Department of Psychology, University of Cincinnati, Cincinnati, OH, USA; Anxiety Disorders Center/Center for CBT, The Institute of Living/Hartford Hospital, Hartford, CT, USA. Electronic address: Emily.O'
Dayton Veterans Affairs Medical Center, Dayton, OH, USA; Department of Psychology, University of Virginia, Charlottesville, VA, USA.
J Behav Ther Exp Psychiatry. 2021 Dec;73:101671. doi: 10.1016/j.jbtep.2021.101671. Epub 2021 Jun 23.
Intolerance of uncertainty (IU) is an individual difference factor that reflects difficulty tolerating emotional distress in the context of uncertainty and is a robust transdiagnostic risk factor for emotional disorders. A limitation of prior research on IU is the heavy reliance on self-report measures to assess this construct. The aim of the present study was to examine the validity of a brief, computerized anagram task modified to assess IU (the PACT Anagram Task; PAT).
Participants were 221 unselected undergraduate students (71% female; M = 19; 89% Caucasian) who completed the PAT and a series of self-report measures of convergent, discriminant, and incremental validity, and measures of anxiety and depression symptoms online for course credit.
Greater PAT-Distress was positively correlated measures of convergent validity and demonstrated incremental validity in relation to self-reported IU above and beyond attentional control. None of the PAT indicators were associated with compassion or empathic concern, evidencing discriminant validity. PAT-Distress and PAT-Answers were each associated with greater worry above and beyond self-reported IU.
Study limitations include the cross-sectional design and lack of diversity in terms of sample demographics. Furthermore, we did not examine convergence between this task and other behavioral measures of IU.
Subjective distress following completion of the PAT may serve as one indicator of IU. Further research is needed in order to replicate these results and validate the use of the PAT in clinical samples.
不确定容忍度(IU)是一种个体差异因素,反映了在不确定情境下容忍情绪困扰的困难程度,是情绪障碍的一种稳健的跨诊断风险因素。先前关于 IU 的研究的一个局限性是过度依赖自我报告量表来评估这一结构。本研究的目的是检验一种简短的、计算机化的字谜任务的有效性,该任务经过修改后可用于评估 IU(即 PACT 字谜任务;PAT)。
参与者是 221 名未选的本科生(71%为女性;M=19;89%为白种人),他们在线完成了 PAT 和一系列自我报告的收敛性、区分性和增量有效性的测量,以及焦虑和抑郁症状的测量,以获得课程学分。
更大的 PAT-痛苦与收敛性有效性的测量呈正相关,并在报告的 IU 之外显示出增量有效性,这与注意力控制有关。PAT 的指标均与同情或共情关注无关,表现出区分效度。PAT-痛苦和 PAT-答案均与更大的担忧有关,而不仅仅是报告的 IU。
研究的局限性包括横断面设计以及样本人口统计学方面缺乏多样性。此外,我们没有检查该任务与其他 IU 的行为测量之间的收敛性。
完成 PAT 后主观上的痛苦可能是 IU 的一个指标。需要进一步的研究来复制这些结果,并验证 PAT 在临床样本中的使用。