The Impact of Intolerance of Uncertainty and Anxiety Sensitivity on Mental Health Among Public Safety Personnel: When the Uncertain is Unavoidable.

Anxiety sensitivity Intolerance of uncertainty Mental health Public safety personnel Transdiagnostic

Journal

Cognitive therapy and research
ISSN: 0147-5916
Titre abrégé: Cognit Ther Res
Pays: United States
ID NLM: 7707273

Informations de publication

Date de publication:
2020
Historique:
entrez: 28 8 2020
pubmed: 28 8 2020
medline: 28 8 2020
Statut: ppublish

Résumé

Public safety personnel (PSP; e.g., correctional workers and officers, firefighters, paramedics, police officers, public safety communications officials) are regularly exposed to potentially traumatic events and considerable uncertainty as part of their employment. Canadian PSP screen positively for mental disorders at much higher rates than the general population. Intolerance of uncertainty (IU) and anxiety sensitivity (AS) are empirically-supported vulnerability factors associated with the development and maintenance of mental disorders. The present study was designed to assess IU and AS across PSP-a population regularly encountering uncertainty-with and without mental disorders ( There were significant differences across groups on IU and AS scores ( Increased resilience or the development of coping skills to manage regular exposures to uncertain threat may help explain why PSP reported low levels of IU and AS despite higher prevalence of mental disorders. Implications for PSP training and treatment are discussed.

Sections du résumé

BACKGROUND BACKGROUND
Public safety personnel (PSP; e.g., correctional workers and officers, firefighters, paramedics, police officers, public safety communications officials) are regularly exposed to potentially traumatic events and considerable uncertainty as part of their employment. Canadian PSP screen positively for mental disorders at much higher rates than the general population. Intolerance of uncertainty (IU) and anxiety sensitivity (AS) are empirically-supported vulnerability factors associated with the development and maintenance of mental disorders.
METHODS METHODS
The present study was designed to assess IU and AS across PSP-a population regularly encountering uncertainty-with and without mental disorders (
RESULTS RESULTS
There were significant differences across groups on IU and AS scores (
CONCLUSION CONCLUSIONS
Increased resilience or the development of coping skills to manage regular exposures to uncertain threat may help explain why PSP reported low levels of IU and AS despite higher prevalence of mental disorders. Implications for PSP training and treatment are discussed.

Identifiants

pubmed: 32848288
doi: 10.1007/s10608-020-10107-2
pii: 10107
pmc: PMC7434797
doi:

Types de publication

Journal Article

Langues

eng

Pagination

919-930

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Conflicts of interestThe authors report no conflicts of interest.

Références

J Affect Disord. 2013 Oct;151(1):136-42
pubmed: 23778202
Evid Based Med. 2006 Dec;11(6):184
pubmed: 17213178
J Anxiety Disord. 2011 Jan;25(1):112-22
pubmed: 20828984
J Nerv Ment Dis. 2018 Mar;206(3):179-186
pubmed: 29309295
J Anxiety Disord. 2012 Jan;26(1):150-7
pubmed: 22079214
Annu Rev Public Health. 2007;28:55-68
pubmed: 17367284
Anxiety Stress Coping. 2012;25(5):529-42
pubmed: 21770726
Depress Anxiety. 2009;26(2):E71-81
pubmed: 19152346
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
J Nerv Ment Dis. 2006 Jan;194(1):61-3
pubmed: 16462558
J Anxiety Disord. 2016 Jun;41:73-81
pubmed: 27004450
Behav Ther. 2012 Sep;43(3):533-45
pubmed: 22697442
Behav Res Ther. 2008 Sep;46(9):1047-54
pubmed: 18687421
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Psychiatr Serv. 2004 Sep;55(9):1061-3
pubmed: 15345770
J Anxiety Disord. 2010 Mar;24(2):189-95
pubmed: 19931391
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Cogn Behav Ther. 2012;41(3):212-22
pubmed: 22032195
J Anxiety Disord. 2017 Aug;50:94-102
pubmed: 28645017
J Anxiety Disord. 2018 Jan;53:91-99
pubmed: 28807519
Psychol Bull. 2009 Nov;135(6):974-99
pubmed: 19883144
Front Psychol. 2016 Feb 16;7:160
pubmed: 26909057
Behav Ther. 2013 Sep;44(3):417-31
pubmed: 23768669
Cogn Behav Ther. 2020 Jan;49(1):55-73
pubmed: 30794073
Gen Hosp Psychiatry. 2015 Jan-Feb;37(1):67-75
pubmed: 25439733
J Anxiety Disord. 2012 Apr;26(3):468-79
pubmed: 22366534
J Anxiety Disord. 2014 Jun;28(5):463-70
pubmed: 24873884
Am J Psychiatry. 2007 Sep;164(9):1385-94
pubmed: 17728424
Cogn Behav Ther. 2019 Mar;48(2):121-136
pubmed: 29882726
Clin Psychol Rev. 2011 Aug;31(6):923-33
pubmed: 21664339
J Anxiety Disord. 2012 Apr;26(3):401-8
pubmed: 22306133
J Anxiety Disord. 2016 Jun;41:5-21
pubmed: 27067453
Cogn Behav Ther. 2008;37(2):66-75
pubmed: 18470738
Behav Ther. 2010 Dec;41(4):515-29
pubmed: 21035615
Police J. 2021 Mar;94(1):40-57
pubmed: 33716320
J Consult Clin Psychol. 2007 Oct;75(5):812-5
pubmed: 17907863
J Trauma Stress. 2015 Dec;28(6):489-98
pubmed: 26606250
J Consult Clin Psychol. 2012 Oct;80(5):766-72
pubmed: 22468909
JAMA. 2002 Sep 11;288(10):1235-44
pubmed: 12215130
Behav Res Ther. 2007 Oct;45(10):2307-16
pubmed: 17537402
J Anxiety Disord. 2007;21(1):105-17
pubmed: 16647833
J Anxiety Disord. 2003;17(2):233-42
pubmed: 12614665
J Anxiety Disord. 2010 Aug;24(6):623-8
pubmed: 20439149
Cogn Behav Ther. 2005;34(1):50-63
pubmed: 15844688
J Clin Psychol. 2013 Jun;69(6):630-45
pubmed: 23381685
Behav Res Ther. 1998 Apr;36(4):455-70
pubmed: 9670605
Am J Psychiatry. 1997 Nov;154(11):1571-5
pubmed: 9356566
Psychol Assess. 2007 Jun;19(2):176-88
pubmed: 17563199
J Nerv Ment Dis. 2012 Mar;200(3):208-13
pubmed: 22373757
Expert Rev Neurother. 2012 Aug;12(8):937-47
pubmed: 23002938
Can J Psychiatry. 2018 Jan;63(1):54-64
pubmed: 28845686
Psychol Bull. 2003 Jan;129(1):139-67
pubmed: 12555797
J Anxiety Disord. 2009 Aug;23(6):791-8
pubmed: 19362446
J Anxiety Disord. 2016 Apr;39:30-43
pubmed: 26945765
Psychol Assess. 2014 Dec;26(4):1116-26
pubmed: 24932648
J Psychiatr Res. 2001 Sep-Oct;35(5):293-6
pubmed: 11591432
J Anxiety Disord. 2016 Jun;41:108-14
pubmed: 27212226

Auteurs

Andréanne Angehrn (A)

Anxiety and Illness Behaviour Laboratory, Department of Psychology, University of Regina, Regina, SK S4S 0A2 Canada.

Rachel L Krakauer (RL)

Anxiety and Illness Behaviour Laboratory, Department of Psychology, University of Regina, Regina, SK S4S 0A2 Canada.

R Nicholas Carleton (RN)

Anxiety and Illness Behaviour Laboratory, Department of Psychology, University of Regina, Regina, SK S4S 0A2 Canada.

Classifications MeSH