Self report assessment of anxiety: a cross validation of the Lehrer Woolfolk Anxiety Symptom Questionnaire in three populations.

This study was meant to investigate the psychometric properties and clinical utility of the Lehrer Woolfolk Anxiety Symptom Questionnaire (LWASQ), an instrument for assessment of somatic, behavioral and cognitive aspects of anxiety. Confirmatory factor analysis on data from social phobics (n = 108), normal adults (n = 103) and normal adolescents (n = 650) showed that the three original factors were strongly replicated in each sample. The three subscales appeared to have high internal consistency, while data on convergent and divergent validity were satisfactory. In addition, the subscales did very well in discriminating between phobic patients and normals, and were able to detect treatment effects. In the discussion the instrument is compared with other self report measures of anxiety dimensions, like the Cognitive Somatic Anxiety Questionnaire (CSAQ) and the Worry-Emotionality Scale (WES). It is suggested that similar questionnaires, adjusted to the separate anxiety disorders, should be developed.     

Predictive validity of the CognitiveVs. Somatic Anxiety Distinction

The purpose of this study was to test the predictive validity of an instrument, The Cognitive-Somatic Anxiety Questionnaire (CSAQ), which purports to measure separately cognitive and somatic anxiety. Twelve subjects with either predominantly cognitive or somatic anxiety received a treatment that matched their predominant anxiety mode (“matched”), and twelve received a treatment which addressed the secondary anxiety mode (“mismatched”). After five sessions, the “matched” subjects reported significantly fewer anxiety symptoms than the “mismatched” subjects. The results support the predictive validity of the CSAQ, and suggest that anxiety may not be a unidimensional phenomenon. The implications of these results for clinical practice are discussed.     

The cognitive-somatic anxiety questionnaire: Psychometric and validity data

The Cognitive-Somatic Anxiety Questionnaire (CSAQ) is a 14-item self-report inventory that is divided into two 7-item scales (Cognitive and Somatic) that appear to reflect cognitive or somatic anxiety. In an attempt to evaluate the construct validity of this multidimensional instrument, the CSAQ was administered to 109 college students along with several other measures of physical and psychological symptoms. The results suggest that (a) despite considerable overlap between the Cognitive and the Somatic scales (r=.62), an exploratory factor analysis is able to identify a single large somatic factor along with three lesser cognitive-appearing factors, and (b) the correlations with concurrent measures of related constructs provide some limited evidence of the construct validity of the CSAQ. For males, both the Cognitive and the Somatic scales of the CSAQ correlated significantly with several anxietyrelated measures. However, for females CSAQ scores correlated less consistently with the other test scales, although Somatic scale scores for females were positively related to measures of health and exercise involvement. Suggestions for improving the CSAQ are offered.     

Factor analysis of the cognitive-somatic anxiety questionnaire

The Cognitive-Somatic Anxiety Questionnaire (CSAQ; Schwartz, Davidson, & Goleman, 1978) is a brief self-report rating scale designed to differentiate between cognitive and somatic symptoms of anxiety. The CSAQ gained relatively widespread acceptance as a behavioral assessment instrument before much was known about its psychometric properties. Psychometric studies of the CSAQ (e.g., DeGood & Tait, 1987) have raised questions about the instrument's item content and subscale structure. The primary purpose of the present study was to determine whether the Cognitive and Somatic subscales correspond to the instrument's factorial structure in a clinically anxious population. The sample consisted of 120 nonpsychotic psychiatric inpatients. Factor analysis with oblique rotation accounted for 60% of the total variance and yielded four factors that do not conform to the Cognitive-Somatic subscale structure. The results challenge the validity of the CSAQ and suggest the need for an improved instrument capable of differentiating the multidimensional features of clinical anxiety.     

Measurement of anxious traits: a contemporary review and synthesis

Trait anxiety is a characteristic predisposition to appraise stimuli as threatening and respond with anxiety. Trait anxiety is proposed to serve as a vulnerability factor for greater frequency and intensity of anxiety experiences as well as the development of anxious pathology. Cognitive, behavioral, and physiological components of trait anxiety have been described. Common self-report measures of trait anxiety are reviewed with an emphasis on: components assessed, factor structure, internal consistency, reliability, and construct validity. Measures were selected if instructions ask individuals to endorse items based on their characteristic, rather than a time sensitive, response. Selection criteria resulted in a focus on the following measures: the State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory-Trait (BAIT), Cognitive Somatic Anxiety Questionnaire (CSAQ), Endler Multidimensional Anxiety Scales-Trait (EMAS-T), Four Systems Anxiety Questionnaire (FSAQ), State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA), and the Three Systems Anxiety Questionnaire (TSAQ). While the STAI has the advantage of normative data and frequent use in prior research, newer measures, such as the BAIT and the STICSA, demonstrate greater discriminant validity. The strengths and weaknesses of each of the reviewed measures are highlighted. Recommendations for measure selection and future research are provided.     

Measurement and correlates of sport-specific cognitive and somatic trait anxiety: The sport anxiety scale

Abstract

Previous research indicates the viability of a distinction between cognitive and somatic components of the anxiety response, and multidimensional anxiety scales have proven useful in relating cognitive and somatic anxiety to behavioral outcomes. This article describes the development and validation of a sport-specific measure of cognitive and somatic trait anxiety. The Sport Anxiety Scale measures individual differences in Somatic Anxiety and in two classes of cognitive anxiety, Worry and Concentration Disruption. Both exploratory and confirmatory factor analyses supported these dimensions in several different athlete samples. Psychometric properties of the Sport Anxiety Scale are described, as are its relations with other psychological measures and with precompetition affective state measures. In the last of the four studies reported, scores on the Concentration Disruption scale were negatively related to the performance of college football players over the course of a season. The studies suggest that the Sport Anxiety Scale may be useful in defining sport-related anxiety more sharply and assessing how the cognitive and somatic anxiety components relate to performance and other outcome measures in sport.     

Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI)

The State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA; M. J. Ree, C. MacLeod, D. French, & V. Locke, 2000) was designed to assess cognitive and somatic symptoms of anxiety as they pertain to one's mood in the moment (state) and in general (trait). This study extended the previous psychometric findings to a clinical sample and validated the STICSA against a well-published measure of anxiety, the State-Trait Anxiety Inventory (STAI; C. D. Spielberger, 1983). Patients (N=567) at an anxiety disorders clinic were administered a battery of questionnaires. The results of confirmatory factor analyses (Bentler-Bonnett nonnormed fit index, comparative fit index, and Bollen fit index>.90; root-mean-square error of approximation<.05); convergent and discriminant validity analyses; and group comparisons supported the reliability and validity of the STICSA as a measure of state and trait cognitive and somatic anxiety. In addition, compared with the STAI (anxiety: rs/=.64), the STICSA was more strongly correlated with another measure of anxiety (rs>/=.67) and was less strongly correlated with a measure of depression (rs相似文献   

The Anxiety Sensitivity Index - Revised: psychometric properties and factor structure in two nonclinical samples

Anxiety sensitivity (AS) is the fear of anxiety-related sensations based on beliefs about their harmful consequences. Despite its status as the most popular measure of AS, the anxiety sensitivity index is too abbreviated to adequately measure the somatic, cognitive, and social facets of the construct. The Anxiety Sensitivity Index - Revised (ASI-R) is a revised and expanded version of the ASI that was developed to improve the assessment of AS and its dimensions. The present study was conducted to examine the psychometric properties and factor structure of the ASI-R. Two large undergraduate samples completed a psychometric assessment package that included the ASI-R and measures of anxiety, depression, and related constructs. Exploratory factor analysis revealed four lower-order ASI-R factors: (1) beliefs about the harmful consequences of somatic sensations; (2) fear of publicly observable anxiety reactions; (3) fear of cognitive dyscontrol; and (4) fear of somatic sensations without explicit consequences. These factors loaded on a single, higher-order factor. Correlations between the ASI-R factors and related variables were consistent with AS theory. Results across both samples in the present study were highly similar. The strengths and limitations of the ASI-R are discussed, and the implications of our findings for the nature and measurement of AS are considered.     

Prediction of goal orientation and perceived competence on intensity and direction of precompetitive anxiety among adolescent handball players

This study explored the main and interactive effects of goal orientations and perceived competence on intensity and direction of the symptoms of precompetitive cognitive and somatic anxiety. 109 handball players from 16 high school teams (M = 16.2 yr., SD = 1.5) participated. All were asked to complete the Task and Ego Orientation in Sport Questionnaire, Perceived Competence Questionnaire, and a modified version of the Competitive State Anxiety Inventory-2. Using separated multiple hierarchical regression analyses, direction of the symptoms of precompetitive somatic anxiety was predicted by perceived competence and interaction of ego orientation x perceived competence. Perceived competence and the interaction of ego orientation x task orientation x perceived competence were significant predictors of direction of the symptoms of precompetitive cognitive anxiety. The results suggest that perceptions of competence and task orientation moderate the relationship between ego orientation and direction of the symptoms of precompetitive anxiety.     

Order of scale administration and concurrent validity of the Anxiety Rating Scale

The Anxiety Rating Scale-2 and the Competitive State Anxiety Inventory-2 were administered to 100 male university intramural volleyball players 15 min. before a match began. For 50 participants, the above order of presentation was used; for the other 50 the order was reversed. Correlations for cognitive anxiety, somatic anxiety, and self-confidence between the two inventories were .47, .63, and .67, respectively, for scores from Order 1 and .56, .75, and .84 for Order 2.     

The connection between cognitive development and specific fears and worries in normal children and children with below-average intellectual abilities: a preliminary study.

The present study explored the relationship between cognitive development and anxiety phenomena in 4-12-year-old children. Fears and worries of normal children (n=176) were compared to those of children with below-average intellectual abilities (children with BAIA; n=105). We evaluated to what extent level of cognitive development as indexed by a Piagetian conservation task was associated with the presence of fears and worries. While normal children and children with BAIA did not differ with regard to the content of their fears and worries, normal children more frequently reported such anxiety phenomena during the semi-structured Anxiety Interview than did children with BAIA. Furthermore, in normal children, evidence was found to suggest that level of cognitive development contributes to the experience of fears and worries. That is, anxiety phenomena were more prevalent among those children who passed a Piagetian conservation task. However, when anxiety phenomena were assessed by means of the Koala Fear Questionnaire (KFQ), a different picture emerged. KFQ data suggested that fears were less frequent in normal children and those children with BAIA who had a higher level of cognitive functioning. Apparently, the Anxiety Interview and the KFQ tap quite different aspects of anxiety. The KFQ seems to measure primitive fears that are likely to be prevalent among children with limited cognitive capacity, whereas the Anxiety Interview assesses more sophisticated anxiety phenomena that probably depend on high levels of cognitive functioning.     

Four Systems Anxiety Questionnaire (FSAQ): a self-report measure of somatic, cognitive, behavioral, and feeling components

This article presents the development of a 60-item self-report known as the Four Systems Anxiety Questionnaire (FSAQ). The FSAQ assesses anxiety on four components: somatic, cognitive, behavioral, and feeling. The FSAQ was given to 218 first-year university students, 54 anxiety patients attending clinical psychology departments, and 14 agoraphobic patients pre- and postpsychological treatment. Results reveal satisfactory reliability and validity levels. In addition, we proved that the FSAQ is sensitive to change following psychological treatment.     

Four Systems Anxiety Questionnaire (FSAQ): A Self-Report Measure of Somatic,Cognitive, Behavioral,and Feeling Components

This article presents the development of a 60-item self-report known as the Four Systems Anxiety Questionnaire (ESAR). The FSAQ assesses anxiety on four components: somatic, cognitive, behavioral, and feeling. The FSAQ was given to 218 first-year university students, 54 anxiety patients attending clinical psychology departments, and 14 agoraphobic patients pre- and postpsychological treatment. Results reveal satisfactory reliability and validity levels. In addition, we proved that the FSAQ is sensitive to change following psychological treatment.     

Competitive anxiety in young athletes: differentiating somatic anxiety, worry, and concentration disruption

The age-appropriate Sport Anxiety Scale-2 (SAS-2; Smith, Smoll, Cumming, & Grossbard, 2006) was used to assess levels of cognitive and somatic anxiety among male and female youth sport participants. Confirmatory factor analyses with a sample of 9-14 year old athletes (N=1038) supported the viability of a three-factor model of anxiety involving somatic anxiety, worry, and concentration disruption previously demonstrated in high school and college samples. Tests for factorial invariance revealed that the three-factor model was an equally good fit for 9-11 year olds and 12-14 year olds, and for both males and females. Gender and age were modestly related to anxiety scores. Worry about performing poorly was highest in girls and in older athletes, whereas boys reported higher levels of concentration disruption in competitive sport situations. Implications for emotional perception and for the study of competitive anxiety in young athletes are discussed.     

Intensity and direction as dimensions of competitive state anxiety and relationships with competitiveness.

This study examined differences in intensity and direction of symptoms of competitive state anxiety in high and low competitive subjects from the sports of rugby union, basketball, soccer, and field hockey. The 69 men were dichotomized via a median-split into high and low competitive groups based on their scores on the Sport Orientation Questionnaire. All subjects completed a modified version of the Competitive State Anxiety Inventory-2 30 minutes prior to competition. This inventory included the original intensity scale plus a direction scale on which subjects rated the extent the experienced intensity of each symptom was either facilitative or debilitative to subsequent performance. There were no significant group differences on intensity of cognitive anxiety or of somatic anxiety or on direction of somatic anxiety; however, the highly competitive group of 34 subjects reported their anxiety as more facilitative and less debilitative than the low competitive group (n = 35). This supports the proposal that sports performers' directional perceptions of their anxiety symptoms may provide further understanding of the competitive state-anxiety response.     

Cognitive Function in Parkinson's Disease: Association with Anxiety but Not Depression

To reexamine the relationships of depression, anxiety and cognitive impairment in Parkinson's disease (PD), 27 patients with idiopathic PD received two measures of depression, the State-Trait Anxiety Inventory, and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Contrary to some earlier studies, measures of depression, even those that separated mood from somatic symptoms, were not correlated with any measure of cognitive performance. By contrast, measures of anxiety were signifiantly and negatively correlated with all RBANS indexes. Because anxiety and depression are partially overlapping psychiatric disorders, inconsistent reports concerning the relationship of depression and cognition in PD may have arisen because different studies included varying proportions of depressed patients who were also highly anxious.     

The relationship between competitive anxiety and imagery use

Abstract

Imagery has been proposed to be an effective strategy for controlling levels of competitive anxiety, but little b known about how imagery functions to achieve this. This study explored the relationship between imagery use. imagery ability. competitive anxiety and performance. Fifty-seven Junior North American Roller Skating Championship competitors completed the revised Movement Imagery Questionnaire (MIQ-R), the Sport Imagery Questionnaire (SIQ), and the Competitive State Anxiety Inventory—2 (CSAI-2). Results from stepwise multiple regression analyses revealed visual imagery ability and motivational arousal imagery to be predictors of cognitive state anxiety. Visual imagery ability also predicted somatic state anxiety. while motivational mastery imagery was a predictor of self-confidence. With respect to the relationship between imagery use and imagery ability, high imagery ability was associated with higher imagery use. Finally, self-confidence and kinesthetic imagery ability scores correctly classified a majority of the subjects as medalists versus non-medalists. These results suggest that imagery can be used to help control competitive anxiety levels and enhance self-confidence.     

Cognitive and somatic anxiety and self-confidence in athletic performance of beach volleyball

This study considered the influence of competitive anxiety and self-confidence state responses upon athletic performance. 66 male beach volleyball players completed the translated and modified Competitive State Anxiety Inventory-2 which included the original intensity scale and a direction scale of Jones and Swain. Players' performance was scored from the video records using a standard rating scales. Correlations indicated scores on Direction subscale of modified Competitive State Anxiety Inventory-2 and Self-confidence were moderately positively (r=.27 to .51) correlated with different skill components and sum of skill components of beach volleyball. Stepwise multiple regressions indicated that, as anticipated, directional perceptions of cognitive and somatic anxiety and self-confidence were significant predictors of beach volleyball performance but accounted for only 42% of variance. Original Intensity subscales of somatic and cognitive anxiety did not predict performance. Findings support the notion that direction of anxiety responses must be taken into consideration when examining anxiety-performance association in sport.     

Individually tailored internet-based cognitive behaviour therapy for older adults with anxiety and depression: a randomised controlled trial

Mixed anxiety and depression is common among older adults. The aim of the study was to compare the effects of an eight-week-long tailored internet-supported cognitive behaviour therapy (ICBT) programme and to compare against the provision of weekly general support. A second aim was to investigate if pre-treatment cognitive flexibility and self-reported cognitive problems would predict outcome. We included 66 older adults (aged over 60 years) with mixed anxiety/depression following media recruitment and randomised them into treatment and control groups. We also included a one-year follow-up. As a measure of executive function, we used the Wisconsin Card Sorting Test (perseverative errors) and the Cognitive Failures Questionnaire during the pre-treatment phase. Results showed a moderate between-group effect on the main outcome measure, the Beck Anxiety Inventory (BAI) (d= .50), favouring the treatment group. Nearly half (45.5%) of that group were classified as responders. One person (3%) in the treatment group deteriorated. There were significant correlations between perseverative errors and outcome (on the BAI r = ?.45), but not among self-reported cognitive function. We conclude that guided, tailored ICBT may be effective for some older adults and that the role of cognitive function needs to be investigated further.     

Transdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial

Clinician-guided Internet-based cognitive behavioural therapy (iCBT) programs are clinically effective at treating specific anxiety disorders. The present study examined the efficacy of a transdiagnostic Internet-based cognitive behavioural treatment (iCBT) program to treat more than one anxiety disorder within the same program (the Anxiety Program). Eighty six individuals meeting diagnostic criteria for generalized anxiety disorder (GAD), panic disorder, and/or social phobia were randomly assigned to a treatment group, or to a waitlist control group. Treatment consisted of CBT based online educational lessons and homework assignments, weekly email or telephone contact from a clinical psychologist, access to a moderated online discussion forum, and automated emails. An intention-to-treat model using the baseline-observation-carried-forward principle was employed for data analyses. Seventy-five percent of treatment group participants completed all 6 lessons within the 8 week program. Post-treatment data was collected from 38/40 treatment group and 38/38 control group participants, and 3-month follow-up data was collected from 32/40 treatment group participants. Relative to controls, treatment group participants reported significantly reduced symptoms of anxiety as measured by the Generalized Anxiety Disorder - 7 Item, Social Phobia Screening Questionnaire, and the Panic Disorder Severity Rating Scale - Self Report Scale, but not on the Penn State Worry Questionnaire, with corresponding between-groups effect sizes (Cohen’s d) at post-treatment of 0.78, 0.43, 0.43, and 0.20, respectively. The clinician spent a total mean time of 46 min per person over the program, participants rated the procedure as moderately acceptable, and gains were sustained at follow-up. Modifications to the Anxiety program, based on post-treatment feedback from treatment group participants, were associated with improved outcomes in the control group. These results indicate that transdiagnostic programs for anxiety disorders may be successfully administered via the Internet.