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Volume 23, Issue 142 (12-2024)
Journal of Psychological Science 2024, 23(142): 1-16 |
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Oshrieh V, Besharat M A, Gholamali Lavasani M. (2024). Predicting illness anxiety symptoms based on worry, alexithymia, intolerance of uncertainty and cognitive emotion regulation strategies. Journal of Psychological Science. 23(142), 1-16. doi:10.61186/jps.23.142.1
URL: http://psychologicalscience.ir/article-1-2236-en.html
URL: http://psychologicalscience.ir/article-1-2236-en.html
Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.. , besharat@ut.ac.ir
Abstract: (850 Views)
Background: Illness Anxiety Disorder (IAD), is a type of worry about the existence or occurrence of serious medical diseases. worry, alexithymia, intolerance of uncertainty and cognitive emotion regulation strategies can be effective factors in the development and persistence of mental disorders such as illness anxiety. Since individuals with IAD suffer from many problems, identifying the influencing and predicting factors of IAD simultaneously in research are considered important.
Aims: The purpose of the present study was to predict illness anxiety symptoms based on worry, alexithymia, intolerance of uncertainty and cognitive emotion regulation strategies.
Methods: The present study was descriptive correlation and the statistical population included all people living in Tehran between the ages of 20 and 60 in 2021. A total of 414 individuals (344 females, 70 males) participated in the study. Participants were asked to complete the Illness Anxiety Scale (Besharat, 2011), Penn State Worry Questionnaire (Meyer et al., 1990), Toronto Alexithymia Scale-20 (Bagby et al., 1994), Intolerance of Uncertainty Scale (Carleton et al., 2007) and Cognitive Emotion Regulation Questionnaire (Garnefski & Kraaij, 2007). The data were analyzed by Pearson correlation coefficient and stepwise regression methods by SPSS27.
Results: worry, alexithymia, intolerance of uncertainty and maladaptive emotion regulation strategies had a significant positive association with illness anxiety symptoms (P< 0.05). This result was reversed for adaptive emotion regulation strategies; revealing that this type of strategies had a significant negative association with illness anxiety symptoms (P< 0.05). Furthermore, the cognitive emotion regulation strategies were removed from the model due to the lack of predictive power, but worry, alexithymia and intolerance of uncertainty have the ability to predict the illness anxiety symptoms.
Conclusion: Based on the research findings, worry, alexithymia and intolerance of uncertainty can predict illness anxiety symptoms. These results can be useful in the prevention, diagnosis and treatment of IAD.
Aims: The purpose of the present study was to predict illness anxiety symptoms based on worry, alexithymia, intolerance of uncertainty and cognitive emotion regulation strategies.
Methods: The present study was descriptive correlation and the statistical population included all people living in Tehran between the ages of 20 and 60 in 2021. A total of 414 individuals (344 females, 70 males) participated in the study. Participants were asked to complete the Illness Anxiety Scale (Besharat, 2011), Penn State Worry Questionnaire (Meyer et al., 1990), Toronto Alexithymia Scale-20 (Bagby et al., 1994), Intolerance of Uncertainty Scale (Carleton et al., 2007) and Cognitive Emotion Regulation Questionnaire (Garnefski & Kraaij, 2007). The data were analyzed by Pearson correlation coefficient and stepwise regression methods by SPSS27.
Results: worry, alexithymia, intolerance of uncertainty and maladaptive emotion regulation strategies had a significant positive association with illness anxiety symptoms (P< 0.05). This result was reversed for adaptive emotion regulation strategies; revealing that this type of strategies had a significant negative association with illness anxiety symptoms (P< 0.05). Furthermore, the cognitive emotion regulation strategies were removed from the model due to the lack of predictive power, but worry, alexithymia and intolerance of uncertainty have the ability to predict the illness anxiety symptoms.
Conclusion: Based on the research findings, worry, alexithymia and intolerance of uncertainty can predict illness anxiety symptoms. These results can be useful in the prevention, diagnosis and treatment of IAD.
Type of Study: Research |
Subject:
Special
Received: 2023/11/15 | Accepted: 2024/12/21 | Published: 2024/10/1
Received: 2023/11/15 | Accepted: 2024/12/21 | Published: 2024/10/1
References
1. Abramowitz, J. S., & Braddock, A. E. (2006). Hypochondriasis: Conceptualization, Treatment, and Relationship to Obsessive-Compulsive Disorder. Psychiatric Clinics of North America/the Psychiatric Clinics of North America, 29(2), 503-519. [DOI:10.1016/j.psc.2006.02.008] [PMID]
2. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. [DOI:10.1016/j.cpr.2009.11.004] [PMID]
3. Association, A. P. (2022). Diagnostic and Statistical Manual of Mental Disorders, fifth Edition, text Revision (DSM-5-TR). [DOI:10.1176/appi.books.9780890425787]
4. Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23-32. [DOI:10.1016/0022-3999(94)90005-1] [PMID]
5. Bagby, R. M., Parker, J. D., & Taylor, G. J. (2020). Twenty-five years with the 20-item Toronto Alexithymia Scale. Journal of Psychosomatic Research, 131, 109940. [DOI:10.1016/j.jpsychores.2020.109940] [PMID]
6. Bailer, J., Witthöft, M., Erkic, M., & Mier, D. (2017). Emotion dysregulation in hypochondriasis and depression. Clinical Psychology & Psychotherapy/Clinical Psychology and Psychotherapy, 24(6), 1254-1262. [DOI:10.1002/cpp.2089] [PMID]
7. Bardeen, J. R., & Fergus, T. A. (2014). An examination of the incremental contribution of emotion regulation difficulties to health anxiety beyond specific emotion regulation strategies. Journal of Anxiety Disorders, 28(4), 394-401. [DOI:10.1016/j.janxdis.2014.03.002] [PMID]
8. Besharat, M. A. (2007). Preliminary psychometric properties of the Penn State Worry Questionnaire. Unpublished research report Tehran. (Persian).
9. Besharat, M. A. (2010). Preliminary psychometric properties of the Intolerance of Uncertainty Scale. Unpublished research report Tehran. (Persian).
10. Besharat, M. A. (2011). Preliminary development and validation of Illness Anxiety Scale. Unpublished research report Tehran. (Persian).
11. Besharat, M. A. (2013). Toronto Alexithymia Scale: Questionnaire, Instruction and Scoring (Persian Version). Journal of Developmental Psychology Iranian Psychologists, 10(37), 90-92. (Persian). https://sid.ir/paper/488461/fa
12. Besharat, M, A. & Bazazian, S. (2014). Evaluation of psychometric properties of Cognitive Emotion Regulation Questionnaire in a sample of Iranian society. Journal of the School of Nursing and Midwifery, 84, 61-70. (Persian). https://sid.ir/paper/496015/fa
13. Besharat, M. A. (2016). Cognitive Emotion Regulation Questionnaire: Instruction and Scoring (Persian Version). Journal of Developmental Psychology Iranian Psychologists, 13(50), 221-223. (Persian). https://sid.ir/paper/521009/fa
14. Besharat M, Hafezi E, Ranjbar Shirazi F, Ranjbari T. (2018). Alexithymia and defense mechanisms in patients with depression, generalized anxiety disorder, obsessive-compulsive disorders and normal individuals: A comparative study. Journal of Psychological Science. 17(66), 176-199. (Persian). http://psychologicalscience.ir/article-1-115-fa.html
15. Boelen, P. A., & Carleton, R. N. (2012). Intolerance of uncertainty, hypochondriacal concerns, Obsessive-Compulsive symptoms, and worry. the Journal of Nervous and Mental Disease, 200(3), 208-213.
https://doi.org/10.1097/NMD.0b013e318247cb17 [DOI:10.1097/nmd.0b013e318247cb17] [PMID]
16. Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: psychometric properties of the English version. Behaviour Research and Therapy, 40(8), 931-945.
https://doi.org/10.1016/S0005-7967(01)00092-4 [DOI:10.1016/s0005-7967(01)00092-4] [PMID]
17. Carleton, R. N. (2016). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30-43. [DOI:10.1016/j.janxdis.2016.02.007] [PMID]
18. Carleton, R. N., Norton, P. J., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105-117. [DOI:10.1016/j.janxdis.2006.03.014] [PMID]
19. Einstein, D. A. (2014). Extension of the transdiagnostic model to focus on intolerance of uncertainty: A review of the literature and implications for treatment. Clinical Psychology, 21(3), 280-300. [DOI:10.1111/cpsp.12077] [PMID] []
20. Fergus, T. A. (2013). Repetitive thought and health anxiety: tests of specificity. Journal of Psychopathology and Behavioral Assessment, 35(3), 366-374. [DOI:10.1007/s10862-013-9340-y]
21. Fergus, T. A., & Bardeen, J. R. (2013). Anxiety sensitivity and intolerance of uncertainty: Evidence of incremental specificity in relation to health anxiety. Personality and Individual Differences, 55(6), 640-644. [DOI:10.1016/j.paid.2013.05.016]
22. Fergus, T. A., & Valentiner, D. P. (2010). Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. Journal of Behavior Therapy and Experimental Psychiatry, 41(4), 438-444. [DOI:10.1016/j.jbtep.2010.05.002] [PMID]
23. Garnefski, N., & Kraaij, V. (2007). The Cognitive Emotion Regulation Questionnaire. European Journal of Psychological Assessment, 23(3), 141-149. [DOI:10.1027/1015-5759.23.3.141]
24. Garnefski, N., & Kraaij, V. (2016). Specificity of relations between adolescents' cognitive emotion regulation strategies and symptoms of depression and anxiety. Cognition and Emotion, 32(7), 1401-1408. [DOI:10.1080/02699931.2016.1232698] [PMID]
25. Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311-1327.
https://doi.org/10.1016/S0191-8869(00)00113-6 [DOI:10.1016/s0191-8869(00)00113-6]
26. Gonçalves, D. C., & Byrne, G. J. (2012). Who worries most? Worry prevalence and patterns across the lifespan. International Journal of Geriatric Psychiatry, 28(1), 41-49. [DOI:10.1002/gps.3788] [PMID]
27. Görgen, S. M., Hiller, W., & Witthöft, M. (2013). Health Anxiety, cognitive coping, and emotion Regulation: a Latent variable approach. International Journal of Behavioral Medicine, 21(2), 364-374. [DOI:10.1007/s12529-013-9297-y] [PMID]
28. Gross, J. J. (2015). Emotion Regulation: Current status and future Prospects. Psychological Inquiry, 26(1), 1-26.
https://doi.org/10.1080/1047840X.2014.940781 [DOI:10.1080/1047840x.2014.940781]
29. Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology. Clinical Psychological Science, 2(4), 387-401. [DOI:10.1177/2167702614536164]
30. Günther, V., Rufer, M., Kersting, A., & Suslow, T. (2016). Predicting symptoms in major depression after inpatient treatment: the role of alexithymia. Nordic Journal of Psychiatry, 70(5), 392-398. [DOI:10.3109/08039488.2016.1146796] [PMID]
31. Jansson‐Fröjmark, M., Bilevicius, E., El‐Gabalawy, R., & Asmundson, G. J. (2020). Worry and Other Mental Health Problems. Generalized Anxiety Disorder and Worrying: A Comprehensive Handbook for Clinicians and Researchers, 69-98. [DOI:10.1002/9781119189909.ch5]
32. Hebert, E. A., & Dugas, M. J. (2019). Behavioral Experiments for Intolerance of Uncertainty: Challenging the unknown in the treatment of generalized anxiety disorder. Cognitive and Behavioral Practice, 26(2), 421-436. [DOI:10.1016/j.cbpra.2018.07.007]
33. Jasper, F., & Witthöft, M. (2012). Automatic evaluative processes in health anxiety and their relations to emotion regulation. Cognitive Therapy and Research, 37(3), 521-533. [DOI:10.1007/s10608-012-9484-1]
34. Khaje Mansoori, A., Mohammadkhani, P., Mazidi, M., Kami, M., Bakhshi Nodooshan, M., & Shahidi, S. (2016). The Role of Metacognition and Intolerance of Uncertainty in Differentiating Illness Anxiety and Generalized Anxiety. Practice in Clinical Psychology, 4(1),57-65. http://jpcp.uswr.ac.ir/article-1-303-en.html
35. Love, S., Sharman, R., & Kannis‐Dymand, L. (2018). Emotion Regulation and the Specific Associations with Health Anxiety. Psychological Studies/Psychological Studies, 63(4), 410-418. [DOI:10.1007/s12646-018-0469-3]
36. MamSharifi, P., Shabanian Aval Khansari, S., Najafi, K., Farokhi, S., & Aminpour, M. (2022). The mediating role of problem solving strategies in the relationship between metacognitive beliefs and cognitive emotion regulation strategies with resilience in the Covid-19 era. Rooyesh-e-Ravanshenasi Journal (RRJ), 11(4), 205-216. (Persian). http://dorl.net/dor/20.1001.1.2383353.1401.11.4.20.3
37. Mennin, D. S., Ellard, K. K., Fresco, D. M., & Gross, J. J. (2013). United we stand: emphasizing commonalities across Cognitive-Behavioral therapies. Behavior Therapy, 44(2), 234-248. [DOI:10.1016/j.beth.2013.02.004] [PMID] []
38. Meyer, T., Miller, M. L., Metzger, R., & Borkovec, T. D. (1990). Development and validation of the penn state worry questionnaire. Behaviour Research and Therapy, 28(6), 487-495. [DOI:10.1016/0005-7967(90)90135-6] [PMID]
39. Mokhtarinejad, O., Mohebbi, B., & Hassanzadeh, R. (2020). Comparison of the effectiveness of schema therapy and acceptance and commitment therapy on perception of disease and worry in patients with illness anxiety disorder. TāZah/Hā-yi ̒UlūM-i ShināKhtī/Tāzah/Hā-yi ̒Ulūm-i Shinākhtī, 22(3), 58-67. (Persian). [DOI:10.30699/icss.22.3.58]
40. Mufassery, M. R., Ali, I., & Soleimani, E. (2022). The relationship between the activity of brain/behavioral systems and illness anxiety disorder with the mediating role of intolerance of uncertainty. Majallah-i ̒Ulūm-i Ravānshinākhtī., 21(114), 1193-1214. (Persian).
https://doi.org/10.52547/JPS.21.114.1193 [DOI:10.52547/jps.21.114.1193]
41. Newman, M. G., Llera, S. J., Erickson, T. M., Przeworski, A., & Castonguay, L. G. (2013). Worry and Generalized Anxiety Disorder: A review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. Annual Review of Clinical Psychology, 9(1), 275-297. [DOI:10.1146/annurev-clinpsy-050212-185544] [PMID] []
42. Saeed, S., Islam, S., & Khawar, R. (2019). Mediating Role of Negative Affect in Relationship between Illness Anxiety and Alexithymia. FWU Journal of Social Sciences, 13(3), 86-98. http://sbbwu.edu.pk/journal/FWU_Journal_Jan2020/
43. Scarella, T. M., Boland, R., & Barsky, A. J. (2019). Illness Anxiety Disorder: Psychopathology, epidemiology, clinical characteristics, and treatment. Psychosomatic Medicine, 81(5), 398-407.
https://doi.org/10.1097/PSY.0000000000000691 [DOI:10.1097/psy.0000000000000691] [PMID]
44. Takjoo, J., MehradSadr, M., Mamsharifi, P., Rafezi, Z., & Dehghani Ahmadabad, Z. (2018). The Relationship of Cognitive Emotion Regulation and Integrative Self-knowledge with Conformity. International Journal of Applied Behavioral Sciences, 5(4), 36-44. [DOI:10.22037/ijabs.v5i4.24304]
45. Thorberg, F. A., Young, R. M., Sullivan, K. A., & Lyvers, M. (2009). Alexithymia and alcohol use disorders: A critical review. Addictive Behaviors, 34(3), 237-245. [DOI:10.1016/j.addbeh.2008.10.016] [PMID]
46. Tominaga, T., Choi, H., Nagoshi, Y., Wada, Y., & Fukui, K. (2013). Relationship between alexithymia and coping strategies in patients with somatoform disorder. Neuropsychiatric Disease and Treatment, 55.
https://doi.org/10.2147/NDT.S55956 [DOI:10.2147/ndt.s55956] [PMID] []
47. Williams, M. O., Mathews, A., & Hirsch, C. R. (2014). Verbal worry facilitates attention to threat in high-worriers. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 8-14. [DOI:10.1016/j.jbtep.2013.05.006] [PMID] []
48. Wingbermühle, E., Theunissen, H., Verhoeven, W., Kessels, R. P. C., & Egger, J. (2012). The neurocognition of alexithymia: evidence from neuropsychological and neuroimaging studies. Acta Neuropsychiatrica, 24(2), 67-80. [DOI:10.1111/j.1601-5215.2011.00613.x] [PMID]
49. Wright, K. D., Lebell, M. a. A., & Carleton, R. N. (2016). Intolerance of uncertainty, anxiety sensitivity, health anxiety, and anxiety disorder symptoms in youth. Journal of Anxiety Disorders, 41, 35-42. [DOI:10.1016/j.janxdis.2016.04.011] [PMID]
50. Zafari, S., & Eshkezari, M. K. (2020). The structural model of the role of cognitive emotion regulation strategies, mindfulness and perfectionism in predicting emotional problems in students. Majallah-i ̒Ulūm-i Ravānshinākhtī., 19(87), 321-328. (Persian). [DOI:10.29252/psychosci.19.87.321]
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This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)