The Intolerance of Uncertainty Scale for Children: A psychometric evaluation.
Open accessAbstract
Intolerance of uncertainty (IU) has contributed to our understanding of excessive worry and adult anxiety disorders, but there is a paucity of research on IU in child samples. This gap is due to the absence of a psychometrically sound measure of IU in youth. The present study adapted parallel child- and parent-report forms of the Intolerance of Uncertainty Scale (IUS) and examined the internal consistency, convergent validity, and classification properties of these forms in youth aged 7-17 (M = 11.6 years, SD = 2.6). Participating youth (N = 197; 100 girls, 97 boys) either met diagnostic criteria for an anxiety disorder (n = 73) or were nonreferred community participants (n = 124). The child-report form (i.e., IUS for Children, or IUSC), and to a lesser extent the parent-report form, demonstrated strong internal consistency and convergent validity, evidenced by significant associations with anxiety and worry (and reassurance-seeking in the case of the child-report form). Children diagnosed with anxiety disorders scored higher than nonreferred community youth on both forms. Receiver operating characteristic (ROC) analysis demonstrated acceptable overall utility in distinguishing the 2 groups of youth. Findings provide preliminary support for use of the IUSC for continuous measurement of children's ability to tolerate uncertainty.
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Both the Intolerance of Uncertainty Scale for Children (IUS-C) and the short version of the Intolerance of Uncertainty Scale (SV-IUS) have excellent psychometric properties.
“Both the IUS-C and the SV-IUS have excellent psychometric properties.”
From Applicability of the intolerance of uncertainty model to Generalized Anxiety Disorder symptoms in young people (2021) · cites this paper as Comer et al., 2009
The Discussion (page unavailable) reports strong internal consistency and convergent validity for the child-report IUS-C, while describing its psychometric support as preliminary. The paper does not evaluate the SV-IUS; its Methods section describes the 27-item adult IUS instead. (LLM, conf=0.89)
Experimental — accuracy not yet measuredResearch has offered some support for the intolerance of uncertainty model in adult samples and in youth as young as 7 years old.
“Research has offered some support for IUM in both adult samples [32–37] and samples of youth as young as 7 years old [14, 38–42].”
From Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety. (2020) · cites this paper as [39]
Individuals with high IU find ambiguity unbearable and experience difficulty functioning in uncertain situations.
“Individuals with high IU find ambiguity unbearable and experience difficulty functioning in uncertain situations (Comer et al., 2009).”
From Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm (2022) · cites this paper as Comer et al., 2009
The IUS-C has excellent internal consistency for both a community sample (α = 0.91) and an anxiety-disordered sample (α = 0.94) of youth aged 7 to 17 years.
“Comer et al., (2009) found excellent internal consistency for the IUS-C for both a community sample (α = 0.91) and an anxiety-disordered sample (α =0.94) of youth aged 7 to 17 years.”
From The efficacy of a group-based, disorder-specific treatment program for childhood GAD - A randomized controlled trial (2014) · cites this paper as Comer et al., 2009
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- Authors
- Comer, J. S., Roy, A. K., Furr, J. M., Gotimer, K., Beidas, R. S., Dugas, M. J., & Kendall, P. C.
- Affiliations
- Columbia University (US)
- New York University (US)
- Temple University (US)
- Concordia University (CA)
- Venue
- Psychological Assessment
- Published
- 2009-09
- Volume
- 21
- Issue
- 3
- Pages
- 402-411
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- PMC
- PMC2952545
- OpenAlex
- W2127088076
- Cited by
- 162
- References
- 60
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 11 · 2023: 13 · 2022: 16 · 2021: 12 · 2020: 15 · 2019: 8 · 2018: 8 · 2017: 13 · 2016: 16 · 2015: 6 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Fordham Research Commons (Fordham University) (submittedVersion)
- Funders
- National Institutes of Health (T32 MH016434)
- National Institute of Mental Health (K23MH074821)
- American Psychological Association
- Temple University
- Mental Health Initiative
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- intolerance of uncertainty, children, anxiety disorders, excessive worry, reassurance seeking, internal consistency, convergent validity, psychometric assessment
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Female, Humans, Interview, Psychological, Male, Parents, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, ROC Curve, Self Disclosure, Reproducibility of Results, Uncertainty
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