Intolerance of uncertainty, appraisals, coping, and anxiety: The case of the 2009 H 1 N 1 pandemic
Abstract
Objectives Although ambiguous and uncertain situations, such as those dealing with the threat of widespread viral illness, may have pronounced psychological ramifications, there have been few studies that examined the factors that contributed to such outcomes. The purpose of the present investigation was to examine emotional reactions to a health threat. Design A structural equation model examined the interplay between anxiety and intolerance of uncertainty, as sequentially mediated by appraisals and coping strategies. Methods Adult participants over the age of 18 (N = 1,027) completed online self-report measures during the H1N1 pandemic in 2009. Results Greater intolerance of uncertainty was related to lower appraisals of self- and other control, which predicted low levels of problem-focused coping and greater reports of H1N1-related anxiety. Additionally, individuals with a high intolerance of uncertainty were more likely to perceive the pandemic as threatening and also were more apt to use emotion-focused coping strategies, and both of these factors predicted elevated levels of anxiety. Conclusions Together, these data indicate that threats, such as those related to a potential pandemic, not only have implications for physical health, but also for psychological distress, and that such outcomes vary with a constellation of appraisal and coping factors. Statement of contribution What is already known on this subject? It has been established that the public is often confused…
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Greater intolerance of uncertainty was related to lower appraisals of self- and other control, which in turn was associated with low rates of problem-focused coping and greater reports of pandemic-related anxiety.
“Writing about the 2009 H1N1 pandemic Taha and colleagues report that greater intolerance of uncertainty was related to lower appraisals of self‐ and other control, which in turn was associated with low rates of problem‐focused coping and greater reports of pandemic related anxiety [10].”
From Health anxiety, coping mechanisms and COVID 19: An Indian community sample at week 1 of lockdown (2021) · cites this paper as [10]
In the absence or ambiguity of information, people contribute to the spread of misinformation or disinformation.
“Moreover, in the absence or ambiguity of information, people contribute to the spread of misinformation [169] or disinformation, a subject of much recent attention [170-172].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [169]
Symptomatic expressions of anxiety, depression, stress, and suicidal ideation are critical mental health concerns and have been attributed to be consequences of the pandemic outbreak.
“We examined symptomatic expressions of anxiety, depression, stress, and suicidal ideation. These are not only some of the most critical mental health concerns but also have been attributed to be consequences of the pandemic outbreak [15,53,54].”
From Psychosocial Effects of the COVID-19 Pandemic: Large-scale Quasi-Experimental Study on Social Media (2020) · cites this paper as [54]
Published literature posits that distress and anxiety among individuals in the COVID-19 pandemic may increase the incidence of mental disorders.
“The published literature posits that the distress and anxiety among individuals in this COVID-19 pandemic may increase the incidence of mental disorders [53,54,99]”
From Psychosocial Effects of the COVID-19 Pandemic: Large-scale Quasi-Experimental Study on Social Media (2020) · cites this paper as [54]
In a general population sample during the H1N1 pandemic, greater intolerance of uncertainty was related to lower problem-focused and higher emotion-focused coping strategies.
“One of the best-known research about intolerance of uncertainty and coping was the one conducted by Taha et al. [76] in a general population sample during the H1N1 pandemic of 2009. The authors found significant relations between, greater intolerance of uncertainty, on the one hand, and lower problem-focused and higher emotion-focused coping strategies, on the other.”
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“At the same time, other researchers found that people with poor tolerance for uncertainty experienced the greatest anxiety and were less likely to believe they could do anything to protect themselves (Taha et al., 2014).”
Background
- Authors
- Taha, S., Matheson, K., Cronin, T., & Anisman, H.
- Affiliations
- Carleton University (CA)
- Department of Neuroscience Carleton University Ottawa Ontario Canada
- Corresponding author
- Taha, Sheena
- ORCID
- Taha, Sheena
- Venue
- British Journal of Health Psychology
- Publisher
- Wiley
- Published
- 2013-07-09
- Volume
- 19
- Issue
- 3
- Pages
- 592-605
- ISSN
- 1359-107X (ISSN-L)
- 2044-8287
- OpenAlex
- W1983582583
- Cited by
- 323
- References
- 9
- Citations by year
- 2026: 16 · 2025: 11 · 2024: 18 · 2023: 25 · 2022: 58 · 2021: 121 · 2020: 68 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 2 · 2013: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Sociology and Political Science › Risk Perception and Management
- Keywords
- intolerance of uncertainty, H1N1 pandemic, pandemic anxiety, threat appraisal, problem-focused coping, emotion-focused coping, psychological distress, health hazards, mediation
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Anxiety, Female, Humans, Influenza, Human, Internal-External Control, Male, Middle Aged, Models, Psychological, Uncertainty, Influenza A Virus, H1N1 Subtype, Young Adult, Self Report, Pandemics
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