Intolerance of uncertainty, anxiety sensitivity, health anxiety, and anxiety disorder symptoms in youth

2016 ◽  
Vol 41 ◽  
pp. 35-42 ◽  
Author(s):  
Kristi D. Wright ◽  
Megan A.N. Adams Lebell ◽  
R. Nicholas Carleton
2016 ◽  
Vol 12 (4) ◽  
pp. 179 ◽  
Author(s):  
Mansoor Alimehdi ◽  
Parvin Ehteshamzadeh ◽  
Farah Naderi ◽  
Zahra Eftekharsaadi ◽  
Reza Pasha

<p class="a"><span lang="EN-US">The Generalized Anxiety Disorder (GAD) is one of the most chronic and detrimental disorders and it is considered a common disorder in childhood and adolescence. Furthermore, this disorder is associated with many problems in the health domain. As such, this study attempted to gauge the impact of mindfulness-based stress reduction on intolerance of uncertainty and anxiety sensitivity among students with generalized anxiety disorder. Therefore, it was attempted to run a quasi-experimental research, including a pre-test, a post-test and a control group, among high schools of Robat Karim in Tehran province. Having used the purposive sampling method, 30 students diagnosed with generalized anxiety disorder, intolerance of uncertainty and high anxiety sensitivity were selected. Then, they were randomly assigned to experimental (15 students) and control groups (15 students). Consequently, the mindfulness program was introduced to the experimental group in 8 sessions and the control group received no treatment. It should be noted that groups were assessed before and after treatment with generalized anxiety scale, anxiety sensitivity and intolerance of uncertainty. The results of analysis of covariance showed that mindfulness-based stress reduction programs significantly reduced the symptoms of generalized anxiety disorder, anxiety sensitivity and intolerance of uncertainty. Since mindfulness reduces the levels of two key components of generalized anxiety disorder, namely intolerance of uncertainty and anxiety sensitivity, it seems appropriate to make use of this program in the treatment of generalized anxiety disorder.</span></p>


2012 ◽  
Vol 24 (12) ◽  
pp. 1998-2008 ◽  
Author(s):  
Lindsay A. Gerolimatos ◽  
Barry A. Edelstein

ABSTRACTBackground: Many older adults have at least one chronic disease and experience greater health problems than young adults. However, little is known about factors other than health that account for health anxiety (HA) among older adults. The overall objective of the present study was to develop a better understanding of HA among older and young adults.Methods: We examined how anxiety-related constructs (anxiety sensitivity, intolerance of uncertainty, anxiety control, and emotion regulation) predict two core components of HA described in the cognitive–behavioral model of HA (illness likelihood and negative consequences) in older and young adults. We also examined the extent to which the predictor variables differentially account for HA in both age groups. Older and young adult participants completed several self-report surveys.Results: Young adults reported higher levels of HA than older adults. Anxiety sensitivity and reappraisal predicted illness likelihood for older and young adults. Intolerance of uncertainty predicted negative consequences in both age groups. Anxiety sensitivity predicted negative consequences for older adults only. Anxiety control did not predict illness likelihood or negative consequences for either age group.Conclusions: Results suggest that anxiety sensitivity and intolerance of uncertainty may predispose older and young adults to HA, which is influenced by reappraisal. Implications for the cognitive–behavioral model of HA in both age groups are discussed.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A298-A298
Author(s):  
Augustus Kram Mendelsohn ◽  
Carolina Daffre ◽  
Katelyn Oliver ◽  
Jeehye Seo ◽  
Natasha Lasko ◽  
...  

Abstract Introduction Insomnia Disorder (ID) elevates risk of incident anxiety disorders and vice versa. We examined whether ID and poor sleep are associated with greater self-reported anxiety in persons with Generalized Anxiety Disorder (GAD). Methods Twenty-one participants with GAD and ID (GAD+/ID+) having Insomnia Severity Index (ISI) scores ≥ 13 (mean 17.8, SD 3.6) and 14 with GAD but not ID (GAD+/ID-) having ISI scores ≤ 12 (mean 6.4, SD 3.4) completed 14 days of actigraphy and sleep diaries as well as a night of ambulatory polysomnography (PSG) following an acclimation night. Participants completed the Pittsburgh Sleep Quality Index (PSQI), the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA-T/C, -T/S), the Ford Insomnia Response to Stress Test (FIRST), the Penn State Worry Questionnaire (PSWQ), and the Anxiety Sensitivity Index (ASI). Differences in self-reported anxiety (STICSA, ASI, PSWQ) between GAD+/ID+ and GAD+/ID- were analyzed using t-tests. Relationships of anxiety with retrospective (PSQI, FIRST, ISI), longitudinal (actigraphy, diaries) and physiological (PSG) sleep variables were analyzed using simple regression. Results GAD+/ID+ versus GAD+/ID- participants showed trends toward higher anxiety on the PSWQ (p=0.075), ASI (p=0.072) and STICSA-T/S (p=0.078). PSQI scores were positively associated with STICSA-T/S, (R=0.417, p=0.018, N=32). Greater insomnia reactivity (FIRST) was associated with increased worry on the PSWQ (R=0.352, p=0.044, N=33). STICSA-T/C was negatively associated with mean diary (R= -0.440, p=0.015, N=30) and actigraph (R= -0.517, p=0.01, N=24) total sleep time (TST). Actigraph mean TST trended toward lower PSWQ (R= -0.376, p=0.058, N=26) while actigraph mean sleep efficiency (SE) trended toward lesser STICSA-T/C (R= -0.397, p=0.058). Greater REM% was associated with greater STICSA-T/C (R=0.613, p=0.0005, N=28) and STICSA-T/S (R=0.516, p=0.005), a relationship also seen in GAD+/ID+ alone (p=0.03 and 0.015 respectively, N=16). Slow Wave Sleep% (SWS%) was not associated with lesser STICSA-T/S across both groups (p=0.14) but was so in GAD+/ID+ (R= -0.539, p=0.031, N=16). Conclusion GAD+/ID+ versus GAD+/ID-, show greater worry, anxiety sensitivity and somatic anxiety. In GAD, shorter and poorer quality sleep measured retrospectively or averaged longitudinally, as well as greater REM%, are associated with greater somatic and cognitive anxiety. Among those with ID, greater SWS% is associated with less somatic anxiety. Support (if any) R21MH115279, R01MH109638


2007 ◽  
Vol 45 (10) ◽  
pp. 2307-2316 ◽  
Author(s):  
R. Nicholas Carleton ◽  
Donald Sharpe ◽  
Gordon J.G. Asmundson

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Saad Kazim Karim ◽  
Perjan Hashim Taha ◽  
Nazar Mohammad Mohammad Amin ◽  
Habeeb Shuhaib Ahmed ◽  
Miami Kadhim Yousif ◽  
...  

Abstract Background The COVID-19 outbreak is an unprecedented global public health burden, which popped up in China in late 2019 to early 2020 and distributed worldwide rapidly. Indeed, this pandemic transmission has raised global physical and mental health concerns. Mental health issues that concur with this public health emergency may pose anxiety, depression, and posttraumatic stress disorder. In Iraq, there are no registered known data on the psychological consequence of the public during the communicable disease outbreak. The ongoing study aims to address the paucity of these data as an appraisal of the mental health burden represented by anxiety disorder related to the global COVID-19 era. Results Among the 1591 Iraqi respondents, 788 (49.5%) accounted for having health anxiety over the current home restriction situation. Younger ages experienced more COVID-19-related health anxiety compared to older ages. Females reported higher health anxiety compared to males (57.7% vs 42.3%). The health care professionals reported 20.9% health anxiety. The Iraqi southern population displayed more health anxiety compared to the northern and middle portions. This work showed about half of the respondents were spending over 60 min focusing on news of COVID-19. We found that 80 to 90% carrying out preventive efforts and home quarantine against COVID-19 infection. Interestingly, participants experienced fear from the risk of COVID-19 infection, whether more or equal to a level of war scare, in 70.1% of the sample. Conclusions In Iraq, during the COVID-19 pandemic, nearly half of the respondents have health anxiety. Southern Iraqi cities displayed higher rates of anxiety. Also, being female, younger ages, holding an academic degree, or being a college student are associated with more prominent degrees of anxiety. Furtherly, it is important to adopt strategies for public health education and prevention and alerting future governmental responses focusing on psychological state impact among the general population.


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