Skip to main content
Log in

Intolerance of Uncertainty, Fear of Anxiety, and Adolescent Worry

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

A 5 year, ten wave longitudinal study of 338 adolescents assessed the association between two forms of cognitive vulnerability (intolerance of uncertainty and fear of anxiety) and worry. Multilevel mediational analyses revealed a bidirectional and reciprocal relation between intolerance of uncertainty and worry in which change in one variable partially explained change in the other. Fear of anxiety and worry also showed evidence of a bidirectional relation, although change in fear of anxiety had a much weaker mediational effect on change in worry than vice versa. The findings show that relative to fear of anxiety, intolerance of uncertainty may play a greater role in the etiology of worry in adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author.

  • Barahmand, U. (2008). Age and gender differences in adolescent worry. Personality and Individual Differences, 45, 778–783. doi:10.1016/j.paid.2008.08.00.

    Article  Google Scholar 

  • Bernstein, G. A., Borchardt, C. M., & Perwien, A. R. (1996). Anxiety disorders in children and adolescents: a review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 1110–1119. doi:10.1097/00004583-199609000-00008.

    Article  Google Scholar 

  • Bredemeier, K., & Berenbaum, H. (2008). Intolerance of uncertainty and perceived threat. Behaviour Research and Therapy, 46, 28–38. doi:10.1016/j.brat.2007.09.00.

    Article  PubMed  Google Scholar 

  • Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: psychometric properties of the English version. Behaviour Research and Therapy, 40, 931–945. doi:10.1016/s0005-7967(01)00092-4.

    Article  PubMed  Google Scholar 

  • Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal of Anxiety Disorders, 20, 222–236. doi:10.1016/j.janxdis.2004.12.004.

    Article  PubMed  Google Scholar 

  • Buhr, K., & Dugas, M. J. (2009). The role of fear of anxiety and intolerance of uncertainty in worry: an experimental manipulation. Behaviour Research and Therapy, 47, 215–223. doi:10.1016/j.brat.2008.12.00.

    Article  PubMed  Google Scholar 

  • Cartwright-Hatton, S. (2006). Worry in childhood and adolescence. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment and treatment (pp. 81–100). Chichester: Wiley.

    Chapter  Google Scholar 

  • Chorpita, B. F., Tracey, S. A., Brown, T. A., Collica, T. J., & Barlow, D. H. (1997). Assessment of worry in children and adolescents: an adaptation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 35, 569–581. doi:10.1016/S0005-7967(96)00116-7.

    Article  PubMed  Google Scholar 

  • Cicchetti, D., & Rogosch, F. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70, 6–20. doi:10.1037/0022-006X.70.1.6.

    Article  PubMed  Google Scholar 

  • Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York: The Guilford Press.

    Google Scholar 

  • Cole, D. A., Peeke, L. G., Martin, J. M., Truglio, R., & Seroczynski, A. D. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. Journal of Consulting and Clinical Psychology, 66, 451–460. doi:10.1037/0022-006X.66.3.451.

    Article  PubMed  Google Scholar 

  • Dugas, M. J., & Koerner, N. (2005). Cognitive-behavioural treatment for generalized anxiety disorder: current status and future directions. Journal of Cognitive Psychotherapy, 19, 61–81. doi:10.1891/jcop.19.1.61.66326.

    Article  Google Scholar 

  • Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. New York: Routledge.

    Google Scholar 

  • Eccles, J. S., Wigfield, A., & Flanagan, C. A. (1989). Self-concepts, domain values, and self-esteem: relations and changes at early adolescence. Journal of Personality, 57, 283–310. doi:10.1111/j.1467-6494.1989.tb00484.x.

    Article  PubMed  Google Scholar 

  • Francis, K., & Dugas, M. J. (2004). Assessing positive beliefs about worry: validation of a structured interview. Personality and Individual Differences, 37, 405–415. doi:10.1016/j.paid.2003.09.012.

    Article  Google Scholar 

  • Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802. doi:10.1016/0191-8869(94)90048-5.

    Article  Google Scholar 

  • Gosselin, P., Ladouceur, R., Evers, A., Laverdière, A., Routhier, S., & Tremblay-Picard, M. (2008). Evaluation of intolerance of uncertainty: development and validation of a new self-report measure. Journal of Anxiety Disorders, 22, 1427–1439. doi:10.1016/j.janxdis.2008.02.005.

    Article  PubMed  Google Scholar 

  • Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: development and evaluation of the Avoidance and Fusion Questionnaire for Youth. Psychological Assessment, 20, 93–102. doi:10.1037/1040-3590.20.2.93.

    Article  PubMed  Google Scholar 

  • Grenier, S., & Ladouceur, R. (2004). Manipulation de l’intolérance a l’incertitude et inquiétudes [Manipulation of intolerance of uncertainty and worry]. Canadian Journal of Behavioural Science, 36, 56–65. doi:10.1037/h0087216.

    Article  Google Scholar 

  • Gullone, E. (2000). The development of normal fear: a century of research. Clinical Psychology Review, 20, 429–451. doi:10.1016/S0272-7358(99)00034-3.

    Article  PubMed  Google Scholar 

  • Hadwin, J. A., Garner, M., & Perez-Olivas, G. (2006). The development of information processing biases in childhood anxiety: a review and exploration of its origins in parenting. Clinical Psychology Review, 26, 876–894. doi:10.1016/j.cpr.2005.09.004.

    Article  PubMed  Google Scholar 

  • Harter, S., Whitesell, N. R., & Kowalski, P. S. (1992). Individual differences in the effects of educational transitions on young adolescents’ perceptions of competence and motivational orientation. American Educational Research Journal, 29, 777–807. doi:10.3102/00028312029004777.

    Google Scholar 

  • Henker, B., Whalen, N., & O’Neil, R. (1995). Worldly and workaday worries: contemporary concerns of children and young adolescents. Journal of Abnormal Child Psychology, 23, 685–702. doi:10.1007/BF01447472.

    Article  PubMed  Google Scholar 

  • Kenny, D. A., Korchmaros, J. D., & Bolger, N. (2003). Lower level mediation in multilevel models. Psychological Methods, 8, 115–128. doi:10.1037/1082-989X.8.2.115.

    Article  PubMed  Google Scholar 

  • Krull, J. L., & MacKinnon, D. P. (1999). Multilevel mediation modeling in group-based intervention studies. Evaluation Review, 23, 418–444. doi:10.1177/0193841X9902300404.

    Article  PubMed  Google Scholar 

  • Ladouceur, R., Gosselin, P., & Dugas, M. J. (2000). Experimental manipulation of intolerance of uncertainty: a study of a theoretical model of worry. Behaviour Research and Therapy, 38, 933–941. doi:10.1016/S0005-7967(99)00133-3.

    Article  PubMed  Google Scholar 

  • Laugesen, N., Dugas, M. J., & Bukowski, W. M. (2003). Understanding adolescent worry: the application of a cognitive model. Journal of Abnormal Child Psychology, 31, 55–64. doi:10.1023/A:1021721332181.

    Article  PubMed  Google Scholar 

  • Lerner, R. M., & Galambos, N. L. (1998). Adolescent development: challenges and opportunities for research, programs, and policies. Annual Review of Psychology, 49, 413–446. doi:10.1146/annurev.psych.49.1.413.

    Article  PubMed  Google Scholar 

  • MacLeod, A. K., Williams, J. M., & Bekerian, D. A. (1991). Worry is reasonable: the role of explanations in pessimism about future personal events. Journal of Abnormal psychology, 100, 478–486. doi:10.1037/0021-843X.100.4.478.

    Article  PubMed  Google Scholar 

  • Magnusson, D., & Olah, A. (1981). Situation-outcome contingencies: A study of anxiety provoking situations in a developmental perspective. (Tech. Rep. No. 574). Sweden: University of Stockholm, Department of Psychology.

    Google Scholar 

  • Magnusson, D., & Stattin, H. (1981). Situation outcome contingencies: A conceptual and empirical analysis of threatening situations. (Tech. Rep. No. 571). Sweden: University of Stockholm, Department of Psychology.

    Google Scholar 

  • Nezu, A. M., Nezu, C. M., & D’Zurilla, T. J. (2007). Solving life’s problems: A 5-step guide to enhanced well-being. New York: Springer Publishing.

    Google Scholar 

  • Petersen, A. C. (1988). Adolescent development. Annual Review of Psychology, 39, 583–607. doi:10.1146/annurev.ps.39.020188.003055.

    Article  PubMed  Google Scholar 

  • Ployhart, R. E., Holtz, B. C., & Bliese, P. D. (2002). Longitudinal data analysis: applications of random coefficient modeling to leadership research. The Leadership Quarterly, 13, 455–486. doi:10.1016/S1048-9843(02)00122-4.

    Article  Google Scholar 

  • Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park: Sage.

    Google Scholar 

  • Raudenbush, S., Bryk, A., & Congdon, R. (2005). HLM 6: Hierarchical linear and nonlinear modeling. SSI Scientific Software.

  • Reuther, E. T., Davis, T. E., III, Grills-Taquechel, A. E., & Zlomke, K. R. (2011). Fear and anxiety in fearful adults: an analysis of heterogeneity among phobia types. Current Psychology, 30, 268–274. doi:10.1007/s12144-011-9112-3.

    Article  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54–68. doi:10.1093/clipsy.9.1.54.

    Article  Google Scholar 

  • Roemer, L., Salters, K., Raffa, S. D., & Orsillo, S. M. (2005). Fear and avoidance of internal experiences in GAD: preliminary tests of a conceptual model. Cognitive Therapy and Research, 29, 71–88. doi:10.1007/s10608-005-1650-2.

    Article  Google Scholar 

  • Rosen, N. O., & Knäuper, B. (2009). A little uncertainty goes a long way: state and trait differences in uncertainty interact to increase information seeking but also increase worry. Health communication, 24, 228–238. doi:10.1080/10410230902804125.

    Article  PubMed  Google Scholar 

  • Rosen, N. O., Knäuper, B., & Sammut, J. (2007). Do individual differences in intolerance of uncertainty affect health monitoring? Psychology and Health, 22, 413–430. doi:10.1080/14768320600941038.

    Article  Google Scholar 

  • Sibrava, N. J., & Borkovec, T. D. (2006). The cognitive avoidance theory of worry. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment, and treatment (pp. 239–256). Chichester: Wiley.

    Chapter  Google Scholar 

  • Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39, 1293–1316. doi:10.1016/S0005-7967(00)00098-X.

    Article  PubMed  Google Scholar 

  • Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Sciences, 9, 69–74. doi:10.1016/j.tics.2004.12.005.

    Article  PubMed  Google Scholar 

  • Wells, A. (2006). The metacognitive model of worry and generalized anxiety disorder. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment, and treatment (pp. 179–199). Chichester: Wiley.

    Google Scholar 

  • Williams, K. E., Chambless, D. L., & Ahrens, A. (1997). Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy, 35, 239–248. doi:10.1016/S0005-7967(96)00098-8.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by the Fonds Québécois de la Recherche sur la Société et la Culture (FQRSC) and the Canadian Institutes of Health Research (CIHR). The authors thank Marie-Anne Oligny for her help with the final stages of manuscript preparation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michel J. Dugas.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dugas, M.J., Laugesen, N. & Bukowski, W.M. Intolerance of Uncertainty, Fear of Anxiety, and Adolescent Worry. J Abnorm Child Psychol 40, 863–870 (2012). https://doi.org/10.1007/s10802-012-9611-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-012-9611-1

Keywords

Navigation