COVID-19-related anxiety: the role of intolerance to uncertainty and resilience


Published: Dec 30, 2021
Keywords:
adults COVID-19-related anxiety intolerance of uncertainty resilience
Eleni Vousoura
https://orcid.org/0000-0002-3212-8207
Nikos Makrygiorgos
https://orcid.org/0000-0003-1048-5307
Achilleas Tsarpalis-Fragkoulidis
https://orcid.org/0000-0002-4758-8935
Chrisanthi Nega
https://orcid.org/0000-0002-2628-6014
Abstract
Coronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization in March 2020, spreading stress and fear around the world. The present study aims to elucidate on the psychological factors associated with perceived stress and anxiety in the context of COVID-19 pandemic, by examining the role of intolerance of uncertainty and psychological resilience. The study used baseline data collected in April-May of 2020 via an online survey distributed via social media to adults who resided in Greece. The outcome variable was the Covid-19 Anxiety Scale (CAS). Predictor variables were Intolerance to Uncertainty (IU) and psychological resilience measured by the Connor-Davidson Resilience Scale (CD-RISC). A total of 425 participants (67.2% females) with a mean age of 38.9 years participated in the survey. Women scored significantly higher than men in CAS. The results of hierarchical linear regression analysis showed that IU and resilience, independently of one another, were significantly associated with COVID-19 anxiety, explaining 16.5% of the variance. IU appears to be a risk factor above and beyond the protective mechanism of psychological resilience. Results underscore the importance of developing preventive strategies and interventions specifically targeting IU to mitigate the potential adverse psychological effects of the pandemic.
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Birrell, J., Meares, K., Wilkinson, A., & Freeston, M. (2011). Toward a definition of intolerance of uncertainty: A review of factor analytical studies of the Intolerance of Uncertainty Scale. In Clinical Psychology Review (Vol. 31, Issue 7, pp. 1198–1208). Pergamon. https://doi.org/10.1016/j.cpr.2011.07.009
Boelen, P. (2010). Intolerance of uncertainty and emotional distress following the death of a loved one. Anxiety, Stress and Coping, 23(4), 471–478. https://doi.org/10.1080/10615800903494135
Bonanno, G. A. (2004). Loss, Trauma, and Human Resilience Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events? The American Psychologist https://doi.org/10.1037/0003066X.5 9.1.20
Bottesi, G., Noventa, S., Freeston, M. H., & Ghisi, M. (2019). Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised. PLOS ONE, 14(2), Article e0211929. https://doi.org/10.1371/journal.pone.0211929
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
Bueno-Notivol, J., Gracia-García, P., Olaya, B., Lasheras, I., López-Antón, R., & Santabárbara, J. (2021). Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. International Journal of Clinical and Health Psychology, 21(1), 100196. https://doi.org/10.1016/j.ijchp.20 20.07.007
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/S00057967(01)00092-4
Buhr, K., & Dugas, M. J. (2009). The role of fear of anxiety and intolerance of uncertainty in worry: An experimental manipulation. Behaviour Research and Therapy, 47(3), 215–223. https://doi.org/10.1016 /j.brat.2008.12.004
Campbell-Sills, L., Forde, D. R., & Stein, M. B. (2009). Demographic and childhood environmental predictors of resilience in a community sample. Journal of Psychiatric Research, 43(12), 1007–1012. https://doi.org/10. 1016/j.jpsychires.2009.01.013
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the connor–davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
Carleton, R. N. (2016). Into the unknown: A review and synthesis of contemporary models involving uncertainty. In Journal of Anxiety Disorders (Vol. 39, pp. 30–43). Elsevier Ltd. https://doi.org/10.1016/ j.janxdis.2016.02.007
Carleton, R. N., Collimore, K. C., & Asmundson, G. J. G. (2007). Social anxiety and fear of negative evaluation: Construct validity of the BFNE-II. Journal of Anxiety Disorders, 21(1), 131–141. https://doi.org/10. 1016/j.janxdis.2006.03.010
Carleton, R. N., Duranceau, S., Freeston, M. H., Boelen, P. A., McCabe, R. E., & Antony, M. M. (2014). “But it might be a heart attack”: Intolerance of uncertainty and panic disorder symptoms. Journal of Anxiety Disorders, 28(5), 463–470. https://doi.org/10.1016/j.janxdis.2014.04.006
Carleton, R. N., Fetzner, M. G., Hackl, J. L., & McEvoy, P. (2013). Intolerance of Uncertainty as a Contributor to Fear and Avoidance Symptoms of Panic Attacks. Cognitive Behaviour Therapy, 42(4), 328–341. https://doi.org/10.1080/16506073.2013.792100
Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. G. (2012). Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26(3), 468–479. https://doi.org/10.1016/j.janxdis.2012.01.011
Carleton, R. N., Norton, M. A. P. J., & Asmundson, G. J. G. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105–117. https://doi.org/10.1016/ j.janxdis.2006.03.014
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Conversano, C., Di Giuseppe, M., Miccoli, M., Ciacchini, R., Gemignani, A., & Orrù, G. (2020). Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.01900
Cooke, G. P. E., Doust, J. A., & Steele, M. C. (2013). A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Medical Education, 13, 2. https://doi.org/10.1186/1472-6920-13-2
Counsell, A., Furtado, M., Iorio, C., Anand, L., Canzonieri, A., Fine, A., Fotinos, K., Epstein, I., & Katzman, M. A. (2017). Intolerance of uncertainty, social anxiety, and generalized anxiety: Differences by diagnosis and symptoms. Psychiatry Research, 252, 63–69. https://doi.org/10.1016/j.psychres.2017.02.046
Creed, F., & Barsky, A. (2004). A systematic review of the epidemiology of somatisation disorder and hypochondriasis. Journal of Psychosomatic Research, 56(4), 391–408. https://doi.org/10.1016/S0022-3999(03)00622-6
Czeisler, M. É., Lane, R. I., Wiley, J. F., Czeisler, C. A., Howard, M. E., & Rajaratnam, S. M. W. (2021). Follow-up Survey of US Adult Reports of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, September 2020. JAMA Network Open, 4(2), Article e2037665. https://doi.org/10.1001/jamanet workopen.2020.37665
Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010). Resilience and mental health. In Clinical Psychology Review (Vol. 30, Issue 5, pp. 479–495). Clin Psychol Rev. https://doi.org/10.1016/j.cpr. 2010.03.003
Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001a). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25(5), 551–558. https://doi.org/ 10.1023/A:1005553414688
Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001b). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25(5), 551–558. https://doi.org /10.1023/A:1005553414688
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. https://doi.org/10.1016/j.paid.2013.05.016
Fergus, T. A., & Valentiner, D. P. (2011). Intolerance of uncertainty moderates the relationship between catastrophic health appraisals and health anxiety. Cognitive Therapy and Research, 35(6), 560–565. https://doi.org/10.1007/s10608-011-9392-9
Fernández, R. S., Crivelli, L., Guimet, N. M., Allegri, R. F., & Pedreira, M. E. (2020). Psychological Distress associated with COVID-19 quarantine: Latent Profile Analysis, Outcome Prediction and Mediation Analysis. Journal of Affective Disorders, 277, 75–84. https://doi.org/10.1016/j.jad.2020.07.133
Fitzpatrick, K. M., Harris, C., & Drawve, G. (2020). How bad is it? Suicidality in the middle of the COVID‐19 pandemic. Suicide and Life-Threatening Behavior, 50(6), 1241–1249. https://doi.org/10.1111/sltb.12655
Fletcher, D., & Sarkar, M. (2013). Psychological resilience: A review and critique of definitions, concepts, and theory. In European Psychologist (Vol. 18, Issue 1, pp. 12–23). https://doi.org/10.1027/1016-9040/a000124
Fountoulakis, K. N., Apostolidou, M. K., Atsiova, M. B., Filippidou, A. K., Florou, A. K., Gousiou, D. S., Katsara, A. R., Mantzari, S. N., Padouva-Markoulaki, M., Papatriantafyllou, E. I., Sacharidi, P. I., Tonia, A. I., Tsagalidou, E. G., Zymara, V. P., Prezerakos, P. E., Koupidis, S. A., Fountoulakis, N. K., & Chrousos, G. P. (2021). Self-reported changes in anxiety, depression and suicidality during the COVID-19 lockdown in Greece. Journal of Affective Disorders, 279, 624–629. https://doi.org/10.1016/j.jad.2020.10.061
Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802.
Freeston, M. H., Tiplady, A., Mawn, L., Bottesi, G., & Thwaites, S. (2020). Towards a model of uncertainty distress in the context of Coronavirus (COVID-19). The Cognitive Behaviour Therapist, 13, Article e31. https://doi.org/10.1017/S1754470X2000029X
Giannopoulou, I., Efstathiou, V., Triantafyllou, G., Korkoliakou, P., & Douzenis, A. (2021). Adding stress to the stressed: Senior high school students’ mental health amidst the COVID-19 nationwide lockdown in Greece. Psychiatry Research, 295, 113560. https://doi.org/10.1016/j.psychres.2020.113560
Hale, W., Richmond, M., Bennett, J., Berzins, T., Fields, A., Weber, D., Beck, M., & Osman, A. (2016). Resolving Uncertainty About the Intolerance of Uncertainty Scale–12: Application of Modern Psychometric Strategies. Journal of Personality Assessment, 98(2), 200–208. https://doi.org/10.1080/00223891.2015.1070355
Hezel, D. M., Stewart, S. E., Riemann, B. C., & McNally, R. J. (2019). Standard of proof and intolerance of uncertainty in obsessive-compulsive disorder and social anxiety disorder. Journal of Behavior Therapy and Experimental Psychiatry, 64, 36–44. https://doi.org/10.1016/j.jbtep.2019.02.002
Hong, R. Y., & Lee, S. S. M. (2015). Further clarifying prospective and inhibitory intolerance of uncertainty: Factorial and construct validity of test scores from the Intolerance of Uncertainty Scale. Psychological Assessment, 27(2), 605–620. https://doi.org/10.1037/pas0000074
Hu, T., Zhang, D., & Wang, J. (2015). A meta-analysis of the trait resilience and mental health. Personality and Individual Differences, 76, 18–27. https://doi.org/10.1016/j.paid.2014.11.039
Huang, V., Yu, M., Nicholas Carleton, R., & Beshai, S. (2019). Intolerance of uncertainty fuels depressive symptoms through rumination: Cross-sectional and longitudinal studies. PLoS ONE, 14(11). https://doi. org/10.1371/journal.pone.0224865
Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954
Jacoby, R. J., Fabricant, L. E., Leonard, R. C., Riemann, B. C., & Abramowitz, J. S. (2013). Just to be certain: Confirming the factor structure of the Intolerance of Uncertainty Scale in patients with obsessive-compulsive disorder. Journal of Anxiety Disorders, 27(5), 535–542. https://doi.org/10.1016/j.janxdis.2013. 07.008
Janoff-Bulman, R. J. (2004). Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15, 30–45.
Kalaitzaki, A., & Rovithis, M. (2021). Secondary traumatic stress and vicarious posttraumatic growth in healthcare workers during the first COVID-19 lockdown in Greece: The role of resilience and coping strategies. Psychiatriki. https://doi.org/10.22365/jpsych.2021.001
Kaparounaki, C. K., Patsali, M. E., Mousa, D. P. V., Papadopoulou, E. V. K., Papadopoulou, K. K. K., & Fountoulakis, K. N. (2020). University students’ mental health amidst the COVID-19 quarantine in Greece. In Psychiatry Research (Vol. 290, p. 113111). Elsevier Ireland Ltd. https://doi.org/10.1016/j.psychres.2020. 113111
Killgore, W. D. S., Taylor, E. C., Cloonan, S. A., & Dailey, N. S. (2020). Psychological resilience during the COVID-19 lockdown. In Psychiatry Research (Vol. 291, p. 113216). Elsevier Ireland Ltd. https://doi.org/ 10.1016/j.psychres.2020.113216
Ladouceur, R., Dugas, M. J., Freeston, M. H., Léger, E., Gagnon, F., & Thibodeau, N. (2000). Efficacy of a cognitive-behavioral treatment for generalized anxiety disorder: Evaluation in a controlled clinical trial. Journal of Consulting and Clinical Psychology, 68(6), 957–964. https://doi.org/10.1037/0022-006X.68.6.957
Lee, J.-S. (2019). Effect of resilience on intolerance of uncertainty in nursing university students. Nursing Forum, 54(1), 53–59. https://doi.org/10.1111/nuf.12297
Lee, J. H., Nam, S. K., Kim, A.-R., Kim, B., Lee, M. Y., & Lee, S. M. (2013). Resilience: A Meta-Analytic Approach. Journal of Counseling & Development, 91(3), 269–279. https://doi.org/10.1002/j.1556-6676.2013.00095.x
Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44(7), 393–401. https://doi.org/10.1080/07481187.2020.1748481
Lepore, S. J., & Revenson, T. A. (2006). Resilience and Posttraumatic Growth: Recovery, Resistance, and Reconfiguration. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research & practice (pp. 24–46). Lawrence Erlbaum Associates Publishers.
Li, S. H., & Graham, B. M. (2017). Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. The Lancet Psychiatry, 4(1), 73–82. https://doi.org/ 10.1016/S2215-0366(16)30358-3
Lin, Y., Hu, Z., Alias, H., & Wong, L. P. (2020). Knowledge, Attitudes, Impact, and Anxiety Regarding COVID-19 Infection Among the Public in China. Frontiers in Public Health, 8, 1–7. https://doi.org/10.3389/fpubh. 2020.00236
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. In Child Development (Vol. 71, Issue 3, pp. 543–562). NIH Public Access. https://doi.org /10.1111/1467-8624.00164
MacSwain, K. L. H., Sherry, S. B., Stewart, S. H., Watt, M. C., Hadjistavropoulos, H. D., & Graham, A. R. (2009). Gender differences in health anxiety: An investigation of the interpersonal model of health anxiety. Personality and Individual Differences, 47(8), 938–943. https://doi.org/10.1016/j.paid.2009.07.020
McEvoy, P. M., & Mahoney, A. E. J. (2011). Achieving certainty about the structure of intolerance of uncertainty in a treatment-seeking sample with anxiety and depression. Journal of Anxiety Disorders, 25(1), 112–122. https://doi.org/10.1016/j.janxdis.2010.08.010
McEvoy, P. M., & Mahoney, A. E. J. (2013). Intolerance of uncertainty and negative metacognitive beliefs as transdiagnostic mediators of repetitive negative thinking in a clinical sample with anxiety disorders. Journal of Anxiety Disorders, 27(2), 216–224. https://doi.org/10.1016/j.janxdis.2013.01.006
McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29(6), 496–505. https://doi.org/10.1016/j.cpr.2009.05.003
Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of Anxiety Disorders, 74, 102258. https://doi.org/10.1016/j.janxdis.2020.102258
Miranda, R., Fontes, M., & Marroquín, B. (2008). Cognitive content-specificity in future expectancies: Role of hopelessness and intolerance of uncertainty in depression and GAD symptoms. Behaviour Research and Therapy, 46(10), 1151–1159. https://doi.org/10.1016/j.brat.2008.05.009
Mitmansgruber, H., Smrekar, U., Rabanser, B., Beck, T., Eder, J., & Ellemunter, H. (2016). Psychological resilience and intolerance of uncertainty in coping with cystic fibrosis. Journal of Cystic Fibrosis, 15(5), 689–695. https://doi.org/10.1016/j.jcf.2015.11.011
Nolen-Hoeksema, S. (2012). Emotion Regulation and Psychopathology: The Role of Gender. Annual Review of Clinical Psychology, 8(1), 161–187. https://doi.org/10.1146/annurev-clinpsy-032511-143109
Nwachukwu, I., Nkire, N., Shalaby, R., Hrabok, M., Vuong, W., Gusnowski, A., Surood, S., Urichuk, L., Greenshaw, A. J., & Agyapong, V. I. O. (2020). COVID-19 Pandemic: Age-Related Differences in Measures of Stress, Anxiety and Depression in Canada. International Journal of Environmental Research and Public Health, 17(17), 6366. https://doi.org/10.3390/ijerph17176366
Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504–511. https://doi.org/10.1177/0020764020927051
Papadopoulou, A., Efstathiou, V., Yotsidi, V., Pomini, V., Michopoulos, I., Markopoulou, E., Papadopoulou, M., Tsigkaropoulou, E., Kalemi, G., Tournikioti, K., Douzenis, A., & Gournellis, R. (2021). Suicidal ideation during COVID-19 lockdown in Greece: Prevalence in the community, risk and protective factors. Psychiatry Research, 297, 113713. https://doi.org/10.1016/j.psychres.2021.113713
Parlapani, E., Holeva, V., Nikopoulou, V. A., Sereslis, K., Athanasiadou, M., Godosidis, A., Stephanou, T., & Diakogiannis, I. (2020). Intolerance of Uncertainty and Loneliness in Older Adults During the COVID-19 Pandemic. Frontiers in Psychiatry, 11, 1. https://doi.org/10.3389/fpsyt.2020.00842
Parlapani, E., Holeva, V., Voitsidis, P., Blekas, A., Gliatas, I., Porfyri, G. N., Golemis, A., Papadopoulou, K., Dimitriadou, A., Chatzigeorgiou, A. F., Bairachtari, V., Patsiala, S., Skoupra, M., Papigkioti, K., Kafetzopoulou, C., & Diakogiannis, I. (2020). Psychological and Behavioral Responses to the COVID-19 Pandemic in Greece. Frontiers in Psychiatry, 11, 1. https://doi.org/10.3389/fpsyt.2020.00821
Patsali, M. E., Mousa, D. P. V., Papadopoulou, E. V. K., Papadopoulou, K. K. K., Kaparounaki, C. K., Diakogiannis, I., & Fountoulakis, K. N. (2020). University students’ changes in mental health status and determinants of behavior during the COVID-19 lockdown in Greece. Psychiatry Research, 292, 113298. https://doi.org/10.1016/j.psychres.2020.113298
Peppou, L. E., Economou, M., Skali, T., & Papageorgiou, C. (2020). From economic crisis to the COVID-19 pandemic crisis: evidence from a mental health helpline in Greece. European Archives of Psychiatry and Clinical Neuroscience, Table 1, 2–4. https://doi.org/10.1007/s00406-020-01165-4
Petzold, M. B., Bendau, A., Plag, J., Pyrkosch, L., Mascarell Maricic, L., Betzler, F., Rogoll, J., Große, J., & Ströhle, A. (2020). Risk, resilience, psychological distress, and anxiety at the beginning of the COVID‐19 pandemic in Germany. Brain and Behavior, 10(9), e01745. https://doi.org/10.1002/brb3.1745
Pfefferbaum, B., & North, C. S. (2020). Mental Health and the Covid-19 Pandemic. The New England Journal of Medicine, 383(6), 510–512. https://doi.org/10.1056/NEJMp2008017
Raines, A. M., Oglesby, M. E., Walton, J. L., True, G., & Franklin, C. L. (2019). Intolerance of uncertainty and DSM-5 PTSD symptoms: Associations among a treatment seeking veteran sample. Journal of Anxiety Disorders, 62, 61–67. https://doi.org/10.1016/j.janxdis.2018.12.002
Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J., & Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Social Science and Medicine, 262, 113261. https://doi.org/10.1016/j.socscimed.2020. 113261
Remes, O., Brayne, C., van der Linde, R., & Lafortune, L. (2016). A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain and Behavior, 6(7). https://doi.org/10.1002/ brb3.497
Rettie, H., & Daniels, J. (2020). Coping and Tolerance of Uncertainty: Predictors and Mediators of Mental Health During the COVID-19 Pandemic. American Psychologist, August. https://doi.org/10.1037/amp0000 710
Robichaud, M., Dugas, M. J., & Conway, M. (2003). Gender differences in worry and associated cognitive-behavioral variables. Journal of Anxiety Disorders, 17(5), 501–516. https://doi.org/10.1016/S0887-6185(02)00237-2
Rodriguez, L. M., Litt, D. M., & Stewart, S. H. (2020). Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women. Addictive Behaviors, 110. https://doi.org/10.1016/j.addbeh.2020.106532
Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., Rasoulpoor, S., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and Health, 16(1), 57. https://doi.org/10.1186/s12992-020-00589-w
Satici, B., Saricali, M., Satici, S. A., & Griffiths, M. D. (2020). Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19. International Journal of Mental Health and Addiction, 1. https://doi.org/10.1007/s11469-020-00305-0
Saulnier, K. G., Allan, N. P., Raines, A. M., & Schmidt, N. B. (2019). Depression and Intolerance of Uncertainty: Relations between Uncertainty Subfactors and Depression Dimensions. Psychiatry (New York), 82(1), 72–79. https://doi.org/10.1080/00332747.2018.1560583
Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338. https://doi.org/10.3402/ejpt.v5.25338
Steinhardt, M., & Dolbier, C. (2008). Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American College Health, 56(4), 445–453. https://doi.org/10.3200/JACH.56.44.445-454
Sun, Y., Li, Y., Bao, Y., Meng, S., Sun, Y., Schumann, G., Kosten, T., Strang, J., Lu, L., & Shi, J. (2020). Brief Report: Increased Addictive Internet and Substance Use Behavior During the COVID‐19 Pandemic in China. The American Journal on Addictions, 29(4), 268–270. https://doi.org/10.1111/ajad.13066
Tanaka, T., & Okamoto, S. (2021). Increase in suicide following an initial decline during the COVID-19 pandemic in Japan. Nature Human Behaviour, 5(2), 229–238. https://doi.org/10.1038/s41562-020-01042-z
Taylor, S., Landry, C. A., Paluszek, M. M., Fergus, T. A., McKay, D., & Asmundson, G. J. G. (2020). Development and initial validation of the COVID Stress Scales. Journal of Anxiety Disorders, 72, 102232. https://doi.org/ 10.1016/j.janxdis.2020.102232
Tull, M. T., Barbano, A. C., Scamaldo, K. M., Richmond, J. R., Edmonds, K. A., Rose, J. P., & Gratz, K. L. (2020). The prospective influence of COVID-19 affective risk assessments and intolerance of uncertainty on later dimensions of health anxiety. Journal of Anxiety Disorders, 75. https://doi.org/10.1016/j.janxdis.2020. 102290
Voitsidis, P., Gliatas, I., Bairachtari, V., Papadopoulou, K., Papageorgiou, G., Parlapani, E., Syngelakis, M., Holeva, V., & Diakogiannis, I. (2020). Insomnia during the COVID-19 pandemic in a Greek population. In Psychiatry Research (Vol. 289, p. 113076). Elsevier Ireland Ltd. https://doi.org/10.1016/j.psychres.2020. 113076
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
Wright, K. D., Lebell, M. A. N. 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. https://doi. org/10.1016/j.janxdis.2016.04.011
Wu, T., Jia, X., Shi, H., Niu, J., Yin, X., Xie, J., & Wang, X. (2021). Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Affective Disorders, 281, 91–98. https://doi.org/10.1016/j.jad.2020.11.117
Yook, K., Kim, K. H., Suh, S. Y., & Lee, K. S. (2010). Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 24(6), 623–628. https://doi.org/10.1016/j.janxdis.2010.04.003

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