German version of the Kuwait University Anxiety Scale: psychometric parameters

A German translation of the Kuwait University Anxiety Scale, written originally in Arabic, was prepared. A sample of 207 men and women German college students was recruited. Coefficient alpha was .88, whereas the item-remainder correlations ranged from .21 to .63, denoting good internal consistency. The correlation of the scale with the German form of the Trait Anxiety Scale was .76, indicating high criterion-related validity. Three factors were identified: General, Somatic, and Cognitive/Affective Anxiety. German students scored lower (less anxious) than students from the U.S. and 18 Arab countries. The sex difference was not significant for the German sample.     

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.     

The Statistical Anxiety Rating Scale: further evidence for multidimensionality

The Statistical Anxiety Rating Scale has been conceptualized as multidimensional. Three of the six theoretical dimensions, Interpretation Anxiety, Test and Class Anxiety, and Fear of Asking for Help, tap anxiety about statistics; the other three dimensions, Worth of Statistics, Computation Self-concept, and Fear of Statistics Teachers, measure perceptions and attitudes toward statistics. This conceptualization of a second-order factor model consisting of two superordinate factors and six first-order factors has remained empirically untested. In 77 graduate students (15 men, 62 women; M age = 27.6 yr.) enrolled in applied statistics courses in Taiwan, a confirmatory factor analysis of two competing models based on subscale scores yielded results supporting the multidimensional construct validity of the scale. As multidimensionality was previously supported based on item scores, but not subscale scores, the findings are interpreted as partially consistent with previous research testing the theoretical factor structure of the scale.     

The Intolerance of Uncertainty Scale: psychometric properties of the English version

Research is now suggesting that intolerance of uncertainty may be very important in understanding worry and may play a key role in the etiology and maintenance of worry. The present study attempted to further our understanding of intolerance of uncertainty by examining the psychometric properties of the English version of the Intolerance of Uncertainty Scale (IUS), which has already been validated in French. Factor analysis indicated that the IUS has a four-factor structure that represents the idea that uncertainty is stressful and upsetting, uncertainty leads to the inability to act, uncertain events are negative and should be avoided, and being uncertain is unfair. The IUS has excellent internal consistency, good test-retest reliability over a five-week period, and convergent and divergent validity when assessed with symptom measures of worry, depression, and anxiety. Overall, this study suggests that the IUS is a sound measure of intolerance of uncertainty and supports the idea that intolerance of uncertainty is an important construct involved in worry.     

The Speech Anxiety Thoughts Inventory: scale development and preliminary psychometric data

Cognitions have been known to play a central role in the development, maintenance, and treatment of speech anxiety. However, few instruments are currently available to assess cognitive contents associated with speech anxiety. This report describes three studies examining the psychometric characteristics of a revised English version of the Speech Anxiety Thoughts Inventory (SATI)-an instrument measuring maladaptive cognitions associated with speech anxiety. In Study 1, factor analyses of the SATI revealed a two-factor solution-"prediction of poor performance" and "fear of negative evaluation by audience", respectively. In Study 2, the two-factor structure was replicated. In addition, results revealed stability over a four-week period, high internal consistency, and good convergent and discriminant validity. In Study 3, the scale demonstrated sensitivity to change following brief exposure-based treatments. These findings suggest that the SATI is a highly reliable, valid measure to assess cognitive features of speech anxiety.     

Effectiveness of the Hamilton Anxiety Rating Scale with Older Generalized Anxiety Disorder Patients

To expand the collection of instruments available for assessment of anxiety in the elderly, this report examined the original and revised Hamilton anxiety scales in a sample of 50 older adults diagnosed with Generalized Anxiety Disorder (GAD) and 93 normal community participants (ages 55–82). Although the revised anxiety scale had better discriminant validity (lower correlation with the revised Hamilton depression scale) than the original anxiety and depression scales, a considerable amount of shared variance still existed (41% shared variance, GAD sample alone; 17% control sample alone; 74% shared variance, both samples combined). Near-perfect group classification was possible using 7 items from the original anxiety scale and 10 items from the revised anxiety scale. Results are discussed in light of their implications for use of the Hamilton anxiety rating scale with older anxiety-disordered patients.     

Psychometric Properties of the Gaze Anxiety Rating Scale: Convergent,Discriminant, and Factorial Validity

Fear and avoidance of gaze are two features thought to be associated with problematic social anxiety. Avoidance of eye contact has been linked with such undesirable traits as deceptiveness, insincerity, and lower self-esteem. The Gaze Anxiety Rating Scale (GARS) is a self-report measure designed to assess gaze anxiety and avoidance, but its psychometric properties have only been assessed in one preliminary study. We further investigated psychometric properties of the GARS by assessing convergent and factorial validity. We obtained a two-factor solution: gaze anxiety and avoidance across situations (1) in general (GARS-General) and (2) related to dominance communication (GARS-Dominance). The GARS-General factor related more strongly to social anxiety than the GARS-Dominance, and convergent validity of the factors was supported by expected relationships with personality and social anxiety variables. Our results indicate that the GARS subscales are psychometrically valid measures of gaze aversion, supporting their use in future study of the relationship between social anxiety and eye contact behavior.     

The Work Environment Scale and the Ward Atmosphere Scale (short forms): psychometric data

Alpha coefficients of internal consistency for the Short Forms of the Work Environment Scale and Ward Atmosphere Scale, their major dimensions and their subscales are presented. Although some exceptions were noted, the indices reported here attest to the adequate reliability of the short forms of the two scales, which was previously documented for the unabridged forms. The few exceptions are hypothesized to be attributable to either sampling error or the fact that each factor is comprised of only 4 items. The need for further reliability testing of these short forms is emphasized.     

The Italian version of the Social Comparison Rating Scale and the Submissive Behaviour Scale: Reliability and validity in a sample of adolescents

Social rank theory argues that social comparison and submissive behaviour are mechanisms by which humans and animals form themselves into social ranks. Design: this study assesses the psychometric properties of Italian versions of the Social Comparison Rating Scale—SCRS and Submissive Behaviour Scale—SBS in a sample of adolescents. The samples consisted of a clinical group (N = 200) and a non-clinical group (N = 1991). The non-clinical group allowed us to obtain two random samples used for the EFA and the CFA; moreover, we also extracted a Retest sample consisting of 219 subjects. Internal consistency was satisfactory and the factor structures were similar to the original version of the measures. The SBS and SCRS were significantly correlated with all the symptom profiles on the SCL-90-R, in both populations. Clinical populations had higher correlations with these measures. Statistical analyses showed a good fit to the data, replicating the constructs of the original scales. These results confirm that submissive behaviour and social comparison are associated with mental health problems.     

Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale

The study aims to develop and assess metric proprieties of the Portuguese version of the Hospital Anxiety and Depression Scale. A sequential sample includes 1322 participants diagnosed with cancer, stroke, epilepsy, coronary heart disease, diabetes, myotonic dystrophy, obstructive sleep apnoea, depression and a non-disease group, which completed the HADS. The first step includes translation, retroversion, inspection for lexical equivalence and content validity, and cognitive debriefing. Then we reproduce oblique exploratory factor analysis and use confirmatory factor analysis. We explore the sensibility of the questionnaire. The validation process of the Portuguese HADS version shows metric properties similar to those in international studies, suggesting that it measures the same constructs, in the same way, as the original HADS form.     

Behavioral assessment of public-speaking anxiety using a modified version of the Social Performance Rating Scale

The current study aimed to extend the evaluation of the utility of the Social Performance Rating Scale (SPRS) [Behav. Res. Ther. 36 (1998) 995]. We examined the utility of a modified SPRS for the behavioral assessment of public-speaking anxiety among patients with social phobia (n = 49). The videotaped performance of public-speaking fearful patients in a public-speaking task was rated using four of the five SPRS ratings and was compared to global ratings by patients and observers, as well as to self-report and clinician-administered measures of social anxiety. The pattern of correlations with criterion measures of social anxiety provided evidence for the convergent and divergent validity of this modified SPRS for the behavioral assessment of public-speaking anxiety.     

A psychometric evaluation of the Hospital Anxiety and Depression Scale during pregnancy

The utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression during pregnancy was investigated. A maximum likelihood factor analysis was conducted on the HADS to determine its psychometric properties and utility in 100 women from two culturally diverse populations (UK and Uzbekistan) at 12-weeks and 34-weeks pregnancy. The findings suggest that the HADS lacks the internal reliability requirements of a clinical assessment tool in this population. There was little evidence found to suggest that the HADS measures two dimensions of anxiety and depression consistently and reliably. The findings from this study suggest that the HADS could not be recommended as a clinical screening tool for anxiety and depression in pregnant women. Further research in this area is both desirable and required.     

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

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

The Functional Analytic Psychotherapy Rating Scale: a Replication and Extension

Few theories of psychotherapy give direction to the therapist on a moment-to-moment level or make predictions about how specific therapist techniques change client behavior in session. Functional analytic psychotherapy (FAP, Kohlenberg and Tsai in Functional analytic psychotherapy: a guide for creating intense and curative therapeutic relationships. Plenum, New York 1991) provides this direction and prediction. Specifically, FAP claims that client problem behaviors will be displayed in the therapeutic relationship and that the therapist can improve client in-session behavior through differential, contingent responding. Further, it is assumed that these improvements in session can be generalized to out of session relationships. The FAP rating scale (FAPRS) was developed for the purpose of coding in-session client and therapist behaviors in an effort to test FAP’s purported mechanism of change. The current study seeks to replicate and extend initial FAPRS findings (Callaghan et al. in J Contemp Psychother 33:321–339, 2003) regarding mechanism of change and to address transportability. FAPRS coding data from a single successful case of an individual diagnosed with Borderline Personality Disorder and treated with FAP is presented. Results indicate that the FAPRS system is transportable and are generally supportive of the claim that therapist contingent responding leads to client improvement.     

Evaluating psychometric properties of Farsi version of the Positive and Negative Perfectionism Scale

This study examined the psychometric properties of the Farsi version of the Positive and Negative Perfectionism Scale. Two samples of 97 (56 women, 41 men) and 115 (67 women, 48 men) undergraduate students at the University of Tehran participated. Findings supported the internal consistency, test-retest reliability, concurrent validity, and factor structure of the Farsi version. Factor analysis provided evidence for two dimensions of perfectionism, Positive and Negative perfectionism. The two dimensions had significant negative and positive correlations, respectively, with measures of psychological distress and health, respectively. The Farsi version of the Positive and Negative Perfectionism Scale presented good psychometric properties for use in research.     

Parent-Youth Rating Concordance for Hair Pulling Variables,Functional Impairment,and Anxiety Scale Scores in Trichotillomania

ABSTRACT

Knowledge of cross-informant rating concordance is critical for the assessment of child and adolescent problems in clinical and research settings. We explored parent-youth rating concordance for hair pulling variables, functional impairment, and anxiety symptoms in a sample of child and adolescent hair pullers (n = 133) satisfying conservative diagnostic criteria for trichotillomania (TTM). Whole group analyses reveal significant parent-youth agreement on all study variables. Split group analyses, however, reveal superior parent-youth concordance for the adolescent (15–17 years old) versus younger (10–12 years old) hair pullers for awareness of hair pulling and anxiety scale scores. These results highlight the need for both parent and youth ratings when assessing younger children with TTM.     

The Couples Emotion Rating Form: psychometric properties and theoretical associations

The Couples Emotion Rating Form assesses 3 types of negative emotion that are salient during times of relationship conflict. Hard emotion includes feeling angry and aggravated, soft emotion includes feeling hurt and sad, and flat emotion includes feeling bored and indifferent. In Study 1, scales measuring hard and soft emotion were validated by observation of 82 married couples in a series of conflict conversations. Self-report ratings for each emotion corresponded with observer ratings of the same emotion, and the emotion scales produced expected correlations with negative affect. In Study 2, a measure of flat emotion was added to the instrument, and 1,239 married people completed questionnaires. The rating form fit an expected 3-dimensional factor structure, and each scale correlated with a set of theoretically linked constructs. Hard emotion was associated with power assertion, pursuit of self-centered goals, and negative communication. Soft emotion was associated with expressions of vulnerability, pursuit of prosocial goals, and positive communication. Flat emotion was distinct from other emotions in being associated with withdrawal.     

A study of the psychometric properties of the Beck Depression Inventory‐II,the Montgomery and Åsberg Depression Rating Scale,and the Hospital Anxiety and Depression Scale in a sample from a healthy population

The objective of this study is to evaluate internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS), the Beck Depression inventory‐II (BDI‐II) and the Montgomery and Åsberg Depression Rating Scale (MADRS) for screening for major depressive episode (MDE) in a selected sample from a healthy population. Participants answered the BDI‐II and the HADS questionnaires and were interviewed with MADRS. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM)‐IV Axis I Disorders‐Clinician Version (SCID‐CV) was used to diagnose MDE. Current MDE was diagnosed in 20 (6%) of the 357 participants. All three scales including the depression sub‐scale for HADS had high area under the receiver operating characteristics curve (ROC) (AUC) (0.84–0.87), and internal consistency was also high for all scales (0.75–0.89). Optimal cut‐off for MDE was ≥ 12 for BDI‐II, MADRS ≥ 8, HADS total ≥ 9, and HADS‐D ≥ 4, which all resulted in sensitivities = 85% and specificities > 78%. Diagnostic accuracy was low on all depression scales (Cohen's kappa = 0.20–0.40). Reports of the properties of depression scales in a healthy population are limited. We found BDI‐II, HADS and MADRS to be acceptable as screening instruments for MDE in a selected sample from healthy population with recommend cut‐offs as mentioned above.     

Brief Trust/Mistrust in God Scale: psychometric properties of the Farsi version in Muslims

In Iran, a Middle Eastern Islamic country, far too little attention has been paid to the validation and cultural adaptation of measures of religion/spirituality. This has limited the potential for research in this area. The objective of the paper is to assess the psychometric properties of the Farsi version of the Brief Trust/Mistrust in God Scale (BTMGS). After translation of the original English version of the measure into Farsi using a standard forward–backward method, the BTMGS along with the Duke University Religion Index (DUREL) and Hoge Intrinsic Religiosity (Hoge IR) Scale was administered to 720 medical students, physicians, and nurses at Tehran University of Medical Sciences and affiliated hospitals. Internal consistency (α), test–retest reliability, concurrent validity, and construct validity were determined for the BTMGS. The Farsi version of the BTMGS had high internal consistency (α = 0.90 and 0.92 for trust and mistrust subscales, respectively) and test–retest reliability (intraclass correlation coefficient = 0.89 and 0.95 for trust and mistrust subscales, respectively), and was adequately correlated with other established measures of religiosity (i.e., the DUREL [r = 0.64, p < 0.001] and Hoge IR [r = 0.54, p < 0.001]) indicating support for the concurrent validity of the measure. A confirmatory factor analysis indicated that the Farsi version has two factors (i.e., Trust in God and Mistrust in God) consistent with the original scale. These findings suggest that the Farsi version of BTMGS is a valid and reliable measure in Farsi-speaking populations that may be used to assess relationships with health and well-being.     

The psychometric properties of the Greek version of the State-Trait Anxiety Inventory in cancer patients receiving palliative care

Objectives: To validate the Greek version of the State-Trait Anxiety Inventory (STAI) in a sample of cancer patients. Design: The scale was administered twice, with a 3-day interval, to 99 eligible patients with cancer. Together with the Greek version of STAI scale, the patients also completed the anxiety subscale from the Hospital Anxiety and Depression scale (HAD). Observations: Factor analysis yielded a three-factor solution, explaining 47.143% of the variance. Cronbach α for three scales was between 0.729 and 0.852. Inter-scale correlations were moderate-to-high and ranged from 0.282 to 0.563 (p < 0.0005, p < 0.005). The assessment of the relationships among the Greek STAI scales and HAD-Anxiety showed statistically significant correlations between them (r ranged between 0.428 and 0.596, p < 0.0005). The test/retest reliability of scale (Pearson's ‘r’), showed that the coefficient agreement ranged between 0.85 and 0.90 (p < 0.0005). Univariate analysis revealed significant correlations between female gender, metastasis, performance status, chemotherapy, mild opioids and low education level with increased anxiety. Conclusions: These results support that the Greek version of STAI is an instrument with satisfactory psychometric properties, and is a valid research tool for Greek cancer patients.