Oglesby Mary E, Allan Nicholas P, Short Nicole A, Raines Amanda M, Schmidt Norman B
Department of Psychology, Florida State University.
Psychol Assess. 2017 Apr;29(4):435-445. doi: 10.1037/pas0000357. Epub 2016 Jul 14.
Intolerance of uncertainty (IU) is a multidimensional construct that has been proposed as an important transdiagnostic risk factor across various anxiety and mood disorders. Recent work found support for IU having a continuous latent structure when utilizing taxometric methods. However, taxometrics may not be ideally suited to examine the latent structure of constructs such as IU given the methodological shortcomings associated with this technique. The current study applied factor mixture modeling, a statistical technique that overcomes shortcomings of prior work, to examine the latent structure of IU in a sample of 371 individuals presenting at an outpatient clinic. Findings indicated that the best fitting solution was a 3-class model with 1 class consisting of individuals with high levels of IU (High IU; n = 55) and 1 containing individuals with low levels of IU (Low IU; n = 206). Our third class, labeled Moderate IU, consisted of 110 individuals with levels of IU between those of the High IU and Low IU groups. There were also significant differences across the 3 IU classes, including the relations between IU classes and anxiety-related and depressive disorders. The current investigation was the first to find evidence of IU having a categorical latent structure. Implications for research and clinical utility are discussed. (PsycINFO Database Record
不确定性不耐受(IU)是一种多维结构,已被提出作为各种焦虑和情绪障碍的重要跨诊断风险因素。最近的研究发现,在使用分类分析方法时,支持IU具有连续的潜在结构。然而,鉴于与该技术相关的方法学缺点,分类分析可能并不完全适合检验诸如IU这样的结构的潜在结构。本研究应用因素混合模型,一种克服先前研究缺点的统计技术,来检验371名门诊患者样本中IU的潜在结构。研究结果表明,最佳拟合模型是一个三类模型,一类由IU水平高的个体组成(高IU组;n = 55),另一类由IU水平低的个体组成(低IU组;n = 206)。我们的第三类,标记为中度IU,由110名IU水平介于高IU组和低IU组之间的个体组成。这三类IU之间也存在显著差异,包括IU类别与焦虑相关和抑郁障碍之间的关系。本研究首次发现IU具有分类潜在结构的证据。讨论了对研究和临床应用的启示。(PsycINFO数据库记录)