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The Korean Journal of Health Psychology

The Effects of Intolerance for Uncertainty and Emotional Dysregulation on Worrying : Mediating Effect of Experiential Avoidance

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2014, v.19 no.1, pp.187-201
https://doi.org/10.17315/kjhp.2014.19.1.010


Abstract

The purpose of the study is to verify the roles of experiential avoidance as a mediating variable between emotional dysregulation, intolerance of uncertainty and worrying. A total of 530 university students participated in the study and have completed the intolerance of uncertainty scale (IUS), Korean version on difficulties of emotional regulation scale (K-DERS), Acceptance and Action Questionnaire II (AAQ-II), and Penn State Worry Questionnaire (PSWQ). First, the correlation between intolerance of uncertainty, emotional dysregulation and experiential avoidance were being investigated. We also examined the unique effects for intolerances of uncertainty, and emotional dysregulations of worrying. Next, we verified the assumption that the intolerance of uncertainty and emotional dysregulations should have positively direct effects on worrying as well as through the mediating effects of experiential avoidance, where the data are analyzed by the Structural Equation Model. The results indicate the following: first, all the variances show positive correlations to each other. And, both the intolerance of uncertainty and emotional dysregulation significantly predicted worrying. Next, intolerance of uncertainty and emotional dysregulation both showed direct and indirect effects on worrying. This study discovers how the intolerance of uncertainty and emotional dysregulation lead to worrying in detail by identifying the roles of experiential avoidance. Finally, the implications and limitations of this study discussed for future research directions.

keywords
intolerance of uncertainty, emotional dysregulation, experiential avoidance, worry, mediating effect., 불확실성에 대한 인내력 부족, 정서조절 곤란, 경험적 회피, 걱정, 매개모형

Reference

1.

김미옥, 손정락(2013). 수용전념치료(ACT)가 대학생의대인 불안, 스트레스 대처방식 및 사회적 자기효능감에 미치는 효과. 한국 심리학회지: 건강, 18(2), 301-324.

2.

김정원, 민병배(1998). 걱정과 불확실성에 대한 인내력부족 및 문제해결 방식의 관계. 연차학술발표대회 논문집, 83-92.

3.

김지혜, 현명호(2011). 불확실성에 대한 인내력 및 지각된 통제력이 걱정에 미치는 영향: 인지적 회피의 매개효과 검증. 한국 심리학회지: 일반, 30(4) 1149-1164.

4.

권석만, 유성진, 정지현(2001). 걱정이 많은 사람의 인지적 특성: 위협평가와 위협대처에서의 인지적편향과 파국적 사고경향. 한국 심리학회지: 임상, 20(3), 467-487.

5.

배병렬(2009). Amos 17.0 구조방정식 모델링- 원리와실제. 청람.

6.

서우정, 조용래(2012). 대학생들의 정서조절 곤란과 상위인지 및 그 차원들이 일반화된 불안증상의심각도에 미치는 영향. 인지행동치료, 12(1), 43-61.

7.

설승원, 오경자(2008). 불확실성에 대한 인내력 부족과정서 통제감이 걱정에 영향을 미치는 기제. 한국심리학회지: 임상, 27(1), 209-235.

8.

오영아, 정남운(2011). 불확실성에 대한 인내력 부족과걱정의 관계 : 경험적 회피의 매개효과 검증. 한국심리학회지: 상담 및 심리치료, 23(3), 671-691.

9.

이훈진(2009). 수용(Acceptance)이 심리적 증상, 자존감및 삶의 만족도에 미치는 영향. 인지행동치료, 9(1), 1-23.

10.

조용래(2007). 정서조절곤란의 평가. 한국심리학회지: 임상, 26(4), 1015-1038.

11.

채은옥, 이영호(2008). 위협상황에서 걱정 많은 사람들의 대처 과정 특성. 한국심리학회지: 임상, 27(2), 411-427.

12.

허재홍, 최명식, 진현정(2009). 한국어판 수용-행동 질문지 2 신뢰도 및 타당도 연구. 한국 심리학회지:상담 및 심리치료, 21(4), 861-878.

13.

홍세희(2000). 구조 방정식 모형의 적합도 지수 선정기준과 그 근거. 한국심리학회지: 임상, 19(1), 161-177.

14.

Bond, F.W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D.(2004). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676-688.

15.

Borkovec, T. D., & Roemer, L.(1995). Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotionally distressing topics? Journal of Behavior Therapy and Experimental Psychiatry, 26, 25-30.

16.

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, 215-223.

17.

Decker, M. L., Turk, C. L., Hess, B., & Murray, C. E.(2009). Emotion regulation among individuals classified with and without gener alized anxiety disorder. Journal of Anxiety Disorders, 22, 485-494.

18.

Dugas, M. J., Marchand, A., & Ladouceur, R.(2005). Further validation of a cognitive-behavioral model of generalized anxiety disorder:Diagnostic and symptom specificity. Journal of Anxiety Disorders, 19, 329-343.

19.

Dugas M. J., Freeston, M. H., &, Ladouceur, R. (1997). Intolerance of Uncertainty and Problem Orientation in Worry. Cognitive Therapy and Research, 21, 593-606.

20.

Dugas, M. J., Gagnon, F., Ladouceur, R., Mark H. & Freeston, M. H(1999). Generalized anxiety disorder: a preliminary test of a conceptual model. Behaviour Research and Therapy, 36, 215–226.

21.

Floyd, F.J, & Widaman, K.F (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological assessment, 7. 286-299.

22.

Fresco, D. M., Mennin, D.S., Heimberg, R.G., & Ritter, G.V. (2013). Emotional Regualtion Therapy for Generalized Anxiety Disorder. Cognitive and Behavioral Practice, 20, 282-300.

23.

Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R.(1994). Why do people worry? Personality and Individual Differences, 17. 791-802.

24.

Gould, R.A., Safren, S.A., O'Neill Washington, D., & Otto, M.W.(2004). Cognitive Behavioral treatment: a meta-analytic review In R.G Heimberg, Turk& Mennin(Eds), Generalized anxiety disorder: advances in research and practice.. Guilford Press.

25.

Gratz, K. L., & Roemer, L.(2004). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.

26.

Haves, S. C. Kelly, G. Wilson, Elizabeth, V. Gifford, & Victoria M. F. (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology. 64, 1152-1168

27.

Klenk, M.M., Strauman, T.J., & Higgins, E.T.(2011). Regulatory focus and anxiety: A self-regulatory model of GAD-depression comorbity. personality and Individual Difference, 50, 935-943.

28.

McLaughlin, K. A., Mennin, D. S., & Farach, F. J. (2007). The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder. Behaviour Research and Therapy, 45, 1735-1752.

29.

Mennin, D. S., McLaughlin, K. A., & Flanagan, T. J. (2009). Emotion regulation deficits in generalized anxiety disorder, social anxiety disorder, and their co-occurrence. Journal of Anxiety Disorders, 23, 866-871.

30.

Meyer, T. J., Miller, M.L., Metzer, R. L., & Borkovec, T. D. (1990): Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487-495.

31.

Newman, M. G,, & Llera, S. J (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 31, 371–382.

32.

Strosahl K. D., Hayes, S. C., Bergan, J, & Romano. P. (1999). Assessing the Field Effectiveness of Acceptance and Commitment Therapy: An Example of the Manipulated Training Research Method. Behavior therapy. 29, 35-64.

33.

Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy, 43, 1281-1310.

The Korean Journal of Health Psychology