Intolerance of uncertainty: a common factor in the treatment of emotional disorders.
Intolerance of uncertainty: a common factor in the treatment of emotional disorders.
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DOI：
10.1002/jclp.21965
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发表时间：
2013-06
影响因子：
3
通讯作者：
Barlow, David H.
中科院分区：
文献类型：
--
作者：
Boswell, James F.;Thompson-Hollands, Johanna;Farchione, Todd J.;Barlow, David H.
不确定性不耐受(IU)是与广泛性焦虑症(GAD)有关的一个特征；然而，越来越多的证据表明，IU可能是情绪障碍的一个共同因素。这项研究的目的是检查跨诊断类别的IU，跨诊断治疗期间IU的变化，以及IU的变化与治疗结果之间的关系。被诊断为异质性焦虑和抑郁障碍的患者接受了长达18周的跨诊断认知行为治疗干预。在治疗前和治疗后分别进行患者自我报告的IU和自我报告以及临床医生评定的症状/功能测量。当控制负性情感时，Iu与治疗前的抑郁症状和焦虑程度相关。患有广泛性焦虑症和惊恐障碍的患者表现出最高的治疗前IU评分，但基于有无特定诊断，IU评分没有显著差异。观察到Iu显著降低，Iu的变化与治疗后不同诊断类别的焦虑和抑郁症状水平的降低有关。在跨诊断治疗中，可以观察到不同问题区域的Iu变化，这种变化与治疗结果相关。
Intolerance of uncertainty (IU) is a characteristic predominantly associated with generalized anxiety disorder (GAD); however, emerging evidence indicates that IU may be a shared element of emotional disorders. This study aimed to examine IU across diagnostic categories, change in IU during transdiagnostic treatment, and the relationship between change in IU and treatment outcome. Patients diagnosed with heterogeneous anxiety and depressive disorders received up to 18 weeks of a transdiagnostic cognitive-behavioral therapy intervention. Patient self-reported IU and self-report and clinician-rated symptom/functioning measures were administered at pretreatment and posttreatment. When controlling for negative affectivity, IU correlated with measures of depressive symptoms and worry severity at pretreatment. Patients with GAD and panic disorder exhibited the highest pretreatment IU scores, yet IU scores did not differ significantly based on the presence or absence of a specific diagnosis. A significant decrease in IU was observed, and change in IU was related to reduced anxiety and depressive symptom levels at posttreatment across diagnostic categories. Change in IU can be observed across problem areas in transdiagnostic treatment and such change is correlated with treatment outcome.
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DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
2.3
作者：
Dugas, MJ;Ladouceur, R
通讯作者：
Ladouceur, R
影响因子：
4.3
作者：
FREESTON, MH;RHEAUME, J;LADOUCEUR, R
通讯作者：
LADOUCEUR, R
影响因子：
3.7
作者：
Chorpita, BF;Brown, TA;Barlow, DH
通讯作者：
Barlow, DH
影响因子：
10.5
作者：
BECH, P;ALLERUP, P;AYUSO, JL
通讯作者：
AYUSO, JL