Department of Psychology, Mental Health Interventions and Technology (MINT) Program, Florida International University, Miami, FL, United States.
Department of Psychology, Mental Health Interventions and Technology (MINT) Program, Florida International University, Miami, FL, United States.
J Anxiety Disord. 2018 Jan;53:100-107. doi: 10.1016/j.janxdis.2017.07.003. Epub 2017 Jul 31.
Intolerance of uncertainty (IU), a dispositional negative orientation toward uncertainty and its consequences, has been studied in adults, but research has only recently examined IU in youth. Despite some advances, little is known about the factor structure of measures of IU in youth. The present study used confirmatory factor analysis to examine the structure of IU as measured by the Intolerance of Uncertainty Scale for Children (IUSC; Comer et al., 2009) in a sample of youth (N=368) 9-18 years of age (M=12.47) with and without anxiety disorders and their mothers. Findings demonstrated multiple acceptable factor structures: a correlated factors 2-factor structure and a bifactor model where a general factor underlies all items. While the bifactor model provides better fit and reliability to the data, multivariate analyses indicated that the 2-factor structure distinguishes apprehensive anxiety regarding future events (prospective IU) from present-focused inhibition of behavior due to uncertainty and negative reactions to the presence of uncertainty (inhibitory IU); a total IU score predicted all anxiety domains for self- and parent-reports except for parent-report harm avoidance. Findings are discussed in terms of consistency of IU across adult and youth samples, and how results can inform treatment efforts and etiologic models of IU and anxiety.
不确定性容忍度(IU)是一种对不确定性及其后果的消极倾向,已在成年人中进行了研究,但最近才开始研究青少年的 IU。尽管取得了一些进展,但对于青少年 IU 测量的因素结构知之甚少。本研究使用验证性因子分析,在患有和不患有焦虑症的青少年及其母亲(N=368,年龄 9-18 岁,M=12.47)样本中,检验了由儿童不确定性容忍量表(IUSC;Comer 等人,2009)测量的 IU 的结构。研究结果表明,存在多种可接受的因素结构:相关因素的 2 因素结构和双因素模型,其中所有项目都有一个共同因素。虽然双因素模型为数据提供了更好的拟合度和可靠性,但多元分析表明,2 因素结构将对未来事件的担忧(前瞻性 IU)与由于不确定性而对行为的当前聚焦抑制以及对不确定性的负面反应(抑制性 IU)区分开来;总 IU 得分预测了自我和父母报告的所有焦虑领域,除了父母报告的回避伤害。研究结果讨论了 IU 在成年和青少年样本中的一致性,以及如何为 IU 和焦虑的治疗努力和病因模型提供信息。