Work

Intolerance of uncertainty as a cognitive vulnerability for obsessive-compulsive disorder: A qualitative review.

Year: 2023

Type: article

Abstract: Intolerance of uncertainty (IU) is the tendency to react negatively to uncertain situations. In this review, we critically evaluate the evidence for IU as a cognitive vulnerability for obsessive-compulsive disorder (OCD), including (a) evidence for a robust association between IU and OCD symptoms, (b) evidence that IU is stable and trait-like, (c) evidence for IU as a causal risk factor that influences the development of OCD directly or indirectly, and (d) evidence that IU is malleable to intervention. The available evidence suggests that IU is likely a candidate cognitive vulnerability factor for OCD, though additional research is needed to determine if increasing tolerance for uncertainty is a mechanism of effective OCD treatment. Future research examining IU across multiple levels of analysis and a more rigorous examination of the nomological network of IU may identify specific pathways contributing to the development and maintenance of OCD.

Source: Clinical Psychology Science and Practice

DOI: 10.1037/cps0000150

Authors: Kelly A. Knowles, Bunmi O. Olatunji

Institutions: Hartford Hospital, Vanderbilt University

Language: English

Topic: Obsessive-Compulsive Spectrum Disorders

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute of Mental Health