Depression and Intolerance of Uncertainty: Association with Decisional Conflict in Otolaryngology Patients

Objective: To determine if anxiety, stress, depression, worry, and intolerance of uncertainty were related to pre-operative decisional conflict (DC), shared decision making (SDM), or demographic variables in adult otolaryngology surgical patients. Methods: Consecutive adult patients meeting criteria for otolaryngological surgery were recruited and completed DC and SDM scales, Penn State Worry Questionnaire (PSWQ), Intolerance of Uncertainty Scale (IUS-12), and Depression, Anxiety and Stress Scale-21 (DASS-21). Results: The cohort included 118 patients, 61 (51.7%) males and 57 (48.3%) females. Surgery was planned for a benign process in 90 (76.3%) and 46 (39.3%) had previous otolaryngologic surgery. SDM and DC scores did not significantly differ across gender, age, education level, previous otolaryngologic surgery or whether or not surgery was for malignancy. Patients with no malignancy had significantly higher DASS-21 Stress scores (mean 12.94 vs 8.15, P < .05) and total IUS-12 scores (mean 28.63 vs 25.56, P = .004). Women had lower PSWQ scores (41.56 vs 50.87 for men, P = .006). IUS-12 and PSWQ declined with age. DC scores correlated positively with DASS-21 Depression ( r = .256, P = .008) and IUS-12 scores ( r = .214, P = .024). SDM correlated negatively with DASS-21 Depression ( r = −.208, P = .030). Linear regression model for DC scores revealed a significant relationship with DASS depression ( B = 0.674, P = .048). Conclusion: Preoperative decisional conflict is associated with increased depression and intolerance of uncertainty in adults undergoing otolaryngologic surgery. Screening for and management of depression, anxiety, and related concerns may improve surgical outcomes in this group.

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Relationship Between Parental Intolerance of Uncertainty and Decisional Conflict in Pediatric Otolaryngologic Surgery

Otolaryngology ◽

10.1177/0194599820973644 ◽

2020 ◽

pp. 019459982097364

Author(s):

Chelsea Cleveland ◽

Vijay A. Patel ◽

Shari A. Steinman ◽

Reena Razdan ◽

Michele M. Carr

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Sex Education ◽

Short Form ◽

Intolerance Of Uncertainty ◽

Decisional Conflict ◽

Shared Decision ◽

Cross Sectional ◽

Pediatric Otolaryngology ◽

State Worry

Objective To assess the relationship between depression, anxiety, stress, worry, intolerance of uncertainty (IU), and shared decision making (SDM) in parents of pediatric otolaryngology surgical patients with their perceptions of decisional conflict (DC). Study Design Cross-sectional. Setting Academic pediatric otolaryngology outpatient clinic. Methods Participants were legal guardians of pediatric patients who met criteria for otolaryngologic surgery. Participants completed a demographic survey as well as validated Decisional Conflict Scale (DCS); Shared Decision-Making Scale (SDMS); Depression, Anxiety and Stress Scale–21 (DASS-21); Penn State Worry Questionnaire (PSWQ); and short form of the Intolerance of Uncertainty Scale (IUS-12). Results A total of 114 participants were enrolled. Respondents were predominantly female (93.0%) and married (60.5%). Most guardians had not consented previously for otolaryngologic surgery for their child (69.3%). Participants reported low levels of DC and depression as well as moderate levels of anxiety and stress. DC scores were not significantly correlated to DASS-21, PSWQ, or SDM. IUS-12 Total and subscale IUS-12 prospective negatively correlated with Total DC. DC was not related to age, sex, education level, previous otolaryngologic surgery, or type of surgery recommended. Conclusion In this group, an association was found between IU and DC. Clinicians should be aware that DC is not modified by previous surgical experience. Interventions aimed at addressing parental IU related to surgery may reduce DC. Further research efforts could help us understand how mental health relates to surgical decision making.

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Psychometric properties of internet administered versions of Penn State Worry Questionnaire (PSWQ) and Depression, Anxiety, and Stress Scale (DASS)

Computers in Human Behavior ◽

10.1016/j.chb.2008.06.003 ◽

2009 ◽

Vol 25 (4) ◽

pp. 841-843 ◽

Cited By ~ 55

Author(s):

Kimberly R. Zlomke

Keyword(s):

Psychometric Properties ◽

Stress Scale ◽

Penn State Worry Questionnaire ◽

Penn State ◽

State Worry

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Personality and Worry: The Role of Intolerance of Uncertainty

Social Behavior and Personality An International Journal ◽

10.2224/sbp.2015.43.10.1607 ◽

2015 ◽

Vol 43 (10) ◽

pp. 1607-1616 ◽

Cited By ~ 2

Author(s):

Zhihui Yang ◽

Ruiming Wang ◽

Hui Chen ◽

Jiali Ding

Keyword(s):

Intolerance Of Uncertainty ◽

Personality Factors ◽

Eysenck Personality Questionnaire ◽

Personality Questionnaire ◽

Mediation Model ◽

Penn State Worry Questionnaire ◽

Penn State ◽

State Worry ◽

The Relationship

We examined the relationship between personality and worry, and tested a mediation model in which intolerance of uncertainty (IU) mediated this relationship. Participants comprised 1,135 Chinese college undergraduates who completed the Chinese versions of the Penn State Worry Questionnaire, the Intolerance of Uncertainty Scale, and the Revised Eysenck Personality Questionnaire-Short Scale for Chinese. Results showed that neuroticism, extraversion, and IU were significantly correlated with worry. The paths between personality (neuroticism and extraversion) and worry, and the paths mediated by IU, were significant. Participants' IU mediated the relationship between personality factors of neuroticism and extraversion, and worry. The results indicated that IU can be considered as a partial mediator of the relationship between personality and worry.

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Normative data for the Dutch version of the Penn State Worry Questionnaire

Netherlands journal of psychology ◽

10.1007/bf03080129 ◽

2009 ◽

Vol 65 (2) ◽

pp. 69-75 ◽

Cited By ~ 15

Author(s):

Colin van der Heiden ◽

Peter Muris ◽

Arjan E. R. Bos ◽

Henk van der Molen ◽

Martijn Oostra

Keyword(s):

Normative Data ◽

Dutch Version ◽

Penn State Worry Questionnaire ◽

Penn State ◽

State Worry

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Penn State Worry Questionnaire in emotional disorders: validation and normative data for Portuguese population

British Journal of Guidance and Counselling ◽

10.1080/03069885.2021.1897969 ◽

2021 ◽

pp. 1-11

Author(s):

João Tiago Oliveira ◽

Divo Faustino ◽

Fátima Freitas ◽

Miguel M. Gonçalves ◽

Eugénia Ribeiro ◽

...

Keyword(s):

Emotional Disorders ◽

Normative Data ◽

Portuguese Population ◽

Penn State Worry Questionnaire ◽

Penn State ◽

State Worry

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Worry and perceived risk of contagion during the COVID-19 quarantine in the Jalisco population: Preliminary Study

Salud Mental ◽

10.17711/sm.0185-3325.2020.035 ◽

2020 ◽

Vol 43 (6) ◽

pp. 253-261

Author(s):

Jesua Iván Guzmán-González ◽

Franco Giordano Sánchez-García ◽

Saúl Ramírez-de los Santos ◽

Francisco Gutiérrez-Rodríguez ◽

David Palomino-Esparza ◽

...

Keyword(s):

Mental Health ◽

Perceived Risk ◽

Preventive Measures ◽

Indirect Measure ◽

Health Crisis ◽

Penn State Worry Questionnaire ◽

Study Results ◽

Penn State ◽

The Face ◽

State Worry

Introduction. Preventive measures taken during periods of health crisis, specifically in pandemics, have consistently been associated with detrimental effects on mental health. Isolation and loneliness are indirect effects of these preventive measures. Given these premises, monitoring the behavior of the population in the face of these eventualities becomes important. Worry as an indirect measure of anxiety and stress enables one to recognize subjects who are vulnerable to phenomena of high uncertainty, since measures taken to avoid excessive contagion can have high costs for this population. This phenomenon has been consistently observed in other pandemics such as H1/N1 influenza. Objective. To determine the prevalence of worry and perceived risk of contagion in the Guadalajara population during the COVID-19 quarantine and to identify differentiating effects. Method. A total of 255 people from western Mexico (Guadalajara, Jalisco) voluntarily participated by answering the Penn State Worry Questionnaire (PSWQ) adapted to Mexican population. The average age of the respondents, aged between 18 and 70 years, was 31.71 (± 5.19). A total of 170 women and 85 men participated in the study. Results. 40.12% of the population scored high levels of worry, making them vulnerable to mental health conditions. Subjects favored the prevention of a contagion regardless of whether they were self-isolated. The only variable that had a differential effect was sex (p < .05), and there were no differences in educational attainment, occupational demandingness, and isolation between the groups. Discussion and conclusion. A preventive attitude was observed among the participants, and so it is important to implement strategies that will prevent mental health costs in those who express excessive worry to avoid saturating mental health services.

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The Impacts of Propensity to Worry and Fear of COVID-19 on Mental Health of University Students

International Journal of Psychology and Educational Studies ◽

10.52380/ijpes.2021.8.4.591 ◽

2021 ◽

Vol 8 (4) ◽

pp. 57-66

Author(s):

Hacer BELEN

Keyword(s):

Mental Health ◽

University Students ◽

Emotional Stability ◽

Anxiety Symptoms ◽

Health Issues ◽

Penn State Worry Questionnaire ◽

Penn State ◽

State Worry ◽

The Impact ◽

The Relationship

Epidemics and pandemics are difficult periods for the affected community, specifically in the proliferation of mental health issues. In such adverse times, factors of psychological vulnerability such as propensity to worry and low emotional stability might have a detrimental effect on the mental health of the individuals. To investigate the impact of such factors on mental health, this study examined the impacts of propensity to worry and fear of COVID-19 on anxiety depending on the individuals’ levels of emotional stability. As a means of such investigation, this study was conducted based on quantitative data, and the research sample was selected using a convenient sampling method. Participants included 304 university students (71.6% were women and 28.4% were men; MAge = 22.37 ± 3.04) and responded to the Penn State Worry Questionnaire, Fear of COVID-19 Scale, Symptom Checklist-90 Revised, and 10-Item Personality Inventory. The moderated mediation analysis using PROCESS macro (Model 14) was performed to examine the study hypotheses. Results revealed that propensity to worry was associated with anxiety symptoms. Fear of COVID-19 mediated this link and emotional stability moderated the relationship between propensity to worry and anxiety. The findings showed that trait worry, trait emotional stability, and fear of COVID-19 are determinants of anxiety symptoms, suggesting that such factors are important in understanding these issues.

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