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Transdiagnostik Faktör Olarak Belirsizliğe Tahammülsüzlük

Yıl 2021, Cilt 13, Sayı 3, 573 - 587, 30.09.2021
https://doi.org/10.18863/pgy.827416

Öz

Günümüzde hızla değişen dünya ve hayat şartlarının etkisi ile birlikte belirsizlik, hayatın her alanında karşımıza çıkan kavramlardan birisi haline gelmiştir. Günlük hayatta zamanın neredeyse her anında varlığını hissettiren belirsizlik, olaylar veya durumlar karşısında çoğu kişi için rahatsız edici ve kaygı verici bir durumdur. Belirsizliğe tahammülsüzlük, tehdit düzeyi yüksek, hatalı algılamaya yol açan ve başa çıkmanın güç olduğu, önyargılı bilgi işleminin oluşturduğu bilişsel, duygusal ve davranışsal tepkidir. Belirsizliğe tahammülsüzlük , yaygın anksiyete bozukluğu zemininde geliştirilen, sonrasında birçok ruhsal bozukluk ile ilişkisi ortaya konan bir kavramdır. Yapılan araştırmalar; depresyon, travma sonrası stres bozukluğu, yaygın anksiyete bozukluğu, obsesif kompulsif bozukluk ve sosyal anksiyete bozukluğu olan kişilerin sağlıklı kontrollerden daha yüksek belirsizliğe tahammülsüzlük düzeylerine sahip olduklarını göstermektedir. Birçok ruhsal bozukluk için, ortaya çıkarıcı, sürdürücü bir faktör olması sebebiyle de transdiagnostik bir faktör olarak ele alınmaktadır. Son zamanlarda ruhsal bozukluklarda transdiganostik faktörlerin önemine dikkat çekilmektedir. Belirsizliğe tahammülsüzlük ile ilgili yazın giderek artmaktadır. Bu gözden geçirmede belirsizliğe tahammülsüzlük genel bir bakış açısı ile güncel yazın doğrultusunda incelenmiş olup, bulgular hem kavramsal olarak ele alınacak, hem de ölçüm yöntemleri ve klinik sonuçları değerlendirilecektir. Transdiagnostik bir faktör olarak belirsizliğe tahammülsüzlük bilişsel, duygusal ve davranışsal bir yapı olmasından dolayı klinik yaklaşımda göz önünde bulundurulması gerekir.

Kaynakça

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Intolerance of Uncertainty as a Transdiagnostic Factor

Yıl 2021, Cilt 13, Sayı 3, 573 - 587, 30.09.2021
https://doi.org/10.18863/pgy.827416

Öz

With the rapidly changing world and the impact of life conditions, uncertainty has become one of the concepts that we encounter in all areas of life. Uncertainty, which makes its presence felt almost every moment of time in daily life, is a disturbing and anxious situation for most people in the face of events or situations. Intolerance to uncertainty is the cognitive, emotional and behavioral response generated by the biased information process, which leads to high threat level, misconception and difficult to deal with. Intolerance to uncertainty is a concept developed against the backdrop of widespread anxiety disorder, after which its relationship with many mental disorders is revealed. Researches; it shows that people with depression, post-traumatic stress disorder, generalized anxiety disorder, obsessive-compulsive disorder, and social anxiety disorder have higher UI levels than healthy controls. For many mental disorders, it is considered as a transdiagnostic factor, because it is a revealing and sustaining factor. Recently, the importance of transdiagnostic factors in mental disorders is emphasized. The literature on the intolerance of uncertainty is increasing. In this review, intolerance to uncertainty is examined with a general perspective in line with the current literature, and the findings will be discussed both conceptually, measurement methods and clinical results will be evaluated. As a transdiagnostic factor, intolerance to uncertainty should be considered in the clinical approach because of its cognitive, emotional and behavioral structure.

Kaynakça

  • Badia P, McBane B and Suter S (1966) Preference behavior in an immediate versus variably delayed shock situation with and without a warning signal. J Exp Psychol Gen, 72(6): 847.
  • Bar-Anan Y, Wilson TD and Gilbert DT (2009) The feeling of uncertainty intensifies affective reactions. Emotion, 9(1): 123.
  • Berenbaum H, Bredemeier K and Thompson RJ (2008) Intolerance of uncertainty: Exploring its dimensionality and associations with need for cognitive closure, psychopathology, and personality. J Anxiety Disord, 22(1): 117-125.
  • Birrell J, Meares K, Wilkinson A and Freeston M (2011) Toward a definition of intolerance of uncertainty: A review of factor analytical studies of the Intolerance of Uncertainty Scale. Clin Psychol Rev, 31(7): 1198-1208.
  • Boelen P. (2010) Intolerance of uncertainty and emotional distress following the death of a loved one. Anxiety Stress Coping, 23(4): 471-478.
  • Boelen PA and Reijntjes A (2009) Intolerance of uncertainty and social anxiety. J Anxiety Disord, 23(1): 130-135.
  • Boelen PA, Reijntjes A and Carleton RN (2014) Intolerance of uncertainty and adult separation anxiety. Cogn Behav Ther, 43(2): 133-144.
  • Boelen PA, Reijntjes A and Smid GE (2016) Concurrent and prospective associations of intolerance of uncertainty with symptoms of prolonged grief, posttraumatic stress, and depression after bereavement. J Anxiety Disord, 41: 65-72.
  • Boswell JF, Thompson‐Hollands J, Farchione TJ and Barlow DH (2013) Intolerance of uncertainty: A common factor in the treatment of emotional disorders. J Clin Psychol, 69(6): 630-645.
  • Boulter C, Freeston M, South M and Rodgers J (2014) Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. J Autism Dev Disord, 44(6): 1391-1402.
  • Brown M, Robinson L, Campione GC, Wuensch K, Hildebrandt T and Micali N (2017) Intolerance of uncertainty in eating disorders: A systematic review and meta‐analysis. Eur Eat Disord Rev, 25(5): 329-343.
  • Buhr K and Dugas MJ (2006) Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. J Anxiety Disord, 20(2): 222-236.
  • Buhr K and Dugas MJ (2009) The role of fear of anxiety and intolerance of uncertainty in worry: An experimental manipulation. Behav Res Ther, 47(3): 215-223.
  • Calleo JS, Hart J, Björgvinsson T and Stanley MA (2010) Obsessions and worry beliefs in an inpatient OCD population. J Anxiety Disord, 24(8): 903-908.
  • Carleton RN (2016) Into the unknown: A review and synthesis of contemporary models involving uncertainty. J Anxiety Disord, 39: 30-43.
  • Carleton RN, Duranceau S, Shulman EP, Zerff M, Gonzales J and Mishra S (2016) Self-reported intolerance of uncertainty and behavioural decisions. J Behav Ther Exp Psychiatry, 51: 58-65.
  • Carleton RN, Fetzner MG, Hackl JL and McEvoy P (2013) Intolerance of uncertainty as a contributor to fear and avoidance symptoms of panic attacks. Cogn Behav Ther, 42(4): 328-341.
  • Carleton RN, Gosselin P and Asmundson GJ (2010) The Intolerance of Uncertainty Index: Replication and extension with an English sample. Psychol Assess, 22(2): 396.
  • Carleton RN, Norton MPJ and Asmundson GJ (2007a) Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. J Anxiety Disord, 21(1): 105-117.
  • Carleton RN, Sharpe D and Asmundson GJ(2007b) Anxiety sensitivity and intolerance of uncertainty: Requisites of the fundamental fears? Behav Res, Ther 45(10): 2307-2316.
  • Castriotta N , Dozier ME, Taylor CT, Mayes T and Ayers CR (2019) Intolerance of uncertainty in hoarding disorder. J Obsessive Compuls Relat Disord, 21: 97-101.
  • Chorpita BF and Barlow DH (1998) The development of anxiety: the role of control in the early environment. Psychol Bull, 124(1): 3.
  • Comer JS, Roy AK, Furr JM, Gotimer K, Beidas RS, Dugas MJ et al. (2009) The intolerance of uncertainty scale for children: a psychometric evaluation. Psychol Assess, 21(3): 402.
  • Dar KA, Iqbal N and Mushtaq A (2017) Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry. Asian J Psychiatr, 29: 129-133.
  • Davey GC, Eldridge F, Drost J and MacDonald BA (2007) What ends a worry bout? An analysis of changes in mood and stop rule use across the catastrophising interview task. Behav Res Ther, 45(6): 1231-1243.
  • De Jong-Meyer, Beck RB and Riede K (2009) Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs. Pers Individ Dif, 46(4): 547-551.
  • Denmark FL (2010) Zeigarnik effect. The Corsini encyclopedia of psychology: 1-1.
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Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri, Psikoloji, Klinik
Bölüm Derleme
Yazarlar

Fatih YIĞMAN (Sorumlu Yazar)
Ufuk Üniversitesi, Ruh Sağlığı ve Hastalıkları ABD
0000-0001-6052-7662
Türkiye


Selim FİDAN Bu kişi benim
Sağlık Bilimleri Üniversitesi, Ankara Dışkapı Yıldırım Beyazıt Uygulama ve Araştırma Merkezi, Psikiyatri Kliniği
0000-0001-6527-8909
Türkiye

Yayımlanma Tarihi 30 Eylül 2021
Kabul Tarihi 17 Ocak 2021
Yayınlandığı Sayı Yıl 2021, Cilt 13, Sayı 3

Kaynak Göster

AMA Yığman F. , Fidan S. Transdiagnostik Faktör Olarak Belirsizliğe Tahammülsüzlük. pgy. 2021; 13(3): 573-587.

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.