The age of anxiety? Birth cohort change in anxiety and neuroticism, 1952-1993

Two meta-analyses find that Americans have shifted toward substantially higher levels of anxiety and neuroticism during recent decades. Both college student (adult) and child samples increased almost a full standard deviation in anxiety between 1952 and 1993 (explaining about 20% of the variance in the trait). The average American child in the 1980s reported more anxiety than child psychiatric patients in the 1950s. Correlations with social indices (e.g., divorce rates, crime rates) suggest that decreases in social connectedness and increases in environmental dangers may be responsible for the rise in anxiety. Economic factors, however, seem to play little role. Birth cohort, as a proxy for broad social trends, may be an important influence on personality development, especially during childhood.     

Anxiety sensitivity, body vigilance and fear of pain

The aim of the present study was to investigate the role of anxiety sensitivity (AS) as a factor relevant to pain and pain persistence. Two studies were conducted to examine the relationship between AS, body vigilance and the experience of pain in non-clinical samples. Study 1 investigated the relationship between AS and body vigilance that was operationalized by the detection latency for innocuous electrical stimuli; trait anxiety and neuroticism were also included as covariates. Results indicated that the high AS group (N=69) presented shorter detection latency than the low AS group (N=70); neuroticism and trait anxiety did not have significant effects on detection latency. Using another sample, Study 2 investigated the relationship between AS, body vigilance, pain tolerance, catastrophizing, and self-reported distress and pain during a cold pressor task. Neuroticism, trait anxiety and fear of pain were included as covariates. Results showed significant differences between high- (N=66) and low- (N=69) AS groups in body vigilance, catastrophizing and tolerance. The covariates neuroticism, trait anxiety and fear of pain did not have any significant effects. No significant differences were found in pain and distress ratings. Results from both studies support the importance of AS in body vigilance and the experience of pain. The theoretical, preventive and clinical implications of these findings are discussed.     

Hierarchical Model of Generalized and Specific Vulnerabilities in Anxiety

This study evaluated a theoretical hierarchical relationship among the general anxiety vulnerability variable of neuroticism, the specific vulnerability variables of anxiety sensitivity and intolerance of uncertainty, and variables reflecting specific anxiety foci including panic symptoms, health anxiety, obsessive-compulsive symptoms and generalized anxiety/worry. Questionnaires assessing these variables were administered to a non-clinical sample of 91 first-year psychology students (64.8% women). Path analysis results were highly consistent with the hypothesized hierarchical model. Neuroticism was found to have a significant direct effect on both anxiety sensitivity and intolerance of uncertainty. Both neuroticism and anxiety sensitivity had direct significant effects on panic symptoms, neuroticism and intolerance of uncertainty both made significant direct contributions to the prediction of worry, and neuroticism made a significant direct contribution to the prediction of obsessive-compulsive symptoms. Contrary to the hypothesized model, anxiety sensitivity but not neuroticism uniquely predicted health anxiety. The results of this study provide initial empirical evidence for a hierarchical relationship among general and specific vulnerabilities, and specific anxiety manifestations.     

Relations of Neuroticism and Attentional Control with Symptoms of Anxiety and Aggression in Non-Clinical Children

The present study examined the associations between neuroticism and attentional control and the occurrence of symptoms of psychopathology in children. A large sample of non-clinical children aged 9 to 17 years (N = 409) completed questionnaires measuring neuroticism, attentional control, and symptoms of anxiety and aggression. Results demonstrated that neuroticism was positively associated with symptoms of anxiety and aggression, whereas attentional control was negatively linked to such symptoms. Regression analyses showed that both neuroticism and attentional control accounted for an independent and significant proportion of the variance in children’s anxiety and aggression symptoms. Further, tentative support was found for the notion that neuroticism and attentional control have an interactive effect on symptoms of anxiety and aggression. Results did not show that age had an influence on the emergence of this interaction.     

The psychometric identification of psychopathy in mentally abnormal offenders

This study addressed the question of the degree of commonality, at a psychometric trait level, shared between two distinct concepts of psychopathy: a North American concept, defined in terms of chronic antisocial behaviour with early onset; and a European concept, defined in terms of personality deviation. Four groups of Broadmoor patients were identified who conformed to DSM-III criteria for the following diagnostic categories: Antisocial Personality Disorder (APD) (n = 12); Other Personality Disorders (OPD) (n = 9); Schizophrenic Disorders (SD) (n = 10); and a Mixed (M) group who met the criteria for both Schizophrenic Disorders and Antisocial Personality Disorder (n = 12). Thus subjects in both the APD and M groups, having a DSM-III diagnosis of Antisocial Personality Disorder, conformed to the North American concept of psychopathy. All diagnostic groups, together with a non-psychiatric control group of psychiatric nurses, were investigated using a composite battery of psychometric measures which tapped the two concepts of psychopathy. The only measure to discriminate successfully between patient groups with an APD diagnosis and other groups was Gough's (1969) Socialisation, which is itself a measure of the North American concept. Measures of personality deviation, including Blackburn's (1987) Belligerence and Withdrawal measures, failed to successfully discriminate DSM-III APD's from others. Thus the degree of trait commonality between the two concepts was found to be minimal. The study also addresses a fundamental question raised recently by both Hare and Harpur (1986) and Raine (1986) in criticism of a study by Howard, Bailey and Newman (1984): Are Broadmoor psychopaths “psychopathic” in the North American sense? Results of the study clearly indicate that they indeed are.     

Animal fears in the Antipodes: normative data from an Australian sample

The present study investigated reported fear of snakes, spiders and mutilation in an Australian sample ( N =235). Standardized questionnaires were used, and scores from the Australian sample were compared with those obtained by other authors from North American and Swedish samples. The psychometric characteristics of test scores from the Australian sample were similar to those from the North American and Swedish samples. Although there were no differences in reported fear of snakes between the three samples, both the Australian and North American samples reported greater fear of spiders than did the Swedish sample. Females scored higher on all scales than did males, and Australian and North American females reported greater fear of mutilation than did Swedish females. Test-retest reliability in a non-clinical Australian subsample ( n =48) was low for all scales. The results are discussed in terms of the adaptation/habituation hypothesis and the preparedness account of the acquisition of fear.     

Personality and anxiety variation before and after menstruation

Thirty women subjects were studied on E, N, P, L, state anxiety, and trait anxiety, in order to investigate personality variation during the premenstrual and postmentrual stages. Atypically, the t-ratio of correlated means revealed significant decreases in E and L at the postmenstrual stage, and the more commonly reported shifts in neuroticism, anxiety, and sometimes psychoticism were not evident.     

The Role of Repetitive Negative Thoughts in the Vulnerability for Emotional Problems in Non-Clinical Children

The current study examined the role of repetitive negative thoughts in the vulnerability for emotional problems in non-clinical children aged 8–13 years (N = 158). Children completed self-report questionnaires for assessing (1) neuroticism and behavioral inhibition as indicators of general vulnerability (2) worry and rumination which are two important manifestations of repetitive negative thoughts, and (3) emotional problems (i.e., anxiety, depression, and sleep difficulties). Results demonstrated that there were positive correlations between measures of general vulnerability, repetitive negative thoughts, and emotional problems. Further, support was found for a model in which worry and rumination acted as partial mediators in the relation between neuroticism and symptoms of anxiety and depression. In the case of sleep difficulties, no evidence was obtained for such a mediation model. In fact, data suggested that sleeping difficulties are better conceived as an epiphenomenon of high symptom levels of anxiety and depression or as a risk factor for the development of other types of psychopathology. Finally, besides neuroticism, the temperamental trait of behavioral inhibition appeared to play a unique direct role in the model predicting anxiety symptoms but not in the models predicting depressive symptoms or sleep difficulties. To conclude, the current findings seem to indicate that worry and rumination contribute to children’s vulnerability for anxiety and depression.     

Mental health of circus artists: Psychological resilience,circus factors,and demographics predict depression,anxiety, stress,and flourishing

Circus artists perform physically demanding skills in a high-stress environment, yet little is known about their mental health. We explored emotional states of depression, anxiety, stress and flourishing in a sample of 500 circus artists. The predominantly female sample (n = 415) encompassed a range of performance levels (amateur 50%, part/full-time professional 41%, student 6%, retired 3%), with aerial acrobatics (71%) being the most frequently represented main circus discipline in the sample. Compared to previously established normative scores of a non-clinical population, circus artists scored higher on scales of emotions reflecting depression, anxiety, and stress, and lower on flourishing. They also scored higher on both state and trait resilience compared to previously established normative scores. Using a Bayesian estimation procedure, linear regression analyses showed that resilience, circus factors, and demographics (i.e., age and gender) explained between 24% and 51% of the variance in emotional states of depression, anxiety, stress, and flourishing. Consistently, circus artists with higher levels of state/trait resilience reported higher levels of psychological wellbeing, indicated by lower levels of emotional states of depression, anxiety and stress, and higher levels of flourishing. Therefore, the development of interventions for circus artists who experience lower levels of psychological wellbeing appears warranted.     

Predictors of competitive anxiety direction in male Tae Kwon Do practitioners: a multilevel mixed idiographic/nomothetic interactional approach

Objectives: To examine (a) affective states, proximity of competition and personality traits as predictors of anxiety direction and (b) investigate the role of personality characteristics in moderating the relationship between anxiety direction and proximity of competition and affective states.Method: A multilevel mixed idiographic/nomothetic approach. Intensity and direction of competitive anxiety and positive (PA) and negative affect (NA) were monitored in 22 male Tae Kwon Do practitioners across a week preceding a major competition using the experience sampling method (ESM). The participants were assessed on neuroticism and extraversion. Negative and positive affect and anxiety intensity and direction were measured at three random times a day across 1 week before the competition and 1 hour pre-competition.Results: Multilevel regression analyses revealed that cognitive anxiety intensity, positive affect, proximity to competition and extraversion were significant predictors of cognitive anxiety direction. Significant interaction effects of proximity to competition and neuroticism, and neuroticism and negative affect on cognitive anxiety direction were also observed. Somatic anxiety direction was a function of positive affect, somatic anxiety intensity, proximity to competition and the interaction effects of neuroticism and somatic anxiety intensity and neuroticism and proximity to competition.Conclusions: A multilevel mixed idiographic/nomothetic interactional approach may substantially assist in the explanation of intra- and inter-individual differences in anxiety direction.     

Attachment anxiety and implicit self-concept of neuroticism: Associations in women but not men

Previous research has shown that adult attachment-related anxiety is associated with the explicit self-concept of neuroticism. It remains to be clarified whether attachment anxiety is related to the implicit self-concept of neuroticism. There is evidence that gender can moderate the strength of correlation between implicit and explicit measures. The Experiences in Close Relationships scale and the NEO Five-Factor Inventory (NEO-FFI) were administered to 106 healthy adults along with an Implicit Association Test assessing neuroticism. Attachment anxiety correlated with NEO-FFI neuroticism, regardless of gender. Attachment anxiety was correlated with neuroticism as measured by the IAT in women but not men. Results from multiple regression analysis showed that gender was a moderator of the relationship between attachment anxiety and implicit neuroticism. Our data suggest that in the associative network of women with high attachment anxiety associative representations of the self are more strongly linked to attributes of neuroticism compared to women with low attachment anxiety.     

Anxiety and Depression: Evidence for the Differentiation of Commonly Cooccurring Constructs

Anxiety and depression frequently cooccur diagnostically. This observation has led researchers to investigate whether anxiety and depression can be meaningfully distinguished as unique theoretical constructs or whether they are better conceptualized as features of a general psychological distress. In the present study, we attempted to differentiate self-reported state and trait anxiety from depression in a university sample (N = 593) using the Beck Depression Inventory (BDI) and the Endler Multidimensional Anxiety Scales (EMAS). In addition, we examined the relationship among self-reported anxiety, depression, and neuroticism to determine the extent to which the Anxiety and Depression facet scales of the NEO Personality Inventory—Revised represent distinct and mutually exclusive measures of anxiety and depression. Principal-components analyses and a series of multiple regression models were used to conduct this investigation. Results indicate that both state and trait anxiety and depression can be reliably differentiated with the BDI and the EMAS. Results also suggest that invoking a single general distress factor to explain the strong interrelationships between anxiety and depression in nonclinical samples is premature.     

Need for closure and anxiety in delusions: a longitudinal investigation in early psychosis

This study investigated the role of need for closure (NFC) and anxiety in delusions. The Need For Closure Scale (NFCS) and measures of trait and state anxiety were administered to an early psychosis group with current delusions, a clinical (generalised anxiety disorder--GAD) control group and a non-clinical control group. The battery of questionnaires was repeated at follow-up one year later. The NFCS did not meet criteria for a unidimensional scale and two sub-scales were removed from all further analyses. At baseline the deluded and GAD groups scored significantly higher on the reduced NFCS (NFCS-R) than the control group. Trait anxiety was related to NFCS-R in the GAD and non-clinical control groups, but not in the deluded group. At follow-up all groups scored significantly lower on the NFCS-R, perhaps suggesting a practice effect, although the two clinical groups continued to have higher scores than the non-clinical control group. The recovered and non-recovered deluded groups did not differ on the NFCS-R one year later, unlike in the GAD group where recovered participants had significantly lower scores than the non-recovered. Change scores on the NFCS-R and trait anxiety were correlated at trend level in the GAD and non-clinical control groups, but not in the deluded group. These findings suggest that whilst NFC and trait anxiety are related in non-psychotic groups, NFC may be implicated in the formation of delusions, independently of anxiety, in psychotic individuals.     

Multidimensionality of state and trait anxiety: A cross-cultural study comparing american,canadian, israeli and german young adults

Abstract

The psychometric adequacy of the Endler Multidimensional Anxiety Scales (EMAS) was examined in samples of American, Canadian, Israeli, and West German male and female young adults. Also investigated was the generalizability of the interactional model of anxiety to a diverse set of cultural contexts. This interactional model distinguishes between multidimensional dimensions of state and trait anxiety. The EMAS was developed to both reliably and independently assess multidimensional state and trait anxiety. Three hundred and seventy-four American undergraduates, 292 Canadian undergraduates, 326 Israeli undergraduates, and 304 West German undergraduates completed the EMAS in a non-stressful situation. The EMAS subscales were found to be highly reliable scales in all four cultural groups. Consistent empirical support was found across cultural groups for both the distinction between state and trait anxiety and the multidimensionality of these two constructs. Significant gender and cultural differences were found across the various EMAS subscales. Women were more likely than men to report being anxious in social evaluation and physical danger situations. In comparison to the other 3 groups, the Israelis reported being less anxious in social evaluation and physical danger situations. Results are discussed in terms of cultural differences between Canada, the United States, West Germany and Israel.     

Combined Medication and CBT for Generalized Anxiety Disorder With African American Participants: Reliability and Validity of Assessments and Preliminary Outcomes

Using data from a study of combined cognitive behavioral therapy (CBT) and venlafaxine XR in the treatment of generalized anxiety disorder (GAD), the current article examines the reliability and convergent validity of scales, and preliminary outcomes, for African American compared with European American patients. Internal consistency and short-term stability coefficients for African Americans (n = 42) were adequate and similar or higher compared with those found for European Americans (n = 164) for standard scales used in GAD treatment research. Correlations among outcome measures among African Americans were in general not significantly different for African Americans compared with European Americans. A subset of patients with DSM-IV–diagnosed GAD (n = 24 African Americans; n = 52 European Americans) were randomly selected to be offered the option of adding 12 sessions of CBT to venlafaxine XR treatment. Of those offered CBT, 33.3% (n = 8) of the African Americans and 32.6% (n = 17) of the European Americans accepted and attended at least one CBT treatment session. The outcomes for African Americans receiving combined treatment were not significantly different from European Americans receiving combined treatment on primary or secondary efficacy measures.     

FACTOR ANALYSIS OF A NEUROTICISM INVENTORY

The Lidvall neuroticism inventory is comprised of 25 questions referring to symptoms presumed to be connected with manifest neurotic anxiety. It was presented to 377 persons, an unscreened group with respect to neurotic symptoms, and a factor analysis with rotation to simple structure was performed.—Four factors could be identified: (1) manifest neurotic anxiety, (2) neurotic difficulties in interpersonal relations, (3) neurasthenic symptoms and (4) obsessive-compulsive symptoms. The factor scales were correlated with Neuroticism and Extraversion in MPI. Neuroticism was shown to be a heterogeneous factor. The correlation between Factor (2) and Extraversion was high.     

Trait anhedonia is a transdiagnostic correlate of internalizing problems during adolescence

Developmental research documents that anhedonia, or diminished interest in usual activities, is associated with a diverse array of emotional problems in childhood and adolescence. Meanwhile, official nosologies desginate anhedonia as a more specific characteristic of major depressive disorder. Using a quantitative model of the internalizing domain, we compared the strength of transdiagnostic versus diagnosis-specific pathways from anhedonia to major depression (and other internalizing conditions) during adolescence. We recruited 241 youth ages 14–17 who completed semistructured interviews of anxiety and depressive disorders, as well as several self-report surveys of trait anhedonia and neuroticism. Confirmatory factor analysis of diagnostic correlations revealed good fit for a unidimensional model of the 10 internalizing conditions we assessed. This overarching internalizing dimension was statistically significantly correlated with trait anhedonia (r = 0.17) and neuroticism (r = 0.59). In contrast, anhedonia was virtually unrelated to major depression (r = −0.02), net the internalizing dimension. Thus, in this sample, the connection between anhedonia and major depression was explained by a transdiagnostic dimension presumed to underlie all internalizing problems. Compared to neuroticism, however, anhedonia had a more limited association with internalizing, consistent with established personality models of anxiety and depression. We conclude that these data are consistent with conceptualizing anhedonia predominantly as a transdiagnostic correlate of internalizing conditions, rather than a specific marker of major depression, in developmental psychopathology research and clinical interventions for young people.     

Examination of the Association Among Personality Traits,Anxiety Sensitivity,and Cannabis Use Motives in a Community Sample

Personality factors, such as neuroticism, are important for understanding motives for cannabis use; however, few studies have examined the role of neuroticism in the context of other personality factors, or possible mechanisms accounting for an association between neuroticism and motives for use. The present study examined concurrent associations between personality traits (i.e., conscientiousness, extraversion, agreeableness, and neuroticism) and cannabis use motives, and the role of anxiety sensitivity (AS) in the association between neuroticism and coping cannabis use motives. Seventy young adults endorsing past-month cannabis use (58.6 % female, M _age = 20.91) completed self-report measures. Linear regressions were conducted to examine the concurrent associations between personality factors and cannabis use motives. Higher levels of neuroticism, but no other personality traits, were significantly associated with greater coping (β = 45, p < .01) and expansion (β = 0.29, p = <.05) motives. Bootstrap analysis (10,000 re-samples) revealed that a significant portion of the relationship between neuroticism and coping motives was explained by AS (point estimate = 0.029, PB 95 % CI: 0.0089 to 0.0615). Greater neuroticism may result in heightened sensitivity to arousal, which may then increase motivation to use cannabis to alleviate such arousal.     

Trait anxiety, defensiveness and selective processing of threat: an investigation using two measures of attentional bias

Attentional biases for threat were examined in a non-clinical sample (N=60), with each participant tested on both the modified Stroop colour-naming and dot probe tasks. Three groups were selected on the basis of trait anxiety and social desirability scale (SDS) scores: “low anxiety” (LA: low trait, low SDS), “repressor” (REP: low trait, high SDS) and “high anxiety” (HA: high trait, low SDS). Results from the colour-naming task suggested that high levels of defensiveness (in combination with low trait anxiety) were associated with greater avoidance of threat. The REP group showed less interference in colour-naming threat than neutral words; whereas the HA group showed increased interference due to threat words. On the dot probe task, there was a general tendency for this non-clinical sample as a whole to show avoidance of social threat relative to neutral words, but there was no bias for physical threat words. Avoidance of social threat was significant only within the REP group. No relationships were found between the measures of cognitive bias from the two tasks, suggesting different underlying mechanisms. Results are discussed in relation to previous findings and theoretical views of the effects of anxiety and defensiveness on the processing of threat.