.10.1037/0022-3514.70.1.141
  • Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12, 937–947.10.1586/ern.12.82
  • Carleton, R. N., Weeks, J. W., Howell, A. N., Asmundson, G. J. G., Antony, M. M., & McCabe, R. E. (2012). Assessing the latent structure of the intolerance of uncertainty construct: An initial taxometric analysis. Journal of Anxiety Disorders, 26, 150–157.10.1016/j.janxdis.2011.10.006
  • Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.
  • Davey, G. C. (1993). A comparison of three worry questionnaires. Behaviour Research and Therapy, 31, 51–56.10.1016/0005-7967(93)90042-S
  • Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the Generalized Anxiety Disorder Scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of generalised anxiety disorder. Cognitive Behaviour Therapy, 40, 216–227.10.1080/16506073.2011.582138
  • Deschenes, S. S., Dugas, M. J., Radomsky, A. S., & Buhr, K. (2010). Experimental manipulation of beliefs about uncertainty: Effects on interpretive processing and access to threat schemata. Journal of Experimental Psychopathology, 1, 52–70.10.5127/jep
  • Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21, 593–606.10.1023/A:1021890322153
  • Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36, 215–226.10.1016/S0005-7967(97)00070-3
  • Dugas, M. J., & Koerner, N. (2005). Cognitive-behavioral treatment for generalized anxiety disorder: Current status and future directions. Journal of Cognitive Psychotherapy, 19, 61–81.10.1891/jcop.19.1.61.66326
  • Dugas, M. J., Langlois, F., Rhéaume, J., & Ladouceur, R. (1998, November). Intolerance of uncertainty and worry: Investigating causality. In J. Stöber (chair), Worry: New findings in applied and clinical research. Washington, DC: Symposium: Association for Advancement of Behavior Therapy.
  • Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. New York, NY: Routledge.
  • Fracalanza, K., Koerner, N., Deschênes, S. S., & Dugas, M. J. (2014). Intolerance of uncertainty mediates the relation between generalized anxiety disorder symptoms and anger. Cognitive Behaviour Therapy, 43, 122–132.10.1080/16506073.2014.888754
  • Fracalanza, K., Koerner, N., McShane, K. E., & Antony, M. M. (2013, July). A qualitative investigation of reactions to uncertainty in individuals with generalized anxiety disorder. Open paper presented at the World Congress of Behavioral and Cognitive Therapies, Lima, Peru.
  • Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802.10.1016/0191-8869(94)90048-5
  • Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive compulsive disorder. Clinical Psychology Review, 31, 923–933.10.1016/j.cpr.2011.05.001
  • Goldwin, M., & Behar, E. (2012). Concreteness of idiographic periods of worry and depressive rumination. Cognitive Therapy and Research, 36, 840–846.10.1007/s10608-011-9428-1
  • Helzer, E. G., & Edwards, J. A. (2012). Causal uncertainty prompts abstract construal of behavior. Social Cognition, 30, 519–536.10.1521/soco.2012.30.5.519
  • Hirsch, C. R., & Mathews, A. (2012). A cognitive model of pathological worry. Behaviour Research and Therapy, 50, 636–646.10.1016/j.brat.2012.06.007
  • Hogg, M. (2009). Managing self-uncertainty through group identification. Psychological Inquiry, 20, 221–224.10.1080/10478400903333452
  • Jacobson, J. (2007). The relationship among causal uncertainty, reassurance seeking, and dysphoria. Journal of Social and Clinical Psychology, 26, 922–939.10.1521/jscp.2007.26.8.922
  • Jacobson, J. A., & Weary, J. (1999). The role of causal uncertainty in the reassurance-seeking-depression relation. Psychological Inquiry, 10, 288–290.
  • Jacobson, J. A., Weary, G., & Lin, Y. S. (2008). Causal uncertainty and metacognitive inferences about goal attainment. Cognition and Emotion, 22, 1276–1305.10.1080/02699930701739849
  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627.10.1001/archpsyc.62.6.617
  • Koerner, N., & Dugas, M. J. (2008). An investigation of appraisals in individuals vulnerable to excessive worry: The role of intolerance of uncertainty. Cognitive Therapy and Research, 32, 619–638.10.1007/s10608-007-9125-2
  • Koerner, N., & Dugas, M. J. (2006). A cognitive model of generalized anxiety disorder: The role of intolerance of uncertainty. In G. C. Davey & A. Wells (Eds.), Worry and its psychological disorders (pp. 201–216). West Sussex: Wiley.10.1002/9780470713143
  • Koerner, N., Tallon, K., & Kusec, A. (2015). Maladaptive core beliefs and their relation to generalized anxiety disorder. Cognitive Behaviour Therapy, 44, 441–455.10.1080/16506073.2015.1042989
  • Ladouceur, R., Gosselin, P., & Dugas, M. J. (2000). Experimental manipulation of intolerance of uncertainty: A study of a theoretical model of worry. Behaviour Research and Therapy, 38, 933–941.10.1016/S0005-7967(99)00133-3
  • Leite, C., & Kuiper, N. A. (2008). Client uncertainty and the process of change in psychotherapy: The impact of individual differences in self-concept clarity and intolerance of uncertainty. Journal of Contemporary Psychotherapy, 38, 55–64.10.1007/s10879-007-9068-7
  • Luke, M., & Stopa, L. (2009). Psychological theories of the self and their application to clinical disorders. In L. Stopa (Ed.), Imagery and the threatened self: Perspectives on mental imagery and the self in cognitive therapy (pp. 15–64). New York, NY: Routledge.
  • Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the penn state worry questionnaire. Behaviour Research and Therapy, 28, 487–495.10.1016/0005-7967(90)90135-6
  • Mogg, K., Millar, N., & Bradley, B. P. (2000). Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder. Journal of Abnormal Psychology, 109, 695–704.10.1037/0021-843X.109.4.695
  • Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128, 638–662.10.1037/0033-2909.128.4.638
  • Moore, M. T., Anderson, N. L., Barnes, J. M., Haigh, E. A., & Fresco, D. M. (2014). Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples. Journal of Anxiety Disorders, 28, 25–30.10.1016/j.janxdis.2013.10.009
  • Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79, 171–181.10.1037/a0022489
  • Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the generalized anxiety disorder questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215–233.10.1016/S0005-7894(02)80026-0
  • Pawluk, E., Koerner, N., & Antony, M. M. (2011, November). Impact of concrete thinking on worry and problem solving. Poster: Annual convention of the association for behavioral and cognitive therapies, Toronto, ON.
  • Robinson, C. M., Klenck, S. C., & Norton, P. J. (2010). Psychometric properties of the generalized anxiety disorder questionnaire for DSM-IV among four racial groups. Cognitive Behaviour Therapy, 39, 251–261.10.1080/16506073.2010.486841
  • Roemer, L., Molina, S., & Borkovec, T. D. (1997). An investigation of worry content among generally anxious individuals. The Journal of Nervous & Mental Disease, 185, 314–319.10.1097/00005053-199705000-00005
  • Roney, C. J. R., & Sorrentino, R. M. (1995). Self-evaluation motives and uncertainty orientation: Asking the “Who” question. Personality and Social Psychology Bulletin, 21, 1319–1329.10.1177/01461672952112009
  • Rowa, K., & Antony, M. M. (2008). Generalized anxiety disorder. In W. E. Craighead, D. J. Miklowitz, & L. W. Craighead (Eds.), Psychopathology: History, diagnosis, and empirical foundations (pp. 78–115). Hoboken, NJ: John Wiley & Sons.
  • Sexton, K. A., & Dugas, M. J. (2009). Defining distinct negative beliefs about uncertainty: Validating the factor structure of the Intolerance of Uncertainty Scale. Psychological Assessment, 21, 176.10.1037/a0015827
  • Stopa, L., Brown, M. A., Luke, M. A., & Hirsch, C. R. (2010). Constructing a self: The role of self-structure and self-certainty in social anxiety. Behaviour Research and Therapy, 48, 955–965.10.1016/j.brat.2010.05.028
  • Tobin, S. J., & Weary, G. (2008). The effects of causal uncertainty, causal importance, and initial attitude on attention to causal persuasive arguments. Social Cognition, 26, 44–65.10.1521/soco.2008.26.1.44
  • Trope, Y., & Liberman, N. (2010). Construal-level theory of psychological distance. Psychological Review, 117, 440–463.10.1037/a0018963
  • Tversky, A. (1974). Assessing uncertainty. Journal of the Royal Statistical Society: Series B (Methodological), 36, 148–159.
  • van den Bos, K. (2009). Making sense of life: The existential self trying to deal with personal uncertainty. Psychological Inquiry, 20, 197–217.10.1080/10478400903333411
  • van den Bos, K., & Lind, E. A. (2002). Uncertainty management by means of fairness judgements. Advances in Experimental Social Psychology, 34, 1–60.10.1016/S0065-2601(02)80003-X
  • Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163–206.10.1037/0033-2909.134.2.163
  • Watkins, E. R., Moulds, M., & Mackintosh, B. (2005). Comparisons between rumination and worry in a non-clinical population. Behaviour Research and Therapy, 43, 1577–1585.10.1016/j.brat.2004.11.008
  • Weary, G., & Edwards, J. A. (1994). Individual differences in causal uncertainty. Journal of Personality and Social Psychology, 67, 308–318.10.1037/0022-3514.67.2.308
  • Weary, G., & Jacobson, J. A. (1997). Causal uncertainty beliefs and diagnostic information seeking. Journal of Personality and Social Psychology, 73, 839–848.10.1037/0022-3514.73.4.839
  • Weary, G., Tobin, S. J., & Edwards, J. A. (2010). The causal uncertainty model revisited. In R. M. Arkin, K. C. Oleson, & P. J. Carroll (Eds.), Handbook of the uncertain self (pp. 78–100). New York, NY: Psychology Press.
  • Wilson, J. K., & Rapee, R. M. (2005). Self-concept certainty in social phobia. Behaviour Research and Therapy, 44, 113–136.

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