Cited by 495Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPersonality Disorders and Psychopathology

The DOI matches its Crossref record; 58 of the 59 references it cites were found in a registry or an index; 10 of the 67 sources its claims cite were checked for support.

Intolerance of Uncertainty: A Common Factor in the Treatment of Emotional Disorders

Open access
Boswell, James F., Thompson-Hollands, Johanna, Farchione, Todd J., Barlow, David H.·2013·Journal of Clinical Psychology

Abstract

Intolerance of uncertainty (IU) is a characteristic predominantly associated with generalized anxiety disorder (GAD); however, emerging evidence indicates that IU may be a shared element of emotional disorders. Aims: This study aimed to examine IU across diagnostic categories, change in IU during transdiagnostic treatment, and the relationship between change in IU and treatment outcome. Method: Patients diagnosed with heterogeneous anxiety and depressive disorders received up to 18 weeks of a transdiagnostic cognitive-behavioral therapy intervention. Patient self-reported IU and self-report and clinician-rated symptom/functioning measures were administered at pretreatment and posttreatment. Results: When controlling for negative affectivity, IU correlated with measures of depressive symptoms and worry severity at pretreatment. Patients with GAD and panic disorder exhibited the highest pretreatment IU scores, yet IU scores did not differ significantly based on the presence or absence of a specific diagnosis. A significant decrease in IU was observed, and change in IU was related to reduced anxiety and depressive symptom levels at posttreatment across diagnostic categories. Discussion: Change in IU can be observed across problem areas in transdiagnostic treatment and such change is correlated with treatment outcome. © 2013 Wiley Periodicals, Inc.

Overview

Integrity signals

Registry

Crossref · 10.1002/jclp.21965

Cites

58 of 58 references verified0 citation errors · 0 not checkable

Statistics

7 tests recomputed · 0 with the reported and recomputed p on opposite sides of .05

Verification

Claims the paper makes

31 Own result · 30 No full text of the sources · 25 Own method · 22 Own interpretation · 8 Sources not found · 4 Not checked yet · 3 Supported · 2 Supported so far · 2 Partly supported · 1 Not supported · 1 Couldn’t confirm · 1 No basis given · accuracy not yet measured

  • Probably not a substantial claim. 37
  • It may state two separate claims as one. 29
  • The quote only partly states this claim. 1
57 of 57
  • The paper relies on this without support.

    Except for obsessive-compulsive disorder, intolerance of uncertainty has not been examined in the treatment of many anxiety and mood disorders or across multiple emotional disorders in a single treatment study.

    “However, with the exception of OCD (see Grayson, 2004, and Wilhelm & Steketee, 2006), IU has yetto be examined in the treatment of many anxiety and mood disorders, or across multiple emotional disorders in the context of a single treatment study.”
  • The paper relies on this without support.

    No previous research has examined intolerance of uncertainty in a single transdiagnostic treatment for heterogeneous disorders.

    “However, we are unaware of previous research that has examined IU in the context of a single transdiagnostic treatment for heterogeneous disorders.”
  • The paper relies on this without support.

    The question of whether change in intolerance of uncertainty during treatment differs by diagnosis has not been addressed empirically within a single treatment.

    “To our knowledge, this question has not been addressed empirically within the context of a single treatment.”
  • The paper relies on this without support.

    Panic disorder has not typically been associated with intolerance of uncertainty in the literature.

    “Panic disorder has not typically been associated with IU in the literature”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics that don’t add up

Each reported p-value recomputed from its test statistic and degrees of freedom.

2 of 2

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Doesn’t add upF(5, 35) = 0.57reported p = .83 · recomputed p = .722

    “F (5, 35) = 0.57, p = .83”

  • Doesn’t add upF(5, 28) = 1.11reported p = .43 · recomputed p = .378

    “F (5, 28) = 1.11, p = .43”

  • Not confirmedχ²(4) = 6.84reported p = .15 · recomputed p = .145

    “χ2 (4) = 6.84, p = .15”

  • ConsistentF(1, 34) = 0.36reported p = .55 · recomputed p = .552

    “F (1, 34) = 0.36, p = .55”

  • ConsistentF(4, 35) = 1.11reported p = .37 · recomputed p = .367

    “F (4, 35) = 1.11, p = .37”

  • Consistentt(28) = 3.49reported p < .01 · recomputed p = .002

    “t (28) = 3.49, p < .01”

  • Consistentt(9) = -0.43reported p = .68 · recomputed p = .677

    “t (9) = −0.43, p = .68”

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Self-check results appear here once an independent check has confirmed them.

Citations

Cites

Show all 59 references

Research works printed but not linked: 3

  1. Baer, 1991, Getting control: Overcoming your obsessions and compulsions
  2. Di Nardo, 1994, Anxiety Disorders Interview Schedule for DSM-IV: Lifetime Version (ADIS-IV-L)
  3. Grayson, 2004, Freedom from obsessive compulsive disorder: A personalized recovery program for living with uncertainty

Cited by

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Metadata

Authors
Boswell, J. F., Thompson-Hollands, J., Farchione, T. J., & Barlow, D. H.
Affiliations
  • Boston University (US)
  • Boston University
Corresponding author
Boswell, James F.
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2013-02-04
Volume
69
Issue
6
Pages
630-645
ISSN
0021-9762 (ISSN-L)
OpenAlex
W2170358517
Cited by
495
References
59
Citations by year
2026: 23 · 2025: 54 · 2024: 39 · 2023: 61 · 2022: 57 · 2021: 64 · 2020: 42 · 2019: 32 · 2018: 27 · 2017: 26 · 2016: 34 · 2015: 21 · 2014: 8 · 2013: 5
FWCI
30.63
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R34MH070693, R01MH090053)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
intolerance of uncertainty, generalized anxiety disorder, panic disorder, transdiagnostic cognitive behavioral therapy, anxiety disorders, depressive disorders, treatment outcomes, worry, negative affectivity, depressive symptoms
MeSH terms
Adaptation, Psychological, Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Severity of Illness Index, Cognitive Behavioral Therapy, Uncertainty, Young Adult, Self Report

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