Identifying the Psychological Components of Ambiguity Tolerance in Individuals with Generalized Anxiety

Authors

  • Payam Ghazi Department of Health Psychology, University of Kashan, Kashan, Iran Author
  • Shabnam Rahnama Department of Family Counseling, Lorestan University, Khorramabad, Iran.
  • Keyvan Kianpour Department of General Psychology, Urmia University, Urmia, Iran Author

DOI:

https://doi.org/10.61838/988745

Keywords:

Generalized anxiety, ambiguity tolerance, intolerance of uncertainty, worry, thematic analysis, qualitative research

Abstract

This study aimed to identify the psychological components of ambiguity tolerance among individuals with generalized anxiety. This qualitative study was conducted using thematic analysis. The participants were 23 individuals with prominent symptoms of generalized anxiety living in Tehran, selected through purposive sampling according to predefined inclusion criteria. Data were collected through individual semi-structured interviews. Each interview lasted between 45 and 75 minutes, and sampling continued until theoretical saturation was reached. Saturation was achieved after the twentieth interview, and three additional interviews were conducted to confirm the stability of the emerging themes. The data were analyzed using NVivo software through the stages of familiarization with the data, initial coding, theme development, theme review, theme naming, and interpretive reporting. To enhance the trustworthiness of the findings, member checking, peer review, analytic memo writing, and repeated reading of the transcripts were applied. The analysis resulted in five main categories: threat-based appraisal of ambiguous situations, cognitive preoccupation with possible consequences, search for control and reassurance, emotional and behavioral avoidance of ambiguous decision-making, and limited capacity to accept incompleteness. The findings indicated that individuals with generalized anxiety experience ambiguity not merely as a lack of information, but as a signal of potential danger, loss of control, and unpredictability. Participants’ quotations showed that ambiguity was associated with persistent worry, bodily tension, decisional hesitation, and repeated reassurance-seeking. The results suggest that ambiguity tolerance in individuals with generalized anxiety is a multidimensional phenomenon shaped by the interaction of threat appraisal, maladaptive control strategies, emotional avoidance, and difficulty accepting uncertainty. Clinical attention to these components may help improve cognitive-behavioral interventions, acceptance-based treatments, and worry-focused therapeutic programs for generalized anxiety.

Downloads

Download data is not yet available.

References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Association Publishing. https://doi.org/10.1176/appi.books.9780890425787

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). Guilford Press.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

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/S0005-7967(01)00092-4

Carleton, R. N. (2016). Fear of the unknown: One fear to rule them all? Journal of Anxiety Disorders, 41, 5–21. https://doi.org/10.1016/j.janxdis.2016.03.011

Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215–226. https://doi.org/10.1016/S0005-7967(97)00070-3

Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. Routledge.

Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17(6), 791–802. https://doi.org/10.1016/0191-8869(94)90048-5

Grupe, D. W., & Nitschke, J. B. (2013). Uncertainty and anticipation in anxiety: An integrated neurobiological and psychological perspective. Nature Reviews Neuroscience, 14(7), 488–501. https://doi.org/10.1038/nrn3524

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903

Hirsch, C. R., & Mathews, A. (2012). A cognitive model of pathological worry. Behaviour Research and Therapy, 50(10), 636–646. https://doi.org/10.1016/j.brat.2012.06.007

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.

Mahoney, A. E. J., & McEvoy, P. M. (2012). A transdiagnostic examination of intolerance of uncertainty across anxiety and depressive disorders. Cognitive Behaviour Therapy, 41(3), 212–222. https://doi.org/10.1080/16506073.2011.622130

McEvoy, P. M., & Mahoney, A. E. J. (2012). To be sure, to be sure: Intolerance of uncertainty mediates symptoms of various anxiety disorders and depression. Behavior Therapy, 43(3), 533–545. https://doi.org/10.1016/j.beth.2011.02.007

Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Sage.

Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23(3), 301–320. https://doi.org/10.1017/S1352465800015897

Wells, A. (2009). Metacognitive therapy for anxiety and depression. Guilford Press.

Downloads

Publication Timeline

Published
Submitted
Revised
Accepted

Issue

Section

مقالات

How to Cite

Ghazi, P., Rahnama, S., & Kianpour, K. (1404). Identifying the Psychological Components of Ambiguity Tolerance in Individuals with Generalized Anxiety. Behavioral and Clinical Studies in Contemporary Psychology, 2(2), 1-12. https://doi.org/10.61838/988745

Similar Articles

1-10 of 41

You may also start an advanced similarity search for this article.