Are modern health worries associated with somatosensory amplification,environmental attribution style,and commitment to complementary and alternative medicine?

Relationship among modern health worries (MHWs), somatosensory amplification (SSA), and attributional styles was investigated in a cross-sectional questionnaire study. A total of 99 university students, 104 patients visiting their General Practitioners, and 102 future alternative therapists completed questionnaires assessing MHWs, SSA, negative affect (NA), and psychological, somatic and normalizing (environmental) attribution styles. Significant correlation between SSA and MHWs was found in all three samples. MHWs and psychological attribution style were significantly associated with Complementary and Alternative Medicine (CAM)-orientation in the regression equation even after controlling for SSA, NA, and sociodemographic variables. MHWs were independent from any attribution styles in the student and patient samples, while significant correlations with all three styles were found in the CAM group. Previously described association between MHWs and SSA was replicated in three different samples. The connection between MHWs and CAM preference seems to be independent from SSA, NA or any particular attribution style.     

The Beck Anxiety Inventory: Psychometric Properties with Older Adults

The assessment of anxiety disorders in late life is often hindered by the lack of measures specifically validated with older adults. Because anxiety manifestations may vary across age groups, it is important to design new instruments or validate existing measures with older adults. This study examined the psychometric properties of the Beck Anxiety Inventory (BAI) in a sample of 281 older adults who were community-dwelling (82.6%) or living in residential care facilities (17.4%). The mean total BAI score was 6.5 (SD = 7.2), indicating minimal anxiety symptomatology in this older sample. There was a trend for older subjects to score higher. Females scored higher than males, and subjects living in a residential facility scored higher than did community dwellers. Item-total correlations were in the moderate range and the internal consistency of the BAI was adequate (alpha = 0.89). A factor analysis yielded a six-factor structure accounting for 64.6% of the variance, with a somatic factor accounting for the largest portion of the variance (32.2%). Because somatic symptoms are more prevalent with aging, such symptoms should not be weighed as heavily in the total BAI score as cognitive or behavioral symptoms. The findings indicate that the BAI is a useful self-report scale for assessing anxiety symptomatology among older adults.     

Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in general population

This is the first study that provides normative, reliability, factor validity and discriminant validity data of the Beck Anxiety Inventory (BAI; Beck, Epstein, Brown, & Steer, 1988) in the Spanish general population, Sanz and Navarro's (2003) Spanish version of the BAI was administered to 249 adults. Factor analyses suggested that the BAI taps a general anxiety dimension comprising two related factors (somatic and affective-cognitive symptoms), but these factors hardly explained any additional variance and, therefore, little information is lost in considering only full-scale scores. Internal consistency estimate for the BAI was high (alpha = .93). The BAI was correlated .63 with the BDI-II and .32 with the Trait-Anger scale of the STAXI 2, but a factor analysis of their items revealed three factors, suggesting that the correlations between the instruments may be better accounted for by relationships between anxiety, depression, and anger, than by problems of discriminant validity. The mean BAI total score and the distribution of BAI scores were similar to those found in other countries. BAI norm scores for the community sample were provided from the total sample and from the male and female subsamples, as females scored higher than males. The utility of these scores for assessing clinical significance of treatment outcomes for anxiety is discussed.     

A cross-sectional evaluation of the factorial invariance of anxiety sensitivity in adolescents and young adults

This study examined the cross-sectional factorial invariance of anxiety sensitivity in an ethnically diverse sample of adolescents (n = 173; mean age 15.5 years) and young adults (n = 291; mean age 20.1 years). Research in adult and youth samples suggests that anxiety sensitivity is best understood as a hierarchical construct with several lower-order factors. Factor models based on previous research using both adult and youth samples were compared and a hierarchical model with three lower-order factors provided the best fit to the data. Results supported the hypothesis that the factor structure of the Anxiety Sensitivity Index was invariant across age and gender. The factor scores also demonstrated differential correlations with symptoms of anxiety and depression. Results are discussed with regard to construct validation and understanding the structure of anxiety sensitivity in youth.     

An expanded childhood anxiety sensitivity index: its factor structure, reliability, and validity in a non-clinical adolescent sample

Anxiety sensitivity refers to the fear of anxiety-related bodily sensations that are interpreted as having potentially harmful somatic, psychological, or social consequences. The current study examined the factor analytic structure of anxiety sensitivity in a large sample of normal adolescents (N=518) using the revised childhood anxiety sensitivity index (CASI-R). Confirmatory factor analysis indicated that anxiety sensitivity as measured by the CASI-R can best be conceptualised as a hierarchical construct with four lower-order factors loading on a single higher-order factor. The lower-order factors were 'fear of cardiovascular symptoms', 'fear of publicly observable anxiety reactions', 'fear of cognitive dyscontrol', and 'fear of respiratory symptoms'. An additional aim of the present study was to investigate the psychometric properties of the CASI-R. Results showed the CASI-R to be a reliable scale in terms of internal consistency. Furthermore, CASI-R scores were substantially related to levels of anxiety sensitivity as measured by the original index, trait anxiety, symptoms of anxiety disorders, in particular 'panic disorder and agoraphobia', and depression. Finally, some evidence was found for the validity of the CASI-R factor scores. That is, all factors convincingly loaded on symptoms of 'panic disorder and agoraphobia', whereas the factor 'fear of publicly observable anxiety reactions' was also strongly associated with symptoms of 'social phobia'.     

Verbal aggressiveness and state anxiety of volleyball players and coaches

The purpose of the present study was to examine the relation of verbal aggressiveness and state anxiety (somatic, cognitive, and self-confidence) in sports settings based on the ratings by volleyball coaches and their athletes. The sample consisted of volleyball athletes (n=208; 98 men and 110 women) and their coaches (n=20; 16 men and 4 women). Analysis showed that male volleyball players rated somatic anxiety higher and were more affected by the verbal aggressiveness of their coaches than female volleyball players. No mean differences were significant for male and female coaches on somatic or cognitive anxiety, self-confidence, or verbal aggressiveness. Also, correlation between subscale scores for male and female volleyball players and coaches was found. The correlations of verbal aggressiveness with self-confidence and anxiety were positive for these athletes, leading them to better behavior. This relationship needs further examination in sport settings.     

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.     

Differentiation of self and trait anxiety: A cross‐cultural perspective

Cultural differences are likely to affect the ability to deal with anxiety. We investigated this issue among four cultural groups—Germans and Italians (Europeans living in South Tyrol, Italy), Jews and Arabs (Israelis)—in terms of their levels of differentiation of self, trait anxiety and somatic symptoms. We also examined the relationship of differentiation of self to trait anxiety and somatic symptoms. The sample consisted of 824 students: 387 Israelis (mean age 23.6) and 437 Europeans (mean age 22.3). Israeli participants reported lower levels of trait anxiety than European students. Jewish students reported lower trait anxiety than Arab students (mean difference = ?.14, p < .009), while there was no difference between German and Italian students (mean difference = .03, p > .99). Jews reported a significantly lower level of emotional cutoff than Arabs (mean difference = ?.45, p < .001), and Germans reported a significantly lower level of emotional reactivity than Italians (mean difference = .29, p < .001). Emotional reactivity and I‐position predicted all participants' trait anxiety. On the whole, results point to the importance of examining differentiation of self when trying to reduce trait anxiety, as well as some important cultural differences.     

The Beck Anxiety Inventory in nonclinical samples: Initial psychometric properties

The Beck Anxiety Inventory (BAI) was recently developed to assess clinical anxiety. Because one of its main features is a focus upon physiological sequelae of anxiety, the inventory may prove useful in nonclinical samples as well. The current paper provides initial psychometric properties with a nonclinical sample. Two studies are presented. The first presents scores and factor structure. A five factor solution was obtained, with one subjective and four somatic factors accounting for approximately 60% of the variance. The second study utilizes the total and factor scores to assess concordance with physiological responding. The total BAI correlated moderately with several physiological domains and with subjective distress. Factor scores were not consistently correlated with corresponding physiological domains. When subjects were divided into high- and low-anxiety groups, the relationships between self-report and physiological response increased in subjects with higher levels of anxiety. Results are discussed in terms of comparing clinical and nonclinical findings, use of the BAI in nonclinical samples, and future research.This research was supported in part by a grant to the first author from the Commission on Academic Excellence, University of Louisville.     

The Association Between Female College Students' Reports of Depression and Their Perceptions of Parental Attitudes Regarding Gender

This study related female college students' ( n = 377) reports of symptomatology to their reports of parental attitudes suggesting limitations inherent in being female. Young women completed a scale measuring their perceptions that their fathers would have been prouder of them if they were male, and a scale measuring their distress over the limitations experienced by their mothers. Respondents who scored high on either scale exhibited much higher prevalence than other respondents of self-reported depression accompanied by anxiety, somatic symptoms including headaches, insomnia, dyspnea, fatigue, disordered eating, and poor body image/preference for thinness (labeled anxious somatic depression ). Compared to men ( n = 191), women exhibited much higher prevalence of anxious somatic depression, but not higher prevalence of depression unaccompanied by the other symptoms.     

Common Etiological Sources of Anxiety,Depression, and Somatic Complaints in Adolescents: A Multiple Rater twin Study

Somatic complaints in children and adolescents may be considered part of a broader spectrum of internalizing disorders that include anxiety and depression. Previous research on the topic has focused mainly on the relationship between anxiety and depression without investigating how common somatic symptoms relate to an underlying factor and its etiology. Based on the classical twin design with monozygotic and dizygotic twins reared together, our study aimed to explore the extent to which the covariation between three phenotypes in adolescent girls and boys can be represented by a latent internalizing factor, with a focus on both common and specific etiological sources. A population-based sample of twins aged 12–18 years and their mothers and fathers (N?=?1394 families) responded to questionnaire items measuring the three phenotypes. Informants’ ratings were collapsed using full information maximum likelihood estimated factor scores. Multivariate genetic analyses were conducted to examine the etiological structure of concurrent symptoms. The best fitting model was an ACE common pathway model without sex limitation and with one substantially heritable (44 %) latent factor shared by the phenotypes. Concurrent symptoms also resulted from shared (25 %) and non-shared (31 %) environments. The factor loaded most on depression symptoms and least on somatic complaints. Trait-specific influences explained 44 % of depression variance, 59 % of anxiety variance, and 65 % of somatic variance. Our results suggest the presence of a general internalizing factor along which somatic complaints and mental distress can be modeled. However, specific influences make the symptom types distinguishable.     

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.     

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.     

The Kuwait University Anxiety Scale: results for 9,031 Saudi students

The Kuwait University Anxiety Scale was administered to 9,031 male (n = 4,143) and female (n = 4,888) Saudis. They were students in secondary schools (n = 4.793) and university undergraduates (n = 4,238) recruited from scattered geographical regions of the Kingdom of Saudi Arabia. Ages ranged from 15 to 26 years, mean age 19.5 yr. (SD = 2.8). The scale displayed good alphas (from .85 to .88), retest reliability (from .94 to .95), as well as good criterion-related validity (from .63 to .73) against the Trait subscale of the State-Trait Anxiety Inventory. Three highly loaded factors were extracted: Cognitive/Affective, Subjective, and Somatic anxiety. Sex differences overshadow age differences as sex-related differences were significant between the age groups from 16 to 25 years, i.e., females attained higher mean scores than their male peers. Saudi students attained means similar to those of Kuwaiti students, but both groups have significantly higher mean scores than American and Spanish college students. By and large, the scale can be recommended for use in research among students in the Saudi context.     

Types of self-reported anxiety in outpatients with DSM-III-R anxiety disorders1

To ascertain whether psychiatric outpatients can be classified into distinct types according to their self-reported symptoms of anxiety, the Beck Anxiety Inventory (BAI) was administered to 655 outpatients diagnosed with DSM-III-R anxiety disorders. Cluster analysis identified three internally consistent subscales representing subjective, somatic, and panic symptoms. Further analysis revealed six types of outpatients reflecting below average, panic-subjective, low subjective, low somatic-panic, above average, and subjective-somatic anxiety. The types were differentiated with respect to age, primary diagnosis, clinically rated anxiety, and both self-reported and clinically rated depression.     

The Kuwait University Anxiety Scale: psychometric properties

This study was undertaken to construct the Kuwait University Anxiety Scale in two comparable Arabic and English versions. The intent was to provide a research tool as well as a measure of predisposition to develop anxiety in general among adults and adolescents. The scale is comprised by 20 brief statements answered on a 4-point intensity scale, anchored by 1: Rarely and 4: Always. Factor analysis yielded three high-loaded factors of Cognitive/Affective, Behavioral/Subjective, and Somatic Anxiety, with moderate interfactor correlations. Item-remainder correlations ranged from .27 to .74. Reliabilities ranged from .88 to .92 (alpha) and between .70 and .93 (test-retest), denoting good internal consistency and stability. Criterion-related validity of the scale ranged between .70 and .88 (5 criteria), while the loadings of the scale on a general factor of anxiety were .93 and .95 in two factor analyses, demonstrating the scale's criterion-related and factorial validity. Discriminant validity of the scale was demonstrated. The scale correlated .65 with scores on the Beck Depression scale. Male adolescents attained a higher mean score than male undergraduates. Females have significantly higher mean scores than their male counterparts. Kuwaiti norms (N = 4,660) were reported. An English version of the scale is available.     

Associations between dimensions of anxiety sensitivity and PTSD symptom clusters in active-duty police officers

Prior studies have shown that anxiety sensitivity (AS) plays an important role in posttraumatic stress disorder (PTSD) symptom severity. The purpose of this study was to evaluate associations between empirically supported PTSD symptom clusters (i.e. reexperiencing, avoidance, numbing, hyperarousal) and AS dimensions (i.e. psychological concerns, social concerns, somatic concerns). Participants were 138 active-duty police officers (70.7% female; mean age = 38.9 years; mean time policing = 173.8 months) who, as a part of a larger study, completed measures of trauma exposure, PTSD symptoms, AS, and depressive symptoms. All participants reported experiencing at least one event that they perceived as traumatic, and 44 (31.9%) screened positive for PTSD. Officers with probable PTSD scored significantly higher on AS total as well as the somatic and psychological concerns dimensional scores than did those without PTSD. As well, a higher percentage of officers with probable PTSD scored positively on the AS-derived Brief Screen for Panic Disorder (Apfeldorf et al., 1994) compared with those without PTSD. A series of regression analyses revealed that depressive symptoms, number of reported traumas, and AS somatic concerns were significant predictors of PTSD total symptom severity as well as severity of reexperiencing. Avoidance was predicted by depressive symptoms and AS somatic concerns. Only depressive symptoms were significantly predictive of numbing and hyperarousal cluster scores. These findings contribute to understanding the nature of association between AS and PTSD symptom clusters. Implications for the treatment of individuals having PTSD with and without panic-related symptomatology are discussed.     

研究生婚姻态度在自我价值感与主观幸福感之间的中介作用

了解研究生的婚姻态度,探讨婚姻态度在自我价值感和主观幸福感之间的中介作用。使用婚姻态度量表(MAS)、青少年学生自我价值感量表(SSA)和幸福感指数量表(IWBQ)对470名研究生进行测查,采用Bootstrap法检验婚姻态度在自我价值感与主观幸福感之间的中介作用。结果表明,MAS、SSA和IWBQ总分及各维度得分均呈显著正相关(r=0.247～0.997,均p<0.01)。Bootstrap法检验结果显示,自我价值感对主观幸福感的直接效应为[0.58,95%CI(0.46,0.67)],以婚姻态度为中介的间接效应为[0.11,95%CI(0.06,0.17)]。研究发现,研究生的婚姻态度总体较为积极,但在性别、婚恋状况和学科背景上差异显著; 婚姻态度在自我价值感和主观幸福感之间起部分中介作用。本研究结果对了解和调节研究生婚姻态度,提升幸福感体验有一定指导意义。     

Self-efficacy and its relationship with satisfaction with life and happiness among university students

This study set out to examine the relationship between self-efficacy and satisfaction with life and happiness among university students in South Africa. The sample comprised 334 students (female = 222, male = 112, black = 96%, mean age = 23 years). The students completed a general self-efficacy scale, the satisfaction with life scale and the subjective happiness scale. Data were analysed utilising regression approaches to predict students’ satisfaction with life and happiness from self-efficacy. The results revealed higher self-efficacy scores to predict both higher satisfaction with life and happiness in both males and females. Self-efficacy seems to facilitate both satisfaction with life and happiness in general.     

The Roles of Social Support and Self-Efficacy in Physical Health’s Impact on Depressive and Anxiety Symptoms in Older Adults

Physical illness may precipitate psychological distress among older adults. This study examines whether social support and self-efficacy moderate the associations between physical health and depression and anxiety. Predictions were tested in 222 individuals age 60 or older presenting for help with worry. Physical health was assessed through self-report (subjective) and physical diagnoses (objective). Objective physical health did not have a significant association with depression or anxiety. Worse subjective physical health was associated with increased somatic anxiety, but not with depression or worry. The relationship between subjective physical health and depressive symptoms was moderated by self-efficacy and social support. As predicted, when self-efficacy was low, physical health had its strongest negative association with depressive symptoms such that as physical health improved, depressive symptoms also improved. However, the moderation effect was not as expected for social support; at high levels of social support, worse physical health was associated with increased depressive affect.