Intolerance of uncertainty as a predictor of anxiety severity and trajectory during the COVID-19 pandemic.

Autor: Breaux R; Department of Psychology, Virginia Tech, USA., Naragon-Gainey K; School of Psychological Science, University of Western Australia, Australia., Katz BA; Department of Psychology, Stony Brook University, USA., Starr LR; Department of Psychology, University of Rochester, USA., Stewart JG; Department of Psychology, Queen's University, UK., Teachman BA; Department of Psychology, University of Virginia, USA., Burkhouse KL; Department of Psychology, Penn State University, USA., Caulfield MK; Department of Psychology, University of Pittsburgh, USA., Cha CB; Department of Counseling and Clinical Psychology, Columbia University, USA., Cooper SE; Department of Psychiatry and Behavioral Sciences, University of Texas, Austin, USA., Dalmaijer E; School of Psychological Science, University of Bristol, UK., Kriegshauser K; Department of Psychology, University of Missouri, Kansas City, USA., Kusmierski S; Department of Psychology, University of Pittsburgh, USA., Ladouceur CD; Department of Psychiatry, University of Pittsburgh, USA., Asmundson GJG; Department of Psychology, University of Regina, Canada., Davis Goodwine DM; Aidan Behavioral Health and Consulting, USA., Fried EI; Department of Clinical Psychology, Leiden University, USA., Gratch I; Department of Counseling and Clinical Psychology, Columbia University, USA., Kendall PC; Department of Psychology and Neuroscience, Temple University, USA., Lissek S; Department of Psychology, University of Minnesota, Twin Cities, USA., Manbeck A; Department of Psychology, University of Minnesota, Twin Cities, USA., McFayden TC; Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill, USA., Price RB; Departments of Psychiatry and Psychology, University of Pittsburgh, USA., Roecklein K; Department of Psychology, University of Pittsburgh, USA., Wright AGC; Department of Psychology, University of Michigan,USA., Yovel I; Department of Psychology, Hebrew University of Jerusalem, Israel., Hallion LS; Department of Psychology, University of Pittsburgh, USA. Electronic address: hallion@pitt.edu.
Jazyk: angličtina
Zdroj: Journal of anxiety disorders [J Anxiety Disord] 2024 Aug; Vol. 106, pp. 102910. Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1016/j.janxdis.2024.102910
Abstrakt: Background: Efforts to identify risk and resilience factors for anxiety severity and course during the COVID-19 pandemic have focused primarily on demographic rather than psychological variables. Intolerance of uncertainty (IU), a transdiagnostic risk factor for anxiety, may be a particularly relevant vulnerability factor.
Method: N = 641 adults with pre-pandemic anxiety data reported their anxiety, IU, and other pandemic and mental health-related variables at least once and up to four times during the COVID-19 pandemic, with assessments beginning in May 2020 through March 2021.
Results: In preregistered analyses using latent growth models, higher IU at the first pandemic timepoint predicted more severe anxiety, but also a sharper decline in anxiety, across timepoints. This finding was robust to the addition of pre-pandemic anxiety and demographic predictors as covariates (in the full sample) as well as pre-pandemic depression severity (in participants for whom pre-pandemic depression data were available). Younger age, lower self/parent education, and self-reported history of COVID-19 illness at the first pandemic timepoint predicted more severe anxiety across timepoints with strong model fit, but did not predict anxiety trajectory.
Conclusions: IU prospectively predicted more severe anxiety but a sharper decrease in anxiety over time during the pandemic, including after adjustment for covariates. IU therefore appears to have unique and specific predictive utility with respect to anxiety in the context of the COVID-19 pandemic.
Competing Interests: Declaration of Competing Interest Lauren S. Hallion and Gordon J. G. Asmundson are Associate Editor and Editor-in-Chief at Journal of Anxiety Disorders, respectively, and receive financial support through payments for their editorial work on the journal. Neither author was involved in the review of the manuscript or the decision regarding its acceptance. We have no additional conflicts of interest to declare.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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