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Published on: September 12, 2014
Does it feel certain enough? Intolerance of uncertainty predicts checking behavior through 'not just right'
Helmut Appel1, André Mattes2, Alexander L Gerlach1
1Institute of Clinical Psychology and Psychotherapy, University of Cologne, Pohligstr. 1, Cologne 50969, Germany.
Intolerance of uncertainty (IU) increases distress from "not just right" experiences (NJREs), leading to longer checking behaviors in anxiety and OCD patients. NJREs mediate this link, highlighting their role in maintaining pathological safety behaviors.
Area of Science:
- Psychology
- Clinical Psychology
- Cognitive Behavioral Therapy
Background:
- Pathological safety behaviors are key in mental disorders like OCD and anxiety.
- Intolerance of uncertainty (IU) is a significant cognitive factor.
- Understanding the role of "not just right" experiences (NJREs) is crucial.
Purpose of the Study:
- To investigate the relationship between IU, NJREs, and safety behaviors (checking).
- To examine the mediating role of NJREs in the link between IU and checking behavior.
- To explore implications for treating anxiety-related disorders.
Main Methods:
- A behavior-based checking paradigm was used.
- 164 individuals with OCD and/or anxiety disorders participated.
- Trait and experimentally induced NJREs were assessed.
Main Results:
- IU correlated with increased disturbance from induced NJREs.
- IU was associated with higher trait-level NJREs.
- IU indirectly predicted longer checking behavior through NJRE-related disturbance.
Conclusions:
- IU contributes to pathological safety behaviors by increasing NJRE-related distress.
- NJREs play a mediating role in the IU-safety behavior pathway.
- Therapeutic interventions should consider IU and NJREs for anxiety disorders.
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