Intolerance of Uncertainty: Shaping an Agenda for Research on Coping with Multiple Sclerosis.
Intolerance of Uncertainty: Shaping an Agenda for Research on Coping with Multiple Sclerosis.
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DOI：
10.7224/1537-2073.2014-044
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发表时间：
2015-07-01
影响因子：
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通讯作者：
Beier, Meghan L
中科院分区：
文献类型：
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作者：
Alschuler, Kevin N;Beier, Meghan L
多发性硬化症（MS）是一种慢性和进行性神经系统疾病，就其性质而言，携带不确定性作为标志性特征。虽然所有患者都面临不确定性，但个体如何科普其存在差异。在其他人群中，“不容忍不确定性”的概念已经被概念化来解释这种变异性，以至于难以容忍未来发生的可能性的个体可能会参与他们试图控制这种可能性或减少不确定性的想法或行为，但结果可能会经历更糟糕的结果，特别是在心理健康方面。这篇专题综述介绍了以MS为重点的研究人员，临床医生和患者对不确定性的不容忍，将概念与已经了解的应对MS的概念相结合，并建议了未来的概念，评估和治疗为重点的研究步骤，这些研究可能会受益于将不容忍的不确定性作为一个中心特征。
Multiple sclerosis (MS) is a chronic and progressive neurologic condition that, by its nature, carries uncertainty as a hallmark characteristic. Although all patients face uncertainty, there is variability in how individuals cope with its presence. In other populations, the concept of "intolerance of uncertainty" has been conceptualized to explain this variability such that individuals who have difficulty tolerating the possibility of future occurrences may engage in thoughts or behaviors by which they attempt to exert control over that possibility or lessen the uncertainty but may, as a result, experience worse outcomes, particularly in terms of psychological well-being. This topical review introduces MS-focused researchers, clinicians, and patients to intolerance of uncertainty, integrates the concept with what is already understood about coping with MS, and suggests future steps for conceptual, assessment, and treatment-focused research that may benefit from integrating intolerance of uncertainty as a central feature.