Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19

Satıcı, Begüm; Sarıçalı, Mehmet; Satıcı, Seydi Ahmet; Griffiths, Mark D.

doi:10.1007/s11469-020-00305-0

Cited by 460 publications

(494 citation statements)

References 39 publications

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“…Ruminating about COVID-19 was associated with stress and depression across all three waves. These findings align with the negative effects of rumination in regard to other stressors, including natural disasters [ 37 , 38 ], and with recent research from Turkey showing that rumination about COVID-19 had a negative impact on well-being [ 33 ]. Co-rumination predicted stress at Waves 1 and 2, and anxiety and depression at Wave 2, but was no longer predictive of any mental health outcomes at Wave 3.…”

Section: Discussionsupporting

confidence: 85%

“…Generalizing across the findings, it is clear that mental health outcomes for the general public in the U.S. were influenced by psychosocial and behavioral factors. Collectively, these findings are consistent with research on past pandemics and research from China and elsewhere on COVID-19, indicating that mental health during and after a pandemic is influenced by perceived risk, threat, and fear associated with the disease [ 32 , 33 , 34 ], rumination and co-rumination [ 35 ], social support [ 32 ], coping behaviors [ 36 ], and health-protective behaviors [ 12 ].…”

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States

Zhou

MacGeorge

Myrick

2020

IJERPH

114

117

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To date, there has been relatively little published research on the mental health impacts of COVID-19 for the general public at the beginning of the U.S.’ experience of the pandemic, or the factors associated with stress, anxiety, depression, and post-traumatic growth during this time. The current study provides a longitudinal examination of the predictors of self-reported stress, anxiety, depression, and post-traumatic growth for U.S. residents between April and May, 2020, including the influence of demographic, psychosocial, and behavioral factors on these outcomes. The findings indicate that, generally, the early months of the U.S. COVID-19 experience were characterized by a modest negative impact on mental health. Younger adults, people with pre-existing health conditions, and those experiencing greater perceived risk, higher levels of rumination, higher levels of co-rumination, greater social strain, or less social support reported worse mental health. Positive mental health was associated with the adoption of coping strategies, especially those that were forward-looking, and with greater adherence to national health-protection guidelines. The findings are discussed with regard to the current status of health-protective measures and mental health in the U.S., especially as these impact future management of the on-going pandemic.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 80%

Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States

Zhou

MacGeorge

Myrick

2020

IJERPH

114

117

View full text Add to dashboard Cite

show abstract

“…Another finding of this study was that the intolerance of uncertainty had two dimensions, including prospective anxiety and inhibitory anxiety. In this case, the intolerance of uncertainty is a structure related to fear and anxiety, but it can also be a component of destructive and false evaluations and it can affect positivity (Satici et al 2020b).…”

Section: Introductionmentioning

confidence: 99%

Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress

Bakioğlu

Korkmaz

Ercan

2020

Int J Ment Health Addiction

677

449

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This study aimed to investigate the mediating role of intolerance of uncertainty, depression, anxiety, and stress in the relationship between the fear of COVID-19 and positivity. The partici-pantsconsistedof960individuals,including663females(69.1%)and297males(30.9%).Theage oftheparticipantsrangedbetween18and76(29.74 ± 9.64).Asaresultofthecorrelationanalysis,a positive relationship was found between fear of COVID-19 and intolerance of uncertainty, depression, anxiety, and stress, and a negative relationship was determined between the fear of COVID-19 and positivity. The result of the analysis for the study model indicated that there was a mediating role of intolerance of uncertainty, depression, anxiety, and stress in the relationship betweenthefearofCOVID-19andpositivity.EliminatinguncertaintyfromthefearofCOVID-19 will contribute to reducing depression, anxiety and stress, and increasing positivity.

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“…In relation to epidemics/pandemics, people with higher intolerance of uncertainty rated the H1N1 pandemic as more threatening, and their self-control and the control of others as lower, all together predicting virus anxiety [ 38 , 39 ]. In the context of the COVID-19 pandemic, results also indicate associations between intolerance of uncertainty and mental well-being [ 40 ], COVID-19 related distress [ 19 ], and depressive, generalized anxiety, and health anxiety symptoms [ 41 , 42 ].…”

Section: Introductionmentioning

confidence: 99%

Emotional and Behavioral Consequences of the COVID-19 Pandemic: The Role of Health Anxiety, Intolerance of Uncertainty, and Distress (In)Tolerance

Sauer

Jungmann

Witthöft

2020

IJERPH

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The COVID-19 pandemic represents a worldwide threat to mental health. To optimize the allocation of health care resources, research on specific vulnerability factors, such as health anxiety, intolerance of uncertainty, and distress (in)tolerance, and particularly their effect on the time course of SARS-CoV-2 related anxiety appears crucial for supporting high risk groups suffering from elevated mental distress during the pandemic. N = 887 participants (78.4% female; Mage = 38.15, SD = 17.04) completed an online survey in Germany (April to mid-May 2020), comprising measures of SARS-CoV-2 related anxiety, health anxiety, safety and preventive behavior, intolerance of uncertainty, and distress intolerance. Higher levels of health anxiety pre and during COVID-19 were associated with an initially intensified increase (b = 1.10, p < 0.001), but later on a more rapid dampening (b = −0.18, p < 0.001) of SARS-CoV-2 related anxiety. SARS-CoV-2 related preventive behavior was intensified by both pre (b = 0.06, p = 0.01) and during (b = 0.15, p < 0.001) COVID-19 health anxiety, while reassurance behavior only was associated with health anxiety during COVID-19 (b = 0.14, p < 0.001). Distress intolerance and intolerance of uncertainty did not moderate the relationship between health anxiety and SARS-CoV-2 related anxiety and behavior. The results suggest detrimental effects of health anxiety on the emotional and behavioral response to virus outbreaks.

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Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19

Cited by 460 publications

References 39 publications

Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States

Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States

Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress

Emotional and Behavioral Consequences of the COVID-19 Pandemic: The Role of Health Anxiety, Intolerance of Uncertainty, and Distress (In)Tolerance

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