Uncertainty intolerance in eating disorders: a narrative review
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Abstract
Uncertainty intolerance (UI) refers to cognitive, behavioral,and emotional responsesto eventsexperienced as uncertain, regardless of the probability of outcomes. In eating disorders (ED), the distinction between the disorder-specific II, the trait of UI and the symptomatological picture in ED has yet to be clarified. The aim of the study was to characterize the intolerance to
uncertainty in ED. In the narrative review, studies published between 2018 and 2021 in the PsychINFO, Web of Science and Academic Google databases were searched. The analysis of the 15 articles indicated an association between II and food restriction; feeling of “loss of control”, changes in body image and emotional dysregulation. There is no association with symptoms related to exercise, binge eating or purging. The personality traits related to UI are: desire for predictability; rigidity; neuroticism; obsessive-compulsive trait; Maladaptive perfectionism and avoidant style of social problem solving. It is suggested that the specific therapeutic approach for UI has an impact on ED risk conditions; in the control of the emotional response that intensifies symptoms of the existing pathology and in the clinical improvement in comorbid conditions with personality disorders.
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