Zusammenfassung
Intoleranz gegenüber Ungewissheit ist zwar selbst keine psychische Störung, kann die körperliche und psychische Gesundheit aber schmerzlich beeinträchtigen. Manchem Forscher gilt sie bereits als ein Vulnerabilitätsrisiko für vielfältigste psychische Erkrankungen, als ein sogenannter transdiagnostischer Faktor. Besonders die Verbindungen zur Generalisierten Angststörung und zur Zwangsstörung sind inzwischen ausführlich untersucht und belegt, aber auch zu Sozialer Phobie und anderen Angststörungen, den Autismus-Spektrum-Störungen und der Depression haben sich interessante Verbindungen ergeben. Diese und andere gesundheitliche Auswirkungen geringer Ungewissheitstoleranz werden in diesem Kapitel vorgestellt – ebenso wird der Frage nachgegangen, welche unterschiedlichen kognitiven Dimensionen geringer Ungewissheitstoleranz Psychotherapeuten bei welcher Diagnose zu erwarten haben. Dazu wird für die wichtigsten Diagnosen, soweit möglich, ihr typisches Ungewissheitsprofil vorgestellt.
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Notes
- 1.
Um die Sprache nicht unnötig zu verkomplizieren, spreche ich hier verkürzend von Ungewissheitsprofilen. Gemeint sind natürlich Profile geringer Ungewissheitstoleranz.
Literatur
Alschuler KN, Beier ML (2015) Intolerance of uncertainty. Shaping an agenda for research on coping with multiple sclerosis. Int J MS Care 17:153–158
Baldwin PA, Whitford TJ, Grisham JR (2017) The relationship between hoarding symptoms, intolerance of uncertainty, and error-related negativity. J Psychopathol Behav Assess 39:313–321
Bardeen JR, Fergus TA, Wu KD (2013) The interactive effect of worry and intolerance of uncertainty on posttraumatic stress symptoms. Cogn Ther Res 37:742–751
Bauer J (2015) Selbststeuerung: Die Wiederentdeckung des freien Willens. Blessing, München
Beck AT (1992) Kognitive Therapie der Depression. PVU, Weinheim
Becker E, Margraf J (2016) Generalisierte Angststörung. Ein Therapieprogramm. Beltz, Weinheim
Berenbaum H, Bredemeier K, Thompson RJ (2008) Intolerance of uncertainty: exploring its dimensionality and associations with need for cognitive closure, psychopathology, and personality. J Anxiety Disord 22:117–125
Boelen PA, Reijntjes A (2009) Intolerance of uncertainty and social anxiety. J Anxiety Disord 23:130–135
Boswell JF, Thompson-Hollands J, Farchione TJ, Barlow DH (2013) Intolerance of uncertainty: a common factor in the treatment of emotional disorders. J Clin Psychol 69:630–645
Boulter C, Freeston M, South M, Rodgers J (2014) Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. J Autism Dev Disord 44:1391–1402
Buhr K, Dugas MJ (2009) The role of fear of anxiety and intolerance of uncertainty in worry: an experimental manipulation. Behav Res Ther 47:215–223
Carleton RN (2012) The intolerance of uncertainty construct in the context of anxiety disorders: theoretical and practical perspectives. Expert Rev Neurother 12:937–947
Carleton RN, Mulvogue MK, Thibodeau MA, McCabe RE, Antony MM, Asmundson GJ (2012) Increasingly certain about uncertainty: intolerance of uncertainty across anxiety and depression. J Anxiety Disord 26:468–479
Carleton RN, Duranceau S, Shulman EP, Zerff M, Gonzales J, Mishra S (2016) Self-reported intolerance of uncertainty and behavioural decisions. J Behav Ther Exp Psychiatry 51:58–65
Dalbert C, Radant M (2010) Ungewissheitstoleranz bei Lehrkräften. J LehrerInnenbildung 10(S):53–57
Deacon B, Abramowitz JS (2008) Is hypochondriasis related to obsessive compulsive-disorder, panic disorder, or both? An empirical evaluation. J Cogn Psychother 22:115–127
Dugas MJ, Gagnon F, Ladouceur R, Freeston H (1998) Generalized anxiety disorder: a preliminary test of a conceptual model. Behav Res Ther 36:215–226
Dugas MJ, Gosselin P, Ladouceur R (2001) Intolerance of uncertainty and worry: investigating narrow specificity in a nonclinical sample. Cogn Ther Res 25:551–558
Dugas MJ, Marchand A, Ladouceur R (2004) Further validation of a cognitive-behavioral model of generalized anxiety disorder: diagnostic and symptom specificity. J Anxiety Disord 19:329–343
Dugas MJ, Hedayati M, Karavidas A, Buhr K, Francis K, Phillips NA (2005) Intolerance of uncertainty and information processing: evidence of biased recall and interpretations. Cogn Ther Res 29:57–70
Dugas MJ, Laugesen N, Bukowski WM (2012) Intolerance of uncertainty, fear of anxiety, and adolescent worry. J Abnorm Child Psychol 40:863–870
Einstein DA (2014) Extension of the transdiagnostic model to focus on intolerance of uncertainty: a review of the literature and implications for treatment. Clin Psychol Sci Pract 1:280–300
Fergus TA, Valentiner DP (2011) Intolerance of uncertainty moderates the relationship between catastrophic health appraisals and health anxiety. Cogn Res Ther 35:560–565
Fergus TA, Wu KD (2010) Do symptoms of generalized anxiety and obsessive-compulsive disorder share cognitive processes? Cogn Ther Res 34:168–176
Frank G, Shott ME, Roblek T, Pryor T (2012) Heightened fear of uncertainty in anorexia and bulimia nervosa. Int J Eat Disord 45:227–232
Freeston MH, Rheaume J, Letarte H, Dugas MJ, Ladouceur R (1994) Why do people worry? Personal Individ Differ 17:791–802
Gentes EL, Ruscio AM (2011) A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clin Psychol Rev 31:923–933
Grad JE (2011) Intolerance of uncertainty: a cognitive vulnerability that predisposes individuals to develop social anxiety disorder? Dissertation. https://uh-ir.tdl.org/uh-ir/bitstream/handle/10657/250/GRAD-.pdf?sequence=1&isAllowed=y Zugegriffen am 11.02.2019
Harrington N (2007) Frustration intolerance as a multidimensional concept. J Ration Emot Cogn Behav Ther 25:191–211
Holaway RM, Heimberg RG, Coles ME (2006) A comparison of intolerance of uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder. J Anxiety Disord 20:158–174
Jacoby RJ, Fabricant LE, Leonard RC, Riemann BC, Abramowitz JS (2013) Just to be certain: confirming the factor structure of the Intolerance of Uncertainty Scale in patients with obsessive-compulsive disorder. J Anxiety Disord 27:535–542
Keefer A, Kreiser NL, Singh V, Blakeley-Smith A, Duncan A, Johnson C, Klinger L, Meyer A, Reaven J, Vasa RA (2017) Intolerance of uncertainty predicts anxiety outcomes following CBT in youth with ASD. J Autism Dev Disord 47:3949–3958
Klein S (2015) Alles Zufall. Die Kraft, die unser Leben bestimmt. Fischer, Frankfurt am Main
Koerner N, Dugas MJ (2006) A cognitive model of generalized anxiety disorder: the role of intolerance of uncertainty. In: Davey GCL, Wells A (Hrsg) Worry and its psychological disorders: theory, assessment and treatment. Wiley, Chichester, S 201–216
Koerner N, Dugas MJ (2008) An investigation of appraisals in individuals vulnerable to excessive worry: the role of intolerance of uncertainty. Cogn Ther Res 32:619–638
Krohne HW (1989) The concept of coping modes: relating cognitive person variables to actual coping behavior. Adv Behav Res Ther 11:235–248
Krohne HW (Hrsg) (1993) Vigilance and cognitive avoidance as concepts in coping research. In: Attention and avoidance. Hogrefe, Seattle, S 19–50
Kuiper NA, Klein D, Vertes J, Maiolino NB (2014) Humor styles and the intolerance of uncertainty model of generalized anxiety. Eur J Psychol 10:543–556
Ladouceur R, Dugas MJ, Freeston MH, Rheaume J, Blais F, Boisvert J-M (1999) Specificity of generalized anxiety disorder symptoms and processes. Behav Ther 30:191–207
Ladouceur R, Gosselin P, Dugas MJ (2000) Experimental manipulation of intolerance of uncertainty: a study of a theoretical model of worry. Behav Res Ther 38:933–941
Lantermann E-D, Döring-Seipel E, Eierdanz F, Gerhold L (2009) Selbstsorge in unsicheren Zeiten: Resignieren oder Gestalten. Beltz, Weinheim
Laugesen N, Dugas MJ, Bukowski WM (2003) Understanding adolescent worry: the application of a cognitive model. J Abnorm Child Psychol 31:55–64
Leite C, Kuiper NA (2008) Client uncertainty and the process of change in psychotherapy: the impact of individual differences in self-concept clarity and intolerance of uncertainty. J Contemp Psychother 38:55–64
Mansell W, Carey TA, Tai SJ (2013) A transdiagnostic approach to CBT using method of levels therapy. Routledge, London
Mantzios M, Wilson JC, Linnell M, Morris P (2014) The role of negative cognition, intolerance of uncertainty, mindfulness, and self-compassion in weight regulation among male army recruits. Mindfulness 6:545–552
McEvoy PM, Mahoney AE (2012) To be sure, to be sure: intolerance of uncertainty mediates symptoms of various anxiety disorders and depression. Behav Ther 43:533–545
Mosca O, Lauriola M, Carleton RN (2016) Intolerance of uncertainty: a temporary experimental induction procedure. PLoS One 11(6). https://doi.org/10.1371/journal.pone.0155130 Zugegriffen am 17.02.2019
O’Neill SC, DeMarco T, Peshkin BN, Rogers S, Rispoli J, Brown K et al (2006) Tolerance for uncertainty and perceived risk among women receiving uninformative BRCA1/2 test results. Am J Med Genet 42:251–259
OCCWG, Obsessive-Compulsive Cognitions Working Group (1997) Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther 35:667–681
Oglesby ME, Albanese BJ, Chavarria J, Schmidt NB (2015) Intolerance of uncertainty in relation to motives for alcohol use. Cogn Ther Res 39:356–365
Padesky CA, Beck AT (2003) Science and philosophy: comparison of cognitive therapy and rational emotive behaviour therapy. J Cogn Psychother 17:211–224
Peters A (2018) Unsicherheit. Das Gefühl unserer Zeit. C. Bertelsmann, München
Rapgay L, Bystritsky A, Dafter RE, Spearman M (2011) New strategies for combining mindfulness with integrative cognitive behavioral therapy for the treatment of generalized anxiety disorder. J Ration Emot Cogn Behav Ther 29:92–119
Robichaud M, Dugas MJ (2015) The generalized anxiety disorder workbook: a comprehensive CBT guide for coping with uncertainty, worry, and fear. New Harbinger, Oakland
Rodgers J, Hodgson A, Shields K, Wright C, Honey E, Freeston M (2017) Towards a treatment for intolerance of uncertainty in young people with autism spectrum disorder: development of the Coping with Uncertainty in Everyday Situations (CUES©) programme. J Autism Dev Disord 47:3959–3966
Rosen NO, Ivanova E, Knäuper B (2014) Differentiating intolerance of uncertainty from three related but distinct constructs. Anxiety Stress Coping 27:55–73
Shikatani B, Antony MM, Cassin SE, Kuo JR (2016) Examining the role of perfectionism and intolerance of uncertainty in postevent processing in social anxiety disorder. J Psychopathol Behav Assess 38:297–306
Sternheim L, Startup H, Schmidt U (2011) An experimental exploration of behavioral and cognitive-emotional aspects of intolerance of uncertainty in eating disorder patients. J Anxiety Disord 25:806–812
Tallis F, Davey GCL, Capuzzo N (1994) The phenomenology of non-pathological worry: a preliminary investigation. In: Davey GCL, Tallis F (Hrsg) Worrying: perspectives on theory, assessment and treatment. Wiley, New York, S 61–89
Taylor S, Coles ME, Abramowitz JS, Wu KD, Olatunji BO, Timpano KR, McKay D et al (2010) How are dysfunctional beliefs related to obsessive-compulsive symptoms? J Cogn Psychother 24:165–176
Vogl J (2007) Über das Zaudern. Diaphanes, Zürich
Wells A (2011) Metakognitive Therapie bei Angststörungen und Depression. Beltz, Weinheim
Wheaton MG, Abramowitz JS, Berman NC, Riemann BC, Hale LR (2010) The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behav Res Ther 48:949–954
Wilhelm S, Steketee GS (2006) Cognitive therapy for obsessive-compulsive disorder. A guide for professionals. New Harbinger, Oakland
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Spitzer, N. (2019). Geringe Ungewissheitstoleranz und ihre Folgen – psychische Störungen und andere belastende Auswirkungen. In: Ungewissheitsintoleranz und die psychischen Folgen. Psychotherapie: Praxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58790-4_5
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