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对不确定性的不耐受与成人分离焦虑。

Intolerance of uncertainty and adult separation anxiety.

作者信息

Boelen Paul A, Reijntjes Albert, Carleton R Nicholas

机构信息

a Department of Clinical and Health Psychology , Utrecht University , Utrecht , The Netherlands.

出版信息

Cogn Behav Ther. 2014;43(2):133-44. doi: 10.1080/16506073.2014.888755. Epub 2014 Mar 7.

Abstract

Intolerance of uncertainty (IU)-the tendency to react negatively to situations that are uncertain-is involved in different anxiety disorders and depression. No studies have yet examined the association between IU and symptoms of adult separation anxiety disorder. However, it is possible that greater difficulties tolerating uncertainties that can occur in relationships with attachment figures inflate fears and worries about the consequences of being separated from these attachment figures. The current study examined the possible role of IU in symptoms of adult separation anxiety disorder, relative to its role in symptoms of generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD), social anxiety, and depression, using self-reported data from 215 undergraduates (92% women) with elevated separation anxiety. Findings showed that IU was significantly associated with symptom levels of separation anxiety disorder, GAD, OCD, social anxiety, and depression (rs > .30). IU continued to explain variance in OCD, social anxiety, and depression (but not GAD and separation anxiety) when controlling for the association of neuroticism, attachment anxiety, and attachment avoidance with these symptoms. Additional findings indicated that IU is more strongly associated with symptoms of GAD, OCD, and social anxiety than symptoms of adult separation anxiety disorder and depression.

摘要

对不确定性的不耐受(IU)——对不确定情况产生消极反应的倾向——与不同的焦虑症和抑郁症有关。尚无研究考察IU与成人分离焦虑症症状之间的关联。然而,在与依恋对象的关系中难以容忍不确定性,可能会加剧对与这些依恋对象分离后果的恐惧和担忧。本研究使用来自215名分离焦虑水平较高的本科生(92%为女性)的自我报告数据,考察了IU在成人分离焦虑症症状中可能发挥的作用,及其相对于在广泛性焦虑症(GAD)、强迫症(OCD)、社交焦虑症和抑郁症症状中所起作用的情况。研究结果表明,IU与分离焦虑症、GAD、OCD、社交焦虑症和抑郁症的症状水平显著相关(相关系数rs>.30)。在控制了神经质、依恋焦虑和依恋回避与这些症状的关联后,IU仍能解释OCD、社交焦虑症和抑郁症(但不包括GAD和分离焦虑症)的变异。其他研究结果表明,与成人分离焦虑症和抑郁症的症状相比,IU与GAD、OCD和社交焦虑症的症状关联更强。

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