Intolerance of uncertainty, appraisals, coping, and anxiety: The case of the 2009 H1N1 pandemic
Intolerance of uncertainty, appraisals, coping, and anxiety: The case of the 2009 H1N1 pandemic
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DOI：
10.1111/bjhp.12058
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发表时间：
2014-09-01
影响因子：
7.9
通讯作者：
Anisman, Hymie
中科院分区：
文献类型：
--
作者：
Taha, Sheena;Matheson, Kim;Anisman, Hymie
目标.虽然模棱两可和不确定的情况下，如那些处理广泛的病毒性疾病的威胁，可能会有明显的心理后果，有很少的研究，探讨了导致这种结果的因素。本研究的目的是检查情绪反应的健康威胁。设计。结构方程模型研究了焦虑和不容忍的不确定性之间的相互作用，依次介导的评价和应对策略。在2009年H1N1流感大流行期间，18岁以上的成年参与者（N = 1，027）完成了在线自我报告措施。对不确定性的更大的不容忍与对自我和其他控制的较低评价有关，这预示着以问题为中心的应对水平较低，以及H1N1相关焦虑的报告较多。此外，对不确定性具有高度不容忍性的个体更有可能将大流行视为威胁，也更倾向于使用以情绪为中心的应对策略，这两个因素都预测了焦虑水平的升高。总之，这些数据表明，威胁，如与潜在的大流行病有关的威胁，不仅对身体健康有影响，而且对心理痛苦也有影响，而且这些结果因一系列评估和应对因素而异。
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.