Anxiety reactivity and anxiety perseveration represent dissociable dimensions of anxiety vulnerability: A replication and extension

Trait anxiety is a unitary construct reflecting individual differences in the tendency to experience anxious symptomatology, typically measured with questionnaires such as the Spielberger Trait Anxiety Inventory (STAI‐T). Recent research by Rudaizky, Page, and MacLeod has found evidence that two different dimensions of trait anxiety account for independent variance in trait anxiety scores. These dimensions are anxiety reactivity (AR), reflecting the probability of experiencing an anxious reaction, and anxiety perseveration (AP), reflecting the persistence of anxious symptoms once elicited. There are two key issues addressed in this study: first, the replicability of Rudaizky et al.'s findings and second, the ability of the measures of AR and AP developed by Rudaizky et al. to predict independent variance in STAI‐T scores after statistically controlling for variance shared with a measure of depression. Regression analysis determined that AR and AP do account for independent variance in STAI‐T trait anxiety scores even after statistically controlling for depression. The implications of these findings for the understanding of anxiety vulnerability are discussed.     

Anxiety reactivity and anxiety perseveration represent dissociable dimensions of trait anxiety

Trait anxiety is an individual-difference variable reflecting variation in state-anxiety elevations resulting from exposure to a stressor. It is usually measured using questionnaire instruments, such as the Spielberger State-Trait Anxiety Inventory (STAI-T). The present research conceptually distinguishes, and independently assesses, two hypothetical dimensions of anxiety vulnerability which, it is argued, could plausibly make independent contributions to variance in trait-anxiety scores. These dimensions are anxiety reactivity, the probability of experiencing an anxiety reaction to a stressor, and anxiety perseveration, the persistence of anxiety symptoms once elicited. Participants were asked three questions about each STAI-T item. The traditional STAI-T question assessed how much of the time this symptom was experienced; the anxiety-reactivity question assessed the probability of experiencing the symptom in response to a stressor; and the anxiety-perseveration question assessed how long the symptom persisted, if elicited. Regression analysis determined that anxiety reactivity and anxiety perseveration scores both accounted for independent variance in trait-anxiety scores. It is argued that models of anxiety vulnerability should seek to differentiate both the causes and the consequences of elevated anxiety reactivity and increased anxiety perseveration. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Interactions between emotion regulation strategies and affective style: Implications for trait anxiety versus depressed mood

Affective style reflecting approach and inhibition is thought to be associated in distinct ways with anxious versus depressed mood; relatively few studies, however, consider how the interaction between affective style and the strategies individuals use to regulate mood and emotion might influence these associations. Sixty-seven non-disordered adults self-reported on their use of two emotion regulation strategies (cognitive reappraisal and expressive suppression), behavioral approach (BAS) and behavioral inhibition sensitivity (BIS) dimensions of affective style, and anxious and depressed mood (trait anxiety and symptoms of depression). Trait anxiety versus depressed mood was associated with unique interactive patterns of emotion regulation and affective style: enhanced use of reappraisal was linked to less depressed mood in those reporting low BAS, whereas high suppression was linked to greater trait anxiety in those reporting low BIS. The implications of findings for typical emotional processes and for clinical disorders and interventions are discussed.     

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.     

Trait anxiety moderation of the effects of life stress on state anxiety

Many theories of anxiety have predicted and much previous research has indicated a person × situation interaction between stressors and trait anxiety. This study examined the hypothesized role of individual differences in trait anxiety in the relationship between naturally occurring stressors and state anxiety scores. Two hundred eighty-seven college undergraduates completed the State-Trait Anxiety Inventory, which provides both state and trait anxiety measures, and the Life Experiences Survey, which provides a measure of the amount of stress a person has undergone in the previous year. Trait anxiety scores were divided into quartiles and correlations between state anxiety scores and Life Experiences Survey scores and multiple regressions for trait anxiety and life stress to predict state anxiety were computed within each quartile. The results were that only in the first quartile was there a significant correlation between life stress and state anxiety, which was contrary to the predictions of state-trait anxiety theory. The validity of state-trait anxiety theory, as it relates to life stress, was questioned.     

Predicting anxious response to a social challenge: the predictive utility of the social interaction anxiety scale and the social phobia scale in a college population

Trait anxiety is believed to be a hierarchical construct composed of several lower-order factors (Adv. Behav. Res. Therapy, 15 (1993) 147; J. Anxiety Disorders, 9 (1995) 163). Assessment devices such as the Social Interaction Anxiety Scale, the Social Phobia Scale (SIAS and SPS; Behav. Res. Therapy, 36 (4) (1998) 455), and the Anxiety Sensitivity Index (ASI; Behav. Res. Therapy, 24 (1986) 1) are good measures of the presumably separate lower-order factors. This study compared the effectiveness of the SIAS, SPS, ASI-physical scale and STAI-T (State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press (1970)) as predictors of anxious response to a social challenge (asking an aloof confederate out on a date). Consistent with the hierarchical model of anxiety, the measures of trait anxiety were moderately correlated with each other and each was a significant predictor of anxious response. The specific measures of trait social anxiety were slightly better predictors of anxious response to the social challenge than was either the ASI-physical scale or the STAI-T. The results provide evidence of the predictive validity of these social trait measures and some support for their specificity in the prediction of anxious response to a social challenge.     

The relationship between impulsiveness subtraits,trait anxiety,and visual N100 augmenting/reducing: A topographic analysis

The relationship between impulsiveness subtraits assessed by the Barratt Impulsiveness Scale (BIS-10), the trait anxiety subscale of the State-Trait Personality Inventory (STPI), and the topographic distribution of visual N100 augmenting/reducing (AR) was examined. Topographic event-related potential (ERP) data were collected from an array of 14 electrodes covering the left side of the head while subjects counted the total number of light flashes presented at two different but equiprobable intensities. Principal components analysis of the ERP data yielded a factor accounting for 13.9% of the total variance around the grand mean waveform that corresponded to the N100 wave clearly visible in the raw waveforms. For each subject by scalp locus combination, an AR score was computed by subtracting the factor score associated with the bright flashes from the factor score associated with the dim flashes. The correlations between AR scores and scores on the BIS-10 cognitive impulsiveness subscale were significant (P < 0.01) at all scalp loci with the exception of the extreme frontal and occipital poles. Correlations with the BIS-10 motor impulsiveness subscale had a similar scalp distribution. Correlations with the BIS-10 non-planning impulsiveness subscale were significant over the frontal third of the scalp, including the frontal pole. Trait anxiety was not significantly related at the 0.01 level to AR scores. Theoretical implications of these findings are discussed.     

Hassles,anxiety, and negative well-being

Adult volunteers (N = 234) responded to a “decontaminated” hassles scale plus measures of trait anxiety, perceived stress, psychiatric symptomatology, and minor physical ailments. All but the anxiety scale were time-referenced to the past month. Major findings were as follows: (1) Hassles and trait anxiety contributed positively to perceived stress, both individually and interactively, accounting altogether for 55% of the variance; highly anxious subjects showed lower increments in perceived stress with increasing hassles-exposure than did low anxious subjects. (2) Hassles and trait anxiety had a positive synergistic effect on psychiatric symptomatology which, along with the nonsignificant marginal main effects, accounted for 64% of the variance. (3) Hassles and trait anxiety had a positive synergistic effect on minor physical ailments in men; however, highly anxious women, who showed very high levels of illness under even low hassles-exposure, responded less to incremental stress than did low-anxious women. The significant Sex x Hassles x Trait-Anxiety interaction effect and all the implicated lower-order effects jointly accounted for 22% of the variance in minor ailments.     

Psychopathy is related to negative affectivity but not to anxiety sensitivity

Although the hypothesis that psychopathic individuals are characterized by a reduced capacity for experiencing anxiety is central to many theories of psychopathy, most prior studies have examined anxiety and fear measures generally considered outdated in the literature. Moreover, prior findings are mixed, with several studies reporting no relationships between psychopathy and anxiety, and others suggesting negative relationships for the affective, interpersonal aspects of the disorder and positive relationships for the antisocial behavior dimension. To examine whether psychopathy dimensions are associated with contemporary measures of anxiety, the Anxiety Sensitivity Index and State Trait Anxiety Inventory-Trait scale were administered to 157 male inmates. Participants also completed the MMPI-derived Welsh Anxiety Scale (WAS), commonly used in psychopathy studies. Analyses provide no evidence for a negative relationship between psychopathy's affective, interpersonal factor and anxiety sensitivity after controlling for trait anxiety. Trait anxiety and WAS scores were positively associated with the antisocial behavior dimension of psychopathy. Findings do replicate prior relationships between the WAS and psychopathy, suggesting the WAS may measure aspects of negative affectivity that differ from anxiety.     

Perceived self‐society moral discrepancies predict depression but not anxiety

Discrepancies between one's own beliefs, standards and practices and the standards expected by others are associated with increased vulnerability to depression and anxiety. Perhaps the most important personal standard is morality, one's standard of acceptable behaviour. We therefore reason that perceived discrepancies between one's own moral standards and those of society predict anxious and depressed moods. We tested this hypothesis, for the first time, in a sample of 99 female Turkish students. Moral discrepancies were assessed using an adapted moral foundations scale: participants were asked how much payment they would require to perform a series of potentially immoral acts, and how much payment they thought the average person in society would require. Participants also completed standard questionnaire measures of depression and trait anxiety. Results show that perceived self‐society moral discrepancies were significantly related to depression scores, but not to anxiety scores. Furthermore, only discrepancies related to the moral dimensions of respect for ingroups and avoiding harm were related to depression. We argue that perceiving a discrepancy between one's own standards of behaviour and those of society can increase vulnerability to depression, much as other kinds of self‐other discrepancies can; however, the specific moral standards which predict depression may vary with culture and the characteristics of the sample.     

Establishing a trait anxiety threshold that signals likelihood of anxiety disorders

Abstract

Evidence suggests that the State Trait Inventory for Cognitive and Somatic Anxiety (STICSA) may be a more pure measure of anxiety than other commonly used scales. Further, the STICSA has excellent psychometric properties in both clinical and nonclinical samples. The present study aimed to extend the utility of the STICSA – Trait version by identifying a cut-off score that could differentiate a group of clinically diagnosed anxiety disorder patients (n=398) from a group of student controls (n =439). Two receiver operating characteristic curve analyses indicated cut-off scores of 43 (sensitivity=.73, specificity=.74, classification accuracy=.74) and 40 (sensitivity=.80, specificity=.67, classification accuracy=.73), respectively. In a large community sample (n =6685), a score of 43 identified 11.5% of individuals as probable cases of clinical anxiety, while a score of 40 identified 17.0% of individuals as probable cases of clinical anxiety. As a result of differences in sensitivity and specificity, the present findings suggest a cut-off score of 43 is optimal to identify probable cases of clinical anxiety, while a cut-off score of 40 is optimal to screen for the possible presence of anxiety disorders.     

Specific fears as predictors of generalized anxiety

Three hundred thirty-seven female undergraduates completed the Trait Form of the State-Trait Anxiety Inventory (STAI) and the Fear Survey Schedule-II (FSS) to determine if any specific fear factor was significantly related to STAI score. All fear factor scores and the total FSS-II score were significantly correlated with the STAI score and with each other. A stepwise regression procedure indicated that Factor 1, Fear of Social Interaction, accounted for 25.2% of the variance in STAI scores (p <.001), while Factor 4, of Negative Social Evaluation, accounted for an additional 1.8% of the variance (p <.01). The implications for theory, assessment, and intervention are discussed.     

Trait and state anxiety: Relations to executive functioning in an at-risk sample

Prior research with adults suggests mixed evidence for the relations of state and trait anxiety to prefrontal executive functions (EF). Trait anxiety is hypothesised to impair the efficiency of prefrontal areas and goal-directed attention and has been largely associated with poorer performance on executive functioning tasks. Fewer studies have investigated state anxiety, and the findings have been mixed. As studies of these processes in children have been limited by small sample sizes and a focus on working memory, we examine whether state and trait anxiety are associated with performance on two EF tasks in a sample of urban, low-income children, ages 9–12. Results indicated that higher trait anxiety predicted lower executive functioning on both tasks. In addition, higher state anxiety was related to better performance on the Stroop task. Results demonstrate that, consistent with the adult literature, higher trait anxiety is related to lower executive functioning in children.     

State–trait anxiety and existential fear: an empirical analysis

The Fear Checklist consists of 18 items (e.g. intimacy, loss of control, failure) a respondent checks to signify areas that have been or currently are personal sources of concern and/or apprehension. Total scores on the Fear Checklist, along with scores on each of its three subscales (Social, Control, Identity), were correlated with the state (A-State) and trait (A-Trait) anxiety scales of the State–Trait Anxiety Inventory (STAI). Both the A-State and A-Trait scales demonstrated significant association with the total Fear Checklist score (r_stat =0.48, r_trait=0.50) and each of its three subscales in a group of 135 male federal prisoners. Despite substantial overlap between the A-State and A-Trait scales (r=0.76), each achieved significant partial correlations with the total Fear Checklist score when the other scale was controlled (i.e. the A-Trait score was controlled in the state anxiety–fear relationship and the A-State score was controlled in the trait anxiety–fear relationship). These results lend preliminary support to the notion that existential fear, as measured by the Fear Checklist, is sensitive to both dispositionally (A-Trait) and situationally (A-State) based anxiety, although the majority of variance shared by the STAI and Fear Checklist was common to both STAI scales.     

Sex differences in Group Embedded Figures Test performance in relation to sex-role,state and trait anxiety

The Group Embedded Figures Test of field dependence (GEFT) was administered to first-year psychology students who were then assigned to four sex-role classes depending on whether or not they exceeded median masculinity and femininity scores on the Bem Sex-Role Inventory. Males achieved significantly higher GEFT scores but there were no significant sex-role effects. In a second study, other students were assigned to field dependent (DEP) and independent (INDEP) groups according to whether or not they exceeded the median GEFT performance for each sex. Between-group comparisons were then made of scores on the state and trait scales of the State-Trait Anxiety Inventory. In neither case was there a significant difference between the DEP and INDEP groups. However, for males only, there was a significant negative correlation between state and GEFT scores as well as a significant positive correlation between the two anxiety scales. Although the latter results suggested a sex difference in how the GEFT demands are perceived, it was concluded that neither sex-role nor state or trait anxiety could adequately account for consistently better male GEFT performance.     

How Do Elements of a Reduced Capacity to Withstand Uncertainty Relate to the Severity of Health Anxiety?

Intolerance of uncertainty (IU)—a multidimensional cognitive vulnerability factor—is associated with a variety of anxiety disorders and health anxiety (HA). To date, few studies have assessed whether IU dimensions (prospective and inhibitory IU) are differentially associated with HA and whether their contributions are independent of anxiety sensitivity (AS). This study addressed these issues using independent community (n = 155; 81% women) and undergraduate (n = 560; 86% women) samples. Results indicated that prospective IU, but not inhibitory IU, had significant positive associations with HA in community dwellers and undergraduate students. AS somatic and cognitive concerns were also significant predictors among both samples. In addition, severity of IU dimensions among individuals reporting elevated HA were compared against individuals diagnosed with generalized anxiety disorder, social anxiety disorder, panic disorder, and obsessive–compulsive disorder. Results indicated minimal differences between those with elevated HA and each of the anxiety disorder diagnoses. Findings lend support to the unique transdiagnostic nature of IU and support commonalities between HA and anxiety disorders.     

The Impact of Trait Anxiety on Self‐frame and Decision Making

The present study investigated how trait anxiety influenced the formation of a self‐frame and decision making. Participants (N = 1044) responded to the Trait Anxiety Inventory. Those with trait anxiety scores ±1 Z score from the sample mean (N = 328) were recalled to respond to the self‐frame questionnaire. The results suggested that trait anxiety differences could result in differences in the editing of decision‐making information, thereby influencing the risky choice. Compared with the low trait anxiety group, participants from the high trait anxiety group showed a greater tendency to use negative vocabulary to construct their self‐frame and tended to choose conservative plans. Self‐frame suppressed the influence of trait anxiety on decision making. These results further confirmed the hypothesis that individual differences in personality traits might influence the processing of information in a framed decision task. Copyright © 2013 John Wiley & Sons, Ltd.     

Cognitive trait anxiety,stress and effort interact to predict inhibitory control

Few studies have focussed on the link between anxiety and inhibitory control in the absence of stimulus-driven external threat. This two-part experiment examined the interactions between (1) somatic trait anxiety, somatic situational stress (i.e. threat of electric shock), and effort, and (2) cognitive trait anxiety, cognitive situational stress (i.e. ego-threat instructions), and effort, on inhibitory processes using a Go-No-Go paradigm. Trait anxiety was operationalised using questionnaire scores and effort was operationalised using a visual analogue scale. Performance effectiveness was measured using the d′ parameter from signal detection theory and processing efficiency was indexed by the ratio of d′ to response time on correct trials. Results indicated that somatic trait anxiety and stress did not predict effectiveness or efficiency. Cognitive trait anxiety and stress were associated with both inhibitory effectiveness and efficiency deficits; however, contrary to expectations these deficits were evident at higher rather than lower mental effort. Results suggest a distinction between how somatic and cognitive anxiety manifest on tasks involving inhibitory control.     

Fear of fear,trait anxiety and aerobic fitness in relation to state anxiety during adrenalin provocation

Abstract

Psychological explanations of both spontaneous and experimentally induced panic anxiety stress the role of fear of fear, especially fear of bodily symptoms of arousal. Fear of fear is conceptually different from trait anxiety but may be associated with repeated experience of arousal symptoms in fearful situations, while frequent physical exercise may lead to habituation to these symptoms. To test this hypothesis, 44 healthy male volunteers, classified as having high or low trait anxiety and high or low aerobic fitness, underwent a single-dose adrenalin infusion (80 nanogram/kilogram bodyweight/minute). In both groups, during the experiment a significant rise in state anxiety was found; compared to the group with low trait anxiety, subjects with high trait anxiety reported higher levels of state anxiety, which could be attributed to differences in aerobic fitness. In the high-anxious group, subjects showed a greater decrease in state anxiety during the recovery phase. State anxiety during adrenalin was strongly associated with fear of bodily symptoms only in the high-anxious group. Correlations between trait anxiety and somatic anxiety were not significant; state anxiety scores tended to correlate negatively with physical fitness. It is concluded that these results lend support to a fear of fear-model of panic anxiety.     

Examining the State-Trait Anxiety Relationship: A Behavioural Genetic Approach

State and trait anxiety define different aspects of anxiety, and may represent environmentally and genetically mediated components of this phenotype. Furthermore their relationship, where trait anxiety is expressed through levels of state anxiety under threatening circumstances, may represent a process of interplay between a genetic vulnerability factor and an environmental stressor. To test these hypotheses, we explored genetic and environmental influences on measures of state and trait anxiety in a sample of 1058 twins (521 males and 537 females) aged 8–16. The results were consistent with these hypotheses. State anxiety is largely influenced by environmental factors in males and females whereas trait anxiety shows moderate genetic effects and substantial non-shared environment effects. Their association was accounted for by non-shared environmental effects, with modest genetic and shared environmental inputs. The implications of these results for vulnerability mechanisms involving stress reactivity on anxiety are discussed.