Doctorate in Institute of Neuroscience Intolerance of uncertainty, social anxiety and alcohol use among students in the United Kingdom and Indonesia Muhamad Salis Yuniardi 110530503 March 2017 Supervisors: Prof. Mark Freeston & Dr. Jacqui Rodgers This thesis is submitted in partial fulfilment of the degree of Doctorate in Institute of Neuroscience I declare that this assignment is my own work and I have correctly acknowledged the work of others. This assignment is in accordance with University and School guidance on good academic conduct (and how to avoid plagiarism and other assessment irregularities. University guidance is available at www.ncl.ac.uk/right-cite. Doctorate in Institute of Neuroscience Intolerance of uncertainty, social anxiety and alcohol use among students in the United Kingdom and Indonesia Muhamad Salis Yuniardi 110530503 March 2017 Supervisors: Prof. Mark Freeston & Dr. Jacqui Rodgers 90,353 words (not including abstract, references and appendices) This thesis is submitted in partial fulfilment of the degree of Doctorate in Institute of Neuroscience I declare that this assignment is my own work and I have correctly acknowledged the work of others. This assignment is in accordance with University and School guidance on good academic conduct (and how to avoid plagiarism and other assessment irregularities. University guidance is available at www.ncl.ac.uk/right-cite In memory of Devy Erfasanti. I dedicate this thesis for you and our beloved daughter, Azzahra Melica Marzie Ramadhani. i ii Overall table of contents Contribution of authors Acknowledgement Overall abstract Chapter 1. General background Chapter 2. The unique contribution of intolerance of uncertainty to social anxiety Chapter 3. Development of the Newcastle Substance Use Questionnaire (NSUQ), Factor analyses and comparison of alcohol and cannabis motives Chapter 4. Understanding intolerance of uncertainty, social anxiety and alcohol use among students in the United Kingdom Chapter 5. Intolerance of uncertainty and social anxiety among Indonesia students Chapter 6. Intolerance of uncertainty as a plausible causal factor of social anxiety: A vignette based approach Chapter 7. General discussion and conclusion iii iv Contribution of Authors This Ph. D thesis consists of seven manuscripts. Specific for the second manuscript with the title “The unique contribution of intolerance of uncertainty to social anxiety”, Mair Roberts and Hannah Blowfield provided the archival data. I had a principle role in the development of the study idea, definition of study questions, formulation of hypotheses, design and methodology, data management, statistical analyses and interpretation of the findings, and manuscript writing and revisions. For the other six manuscripts, I was responsible for the entire process. My supervisors, Professor Mark H Freeston and Doctor Jacqui Rodgers, provided guidance throughout. v vi Acknowledgements I would like to express my gratitude to my supervisors, Professor Mark Freeston and Dr Jacqui Rodgers, for their exceptional mentorship and sincere support throughout my studies. The term “supervisor” does not encapsulate what they have given to me in terms of accomplishing my study and the development of my personal character over the last few years, particularly during a very challenging personal time. It was truly invaluable and I greatly appreciate it. I would also like to express my sincere appreciation to Dr Alison Tyson-Capper, Dr. Fiona LeBeau, Dr Gabriele Jordan and Dr. Robert Dudley, for their support, suggestions and encouragement. Furthermore my thanks go to all the gate keepers and participants both in the UK and Indonesia for their assistance in data collection. I would also like to acknowledge the contribution of archival data from the following undergraduate students: Mair Roberts and Hannah Blowfield. I would also like to thank to my “supervisor-mates”: Alin, Khulood, Tim and Nicola for their support, encouragement and ideas and furthermore to Michael Henderson for the proof-reading. I would like to express a sincere thank you to my parents. My prayers are always for you and even though you are not here anymore, your love and guidance are always the light in my life. To my sisters: mbak Yuyun, mbak Ana and Ningrum, for their unwavering support and love. A very special thank you goes to my beloved wife, Devy Erfasanti, who sincerely loved me, unconditionally accepted me and sincerely supported me with her genuine love. Although you are not with us any more, we will always love you and your love will always be in our hearts. To my beloved daughter, Azzahra Melica Marzie, your eyes, smile and happiness always strengthen me. No words can describe the love your mum and I have for you. I dedicated this thesis to both of you. vii viii
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