Dimensions of Anxiety Sensitivity and Their Relationship to Nonclinical Panic

The goal of the present study was to examine the factor structure of the Anxiety Sensitivity Index (ASI; S. Reiss, R. A. Peterson, D M. Gursky, & R. J. McNally, 1986) and the replicability, reliability, and validity of its dimensions in a nonclinical sample. One-thousand-and-seventy-one undergraduate volunteers completed the ASI and a modified version of the Panic Attack Questionnaire (PAQ; G. R. Norton, J. Dorward, & B. J. Cox, 1986). A principal components analysis, using oblique rotation and parallel analysis, yielded three ASI dimensions that were highly consistent with those reported in previously published studies. Individuals classified as nonclinical panickers scored higher than nonpanickers on the Physical Concerns and Cognitive Concerns subscales of the ASI. Although spontaneous panic attacks were not significantly related to scores on any ASI scale, the occurrence of panic attacks in the past month was related to higher scores on the Cognitive Concerns subscale. The results are discussed in terms of cognitive theories of panic, and limitations of the present study and directions for future research are addressed.     

Anxiety sensitivity and panic symptomatology: the mediator role of hypochondriacal concerns

The present study tests the mediating role of hypochondriasis to explain the relation between anxiety sensitivity and panic symptomatology. Fifty-seven outpatients with clinically significant levels of panic symptomatology were selected to participate in the study. Measures of anxiety sensitivity, hypochondriasis, and panic symptomatology were obtained from standardized, self-administered questionnaires: the Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986), the Whiteley Index of Hypochondriasis (WI; Pilowsky, 1967), and the Panic-Agoraphobic Spectrum Self-Report (PAS-SR; Cassano et al., 1997; Shear et al., 2001). Regression analyses were performed to test for the mediation models. The results show that the effect of anxiety sensitivity on panic symptomatology is not significant when controlling the hypochondriacal concerns, whereas the latter predicted panic symptoms. This result holds for the overall ASI as well as for the Physical Concerns and the Mental Incapacitation Concerns dimensions of the ASI scale. No evidence of a direct relation between the Social Concerns dimension and panic symptoms was found. The findings suggest that hypochondriacal concerns might represent the mechanism through which anxiety sensitivity is able to influence panic symptoms.     

Assessment of anxiety sensitivity in young American Indians and Alaska Natives

In the present study, the Anxiety Sensitivity Index [ASI; Behav. Res. Ther. 24 (1986) 1] was administered to 282 American Indian and Alaska Native college students in a preliminary effort to: (a) evaluate the factor structure and internal consistency of the ASI in a sample of Native Americans; (b) examine whether this group would report greater levels of anxiety sensitivity and gender and age-matched college students from the majority (Caucasian) culture lesser such levels; and (c) explore whether gender differences in anxiety sensitivity dimensions varied by cultural group (Native American vs. Caucasian). Consistent with existing research, results of this investigation indicated that, among Native peoples, the ASI and its subscales had high levels of internal consistency, and a factor structure consisting of three lower-order factors (i.e. Physical, Psychological, and Social Concerns) that all loaded on a single higher-order (global Anxiety Sensitivity) factor. We also found that these Native American college students reported significantly greater overall ASI scores as well as greater levels of Psychological and Social Concerns relative to counterparts from the majority (Caucasian) culture. There were no significant differences detected for ASI physical threat concerns. In regard to gender, we found significant differences between males and females in terms of total and Physical Threat ASI scores, with females reporting greater levels, and males lesser levels, of overall anxiety sensitivity and greater fear of physical sensations; no significant differences emerged between genders for the ASI Psychological and Social Concerns dimensions. These gender differences did not vary by cultural group, indicating they were evident among Caucasian and Native Americans alike. We discuss the results of this investigation in relation to the assessment of anxiety sensitivity in American Indians and Alaska Natives, and offer directions for future research with the ASI in Native peoples.     

Development of the College Student Reasons for Living Inventory.

Two studies were carried out in an effort to develop and evaluate an instrument designed to assess suicidal risk in college students. Study 1 describes the development of the College Student Reasons for Living Inventory (CSRLI), an instrument that measures the extent to which college students place importance on various reasons for living even when contemplating suicide. The impetus for the current study was provided by Linehan et al., who in 1983 developed the Reasons for Living Inventory for use with adults. In the current study college students generated a series of 84 "reasons for living" items, which were reduced through factor analysis to a final inventory of 46 items. Six factors were extracted as follows: Survival and Coping Beliefs, College and Future-Related Concerns, Moral Objections, Responsibility to Friends and Family, Fear of Suicide, and Fear of Social Disapproval. Five of these factors reflect the same basic themes contained in the Linehan et al. (1983) study. The sixth factor (College and Future-Related Concerns) appears to be unique to college students. Linehan et al.'s Child-Related Concerns factor expectedly did not appear in this college sample. In Study 2 initial evaluation of the CSRLI was carried out through the use of correlational, confirmatory factor, and discriminant analyses. Results indicate that the CSRLI holds promise as an instrument to predict suicidal risk among college students.     

Second-order dimensions of the Work Values Inventory (WVI)

An item factor analysis of the 45 items of the Work Values Inventory (WVI) for 445 physically disabled clients produced six second-order dimensions: Stimulating Work, Interpersonal Satisfaction, Economic Security, Responsible Autonomy, Comfortable Existence, and Esthetic Concerns. These second-order factors provide a summary of clients' work motivation at a higher level of generality that is consistent with the WVI primary structure. The six factors are virtually independent of age, education, and intelligence and can be hand-scored by a simple procedure.     

Factor structure and psychometric properties of the Anxiety Sensitivity Index in a sample of Croatian adults

Anxiety sensitivity (AS) refers to a person's tendency to fear anxiety-related symptoms due to the belief that these symptoms may have harmful consequences. The most widely used operationalization of AS in adults is the Anxiety Sensitivity Index (ASI). The factor structure, gender stability, and psychometric properties of the ASI in a sample of Croatian adults (N = 984) were evaluated. Results confirm the multidimensional and hierarchical structure of the ASI, which consisted of three lower-order factors (Physical Concerns, Psychological Concerns, and Social Concerns) and a single higher-order factor, AS. Furthermore, the achievement of normative scores for the ASI in a Croatian adult sample demonstrates the cross-national stability of the ASI. Reliability coefficients for the ASI, Physical Concerns, and Psychological Concerns are high and satisfactory in the total sample and for both genders. Overall, the results confirmed the cross-national stability, gender stability, reliability, and validity of the ASI in a sample of Croatian adults.     

Validation of the Adolescent Concerns Measure (ACM): evidence from exploratory and confirmatory factor analysis

This article reports the development and initial validation of scores obtained from the Adolescent Concerns Measure (ACM), a scale which assesses concerns of Asian adolescent students. In Study 1, findings from exploratory factor analysis using 619 adolescents suggested a 24-item scale with four correlated factors--Family Concerns (9 items), Peer Concerns (5 items), Personal Concerns (6 items), and School Concerns (4 items). Initial estimates of convergent validity for ACM scores were also reported. The four-factor structure of ACM scores derived from Study 1 was confirmed via confirmatory factor analysis in Study 2 using a two-fold cross-validation procedure with a separate sample of 811 adolescents. Support was found for both the multidimensional and hierarchical models of adolescent concerns using the ACM. Internal consistency and test-retest reliability estimates were adequate for research purposes. ACM scores show promise as a reliable and potentially valid measure of Asian adolescents' concerns.     

ANXIETY SENSITIVITY AND TRAIT-SYMPTOM MEASURES OF ANXIETY AND DEPRESSION

The Icelandic version of the Anxiety Sensitivity Index was investigated in two studies of college students. A principal components analysis of ASI scores from both studies (N=718) yielded three components similar to what has been found previously: Psychological Concerns, Physical Concerns and Social Concerns. In the first study the relationship between the ASI and trait anxiety was investigated. It was analysed at the level of the total scales but also at the level of subscales of both instruments. Two subscales of the STAI, measuring respectively Anxiety-trait and Depression-trait, were used as well as the Psychological Concerns and Physical Concerns subscales of the ASI. In a second study the relationships between ASI and its subscales and two symptom measures of anxiety and depression were addressed. ASI was in both studies more strongly related to the anxiety than the depression scales. Also, in both studies the Physical Concerns subscale of the ASI was more strongly related to anxiety than to depression, whereas the Psychological Concerns subscale was equally related to anxiety and depression. Taken together the studies support the notion of different relationships between different aspects of anxiety sensitivity, and anxiety and depression as traits, cognitive symptoms and mood related symptoms.     

An empirical typology of perfectionism in early-to-mid adolescents and its relation with eating disorder symptoms

Although the association between perfectionism and eating disorder (ED) symptoms is well-established, debate remains about the relative contribution of two central dimensions of perfectionism, that is, Personal Standards (PS) perfectionism and Evaluative Concerns (EC) perfectionism, in the prediction of ED symptoms. This study used cluster analysis to establish naturally occurring combinations of PS and EC perfectionism in early-to-mid adolescents (N = 656; M age = 13.9 years). Evidence was obtained for four perfectionism profiles: (1) maladaptive perfectionism (high PS and high EC), (2) pure evaluative concerns perfectionism (high EC only), (3) adaptive perfectionism (high PS, low EC), and (4) non-perfectionism (low on both PS and EC). A comparison of participants in these four clusters in terms of ED symptoms suggests that a combination of high personal standards and evaluative concerns (rather than the presence of one of these two dimensions alone) is most strongly related to ED symptoms.     

Personality Variables Predict Strength-Related Attitude Dimensions Across Objects

ABSTRACT We examined personality predictors of different attitude strength-related dimensions across objects. Participants responded to questions regarding 11 attitude objects that assessed the overall evaluation of the object and the strength-related dimensions of importance, certainty, and relevance. Confirmatory factor analyses supported a 4-factor solution underlying the self-report and extremity dimensions across the 11 attitude objects, with importance and relevance and certainty and extremity loading on 2 second-order factors. The need to evaluate, need for affect, sense of coherence, dogmatism, and personal fear of invalidity were all related at the bivariate level to at least one strength-related dimension. The need to evaluate and the need for affect independently predicted variance in certainty/extremity across the attitude objects and sense of coherence and dogmatism predicted unique variance in importance/relevance across objects. Discussion focuses on the possible processes by which personality variables predict strength-related dimensions across objects.     

Comparative judgments with missing information: a regression and process tracing analysis

We had participants decide which one of two applicants was better qualified for a scholarship. They also judged the difference between them (comparative judgment). The applicants were described by features (grades) in different subjects (dimensions). The grades on some dimensions were missing (unique dimensions) for an alternative while all the grades were available on other dimensions (common dimensions). In a conventional regression analysis, we found that decision makers gave more weight to dimensions when they were common than when they were unique. However, this commensurability effect was limited to medium important dimensions and did not apply to dimensions of high or low importance. We also observed how participants retrieved information for the choice alternatives and analysed how importance and commensurability are reflected in the processing prior to the decision. Features on more important or common dimensions were inspected earlier than features on less important or unique dimensions. Participants preferred dimensional transitions and inspected features on unique dimensions longer than their common counterparts. This finding suggested that participants used inferences when features were missing. We propose an outline of a decision heuristic to describe decision making with missing information.     

Measuring self-efficacy among drug-involved probationers

Self-efficacy has been shown to be related to outcomes from interventions for alcohol and tobacco abuse but relatively little attention has been focused on it in evaluations of treatment for illicit drug abuse. Almost no research has examined offenders involved with drugs. The current study, therefore, adapted the Alcohol Abstinence Self-efficacy Scale of DiClemente, Carbonari, Montgomery, and Hughes and administered it to 250 probationers mandated to 6 months of residential treatment. With some modifications, confirmatory factory models replicated four previously reported dimensions, e.g., Negative Affect, Social/Positive, Physical and Other Concerns, Cravings and Urges. Findings also indicated high construct validity for the Alcohol Abstinence Self-efficacy Scale as adapted here. Studies are needed to examine the use of self-efficacy as a prospective measure of treatment progress and to explore its association with outcomes from corrections-based treatment.     

Parental Perceptions of Characteristics of Non-Parental Child Care: Belief Dimensions, Family and Child Correlates

Investigators argue that it is essential to consider why parents select non-parental child care arrangements in studying the effects of that care on a child’s development. Existing investigations explore family economic and demographic characteristics as determinants of child care choice. The present investigation examined a wide array of parents’ beliefs about characteristics of child care arrangements with the goal of determining if these could be reduced to coherent dimensions. The emergent belief sets were examined in relation to maternal and child characteristics as potential correlates. Two hundred and twenty respondents with children in non-parental care completed surveys. These individuals represent diverse ethnic and economic groups. Ratings of the importance of characteristics were factor analyzed resulting in a six factor solution: Practical Concerns, Institutional Structure, Curriculum, Scheduling, Child Centered Orientation and School Readiness. The latter factor, or program components promoting social skills and classroom behaviors associated with succeeding in school, was identified as the most important dimension. Parents describing their children as more difficult temperamentally and as less developmentally advanced tended to describe school readiness and curriculum issues as less important. Child characteristics accounted for unique variance above and beyond mothers’ characteristics in predicting to parental beliefs. Results suggest that parents as consumers possess coherent belief sets and are sensitive to children’s developmental needs in evaluating care arrangements.     

Childhood anxiety sensitivity index factors predict unique variance in DSM-IV anxiety disorder symptoms

Anxiety sensitivity (AS) is an established cognitive risk factor for anxiety disorders. In children and adolescents, AS is usually measured with the Childhood Anxiety Sensitivity Index (CASI). Factor analytic studies suggest that the CASI is comprised of 3 lower-order factors pertaining to Physical, Psychological and Social Concerns. There has been little research on the validity of these lower-order factors. We examined the concurrent and incremental validity of the CASI and its lower-order factors in a non-clinical sample of 349 children and adolescents. CASI scores predicted symptoms of DSM-IV anxiety disorder subtypes as measured by the Spence Children's Anxiety Scale (SCAS) after accounting for variance due to State-Trait Anxiety Inventory scores. CASI Physical Concerns scores incrementally predicted scores on each of the SCAS scales, whereas scores on the Social and Psychological Concerns subscales incrementally predicted scores on conceptually related symptom scales (e.g. CASI Social Concerns scores predicted Social Phobia symptoms). Overall, this study demonstrates that there is added value in measuring AS factors in children and adolescents.     

Anxiety sensitivity in traumatized Cambodian refugees: a discriminant function and factor analytic investigation

We examined the psychometric properties and factor structure of a Cambodian translation of the Anxiety Sensitivity Index (ASI) and an Augmented ASI (the ASI supplemented with a 9-item addendum that assesses additional Cambodian concerns about anxiety-related sensations). Both the ASI and the Augmented ASI distinguished among three diagnostic groups: highest score, PTSD with panic disorder (PP group); next, panic disorder without PTSD (P group); and then, other disorders than PTSD or panic disorder (O group). In the discriminant function analysis using the Augmented ASI, the best classificatory predictor (PP vs. P vs. O) was an Addendum item (“It scares me when I stand up and feel dizzy”). The principal component analysis (oblimin rotation) of the ASI yielded a 3-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Social Concerns) and of the Augmented ASI, a 4-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Wind Attack Concerns; IV, Social Concerns). The item clustering within the factor solution of both the ASI and Augmented ASI illustrates the role of cultural syndromes in generating fear of mental and bodily events.     

Daily fluctuations in perfectionism dimensions and their relation to eating disorder symptoms

Multidimensional perfectionism has been shown to play an important role in eating disorders (EDs). However, research examining this relation has primarily focused on relatively stable inter-individual differences between persons, thereby failing to examine how these variables are associated within individuals on a daily basis. This study examines how daily fluctuations in Personal Standards (PS) perfectionism and Evaluative Concerns (EC) perfectionism relate to each other and to fluctuations in ED symptoms. Adolescents (N = 275) completed questionnaires each evening during seven consecutive days. Multilevel modeling showed significant day-to-day fluctuations in PS and EC perfectionism, and showed that both dimensions are intertwined in the day. Among females, fluctuations in EC perfectionism co-varied with fluctuations in ED symptoms.     

Validity and Reliability of a Pre-Employment Screening Test: The Counterproductive Behavior Index (CBI)

The Counterproductive Behavior Index (CBI) is a 120-item, true-false questionnaire developed to assess five aspects of counterproductive workplace behavior: Dependability Concerns, Aggression, Substance Abuse, Honesty Concerns, and Computer Abuse, plus an overall measure of Total Concerns. It also yields a Good Impression score. To assess predictive validity, undergraduates with significant work experience simulated persons who had each of the five counterproductive behaviors but were exercising care not to get caught trying to conceal that behavior. All differences between simulated and normative responding were highly significant, with a median sensitivity of .89 for a specificity of .90. For similar participants, construct validity correlations ranged from .37 though .72 with a median of .50, and the correlation of CBI Total Concerns with a Total Validity Index was .66. Test-retest reliabilities of the CBI scales ranged from .79 to .94 with a median correlation of .87. These compare favorably with previously reported internal consistencies (Cronbach alphas). Analysis of the CBI scores of the original normative group at different levels of Good Impression showed that none of the six Concerns scores were affected by attempts to make a good impression until the Good Impression score reached the 90th percentile.     

The effects of a physical activity and nutrition intervention on body dissatisfaction, drive for thinness, and weight concerns in pre-adolescents

The primary aim was to examine the effects of a physical activity and nutrition intervention on Body Dissatisfaction, Drive for Thinness, and Weight Concerns in pre-adolescents. Eighty-four 10–12 years old were studied as part of a larger trial of a family-based physical activity and nutrition intervention. Forty-nine children participated in the 8-week intervention (35 in control group) and completed Body Dissatisfaction, Drive for Thinness, and Weight Concerns measures at baseline and post-test. Participants in both groups showed positive but non-significant changes in body image and Drive for Thinness following the trial, but there were no significant between group differences. This was the first study to examine the effects of a physical activity and nutrition intervention on body image and related variables in pre-adolescents. Body Dissatisfaction, Drive for Thinness, and Weight Concerns were not positively or negatively influenced by the intervention.     

Childhood Anxiety Sensitivity Index Factors Predict Unique Variance in DSM‐IV Anxiety Disorder Symptoms

Anxiety sensitivity (AS) is an established cognitive risk factor for anxiety disorders. In children and adolescents, AS is usually measured with the Childhood Anxiety Sensitivity Index (CASI). Factor analytic studies suggest that the CASI is comprised of 3 lower‐order factors pertaining to Physical, Psychological and Social Concerns. There has been little research on the validity of these lower‐order factors. We examined the concurrent and incremental validity of the CASI and its lower‐order factors in a non‐clinical sample of 349 children and adolescents. CASI scores predicted symptoms of DSM‐IV anxiety disorder subtypes as measured by the Spence Children's Anxiety Scale (SCAS) after accounting for variance due to State‐Trait Anxiety Inventory scores. CASI Physical Concerns scores incrementally predicted scores on each of the SCAS scales, whereas scores on the Social and Psychological Concerns subscales incrementally predicted scores on conceptually related symptom scales (e.g. CASI Social Concerns scores predicted Social Phobia symptoms). Overall, this study demonstrates that there is added value in measuring AS factors in children and adolescents.     

Students' ratings of occupational dimensions of traditionally male and traditionally female occupations

The purpose of the present study was to investigate four traditionally male occupations and four traditionally female occupations on a number of dimensions which people use to judge the prestige or importance of a job. Workers were pictured on one form in their traditional roles and on a second form in nontraditional roles. Results indicated a tendency for subjects to give lower ratings to workers in nontraditional jobs. More importantly, for the two “objective” dimensions, money and education, boys and girls agreed on job ratings; however, on the two more “subjective” dimensions, respect and importance to the community, boys gave higher ratings to the male jobs, while girls gave higher ratings to the female jobs.