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Timothy R. Sandhu, Bowen Xiao, Rebecca P. Lawson (2023). Transdiagnostic computations of uncertainty: towards a new lens on intolerance of uncertainty. Neuroscience & Biobehavioral Reviews, 148, 105123. Elsevier BV.

Publication date
May 2023
Identifier
10.1016/j.neubiorev.2023.105123
Authors
Timothy R. Sandhu, Bowen Xiao, Rebecca P. Lawson
Source
Neuroscience & Biobehavioral Reviews
Details
148, 105123
Reference type
article
Publisher
Elsevier BV
Metadata source
crossref

Abstract

People radically differ in how they cope with uncertainty. Clinical researchers describe a dispositional characteristic known as “intolerance of uncertainty”, a tendency to find uncertainty aversive, reported to be elevated across psychiatric and neurodevelopmental conditions. Concurrently, recent research in computational psychiatry has leveraged theoretical work to characterise individual differences in uncertainty processing. Under this framework, differences in how people estimate different forms of uncertainty can contribute to mental health difficulties. In this review, we briefly outline the concept of intolerance of uncertainty within its clinical context, and we argue that the mechanisms underlying this construct may be further elucidated through modelling how individuals make inferences about uncertainty. We will review the evidence linking psychopathology to different computationally specified forms of uncertainty and consider how these findings might suggest distinct mechanistic routes towards intolerance of uncertainty. We also discuss the implications of this computational approach for behavioural and pharmacological interventions, as well as the importance of different cognitive domains and subjective experiences in studying uncertainty processing.

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