Transient state-dependent fluctuations in anxiety measured using STAI, POMS, PANAS or VAS: a comparative review

Abstract Several psychometric instruments can be used to measure state-dependent variations in anxiety, including the State-Trait Anxiety Inventory (STAI), the Profile of Mood States (POMS), the Positive and Negative Affect Schedule (PANAS) and the Visual Analog Scales (VAS). Each of these instruments rests on specific theoretical assumptions about the construct of state anxiety, and has been widely used for this purpose in different research domains. However, it remains difficult to determine what may be the specificities of these four instruments, when the goal is to measure transient state-dependent variations in anxiety. In this work, we provide a systematic and comparative literature review of studies which have explored rapid fluctuations (i.e., test-retest intervals not exceeding 24 hours) in state anxiety by means of these specific instruments. Almost 200 studies were eventually included in our review. This comparative review confirms that, despite some disparities and specificities, each of these four instruments provides a reliable measure to capture rapid state-dependent variations in anxiety, although they have been used in non-overlapping research domains or experimental contexts.     

An Examination of the RDoC Negative Valence Systems Domain Constructs and the Self-Reports Unit of Analysis

In response to shortcomings with the current diagnostic classification system for mental health disorders, such as poor validity and reliability of categorical diagnoses, the National Institute of Mental Health proposed the Research Domain Criteria (RDoC) initiative to move towards a dimensional approach using translational research. The current study examined associations between measures of behaviors, cognitions, and mental health symptoms and how they overlap in the Negative Valence Systems (NVS) domain. Specifically, we examined how the Self-Reports unit of analysis reflects the RDoC NVS constructs of acute threat, potential threat, sustained threat, frustrative nonreward, and loss. The overall goal was to identify additional self-report measures that reflect these constructs. Participants, two student samples and two community samples (total N = 1,509), completed online self-reported measures. Questionnaire total and subscale scores were submitted to a principal-axis factor analysis with Promax rotation separately for each sample. For both student samples and one community sample six-factor solutions emerged reflecting major aspects of the RDoC NVS and positive valence systems, particularly acute threat (i.e., fear/panic), potential threat (i.e., inhibition/worry), sustained threat (i.e., chronic stress), loss (i.e., low well-being), frustrative nonreward (i.e., reactive aggression), and reduced behavioral activation. The second community sample differed in that fear/panic and frustration/anger was combined in a general distress factor. Recommendations for additional NVS self-report markers are discussed.     

Targeting Common Factors Across Anxiety and Depression Using the Unified Protocol for the Treatment of Emotional Disorders in Adolescents

Clinical approaches to mood and anxiety disorders in children and adolescents have historically been confined to either diagnosis- [e.g., for obsessive–compulsive disorder vs. generalized anxiety disorder (GAD), etc.] or domain-specific (e.g., for anxiety disorders vs. depressive disorders) treatments. However, as conceptualizations of mental illness shift towards a more dimensional model [e.g., the recent Research Domain Criteria (RDoC) from the National Institutes of Health], transdiagnostic treatments, such as the unified protocol for the treatment of emotional disorders in adolescents (UP-A; Ehrenreich et al. in Child Fam Behav Ther 31(1):20–37, 2008), are gaining support in the empirical literature. This paper reviews the common treatment targets across three emotional disorders commonly found in adolescence: GAD, social anxiety disorder, and major depressive disorder. In particular, similarities and differences across potential treatment mechanisms, including cognitive and information processing deficits, problem-solving difficulties, and avoidance strategies are examined. Finally, the case of 17-year-old “Andrea” is presented to demonstrate how transdiagnostic approaches like the UP-A can be effective in treating a range of emotional disorders in youth.     

Symptom modelling can be influenced by psychiatric categories: choices for research domain criteria (RDoC)

Psychiatric researchers typically assume that the modelling of psychiatric symptoms is not influenced by psychiatric categories; symptoms are modelled and then grouped into a psychiatric category. I highlight this primarily through analysing research domain criteria (RDoC). RDoC’s importance makes it worth scrutinizing, and this assessment also serves as a case study with relevance for other areas of psychiatry. RDoC takes inadequacies of existing psychiatric categories as holding back causal investigation. Consequently, RDoC aims to circumnavigate existing psychiatric categories by directly investigating the causal basis of symptoms. The unique methodological approach of RDoC exploits the supposed lack of influence of psychiatric categories on symptom modelling, taking psychiatric symptoms as the same regardless of which psychiatric category is employed or if no psychiatric category is employed. But this supposition is not always true. I will show how psychiatric categories can influence symptom modelling, whereby identical behaviours can be considered as different symptoms based on an individual’s psychiatric diagnosis. If the modelling of symptoms is influenced by psychiatric categories, then psychiatric categories will still play a role, a situation which RDoC researchers explicitly aim to avoid. I discuss four ways RDoC could address this issue. This issue also has important implications for factor analysis, cluster analysis, modifying psychiatric categories, and symptom based approaches.     

The role of defeat and entrapment in depression, anxiety, and suicide

Defeat and entrapment are psychological constructs that have played a central role in evolutionary accounts of depression. These concepts have since been implicated in theoretical accounts of anxiety disorders and suicidality. The current article reports on a systematic review of the existing research investigating the links among defeat, entrapment, and psychopathology in the domains of depression, suicidality, posttraumatic stress disorder (PTSD), and other anxiety syndromes. Fifty-one original research articles were identified and critically reviewed. There was strong convergent evidence for a link with depressive symptoms, across a variety of clinical and nonclinical samples. Preliminary support for an association with suicidality was also observed, with effects not readily explainable in terms of comorbid depression. There was strong evidence for an association between defeat and PTSD, although this may have been partly accounted for by comorbid depression. The findings for other anxiety disorders were less consistent. There was, however, evidence that social anxiety in individuals with psychosis may be related to perceptions of entrapment. Overall, there was evidence that perceptions of defeat and entrapment were closely associated with various forms of human psychopathology. These effects were often in the moderate to large range and superseded the impact of other environmental and psychological stressors on psychopathology. We provide a unified theoretical model of how defeat and entrapment may contribute to these different psychopathological conditions. Clinical implications and avenues for future research are discussed.     

All Anxiety is not Created Equal: Correlates of Parent/Youth Agreement Vary Across Subtypes of Anxiety

Research has examined patterns and correlates of parent/youth informant discrepancies in the reporting of youth anxiety. However, little work has examined whether it is better to conceptualize patterns and correlates of informant disagreement across anxiety broadly, or more useful to consider disagreement on specific symptom clusters. Using data from the Child Adolescent/Anxiety Multimodal Study (CAMS; N?=?488; Walkup et al. The New England Journal of Medicine, 359(26), 2753-2766. doi: 10.1056/NEJMoa0804633, 2008), the current study applied the most recent recommended analytic strategies to study informant discrepancies and examined differences in the magnitude and patterns of disagreement for: (a) broadband anxiety symptoms, versus (b) symptoms of specific anxiety diagnoses (or anxiety subtypes; e.g., separation, social anxiety). Correlates of informant discrepancies were also examined. Results indicated that there was variability in agreement across anxiety subtypes, with parent/youth agreement higher on separation anxiety and school refusal symptoms relative to other domains. Parental psychopathology was associated with disagreement on broadband anxiety symptoms, such that parental psychopathology was highest when parents reported higher symptoms than their children; however, this finding was largely driven by a relationship between parental psychopathology and disagreement on separation anxiety symptoms. Age was associated with disagreement on total and separation anxiety symptoms. Gender was not associated with disagreement. Clinical implications are discussed.     

Parent Anxiety and Infant Pain During Pediatric Immunizations

Infants’ procedural pain and parents’ treatment room anxiety has been largely ignored in the research and clinical domains. To understand and manage infant procedural pain, it is essential to examine the correlates and potential predictors of this pain. Given that parent anxiety is a strong predictor of preschoolers’ procedural anxiety and pain, it is likely that parents play a role in infants’ distress during medical procedures. The purpose of this study was to thoroughly examine parent anxiety and its effects on infant procedural pain for 37 parent-infant dyads. Results demonstrated that only parent self-report measures were intercorrelated and several measures of parent distress correlated with measures of infant distress. Treatment implications and recommendations for future research are discussed.This article is based on the master's thesis of the first author under the direction of the second, at West Virginia University.     

Psychological correlates of university students' academic performance: a systematic review and meta-analysis

A review of 13 years of research into antecedents of university students' grade point average (GPA) scores generated the following: a comprehensive, conceptual map of known correlates of tertiary GPA; assessment of the magnitude of average, weighted correlations with GPA; and tests of multivariate models of GPA correlates within and across research domains. A systematic search of PsycINFO and Web of Knowledge databases between 1997 and 2010 identified 7,167 English-language articles yielding 241 data sets, which reported on 50 conceptually distinct correlates of GPA, including 3 demographic factors and 5 traditional measures of cognitive capacity or prior academic performance. In addition, 42 non-intellective constructs were identified from 5 conceptually overlapping but distinct research domains: (a) personality traits, (b) motivational factors, (c) self-regulatory learning strategies, (d) students' approaches to learning, and (e) psychosocial contextual influences. We retrieved 1,105 independent correlations and analyzed data using hypothesis-driven, random-effects meta-analyses. Significant average, weighted correlations were found for 41 of 50 measures. Univariate analyses revealed that demographic and psychosocial contextual factors generated, at best, small correlations with GPA. Medium-sized correlations were observed for high school GPA, SAT, ACT, and A level scores. Three non-intellective constructs also showed medium-sized correlations with GPA: academic self-efficacy, grade goal, and effort regulation. A large correlation was observed for performance self-efficacy, which was the strongest correlate (of 50 measures) followed by high school GPA, ACT, and grade goal. Implications for future research, student assessment, and intervention design are discussed.     

Psychology and African-American women: Findings from applied research

The current applied research on African-American women is characterized by a limited focus on primarily poor and single mothers and comparative studies with white women. The resulting research ignores the diversity within African-American women generalizing from noncomparative or restrictive samples to all African-American women and provides narrowly focused and/or inappropriate research models in which to study the development of these women across the life span. This review focuses on some of this research as it relates to social context factors in African-American women's lives: social supports and parenting, work and self-esteem, gender role attitudes and marital life, and mental health. An examination of methodological problems and suggestions for future research is discussed.     

Math anxiety: A review of its cognitive consequences,psychophysiological correlates,and brain bases

A decade has passed since the last published review of math anxiety, which was carried out by Ashcraft and Ridley (2005). Given the considerable interest aroused by this topic in recent years and the growing number of publications related to it, the present article aims to provide a full and updated review of the field, ranging from the initial studies of the impact of math anxiety on numerical cognition, to the latest research exploring its electrophysiological correlates and brain bases from a cognitive neuroscience perspective. Finally, this review describes the factors and mechanisms that have been claimed to play a role in the origins and/or maintenance of math anxiety, and it examines in detail the main explanations proposed to account for the negative effects of math anxiety on performance: competition for working memory resources, a deficit in a low-level numerical representation, and inhibition/attentional control deficit.     

Advancements in competitive anxiety research: Use of the sport competition anxiety test and the competitive state anxiety inventory-2

Abstract

The purpose of this paper was to briefly review the competitive anxiety research that has utilized the Sport Competition Anxiety Test (SCAT) and the Competitive State Anxiety Inventory-2 (CSAI-2) as measures of competitive trait anxity (A-trait) and multidimensional competitive state anxiety (A-state), respectively. An expanded model of competitive anxiety is presented which serves as the basis for the review of the literature. Specifically, the SCAT research reviewed includes the relationship of competitive A-trait to other intrapersonal factors, perception of threat, the prediction of state responses as well as motor performance and the prediction of performance outcomes or consequences. The CSAI-2 research reviewed includes the relationship of competitive A-state to other intrapersonal factors, interrelationships between CSAI-2 components, the anxiety-performance relationship, and evidence supporting the independence of the CSAI-2 components. Future directions for research using SCAT and the CSAI-2 are outlined.     

Intuition: A fundamental bridging construct in the behavioural sciences

The concept of intuition has, until recently, received scant scholarly attention within and beyond the psychological sciences, despite its potential to unify a number of lines of inquiry. Presently, the literature on intuition is conceptually underdeveloped and dispersed across a range of domains of application, from education, to management, to health. In this article, we clarify and distinguish intuition from related constructs, such as insight, and review a number of theoretical models that attempt to unify cognition and affect. Intuition's place within a broader conceptual framework that distinguishes between two fundamental types of human information processing is explored. We examine recent evidence from the field of social cognitive neuroscience that identifies the potential neural correlates of these separate systems and conclude by identifying a number of theoretical and methodological challenges associated with the valid and reliable assessment of intuition as a basis for future research in this burgeoning field of inquiry.     

Exploring the relationship between gamma-band activity and maths anxiety

ABSTRACT

Previous research has outlined high anxiety in connection with gamma modulation, identifying that gamma-band activity (40–100?Hz) correlates with processing of threat perception, attention and anxiety. Maths anxiety research has also noted the involvement of these aspects, yet this has not been investigated from a neurophysiological standpoint. Electroencephalography (EEG) was used to research gamma-band activity in relation to maths anxiety over two studies. The first measured gamma differences during the processing of complex addition and multiplication stimuli. Results identified differences between high and low maths anxious individuals; significantly greater gamma power was observed in those with high maths anxiety than those with low maths anxiety. As a control condition was not used, the second study replicated the design, but also applied a non-numerical control condition amongst the other stimuli sets. This showed significantly greater gamma activity in high maths anxious individuals across numerical conditions, but not in the non-numerical condition. High maths anxious individuals likely show attentional bias and threat perception to numerical-based stimuli, as indexed by gamma power. This study provides the first evidence of greater gamma-band activity in high maths anxious individuals and serves as a foundation for the exploration of gamma activity in high maths anxious individuals.     

Co-occurring Mental Health Problems and Peer Functioning Among Youth with Attention-Deficit/Hyperactivity Disorder: A Review and Recommendations for Future Research

It is well established that children and adolescents with attention-deficit/hyperactivity disorder (ADHD) frequently experience co-occurring mental health problems in addition to difficulties in their peer relationships. Although substantial research has focused on the extent to which peer functioning contributes to subsequent co-occurring mental health problems, much less research has considered how co-occurring mental health problems affect peer functioning domains. Therefore, the purpose of this review is to examine the effect of co-occurring mental health problems on the peer functioning of youth with ADHD. The impact of co-occurring externalizing (i.e., oppositional defiant disorder, conduct disorder) and internalizing (i.e., anxiety, depression) symptoms are reviewed, with a focus on whether these co-occurring symptoms exacerbate, attenuate, or have no effect across peer domains of social skills/competence, peer status, and friendship among youth with ADHD. Drawing from a developmental psychopathology framework, this review then draws attention to relevant causal processes and developmental cascades (including social-cognitive, affective, and family and parenting factors) in offering promising avenues for future work.     

Epidemiology of Insomnia in College Students: Relationship With Mental Health,Quality of Life,and Substance Use Difficulties

The purpose of this study was to evaluate the prevalence and correlates of insomnia using rigorous diagnostic criteria and a comprehensive assessment battery. In a large sample (N = 1,074) of college students (mean age 20.39 years), participants were asked to complete a week-long sleep diary and comprehensive questionnaire packet assessing recommended daytime functioning domains (i.e., fatigue, quality of life, depression, anxiety, stress, academic performance, substance use) during the academic year. A significant portion of this sample of college students met proposed DSM-5 criteria for chronic insomnia (9.5%). The chronic insomnia group reported significantly worse sleep, fatigue, depression, anxiety, stress, and quality of life, and greater hypnotic and stimulant use for sleep problems. There were no differences between groups on excessive daytime sleepiness, academic performance, or substance use. This was a rigorous and comprehensive assessment of the prevalence and psychosocial correlates of insomnia. Insomnia is a significant problem in college students and should be regularly assessed. More research is also needed to guide treatment in this population.     

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.     

The boundaries between attachment and personality: Localized versus generalized effects in daily social interaction

A diary study examined the effects of romantic attachment (avoidance, anxiety) and autonomous and sociotropic personality on levels of sociability within social interactions across relational contexts (N = 89 undergraduates). As expected, the effects of domain-specific romantic attachment avoidance and anxiety on sociability were localized to social interactions with romantic partners, whereas the effects of autonomy and sociotropy were generalized across relational contexts (i.e., across social interactions with romantic partners, family members, friends, and acquaintances/others). Furthermore, the effects of both autonomy and sociotropy on sociability were partially mediated by domain-specific attachment in domain-congruent (romantic) but not domain-incongruent (non-romantic) relational contexts: romantic avoidance partially mediated the effects of autonomy on sociability toward romantic partners, whereas romantic anxiety partially mediated the effects of sociotropy. These results suggest that autonomy and sociotropy summarize global regularities in relational responding that correspond to those described by attachment avoidance and anxiety—although (unlike attachment) they do so across relational contexts. Domain-specific attachment representations, in contrast, govern responding within context-congruent domains and act as a mechanism through which personality guides social interaction within these domains.     

Long-term correlates of child sexual abuse: Theory and review of the empirical literature

Since Browne and Finkelhor's (1986) seminal review of the impact of child sexual abuse, there has been a dramatic increase in the child sexual abuse literature. Because of this tremendous growth in the literature, a more current review is warranted. The focus of this paper is a review of the long-term correlates of child sexual abuse published since 1987. Sexually abused subjects report higher levels of general psychological distress and higher rates of both major psychological disorders and personality disorders than nonabused subjects. In addition, child sexual abuse survivors report higher rates of substance abuse, binge eating, somatization, and suicidal behaviors than nonabused subjects. Adult survivors of child sexual abuse report poorer social and interpersonal relationship functioning, greater sexual dissatisfaction, dysfunction and maladjustment including high-risk sexual behavior, and a greater tendency toward revictimization through adult sexual assault and physical partner violence. The long-term correlates of child sexual abuse are conceptualized within a theoretical framework based on a theory of emotional avoidance. Although more recent empirical findings have demonstrated improved designs and methodology, these studies continue to be limited in their generalizability. Recommendations for future research are discussed.