This book constitutes the refereed proceedings of the 4th International Symposium on Integrated Uncertainty in Knowledge Modeling and Decision Making, IUKM 2015, held in Nha Trang, Vietnam, in October 2015. The 40 revised full papers were carefully reviewed and selected from 58 submissions and are presented together with three keynote and invited talks. The papers provide a wealth of new ideas and report both theoretical and applied research on integrated uncertainty modeling and management