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Cognitive-based Acceptance and Motivational Program (CAMP) Targeting Intolerance of Uncertainty among College Students during the Pandemic: A Pilot Study


Affiliations
1 Department of Clinical Psychology Graduate School, Far Eastern University, Manila, Philippines
2 Department of Clinical Psychology, Graduate School, Far Eastern University, Manila, Philippines
     

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College students across the world struggle with the unprecedented stress during the Covid-19 Pandemic. The existing psychological issues of college students were accentuated by facing the uncertain features of the Pandemic like uncertainty about their college life, their future, and their health. Intolerance of uncertainty is identified as the broad dispositional, vulnerable and maintenance factor for the emotional irregularities and the heightened psychological distress of student population during the Pandemic. Considering the need for the psychological interventions during and the post Pandemic, the present study aimed to develop and examine the feasibility and usability of the Cognitive-based Acceptance and Motivational Program (CAMP) for reducing intolerance of uncertainty and thereby reducing the psychological distress among the college students. CAMP was designed on the basis of the principles and techniques of intolerance of uncertainty theory, acceptance and commitment therapy, and self-determination theory. The researchers' developed intervention was subjected to expert validation of six disciplinary experts and a pilot study was conducted for 10 college students with a moderate level of psychological distress and a moderate level of intolerance of uncertainty. The statistical analysis of the quantitative findings of the pilot study and the feedback of the participants revealed that the CAMP is an effective psychological intervention for reducing intolerance of uncertainty and psychological distress among college students and is suitable for a randomized controlled trial.

Keywords

intolerance of uncertainty, psychological distress
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  • Alschuler, K. N., & Beier, M. L. (2015). Intolerance of uncertainty: Shaping an agenda for research on coping with multiple sclerosis. International Journal of MS Care, 17(4), 153-158.

  • Avdagic, E., Morrissey, S. A., & Boschen, M. J. (2014). A randomised controlled trial of acceptance and commitment therapy and cognitive-behaviour therapy for generalised anxiety disorder. Behaviour Change, 31(2), 110-130.

  • Bakioğlu, F., Korkmaz, O., & Ercan, H. (2020). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 0(0), 1-14.

  • Bomyea, J., Ramsawh, H., Ball, T. M., Taylor, C. T., Paulus, M. P., Lang, A. J., & Stein, M. B. (2015). Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. Journal of Anxiety Disorders, 33, 90-94.

  • Boswell, J.F., Hollands, J.T., Farchione, T.J., & Barlow, D.H. (2013). Intolerance of uncertainty: A common factor in the treatment of emotional disorders. Journal of Clinical Psychology, 69(6), 630-645. Doi:10.1002/jclp.21965.

  • 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), e0211929.

  • Carleton, R. N. (2012). The Intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12(8), 937-947.

  • Chen, L., & Zeng, S. (2021) The relationship between intolerance of uncertainty and employment anxiety of graduates during COVID-19: The moderating role of career planning. Frontiers in Psychology, 12, 694-785. doi:10.3389/fpsyg.2021.694785.

  • Chirikov, I., Soria, K. M., Horgos, B., & Jones-White, D. (2020). Undergraduate and graduate students' mental health during the COVID-19 pandemic. UC Berkeley: Center for Studies in Higher Education. Retrieved from https://escholarship.org/uc/item/80k5d5hw

  • De la Fuente, J., Pachón-Basallo, M., Santos, F. H., González-Torres, M. C., Artuch Garde, R., Peralta-Sánchez, F. J., & Gaeta, M. L. (2021). How has the COVID-19 crisis affected the academic stress of university students? The role of teachers and students. Frontiers in Psychology, 12, 1554.

  • Elsharkawy, N. B., & Abdelaziz, E. M. (2020). Levels of fear and uncertainty regarding the spread of coronavirus disease (COVID-19) among university students. Perspectives in Psychiatric Care, 57(3), 1356-1364.

  • Fhkps, C. B., & Fhkps, C. (2012). Self-determination as a psychological and positive youth development construct. Journal of Alternative Medicine Research, 4(4), 401-410.

  • Fracalanza, K. (2010). An in-depth examination of intolerance of uncertainty and its modification in generalized anxiety disorder. Retrieved from: ///C:/Users/User/Desktop/Research/intolerence%20of%20uncertainity/indepth%20examination%20of %20IU.pdf

  • Glowacz, F., & Schmits, E. (2020). Psychological distress during the COVID-19 lockdown: The young adults most at risk. Psychiatry Research, 293, 113-486.

  • Granieri, A., Franzoi, I.G., & Chung, M.C. (2021). Editorial: Psychological distress among university students. Frontiers in Psychology, 12, ISSN: 1664-1078.

  • Retrieved from: https://www.frontiersin.org/article/10.3389/fpsyg.2021.647940 Hayes-Skelton, S. A., Orsillo, S. M., & Roemer, L. (2013). An acceptance-based behavioral therapy for individuals with generalized anxiety disorder. Cognitive and Behavioral Practice, 20(3), 264-281.

  • Huntley, C., Young, B., Tudur Smith, C., Jha, V., & Fisher, P. (2022). Testing times: The association of intolerance of uncertainty and metacognitive beliefs to test anxiety in college students. BMC Psychology, 10(1), 1-7.

  • Khadirnavar, A. A., Vanageri, H., &Asagi, R. E. (2020). Perceived stress, well-being and mental health of college student during COVID-19 pandemic. Indian Journal of Psychiatric Social Work, 11, 2. Epub. DOI: 10.29120/IJPSW. 2020.v11.i2.231

  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335-342.

  • Mahoney, A. E., & McEvoy, P. M. (2012). Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 43(2), 849-854.

  • Marzo, R. R., Ismail, Z., Htay, M. N. N., Bahari, R., Ismail, R., Villanueva, E. Q., & Su, T. T. (2021). Psychological distress during pandemic Covid-19 among adult general population: Result across 13 countries. Clinical Epidemiology and Global Health, 10, 100708.

  • Orrù, G., Ciacchini, R., Gemignani, A., & Conversano, C. (2020). Psychological intervention measures during the COVID-19 pandemic. Clinical Neuropsychiatry, 17(2), 76-79.

  • Reizer, A., Geffen, L., & Koslowsky, M. (2021). Life under the COVID-19 lockdown: On the relationship between intolerance of uncertainty and psychological distress. Psychological Trauma, 13(4), 432-437. Retrieved from: doi: 10.1037/tra0001012. Epub 2021 Feb 4. PMID: 33539162.

  • Ren, Z., Xin, Y., Ge, J., Zhao, Z., Liu, D., Ho, R., & Ho, C. S. (2021). Psychological impact of COVID-19 on college students after school reopening: A cross-sectional study based on machine learning. Frontiers in Psychology, 12, 1346.

  • Robichaud, M. (2013). Cognitive behavior therapy targeting intolerance of uncertainty: Application to a clinical case of generalized anxiety disorder. Cognitive and Behavioral Practice, 20(3), 251-263.

  • Rosen, N. O., Knäuper, B., & Sammut, J. (2007). Do individual differences in intolerance of uncertainty affect health monitoring? Psychology and Health, 22(4), 413-430.

  • Satici, B., Saricali, M., Satici, S., & Griffiths, M., (2020 May 15). Intolerance of uncertainty and mental well-being: Serial mediation by rumination and fear of COVID-19. International Journal of Mental Health and Addiction, 1-12 Advance online publication. http://doi.org/10.1007/s11469-020-00305-0

  • Schmits, E., Dekeyser, S., Klein, O., Luminet, O., Yzerbyt, V., & Glowacz, F. (2021). Psychological distress among students in higher education: One year after the beginning of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(14), 7445.

  • Smith, B. M., Twohy, A. J., & Smith, G. S. (2020). Psychological inflexibility and Intolerance of uncertainty moderate the relationship between social isolation and mental health outcomes during COVID-19. Journal of Contextual Behavioral Science, 18, 162-174.

  • Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on college students' mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), e21279.

  • Varghese, M. K., & Delariarte, C. F. (2021). Intolerance of uncertainty as a predictor of psychological distress among college students during the pandemic. Indian Journal of Health and Well-being, 12(4), 517-521.

  • Verma, K. (2020). The mental health impact of the COVID-19 epidemic on college students in India. Asian Journal of Psychiatry, 53, 102398. https://doi.org/10.1016/j.ajp.2020.102398

  • Viertiö, S., Kiviruusu, O., Piirtola, M., Kaprio, J., Korhonen, T., Marttunen, M., & Suvisaari, J. (2021). Factors contributing to psychological distress in the working population, with a special reference to gender difference. BMC Public Health, 21(1), 1-17.

  • Voltmer, E., Köslich-Strumann, S., Walther, A., Kasem, M., Obst, K., & Kötter, T. (2021). The impact of the COVID-19 pandemic on stress, mental health and coping behavior in German university students a longitudinal study before and after the onset of the pandemic. BMC Public Health, 21(1), 1-15.

  • Vulić-Prtorić, A., Selak, M. B., & Sturnela, P. (2020). The psychological distress in students during the COVID-19 crisis: An 8-wave longitudinal study. http://doi.org/10.31234/osf.io/vtfxg

  • Wahlund, T., Andersson, E., Jolstedt, M., Perrin, S., Vigerland, S., & Serlachius, E. (2020). Intolerance of uncertainty focused treatment for adolescents with excessive worry: A pilot feasibility study. Cognitive and Behavioral Practice, 27(2), 215-230.

  • Weist, F. (2020). What is the relation between stress, anxiety, and Intolerance of uncertainty? (Master's thesis, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands). http://purl.utwente.nl/essays/81583

  • Wheaton, M. G., Messner, G. R., & Marks, J. B. (2021). Intolerance of uncertainty as a factor linking obsessive-compulsive symptoms, health anxiety and concerns about the spread of the novel coronavirus (COVID-19) in the United States. Journal of Obsessive-Compulsive and Related Disorders, 28, 100605. https://doi.org/10.1016/j.jocrd.2020.100605.

  • Yadav, P., Tewari, A., Arora, P., Jose, NA., Mahla, V., & Tripathi, A., (2020). To compare psychological distress, intolerance to uncertainty, and resilience in individuals quarantined for COVID-19 pandemic and in health care providers in tertiary care hospital. International journal of Advanced Research, 8(07), 242-249. http://dx.doi.org /10.21474/IJAR01/11286.

  • Yasmin, H., Khalil, S., & Mazhar, R. (2020). COVID-19: Stress management among students and its impact on their effective learning. International Technology and Education Journal, 4(2), 65-74.

  • Zemestani, M., Beheshti, N., Rezaei, F., van der Heiden, C., & Kendall, P. C. (2021). Cognitive behavior therapy targeting intolerance of uncertainty versus selective serotonin reuptake inhibitor for generalized anxiety disorder: A randomized clinical trial. Behaviour Change, 38(4), 250-262.

  • Zlomke, K. R., & Jeter, K. M. (2014). Stress and worry: Examining intolerance of uncertainty's moderating effect. Anxiety, Stress and Coping, 27(2), 202-215.


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  • Cognitive-based Acceptance and Motivational Program (CAMP) Targeting Intolerance of Uncertainty among College Students during the Pandemic: A Pilot Study

Abstract Views: 393  |  PDF Views: 1

Authors

Martin Varghese Kallarackal
Department of Clinical Psychology Graduate School, Far Eastern University, Manila, Philippines
Clarissa F. Delariarte
Department of Clinical Psychology, Graduate School, Far Eastern University, Manila, Philippines

Abstract


College students across the world struggle with the unprecedented stress during the Covid-19 Pandemic. The existing psychological issues of college students were accentuated by facing the uncertain features of the Pandemic like uncertainty about their college life, their future, and their health. Intolerance of uncertainty is identified as the broad dispositional, vulnerable and maintenance factor for the emotional irregularities and the heightened psychological distress of student population during the Pandemic. Considering the need for the psychological interventions during and the post Pandemic, the present study aimed to develop and examine the feasibility and usability of the Cognitive-based Acceptance and Motivational Program (CAMP) for reducing intolerance of uncertainty and thereby reducing the psychological distress among the college students. CAMP was designed on the basis of the principles and techniques of intolerance of uncertainty theory, acceptance and commitment therapy, and self-determination theory. The researchers' developed intervention was subjected to expert validation of six disciplinary experts and a pilot study was conducted for 10 college students with a moderate level of psychological distress and a moderate level of intolerance of uncertainty. The statistical analysis of the quantitative findings of the pilot study and the feedback of the participants revealed that the CAMP is an effective psychological intervention for reducing intolerance of uncertainty and psychological distress among college students and is suitable for a randomized controlled trial.

Keywords


intolerance of uncertainty, psychological distress

References