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Gepubliceerd in: Cognitive Therapy and Research 4/2013

01-08-2013 | Original Article

Intolerance of Uncertainty and PTSD Symptoms: Exploring the Construct Relationship in a Community Sample with a Heterogeneous Trauma History

Auteurs: Mathew G. Fetzner, Samantha C. Horswill, Paul A. Boelen, R. Nicholas Carleton

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2013

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Abstract

Intolerance of uncertainty has received substantial empirical attention in recent years. The contribution of intolerance of uncertainty to the development and maintenance of anxiety disorders has become increasingly recognized by researchers; however, relationships between intolerance of uncertainty and symptoms of posttraumatic stress disorder remain largely unexplored. As part of a larger study, North American community members (n = 122, 81 % women) with a heterogeneous trauma history completed self-report measures assessing intolerance of uncertainty and its dimensions (inhibitory and prospective intolerance of uncertainty) and posttraumatic stress disorder symptoms (re-experiencing, avoidance, numbing, hyperarousal). Intolerance of uncertainty total scores accounted for statistically significant variance in each posttraumatic stress disorder symptom score except re-experiencing. Inhibitory intolerance of uncertainty scores accounted for statistically significant variance in each posttraumatic stress disorder symptom score except re-experiencing. Prospective intolerance of uncertainty scores did not account for statistically significant variance in any of the posttraumatic stress disorder symptom scores. Results suggest that intolerance of uncertainty relates differentially to posttraumatic stress disorder symptom clusters and inhibitory intolerance of uncertainty appears to be the main component of the relationship.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference Asmundson, G. J. G., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214.PubMedCrossRef Asmundson, G. J. G., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214.PubMedCrossRef
go back to reference Beck, J., DeMond, G., Clapp, J., & Palyo, S. (2009). Understanding the interpersonal impact of trauma: Contributions of PTSD and depression. Journal of Anxiety Disorders, 23, 443–450. doi:10.10.16.PubMedCrossRef Beck, J., DeMond, G., Clapp, J., & Palyo, S. (2009). Understanding the interpersonal impact of trauma: Contributions of PTSD and depression. Journal of Anxiety Disorders, 23, 443–450. doi:10.​10.​16.PubMedCrossRef
go back to reference Byrne, B. (2001). Structural equation modeling with amos: Basic concepts, applications, and programming. Mahwah, NJ: Erlbaum. Byrne, B. (2001). Structural equation modeling with amos: Basic concepts, applications, and programming. Mahwah, NJ: Erlbaum.
go back to reference Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Reviews in Neurotheraputics, 12, 937–947. doi:10.1586/ERN.12.82.CrossRef Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Reviews in Neurotheraputics, 12, 937–947. doi:10.​1586/​ERN.​12.​82.CrossRef
go back to reference Carleton, R. N., Brundin, P., Asmundson, G. J. G., & Taylor, S. (2006). Traumatic life events questionnaire. Unpublished measure, Department of Psychology, University of Regina, Regina, Canada. Carleton, R. N., Brundin, P., Asmundson, G. J. G., & Taylor, S. (2006). Traumatic life events questionnaire. Unpublished measure, Department of Psychology, University of Regina, Regina, Canada.
go back to reference Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. G. (2012a). Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26, 468–479. doi:10.1016/j.janxdis.2012.01.011.PubMedCrossRef Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. G. (2012a). Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26, 468–479. doi:10.​1016/​j.​janxdis.​2012.​01.​011.PubMedCrossRef
go back to reference Carleton, R. N., Peluso, D. L., Collimore, K. C., & Asmundson, G. J. G. (2011). Social anxiety and posttraumatic stress symptoms: The impact of distressing social events. Journal of Anxiety Disorders, 25(1), 49–57.PubMedCrossRef Carleton, R. N., Peluso, D. L., Collimore, K. C., & Asmundson, G. J. G. (2011). Social anxiety and posttraumatic stress symptoms: The impact of distressing social events. Journal of Anxiety Disorders, 25(1), 49–57.PubMedCrossRef
go back to reference Carleton, R. N., Weeks, J. W., Howell, A. N., Asmundson, G. J. G., Antony, M. M., & McCabe, R. E. (2012b). Assessing the latent structure of the intolerance of uncertainty construct: An initial taxometric analysis. Journal of Anxiety Disorders, 26, 150–157. doi:10.1016/j.janxdis.2011.10.006.PubMedCrossRef Carleton, R. N., Weeks, J. W., Howell, A. N., Asmundson, G. J. G., Antony, M. M., & McCabe, R. E. (2012b). Assessing the latent structure of the intolerance of uncertainty construct: An initial taxometric analysis. Journal of Anxiety Disorders, 26, 150–157. doi:10.​1016/​j.​janxdis.​2011.​10.​006.PubMedCrossRef
go back to reference Collimore, C., Carleton, N., Hoffman, S., & Asmundson, G. (2010). Posttraumatic stress and social anxiety: The interaction of traumatic events and interpersonal fears. Depression and Anxiety, 27, 1017–1026. doi:10.1002/da.20728.PubMedCrossRef Collimore, C., Carleton, N., Hoffman, S., & Asmundson, G. (2010). Posttraumatic stress and social anxiety: The interaction of traumatic events and interpersonal fears. Depression and Anxiety, 27, 1017–1026. doi:10.​1002/​da.​20728.PubMedCrossRef
go back to reference Davison, A. C., & Hinkley, D. V. (2006). Bootstrap methods and their application. Cambridge, UK: Cambridge University Press. Davison, A. C., & Hinkley, D. V. (2006). Bootstrap methods and their application. Cambridge, UK: Cambridge University Press.
go back to reference Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. New York: Routledge. Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. New York: Routledge.
go back to reference Dugas, M. J., Schwartz, A., & Francis, K. (2004). Intolerance of uncertainty, worry, and depression. Cognitive Therapy and Research, 28, 835–842.CrossRef Dugas, M. J., Schwartz, A., & Francis, K. (2004). Intolerance of uncertainty, worry, and depression. Cognitive Therapy and Research, 28, 835–842.CrossRef
go back to reference Engelhard, I. M., & van den Hout, M. A. (2007). Preexisting neuroticism, subjective stressor severity, and posttraumatic stress in soldiers deployed to Iraq. Canadian Journal of Psychiatry, 52, 505–509. Engelhard, I. M., & van den Hout, M. A. (2007). Preexisting neuroticism, subjective stressor severity, and posttraumatic stress in soldiers deployed to Iraq. Canadian Journal of Psychiatry, 52, 505–509.
go back to reference Fetzner, M. G., Collimore, K. C., Carleton, R. N., & Asmundson, G. J. G. (2011). Clarifying the relationship between AS dimensions and PTSD symptom clusters: Are negative and positive affectivity theoretically relevant constructs? Cognitive Behaviour Therapy, 41, 15–25. doi:10.1080/16506073.2011.621971.PubMedCrossRef Fetzner, M. G., Collimore, K. C., Carleton, R. N., & Asmundson, G. J. G. (2011). Clarifying the relationship between AS dimensions and PTSD symptom clusters: Are negative and positive affectivity theoretically relevant constructs? Cognitive Behaviour Therapy, 41, 15–25. doi:10.​1080/​16506073.​2011.​621971.PubMedCrossRef
go back to reference Forbes, D., Haslam, N., Williams, B. J., & Creamer, M. (2005). Testing the latent structure of posttraumatic stress disorder: A taxometric study of combat veterans. Journal of Traumatic Stress, 18, 647–656. doi:10.1002/jts.20073.PubMedCrossRef Forbes, D., Haslam, N., Williams, B. J., & Creamer, M. (2005). Testing the latent structure of posttraumatic stress disorder: A taxometric study of combat veterans. Journal of Traumatic Stress, 18, 647–656. doi:10.​1002/​jts.​20073.PubMedCrossRef
go back to reference 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. doi:10.1016/j.cpr.2011.05.001.PubMedCrossRef 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. doi:10.​1016/​j.​cpr.​2011.​05.​001.PubMedCrossRef
go back to reference Goldberg, D. P., & Huxley, P. (1991). Common mental disorders: A biosocial model. London: Routledge. Goldberg, D. P., & Huxley, P. (1991). Common mental disorders: A biosocial model. London: Routledge.
go back to reference King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi:10.1037/1040-3590.10.2.90.CrossRef King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi:10.​1037/​1040-3590.​10.​2.​90.CrossRef
go back to reference Reiss, S., & McNally, R. (1985). The expectancy model of fear. In R. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behaviour therapy (pp. 107–121). New York, NY: Academic Press. Reiss, S., & McNally, R. (1985). The expectancy model of fear. In R. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behaviour therapy (pp. 107–121). New York, NY: Academic Press.
go back to reference Riskind, J. H., Tzur, D., Williams, N. L., Mann, B., & Shahar, G. (2007). Short-term predictive effects of the looming cognitive style on anxiety disorder symptoms under restrictive methodological conditions. Behaviour Research and Therapy, 45, 1765–1777. doi:10.1016/j.brat.2006.12.007.PubMedCrossRef Riskind, J. H., Tzur, D., Williams, N. L., Mann, B., & Shahar, G. (2007). Short-term predictive effects of the looming cognitive style on anxiety disorder symptoms under restrictive methodological conditions. Behaviour Research and Therapy, 45, 1765–1777. doi:10.​1016/​j.​brat.​2006.​12.​007.PubMedCrossRef
go back to reference Shelby, R. A., Golden-Kreutz, D. M., & Anderson, B. L. (2005). Mismatch of posttraumatic stress disorder (PTSD) symptoms and DSM-IV symptom clusters in a cancer sample: Exploratory factor analysis of the PTSD Checklist-Civilian version. Journal of Traumatic Stress, 18, 347–357. doi:10.1002/jts.20033.PubMedCrossRef Shelby, R. A., Golden-Kreutz, D. M., & Anderson, B. L. (2005). Mismatch of posttraumatic stress disorder (PTSD) symptoms and DSM-IV symptom clusters in a cancer sample: Exploratory factor analysis of the PTSD Checklist-Civilian version. Journal of Traumatic Stress, 18, 347–357. doi:10.​1002/​jts.​20033.PubMedCrossRef
go back to reference Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). New York: Harper and Row. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). New York: Harper and Row.
go back to reference Taylor, S. (2000). Understanding and treating panic disorder: Cognitive behavioural approaches. Hoboken NJ: John Wiley. Taylor, S. (2000). Understanding and treating panic disorder: Cognitive behavioural approaches. Hoboken NJ: John Wiley.
go back to reference Taylor, S. (2006). Clinician’s guide to PTSD: A cognitive-behavioral approach. New York NY: The Guilford Press. Taylor, S. (2006). Clinician’s guide to PTSD: A cognitive-behavioral approach. New York NY: The Guilford Press.
go back to reference Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. doi:10.1037/1040-3590.19.2.176.PubMedCrossRef Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. doi:10.​1037/​1040-3590.​19.​2.​176.PubMedCrossRef
go back to reference Thibodeau, M. A., Carleton, R. N., Collimore, K. C., & Asmundson, G. J. G. (2012). From higher-order to underlying constructs: Examining the relationships between affect and fundamental fears. Cognitive Therapy and Research. doi:10.1007/s10608-012-9468-1. Thibodeau, M. A., Carleton, R. N., Collimore, K. C., & Asmundson, G. J. G. (2012). From higher-order to underlying constructs: Examining the relationships between affect and fundamental fears. Cognitive Therapy and Research. doi:10.​1007/​s10608-012-9468-1.
go back to reference Vujanovic, A. A., Bonn-Miller, M. O., Potter, C. M., Marshall, E. C., & Zvolensky, M. J. (2011). An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample. Journal of Psychopathology and Behavioral Assessment, 33, 129–135. doi:10.1007/s10862-010-9209-2.PubMedCrossRef Vujanovic, A. A., Bonn-Miller, M. O., Potter, C. M., Marshall, E. C., & Zvolensky, M. J. (2011). An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample. Journal of Psychopathology and Behavioral Assessment, 33, 129–135. doi:10.​1007/​s10862-010-9209-2.PubMedCrossRef
go back to reference Wald, J., & Taylor, S. (2007). Efficacy of interoceptive exposure therapy combined with trauma-related exposure therapy for posttraumatic stress disorder: A pilot study. Journal of Anxiety Disorders, 21(8), 1050–1060.PubMedCrossRef Wald, J., & Taylor, S. (2007). Efficacy of interoceptive exposure therapy combined with trauma-related exposure therapy for posttraumatic stress disorder: A pilot study. Journal of Anxiety Disorders, 21(8), 1050–1060.PubMedCrossRef
go back to reference Weathers, F. W., Litz, B. T., Herman, D. S., Huska, H. R., & Keane, T. M. (1993). The PTSD checklist (PCL-C): Reliability, validity, and diagnostic utility. San Antonio, TX: International Society for Traumatic Stress Studies. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, H. R., & Keane, T. M. (1993). The PTSD checklist (PCL-C): Reliability, validity, and diagnostic utility. San Antonio, TX: International Society for Traumatic Stress Studies.
Metagegevens
Titel
Intolerance of Uncertainty and PTSD Symptoms: Exploring the Construct Relationship in a Community Sample with a Heterogeneous Trauma History
Auteurs
Mathew G. Fetzner
Samantha C. Horswill
Paul A. Boelen
R. Nicholas Carleton
Publicatiedatum
01-08-2013
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-013-9531-6

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