Yuan Chenyu, Fan Yinqing, Wu Chaoyi, Hong Ang, Ou Yangyinyin, Wang Zhen
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China; Institute of Psychological and Behavioral Science, Shanghai Jiao Tong University, Shanghai, PR China.
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
J Affect Disord. 2025 Jul 1;380:45-54. doi: 10.1016/j.jad.2025.03.099. Epub 2025 Mar 19.
Intolerance of uncertainty (IU) is a transdiagnosed vulnerability for many mental disorders. Habit is a potential cognitive construct that links to intolerance of uncertainty and symptom dimensions. This study adopted a transdiagnose perspective to investigate the mediation effect of habit features between symptom dimensions and intolerance of uncertainty in a Chinese community sample.
We recruited 4102 Chinese adults age ranged from 18 to 67 (M = 26.9, SD = 8.01) to extract psychopathological symptom dimensions and explore the mediation roles of habit features.
The study extracted three symptom dimensions (compulsivity, addiction and affective stress dimension). All symptom dimensions, IU and habit features were significantly related (p < 0.01). IU had a direct positive influence on all three dimensions (compulsivity: effect = 0.41; affective stress: effect = 0.58; addiction: effect = 0.13), it lso have an indirect positive impact via habit feature of automaticity (compulsivity: effect = 0.095; affective stress: effect = 0.062; addiction: effect = 0.050). Additionally, IU can positively influence compulsivity dimension (effect = 0.053) and negatively affective stress (effect = -0.026) dimension through routine feature of habit.
Higher level of IU can intensify symptom dimension by habit feature of automaticity, while habit feature of routine can alleviate affective stress dimension and aggravate compulsivity dimension.
不确定性不耐受(IU)是多种精神障碍的一种跨诊断易感性。习惯是一种潜在的认知结构,与不确定性不耐受和症状维度相关。本研究采用跨诊断视角,在中国社区样本中调查习惯特征在症状维度和不确定性不耐受之间的中介作用。
我们招募了4102名年龄在18至67岁之间的中国成年人(M = 26.9,SD = 8.01),以提取精神病理症状维度并探讨习惯特征的中介作用。
研究提取了三个症状维度(强迫性、成瘾性和情感应激维度)。所有症状维度、IU和习惯特征均显著相关(p < 0.01)。IU对所有三个维度都有直接的正向影响(强迫性:效应 = 0.41;情感应激:效应 = 0.58;成瘾性:效应 = 0.13),它还通过自动性的习惯特征产生间接的正向影响(强迫性:效应 = 0.095;情感应激:效应 = 0.062;成瘾性:效应 = 0.050)。此外,IU可通过习惯的常规特征对强迫性维度产生正向影响(效应 = 0.053),对情感应激维度产生负向影响(效应 = -0.026)。
较高水平的IU可通过自动性的习惯特征加剧症状维度,而常规的习惯特征可减轻情感应激维度并加剧强迫性维度。