Objective: This research is aimed at understanding the roots and axial concept of Managers Decidophobia with Using Grounded Theory Ministry of the Interior and Ministry of Labor and Social Affairs. Methods: This Mixed-methods research uses a systematic integration of quantitative and qualitative data. Research Onion Saunders (2009) Rationalistic philosophies, Combined approach, Strategies grounded theory, choices Mixed methods, Time horizons Cross-Sectional, Techniques and procedures Library-square. The qualitative part is the GT and the quantitative part utilizes a structural equation modeling. The qualitative part used semi-structured interviews for its data collection and a researcher made questionnaire quantitative section the validity and reliability of the confirmed. Results: The data analysis, identified 169 open codes and 22 axial, 10 selective categories. Among these dimensions is evasion in decision-making, inability to understand the problem, fear of facing decision making and abstract decision making related to the variable of Managers Decidophobia (the axial phenomenon) and weakness in decision making, fear of consequences decision, organizational climate, lack of program-oriented organizational decisions, lack of decision making experience, lack of access to real information, related to the causative conditions affecting the axial phenomenon were identified. Conclusion: Based on the findings of the qualitative part and the confirmation of the relationship between dimensions and variables using the identified codes it was determined that causal conditions with acceptable effect coefficients and significance coefficients affect the phenomenon of Managers Decidophobia. The GOF, Q2, Rsquare and Fsqare criteria for the structural model and the measurement models were calculated using the Smart PLS 3 software. It is also worth mentioning that all of the mentioned variables had allowed and acceptable values.