Intolerance of uncertainty and social anxiety

Boelen, Paul A.; Reijntjes, Albert

doi:10.1016/j.janxdis.2008.04.007

Cited by 330 publications

(275 citation statements)

References 34 publications

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“…Replicating van der Heiden et al 's (2010) findings, IU was a partial mediator between neuroticism and worry and RNT for those with GAD but, extending previous findings, IU did not mediate the relationship between IU and any outcome variable for those without GAD. These findings provide some evidence of diagnostic specificity and are also consistent with previous findings demonstrating that IU is most strongly related to worry, although still significantly associated with symptoms of other emotional disorders (Boelen & Reijntjes, 2009;. Our subsample analyses may have been underpowered to detect some of these weaker relationships.…”

supporting

confidence: 90%

“…IU has been found to be associated with, and to mediate, symptoms of social anxiety disorder, panic disorder and agoraphobia, generalized anxiety disorder, obsessive-compulsive disorder, and depression (Boelen & Reijntjes, 2009;Carleton, Collimore, & Asmundson, 2010;Carleton, Mulvogue, Thibodeau, McCabe, Antony, & Asmundson, 2012;Dugas, Gosselin, & Ladouceur, 2001;Gentes & Ruscio, 2011;Holaway, Heimberg, & Coles, 2006;Lind & Boschen, 2009;Mahoney & McEvoy, 2012a, b;McEvoy & Mahoney, 2011. The S-REF model (Wells & Matthews, 1996) is a transdiagnostic model describing the contribution of metacognitions to engagement in the Cognitive Attentional Syndrome (CAS), which consists of RNT along with heightened self-focus, maladaptive coping behavior, and threat monitoring.…”

Section: Introductionmentioning

confidence: 99%

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Intolerance of uncertainty and negative metacognitive beliefs as transdiagnostic mediators of repetitive negative thinking in a clinical sample with anxiety disorders

McEvoy

Mahoney

2013

Journal of Anxiety Disorders

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This study aimed to replicate and extend a hierarchical model of vulnerability to worry, with neuroticism and extraversion as higher-order factors and negative metacognitions and intolerance of uncertainty as second-order factors. The model also included a transdiagnostic measure of repetitive negative thinking (RNT) and depression symptoms as outcome variables to determine whether relationships would extend beyond worry, which has traditionally been studied within the context of generalized anxiety disorder (GAD). Participants (N = 99) were referrals to a specialist anxiety disorders clinic with a principal anxiety disorder who completed a battery of self-report questionnaires assessing neuroticism, extraversion, metacognitions, intolerance of uncertainty, worry, RNT, and depression symptoms.Mediational analyses using bootstrapping provided support for transdiagnostic and diagnosis-specific mediation effects. Negative metacognitions fully mediated the relationship between neuroticism and RNT for the whole sample and for subsamples with and without generalized anxiety disorder (GAD). Intolerance of uncertainty mediated the relationship between neuroticism and worry (for the whole sample and for those with GAD) and between neuroticism and RNT (for those with GAD).Implications for theory, treatment, and nosology are discussed.

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supporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Intolerance of uncertainty and negative metacognitive beliefs as transdiagnostic mediators of repetitive negative thinking in a clinical sample with anxiety disorders

McEvoy

Mahoney

2013

Journal of Anxiety Disorders

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“…In the latter study all comorbid patients scored significantly higher on all components compared with normal controls, and vulnerability factors for GAD were present in eating disorder even in cases of subclinical GAD. This gives support to understanding eating disorders as a part of GAD, but also through social anxiety, OCD (Boelen & Reijntjes, 2009;Holoway, Heimberg & Coles, 2006, Tolin, Abramowitz, Brigidi & Foa, 2003 Furthermore, shared psychopathology between anxiety disorders and eating disorders may predict certain attachment disturbances, as the common psychological reason for why various forms of safety behaviours are needed (Tasca & Balfour, 2014). It is important to note that developmental theory does not posit that attachment disturbances are inevitably leading to psychopathology; they only raise the risk for such pathology (Sroufe, 2005).…”

Section: Anxiety Disorders and Eating Disordersmentioning

confidence: 96%

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Rosenvinge

Pettersen

2015

Advances in Eating Disorders

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The previous papers in this series (Rosenvinge & Pettersen, 2014a,b) outlined a historical panorama and presented knowledge about the distribution of eating disorders in various populations as well as about putative risk factors. This final paper focuses on social epidemiology, notably the current status of treatment dissemination and prevention research. We also discuss some comorbidity findings and transdiagnostic issues as an alternative to the DSM based definition of an epidemiological case, and how such an alternative definition may introduce new perspectives of prevention. Key words: eating disorders, epidemiology, reviewThe authors declare no conflict of interest in preparing this work 3 The present article is the final one of three about the epidemiology of eating disorders. The first one (Rosenvinge & Pettersen, 2014a) outlined basic epidemiological concepts, approaches and issues. In addition, it outlined a historical panorama of the epidemiology of eating disorders up to the early 1990s depicting, the evolvement of eating disorders from being one, curious and rare disorder (i.e., anorexia nervosa) to a set of disorders distributed in the population to an extent which has caught public concern and scientific effort for the past 30 or 40 years. This evolvement has resulted in case definitions through the DSM and ICD manuals, and being worldwide disseminated they haves had a major impact on case definition-and identification methods in epidemiological eating disorder research.The second paper in this series (Rosenvinge & Pettersen, 2014b) outlined recent knowledge about descriptive epidemiology; how many who actually have a DSM eating disorder or significant eating problems at a given point of time (i.e., the point prevalence), or in the past (i.e., the lifetime prevalence), as well as about the number of new cases appearing per year (i.e., the incidence). In addition, we focused on issues within analytic epidemiology, notably what is known about risk factors for developing eating disorders or for staying ill for a longer period of time.Case identification methods require a case definition which is useful for analytic and social epidemiological purposes, and not just for describing the prevalence or incidence.Traditionally, the DSM taxonomy has provided a gold standard. This may be questioned in view of mental disorders most likely to come along with eating disorders, most likely to affect their course, and where the comorbidity may point to transdiagnostic factors possibly relevant to epidemiological research. The first aim of this paper is to discuss the relevance and implications of such perspectives in constructing an epidemiological case definition.Social epidemiology becomes relevant when we have some answers from descriptive epidemiology to the "how many-questions", and from analytical epidemiology to the "who, and "why"-questions. One part of social epidemiology concerns prevention, and which may take the approach of health promotion at a universal (general population) level, i.e., by...

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“…For example, some of the interventions utilized within the group treatment in order to provide corrective feedback, such as video recordings of behavioral experiments and eliciting feedback from group members regarding Sara's blushing, could be conceptualized as forms of reassurance, which is commonly sought as a safety behavior by anxious clients. Research suggests that individuals with social anxiety disorder experience intolerance of uncertainty, which has been implicated as a central construct in anxiety pathology and is a predictor of social anxiety symptom severity (Boelen & Reijntjes, 2009). It has been suggested that these individuals may engage in reassurance seeking in order to reduce this feeling of uncertainty (Cougle et al, 2012), which is hypothesized to play a critical role in the maintenance of anxiety (Lohr, Olatunji, & Sawchuk, 2007).…”

Section: Safety Behaviors-friend or Foe?mentioning

confidence: 99%

Advances and Controversies in the Application of a Modified Version of Cognitive Behavior Therapy for Social Anxiety Disorder

Rogojanski¹,

Rego²

2013

PCSP

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In their comprehensive case study, Jensen, Hougaard, and Fishman (2013) examined the microlevel mechanisms of change for a socially anxious client who underwent one-week of intensive group-based cognitive behavioral therapy (CBT) and experienced rapid symptom improvement. Our commentary focuses on two key components in the cognitive model of social anxiety, which this study highlights -the role of safety behaviors and interrogating the social environment, as well two topics that are applicable to anxiety treatments in general -integrating acceptance-based strategies into CBT and novel approaches in treatment delivery. We highlight what can be learned from Jensen and colleagues' case study by incorporating both empirical research and our own clinical anecdotes.Key words: cognitive behavior therapy; social anxiety disorder; mechanisms of change; exposure therapy; anxiety; case studies; clinical case studies; case series ______________________________________________________________________________We thoroughly enjoyed reading Jensen, Hougaard, and Fishman's (2013) case study of the mechanisms of change in a social phobia client following intensive group-based cognitive behavioral therapy (CBT). This article described Sara, a woman diagnosed with Social Anxiety Disorder who suffered from a primary fear of blushing, and explored mechanisms of change related to her rapid recovery following a brief, intensive treatment. This treatment was based primarily on the work of David Clark and colleagues and comprised of three individual weekly treatment sessions, followed by one week of 5-hour intensive daily group treatment, and five weekly individual follow-up sessions largely for consolidation of treatment gains. Although we're quite familiar with this treatment model and have utilized it with numerous clients individually in our own clinical practices, the authors of this article provide a novel approach for delivering this treatment -in terms of both format and frequency. Being zealous cognitive behavior therapists, we were intrigued by this approach and will focus this commentary on

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Intolerance of uncertainty and social anxiety

Cited by 330 publications

References 34 publications

Intolerance of uncertainty and negative metacognitive beliefs as transdiagnostic mediators of repetitive negative thinking in a clinical sample with anxiety disorders

Intolerance of uncertainty and negative metacognitive beliefs as transdiagnostic mediators of repetitive negative thinking in a clinical sample with anxiety disorders

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Advances and Controversies in the Application of a Modified Version of Cognitive Behavior Therapy for Social Anxiety Disorder

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