Psychotherapy of generalized anxiety disorder

Сибирский научный медицинский журнал, Journal Year: 2024, Volume and Issue: 44(4), P. 6 - 20

Published: Aug. 28, 2024

Generalized anxiety disorder is characterized by persistent, poorly controlled and fears for various reasons. Thoughts are dominated the themes of danger. Nonspecific symptoms include tension, restlessness, fatigue, poor concentration, irritability dysautonomia. In long run, risk depression alcoholism increased, comorbidity with affective, addictive other disorders often encountered. The article provides a brief overview psychotherapy methods this disorder. cognitive behavioral appears to be most effective. One main goals therapy training realistic objective thinking. Using self-observation, patient becomes aware his tendency seek out exaggerate threats. problem-solving can used improve social competence coping skills. Various relaxation varieties applied. schema an integrative approach including elements different methods. Internet counseling in isolation or as adjunct conventional psychotherapy. Anxiety were diagnosed relatively rarely Russia, number psychotherapists was smaller than developed countries. Today, situation changing thanks success development individual rehabilitation regimes.

Language: Английский

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Intolerance of Uncertainty, Aging, and Anxiety and Mental Health Concerns: A Scoping Review and Meta-analysis

Journal of Anxiety Disorders, Journal Year: 2025, Volume and Issue: 110, P. 102975 - 102975

Published: Jan. 18, 2025

Although intolerance of uncertainty (IU) is associated with negative outcomes, studies focusing on older adults are still emerging. Specifically, the relationship between IU and psychological health in this population remains unclear. Moreover, no review has focused understanding unique contributions aging to anxiety mental adults. This scoping meta-analysis addressed gap provided a comprehensive IU, aging, health. Among 45 reviewed, 37 were included using mixed effect analysis examine age across adulthood. The remaining eight studies, along seven selected from meta-analysis, evaluate anxiety, these, 12 late adulthood, two overall one both Results revealed an significant difference throughout results indicated direct correlation other issues elderly. These findings provide insights for future research interventions aimed at reducing improving among

Language: Английский

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Investigation of Sleep Quality and Intolerance of Uncertainty in Liver Transplant Recipients: A Cross‐Sectional Study

Nursing and Health Sciences, Journal Year: 2025, Volume and Issue: 27(1)

Published: Jan. 20, 2025

ABSTRACT Liver transplant recipients experience many uncertainties after transplantation. Also, sleep problems are common among them. This study aimed to examine intolerance of uncertainty and quality in liver recipients. A descriptive cross‐sectional was conducted with 117 followed the outpatient clinic a center. Data were collected using sociodemographic clinical features form, Intolerance Uncertainty Scale‐12 Pittsburgh Sleep Quality Index between May September 2023. The data analyzed statistics, correlation analysis regression analysis. had high mean score 41.04 ± 13.11 (min–max: 12–60) on Scale‐12. Age predictive uncertainty. Indeed, young higher low 7.33 3.57 1–21) Index. prevalence 65%. Experiencing complications transplantation worsened quality. no relation inhibitory anxiety, but it prospective anxiety.

Language: Английский

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Intolerance of Uncertainty and Its Association With Cancer-Related Symptoms

Cancer Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 3, 2025

Background Cancer-related symptoms have negative impacts on the health outcomes of adults with cancer. Thus, it is critical to identify who might be at risk. Intolerance uncertainty (IU) could major contributor for cancer-related symptoms; however, this relationship understudied in context Objective The purpose scoping review was map literature that has investigated IU and its link symptoms. Methods This used framework proposed by Arksey O’Malley PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping Reviews). A comprehensive search conducted using 5 databases. English-language primary research published focusing included review. Results Of 12 articles review, 11 studies found a positive affective symptoms, including anxiety, depression, stress, fear, worry, distress. Additionally, one study showed higher associated greater cognitive impairment association mediated anxiety. Conclusion Findings from support between further suggests potential risk factor Implication Practice incidence cancer survivors high. Given these IU-focused treatments may beneficial group.

Language: Английский

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Mediating effect of intolerance of uncertainty between feeling of unsafety and depression/well-being among a sample of Lebanese adults

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: March 10, 2025

Eastern Mediterranean countries, particularly Lebanon, have seen a significant rise in mental disorders, primarily driven by ongoing economic instability, political unrest, and regional conflicts. These conditions fuel feelings of unsafety, which are linked to lower psychological well-being increased depressive symptoms. Unsafe circumstances inflate apprehension uncertainty, leaving individuals unable foresee stable, secure tomorrow often trapped an anticipatory negative thinking state. Therefore, this study posits that unsafe environments, Intolerance Uncertainty (IU) may mediate the relationships between feeling unsafety depression/well-being aims test hypothesis among sample adults from frequently crisis-ridden country. A one-time-point online survey was conducted Lebanese general population (N = 905; mean age 27.38 (SD: 9.28); 60% females), recruited anonymously via snowball sampling. The questionnaire included socio-demographic variables following Arabic validated scales: Feeling Unsafety Scale– (FUSA), World Health Organization Well-Being Index (WHO-5), Patient Questionnaire-9 (PHQ-9), Scale (IUS-12). Statistical analysis performed using SPSS v.27 with mediation PROCESS MACRO v3.4 Model 4. After adjusting for potential confounders, showed both prospective inhibitory anxiety fully mediated association depression partially well-being. Higher significantly associated higher (Beta 0.32; p < 0.001; 95% CI 0.27; 0.37 Beta 0.19; 0.15; 0.23 respectively), turn were 0.42; 0.35; 0.48 0.62; 0.54; 0.70 respectively) − 0.39; -0.44; -0.33 -0.47; -0.32 respectively). It is note while did not show direct 0.03; 0.187; -0.09; 0.02 -0.02; 0.399; -0.07; 0.03 it directly 0.07; 0.01; -0.12; -0.03 0.12; -0.17; -0.07 IU mediates confirmed. This finding highlights key target interventions. Psychotherapeutic public health initiatives could enhance dedicating efforts promoting uncertainty tolerance, vulnerable populations facing unstable settings.

Language: Английский

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Intolerance of uncertainty causally affects indecisiveness

British Journal of Clinical Psychology, Journal Year: 2025, Volume and Issue: unknown

Published: March 11, 2025

Abstract Objectives Intolerance of uncertainty (IU) is characterized by a pervasive negative reaction to uncertainty. It transdiagnostic risk factor for various mental disorders. Since decisions often need be made in the face uncertainty, IU associated with indecisiveness, dispositional difficulty making decisions. Indecisiveness also linked range While seen as causal experimental studies on this assumption are lacking. Methods In pre‐registered, adequately powered study ( N = 301), was experimentally increased or decreased compared control group, and effect indecisiveness observed. assessed situational context, focusing two that were personally relevant participants. Results The manipulation successfully affected IU. As predicted, led more across both Exploratory analyses found mediated indecisiveness. Conclusions results first demonstrate thus contributing explanation role management plays it. Moreover, they have implications treating disorders highlighting phenomenon

Language: Английский

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Want to Help Your Patients with Food Allergy Anxiety? Do Proximity Challenges!

Annals of Allergy Asthma & Immunology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Does Intolerance of Uncertainty predict child generalised anxiety? A longitudinal study.

Journal of Anxiety Disorders, Journal Year: 2025, Volume and Issue: unknown, P. 103004 - 103004

Published: March 1, 2025

Language: Английский

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Is intolerance of uncertainty a necessary condition for anxiety symptoms in adolescents?.A necessary condition analysis study

Journal of Anxiety Disorders, Journal Year: 2025, Volume and Issue: unknown, P. 102999 - 102999

Published: March 1, 2025

Intolerance of uncertainty (IU) is a well-established risk factor for anxiety disorders, as higher levels IU increase the likelihood future maladaptive outcomes. However, presence low does not imply that outcomes will occur, other factors can still lead to onset symptoms. Currently, it unknown whether also serves necessary cause symptoms, meaning its absence would ensure these A sample 186 adolescents (58.6 % boys) between 14 and 18 years age (M = 16.58 ± 1.01) was followed six months, with evaluations every three months. Several self-reports were administered measure general problems, derived from Youth Self Report 11-18, anxiety-specific Self-Administered Psychiatric Scales Children Adolescents. The Necessary Condition Analysis approach applied determine extent which condition anxiety. analyses revealed problems (d =.23 -.24), generalized disorder symptoms =.18 -.19), social =.19 -.29), school-related -.23) after statistically significant separation At baseline, 29 70 exhibited potentially experience subclinical at subsequent follow-ups. potential development during adolescence. Recognizing conditions mental in general, could substantial progress, given impact on enhancing our theoretical understanding improving prevention strategies clinical treatments.

Language: Английский

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Psychological mechanisms underpinning change in intolerance of uncertainty across anxiety-related disorders: New insights for translational research

Neuroscience & Biobehavioral Reviews, Journal Year: 2025, Volume and Issue: unknown, P. 106138 - 106138

Published: April 1, 2025

Intolerance of uncertainty (IU), the tendency to find negative, is a fundamental transdiagnostic dimension across anxiety-related disorders. Over past two decades, there has been an increase in both clinical and experimental research on role IU maintenance treatment However, lack integration findings from mechanistic perspective, which slowed progress translational research. This review seeks fill this gap by synthesising (e.g. randomised controlled trials) lab-based) literature psychological mechanisms that drive change The highlighted that: (1) cognitive restructuring, supported such as appraisal, modify IU-related cognitions, (2) behavioural exposures, inhibitory learning, alter cognitions physiological arousal, (3) mindfulness techniques underpinned attentional monitoring, decentering, acceptance, cognitions. Across different therapeutic reviewed, was evidence for how emotions behaviours. Directions further include directly comparing effectiveness produce anxiety disorders other mental health disorders, examining specificity over anxious traits. Overall, provide foundation future efforts build upon maximising existing interventions and/or develop novel target dispositional situational uncertainty-related distress beyond.

Language: Английский

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