Standard of proof and intolerance of uncertainty in obsessive-compulsive disorder and social anxiety disorder

Journal of Behavior Therapy and Experimental Psychiatry
Dianne M HezelRichard J McNally

Abstract

Researchers have identified intolerance of uncertainty (IU) as a dysfunctional thought that contributes to OCD. Case examples of OCD suggest that uncertainty and anxiety persist despite low likelihoods of feared outcomes. In this study we examined how people with OCD react to minimal amounts of uncertainty relative to non-anxious individuals and a clinical comparison group of people with social anxiety disorder (SAD). We created a questionnaire to measure the distress people feel when there is only minimal uncertainty regarding a given outcome and if they prefer situations with the certainty of negative outcomes in the present versus living with uncertainty. Part two of our study tested whether IU is related to performance on neutral and idiographic versions of the Beads Task. OCD and SAD subjects reacted to hypothetical scenarios involving minimal risk with greater negative affect than did non-anxious subjects; however, after repeating analyses to account for comorbid disorders, OCD subjects' scores did not differ from those of non-anxious subjects. Only SAD subjects showed a preference for negative information in the present versus the uncertainty of a future outcome. Part two of our study revealed that self-reported IU was o...Continue Reading

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Citations

Oct 2, 2020·The Journal of Nervous and Mental Disease·Jojanneke M BijsterboschLot C Sternheim
Dec 24, 2020·Journal of Obsessive-compulsive and Related Disorders·Vahid KhosravaniSeyed Mehdi Samimi Ardestani
Aug 18, 2021·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Susanne E Ahmari, Scott L Rauch

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