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The relevance of uncertainty and goal conflict to mental disorders, their prevention and management: a unifying approach

  • Danielle A. Einstein (a1) and Warren Mansell (a2)
Abstract

Intolerance of Uncertainty (IU) has been shown to underlie a range of disorders. Technological advances have produced a decline in our development of an ability to wait in the face of uncertainty. The paper provides an update on empirical, theoretical and neural research in IU. Einstein's extended trandiagnostic model of IU is described. This model is based on control theory. The research update and IU model propose specific tools which can be implemented within transdiagnostic treatment approaches.

Copyright
Corresponding author
*Address for correspondence: Dr D. A. Einstein, Honorary Associate, Department of Psychology, Macquarie University, NSW 2109, Australia (email: danielle.einstein@mq.edu.au).
References
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Carleton, RN (2016). Into the unknown: a review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders 39, 3043.
Alsawy, S, Mansell, W, Carey, TA, McEvoy, P, Tai, SJ (2014). Science and practice of transdiagnostic CBT: a Perceptual Control Theory (PCT) approach. International Journal of Cognitive Therapy 7, 334359.
Beck, A, Clark, D (1997). An information processing model of anxiety: automatic and strategic processes. Behaviour Research and Therapy 35, 4958.
Bishop, SR, Lau, M, Shapiro, S, Carlson, L, Anderson, ND, Carmody, J, Segal, ZV, Abbey, S, Speca, M, Velting, D, Devins, G (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice 11, 230241.
Buhr, K, Dugas, MJ (2009). The role of fear of anxiety and intolerance of uncertainty in worry: An experimental manipulation, Behaviour Research and Therapy 47, 215223.
Carey, TA (2006). The Method of Levels: How to do Psychotherapy without Getting in the Way. Living Control Systems Publishing: Chicago.
Carey, TA (2011). Exposure and reorganization: the what and how of effective psychotherapy. Clinical Psychology Review 31, 236248.
Carey, TA, Mansell, W, Tai, SJ (2014). A biopsychosocial model based on negative feedback and control. Frontiers in Human Neuroscience 8, Chicago.
Carleton, RN (2012). The intolerance of uncertainty construct in the context of anxiety disorders: theoretical and practical perspectives. Expert review of Neurotherapeutics 12, 937947.
Carleton, RN (2016). Into the unknown: a review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders 39, 3043.
Carleton, RN, Norton, PJ, Asmundson, GJG (2007). Fearing the unknown: a short version of the Intolerance of Uncertainty Scale (IUS-12). Journal of Anxiety Disorders 21, 105117.
Chan, KYC, Lovibond, PF (1996). Expectancy bias in trait anxiety. Journal of Abnormal Psychology 105, 637647.
Critchley, HD, Mathias, CJ, Dolan, RJ (2001). Neural activity in the human brain relating to uncertainty and arousal during anticipation. Neuron 29, 537545.
Einstein, DA (2014). Extension of the transdiagnostic model to focus on intolerance of uncertainty: a review of the literature and implications for treatment. Clinical Psychology: Science and Practice 21, 280300.
Einstein, DA, Garradd, A, Boulton, K, Farkash, L (2016). Is intolerance of uncertainty adequately addressed in intervention programs? Paper presented at the 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, June, 2016.
Einstein, DA, Menzies, RG (2007). The treatment of magical ideation. In: Innovations and Advances in Cognitive Behaviour Therapy (ed. Einstein, D. A.), pp. 1935. Brisbane: Australian Academic Press.
Gilbert, DT, Wilson, TD (2009). Why the brain talks to itself: sources of error in emotional prediction. Philosophical Transactions of the Royal Society of London, Series B: Biological Sciences 364, 13351341.
Gray, JA (1982). The Neuropsychology of Anxiety: An Enquiry in to the Functions of the Septo-hippocampal System. Oxford: Oxford University Press.
Grupe, DW, Nitschke, JB (2013). Uncertainty and anticipation in anxiety: an integrated neurobiological and psychological perspective. Nature Reviews of Neuroscience 14, 488501.
Hayes, SC, Wilson, KG, Gifford, EV, Follette, VM, Strosahl, K (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology 64, 11521168.
Higginson, S, Mansell, W, Wood, AM (2011). An integrative mechanistic account of psychological distress, therapeutic change and recovery: the Perceptual Control theory approach. Clinical Psychology Review 31, 249259.
Krain, AL, Gotimer, K, Hefton, S, Ernst, M, Castellanos, FX, Pine, DS, Milham, MP (2008). A functional magnetic resonance imaging investigation of uncertainty in adolescents with anxiety disorders. Biological Psychiatry 63, 563568.
Mahoney, AEJ, McEvoy, PM (2011). A transdiagnostic examination of intolerance of uncertainty across anxiety and depressive disorders. Cognitive Behavior Therapy. Published online: 28 October 2011. doi:10.1080/16506073.2011.622130
Mansell, W (2005). Control theory and psychopathology: an integrative approach. Psychology and Psychotherapy: Theory, Research and Practice 78, 141178.
Mansell, W, Carey, TA, Tai, S (2015). Classification of psychopathology and unifying theory: the ingredients of a Darwinian paradigm shift in research methodology. Psychopathology Review 2, 129153.
Mansell, W, Harvey, A, Watkins, E, Shafran, R (2009). Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy 23, 619.
McHugh, RK, Murray, HW, Barlow, DH (2009). Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: the promise of transdiagnostic interventions. Behaviour Research and Therapy 47, 946953.
McNaughton, N, Gray, JA (2000). Anxiolytic action on the behavioural inhibition system implies multiple types of arousal contribute to anxiety. Journal of Affective Disorders 61, 161176.
Newby, JM, McKinnon, A, Kuyken, W, Gilbody, S, Dalgleish, T (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review 40, 91110.
Pearl, SB, Norton, PJ (2016). Transdiagnostic versus diagnosis specific cognitive behavioural therapies for anxiety: a meta-analysis. Journal of Anxiety Disorders. Published online: 16 July 2016. doi:10.1016/j.janxdis.2016.07.004.
Powers, WT (1973). Feedback: beyond behaviourism: stimulus-response laws are wholly predictable within a control-system model of behavioural organisation. Science 179, 351356.
Reiss, S (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review 11, 41153.
Richards, JM, Gross, JJ (1999). Composure at any cost? The cognitive consequences of emotion suppression. Personality and Social Psychology Bulletin 25, 10331044.
Robichaud, M, Dugas, MJ (2006). A cognitive behavioral treatment targeting intolerance for uncertainty. In: Worry and its Psychological Disorders (ed. Davey, G. & Wells, A.), pp. 289304. Wiley: Chichester.
Rubio, A, Oudenhove, LV, Pellissier, S, Giao, H, Dupont, P, Micheaux, HL, Tack, J, Dantzer, C, Delon-Martin, C, Bonaz, B (2015). Uncertainty in anticipation of uncomfortable rectal distension is modulated by the autonomic nervous system – a fMRI study in healthy volunteers. NeuroImage 107, 1022.
Shankman, SA, Gorka, SM, Nelson, BD, Fitzgerald, DA, Phan, KL, O'Daly, O (2014). Anterior insula responds to temporally unpredictable aversiveness: an fMRI study. Neuroreport 25, 596600.
Simmons, A, Matthews, SC, Paulus, MP, Stein, MB (2008). Intolerance of uncertainty correlates with insula activation during affective ambiguity. Neuroscience Letters 430, 9297.
Singer, T, Critchley, HD, Preuschoff, K (2009). A common role of insula in feelings, empathy and uncertainty. Trends in Cognitive Sciences 13, 334340.
Wells, A (2002). GAD, metacognition, and mindfulness: an information processing analysis. Clinical Psychology: Science and Practice 9, 95100.
Whittal, ML, McLean, PD (2002). Group cognitive behavioural therapy for obsessive compulsive disorder. In Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment and Treatment (ed. Frost, R. O. & Steketee, G.), pp. 417434. Amsterdam: Pergamon.
Williams, LE, Oler, JA, Fox, AS, McFarlin, DR, Rogers, GM, Jesson, MAL, Davidson, RJ, Pine, DS, Kalin, NH (2015). Fear of the unknown: uncertain anticipation reveals amygdala activation in childhood anxiety disorders. Neuropsychopharmacology 40, 14281435.
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