How Do Elements of a Reduced Capacity to Withstand Uncertainty Relate to the Severity of Health Anxiety?
Abstract
Intolerance of uncertainty (IU)--a multidimensional cognitive vulnerability factor--is associated with a variety of anxiety disorders and health anxiety (HA). To date, few studies have assessed whether IU dimensions (prospective and inhibitory IU) are differentially associated with HA and whether their contributions are independent of anxiety sensitivity (AS). This study addressed these issues using independent community (n = 155; 81% women) and undergraduate (n = 560; 86% women) samples. Results indicated that prospective IU, but not inhibitory IU, had significant positive associations with HA in community dwellers and undergraduate students. AS somatic and cognitive concerns were also significant predictors among both samples. In addition, severity of IU dimensions among individuals reporting elevated HA were compared against individuals diagnosed with generalized anxiety disorder, social anxiety disorder, panic disorder, and obsessive-compulsive disorder. Results indicated minimal differences between those with elevated HA and each of the anxiety disorder diagnoses. Findings lend support to the unique transdiagnostic nature of IU and support commonalities between HA and anxiety disorders.
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Greater health anxiety is associated with higher intolerance of uncertainty.
“higher levels of intolerance of uncertainty (Boelen & Carleton, 2012; Fergus & Bardeen, 2013; Fetzner et al., 2014)”
From An examination of mindfulness skills in terms of affect tolerance among individuals with elevated levels of health anxiety. (2018) · cites this paper as Fetzner et al., 2014
Health anxiety can be fueled by intolerance of uncertainty.
“health anxiety can be fueled by both cyberchondria [34] and intolerance of uncertainty [10, 12].”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [12]
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“This finding was in agreement with the studies of Fergus, Bardeen, and Fetzner that suggested a positive relationship between cyberchondria and intolerance of uncertainty (11, 15).”
ResultInhibiting uncertainty: Priming inhibition promotes reduction of uncertainty
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“Associations between prospective IU and various emotional disorders are thought to result from worry about some uncertain future event, which activates maladaptive behaviors (Fetzner et al., 2014; Mahoney & McEvoy, 2012a; McEvoy & Mahoney, 2011).”
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“…2012; McEvoy and Mahoney 2011, 2012; Saulnier et al. 2019; Whiting et al. 2014), whereas prospective IU is more associated with GAD and OCD (Hong and Lee 2015; Jacoby et al. 2013; McEvoy and Mahoney 2012; McEvoy and Mahoney 2011), PTSD (Raines et al. 2019) and health anxiety (Fetzner et al. 2014).”
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“Numerous studies have shown that higher levels of IU are reported by people with heightened levels of health anxiety (Fergus & Bardeen, 2013; Fetzner et al., 2014; Norton, 2005).”
Fundamental Fears in Greece (I)
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- Authors
- Fetzner, M. G., Asmundson, G. J. G., Carey, C., Thibodeau, M. A., Brandt, C., Zvolensky, M. J., & Carleton, R. N.
- Affiliations
- University of Regina (CA)
- University of Houston (US)
- Corresponding author
- Fetzner, Mathew G.
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2014-06-25
- Volume
- 43
- Issue
- 3
- Pages
- 262-274
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2051572265
- Cited by
- 38
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 5 · 2014: 1
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- intolerance of uncertainty, health anxiety, inhibitory intolerance of uncertainty, anxiety sensitivity, transdiagnostic factors, anxiety disorders, generalized anxiety disorder, social anxiety disorder, panic disorder, obsessive-compulsive disorder
- MeSH terms
- Adolescent, Adult, Anxiety, Anxiety Disorders, Female, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Prospective Studies, Severity of Illness Index, Uncertainty, Young Adult
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