Intolerance of uncertainty causes some individuals to perform poorly with ambiguity
Evidence indicates that difficulty navigating ambiguity and performing effectively under uncertain conditions is closely linked to an individual's intolerance of uncertainty.
Papers 1 and 5 directly discuss how lower tolerance for uncertainty impairs cognitive flexibility, decision-making, and diagnostic performance under complex or ambiguous conditions. Other papers focus on related constructs like stress or resilience but do not contradict the relationship. The claim is well-supported by current literature.
Rein C. Attachment as a Primary Mechanism in Physician Cognition and Bias During Complex Medical Cases: A Narrative Review.. 2025. https://doi.org/10.2147/amep.s496784
Paper 1 notes that clinicians with a reduced tolerance for uncertainty experience lower thresholds for cognitive load and rely more heavily on heuristics, leading to an increased likelihood of cognitive error.
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Cole R, Pearce E, Kenny S, Hildreth AF. Strategies for Teaching Uncertainty Tolerance in Medical Education: A Qualitative Study.. 2026. https://doi.org/10.1016/j.acepjo.2025.100298
Paper 5 highlights that uncertainty tolerance is tied to flexible thinking and decision-making without paralysis, establishing that difficulties with ambiguity relate directly to one's tolerance for uncertainty.
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