Anxiety and Depression in Children: A Preliminary Examination of the Utility of the PANAS-C

Recent research has questioned the validity of identifying depression and anxiety as separate constructs in children. The current investigation examined the usefulness of the Positive and Negative Affect Schedule for Children (PANAS-C) in differentiating between anxiety and depression in children while also providing needed reliability and validity data on the PANAS-C. In addition, the relationship between positive and negative affect and coping was examined. Subjects included 110 third through fifth graders from a semirural public school setting. Children completed the PANAS-C, as well as self-report measures of depression, anxiety, and coping strategies. Moderate item–total correlations and high internal consistency indicated that the PANAS-C has good reliability. Validity results were mixed: a two-factor solution resembled previous studies, and negative affect was associated with avoidance coping strategies whereas positive affect was associated with approach coping strategies, as expected. However, correlations of positive and negative affect, anxiety, and depression scales suggest that positive and negative affectivity are negatively related in children as opposed to separate and independent constructs. Results of the present investigation question the validity of the use of the PANAS-C for differentiating anxiety and depression with this age group and lend support to the possibility that high overlap between anxiety and depression in this age group may be specific for childhood depression.     

The 10-Item Positive and Negative Affect Schedule for Children, Child and Parent Shortened Versions: Application of Item Response Theory for More Efficient Assessment

The Positive and Negative Affect Schedule for Children (PANAS-C/P; child and parent versions) yield positive affect (PA) and negative affect (NA) scales that are clinically useful for identifying youth with anxiety and mood problems. Despite the advantages that item response theory (IRT) offers relative to classical test theory with respect to shortening test instruments, no studies to date have applied IRT methodology to the PANAS-C/P scales. In the present study, we thus applied IRT methodology using a school-based development sample (child sample: N = 799; parent sample: N = 553) and developed a shortened 5-item PA scale (joyful, cheerful, happy, lively, proud) and a 5-item NA scale (miserable, mad, afraid, scared, sad) for the sake of simultaneously increasing the assessment efficiency of the PANAS-C/P scales while improving the psychometric properties of the scales. The reduced PA and NA child scales classified relevant diagnostic groups in a separate clinic-referred validation sample (N = 662) just as well as the original PANAS-C child scales and may be used to help identify youth with internalizing disorders in need of mental health services.     

The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale

Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS). Method: Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data. Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs. Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment.     

The structure of the Hospital Anxiety and Depression Scale: Theoretical and methodological considerations

The Hospital Anxiety and Depression Scale (HADS; Zigmond - Snaith, 1983) is widely used; however, its factor structure is unclear, with studies reporting differing unidimensional, two-factor and three-factor models. We aimed to address some key theoretical and methodological issues contributing to inconsistencies in HADS structures across samples. We reviewed existing HADS models and compared their fit using confirmatory factor analysis (CFA). We also investigated methodological effects by comparing factor structures derived from Rasch and Principal Components Analysis (PCA) methods, as well as effects of a negative wording factor. An Australian community-dwelling sample consisting of 189 females and 158 males aged 17–86 (M = 35.73, SD = 17.41) completed the 14-item HADS. The Rasch Analysis, PCA and CFA all supported the original two-factor structure. Although some three-factor models had good fit, they had unacceptable reliability. In the CFA, a hierarchical bifactor model with a general distress factor and uncorrelated depression and anxiety subscales produced the best fit, but the general factor was not unidimensional. The addition of a negative wording factor improved model fit. These findings highlight the effects of differing methodologies in producing inconsistent HADS factor structures across studies. Further replication of model fit across samples and refinement of the HADS items is warranted.     

Factorial structure of the perceived stress scale and implications for scoring

IntroductionThe 10-item Perceived Stress Scale (PSS-10) is a brief, widely-used measure of perceived stressful experiences that evaluates the degree to which people perceive their lives as unpredictable, uncontrollable or overloaded.ObjectiveThe present study examined the factor structure of the Greek version of the PSS-10.MethodUsing a representative sample of 320 adults from Cyprus, alternative confirmatory factor analytic models were compared to specifically assess bidimensional versus unidimensional specifications for the scale.ResultsA bifactor model with a general factor which loads on all items and a specific one which loads on positively-worded items that capture the notion of self-efficacy to deal with stressful situations, was found to fit well to the data, while providing evidence of a robust latent factor of general distress. Reliability and construct validity evidence with multiple criterion variables were also examined.ConclusionsAlthough a simple unidimensional specification has not been empirically supported in previous research, bifactor modeling exemplifies the extent of multidimensionality and implies that a single score may be reliably used for practical purposes.     

The Relationship between Temperamental Negative Affect,Effortful Control,and Sensory Regulation: A New Look

Temperamental negative affectivity (NA) and effortful control (EC) have long been of interest to psychologists, but sensory regulation (SR) has received less attention. Using confirmatory factor analysis, the present study reexamined the Rothbart model of EC and NA using the Children's Behavior Questionnaire (CBQ; M.K. Rothbart, S.A. Ahadi, K.L. Hershy, & P. Fisher, 2001), along with alternative models of EC, NA, and SR using the CBQ and Short Sensory Profile. The results failed to replicate the Rothbart model of EC and NA, which includes SR within the EC and NA factors. A good fit was found for a three‐factor model (EC, NA, and SR) that was replicated in a holdout sample. A three‐factor model also showed a good fit when EC, NA, and SR items similar to symptoms of behavior problems were eliminated.     

The PANAS structure revisited: on the validity of a bifactor model in community and forensic samples

The Positive and Negative Affect Schedule (PANAS) is a widely used inventory for the assessment of affect in psychology and other applied sciences. Despite its popularity, the structure of the PANAS is still under debate. On the one hand, there is evidence of the traditional 2-factor model with Positive Affect (PA) and Negative Affect (NA) as uncorrelated factors. On the other hand, a more complex structure of the PANAS has been discussed. To shed further light on the core dimensions of the PANAS, 2 studies investigated the structure of the PANAS in 2 German samples (N = 354 and N = 364, respectively) by means of confirmatory factor analysis. The factor analysis results of Study 1 for a traitlike time frame instruction suggested a suboptimal model fit for the uncorrelated 2-factor model and the 3-factor model with PA, Afraid, and Upset as factors, whereas a superior model fit occurred for a bifactor model with traitlike PA, NA, and a general 3rd factor named Affective Polarity. In Study 2, the bifactor model was replicated for a statelike PANAS time frame instruction and evidence of criterion validity was provided for PA, NA, and Affective Polarity factors in 2 sex offender subgroups and in a community sample. With Affective Polarity, we introduce an affect dimension that captures additional variance beyond PA and NA. Because of the adjectives with relevant loadings on Affective Polarity, this general factor represents an individual's orientation toward approach and withdrawal, respectively.     

Fear of Physical Harm: Factor Structure and Psychometric Properties of the Injury/Illness Sensitivity Index

Three fundamental fears—anxiety sensitivity, fear of negative evaluation, and injury/illness sensitivity—are believed integral components of anxiety-related psychopathologies. S. Taylor (1993) performed a cumulative factor analysis on measures of these and found them factorially distinct. Subsequently, separate factor analyses have been performed on measures of anxiety sensitivity and fear of negative evaluation. No such analysis exists for the Injury/Illness Sensitivity Index (ISI; S. Taylor, 1993). The ISI, an 11-item self-report questionnaire intended to measure fear of illness and injury, has the potential to inform the understanding of mechanisms underlying anxiety-associated chronic health conditions. The primary purpose of this study was to assess the factor structure and psychometric properties of the ISI. A principal components analysis with oblique rotation, conducted on data from 122 participants, suggests the ISI comprises two distinct lower order factors—Fear of Illness and Fear of Injury—that load onto a higher order factor of Fear of Physical Harm.     

A Bifactor Model of Anxiety Sensitivity: Analysis of the Anxiety Sensitivity Index-3

The purpose of the current study was to investigate the fit of a bifactor model of the Anxiety Sensitivity Index-3 (ASI-3; Taylor et al. Psychological Assessment, 19, 176–188, 2007) as well as to examine measurement invariance of the ASI-3 across gender. Participants were undergraduate students from the University of Cincinnati (n?=?954; 63 % female). Results indicated that the bifactor model was the best fit to the data, and that this model of AS is fully invariant in terms of gender. The current findings suggest that anxiety sensitivity consists of a general factor and three independent group factors (rather than a higher-order factor with three correlated lower-order factors). The ASI-3 subscales from the bifactor model however did not provide incremental predictive utility above and beyond the general AS factor with respect to an external anxiety criterion. Related research and clinical implications are discussed.     

A Test of the Tripartite Model of Anxiety and Depression in Elementary and High School Boys and Girls

The applicability of the tripartite model of emotion, which distinguishes the shared aspect of depression and anxiety, negative affect (NA), from their respective specific components of low positive affect (PA) and physiological hyperarousal (PH), was examined in 472 elementary and high school students. The relations among depression, anxiety, and the three tripartite dimensions were examined for the total sample and across four subgroups based on age and gender. High school girls reported more depression, anxiety, NA, and PH than the other groups, and lower PA as assessed by the PANAS-C, but not the AFARS. Using structural equation modeling, the tripartite model proved to be a reasonably good fit for the total sample. Among the subgroups, the best fit was found for high school girls. However, several findings for the total sample and for individual subgroups were not consistent with the tripartite model, raising issues related to the independence and specificity of the tripartite constructs and their measurement. Alternative age- and gender-specific models to better account for the shared and unique aspects of depression and anxiety in children need to be explored.     

Self‐compassion Is Best Measured as a Global Construct and Is Overlapping with but Distinct from Neuroticism: A Response to Pfattheicher,Geiger, Hartung,Weiss, and Schindler (2017)

Pfattheicher and colleagues recently published an article entitled ‘Old Wine in New Bottles? The Case of Self‐compassion and Neuroticism’ that argues the negative items of the Self‐compassion Scale (SCS), which represent reduced uncompassionate self‐responding, are redundant with neuroticism (especially its depression and anxiety facets) and do not evidence incremental validity in predicting life satisfaction. Using potentially problematic methods to examine the factor structure of the SCS (higher‐order confirmatory factor analysis), they suggest a total self‐compassion score should not be used and negative items should be dropped. In Study 1, we present a reanalysis of their data using what we argue are more theoretically appropriate methods (bifactor exploratory structural equation modelling) that support use of a global self‐compassion factor (explaining 94% of item variance) over separate factors representing compassionate and reduced uncompassionate self‐responding. While self‐compassion evidenced a large correlation with neuroticism and depression and a small correlation with anxiety, it explained meaningful incremental validity in life satisfaction compared with neuroticism, depression, and anxiety. Findings were replicated in Study 2, which examined emotion regulation. Study 3 established the incremental validity of negative items with multiple well‐being outcomes. We conclude that although self‐compassion overlaps with neuroticism, the two constructs are distinct. © 2018 European Association of Personality Psychology     

Refinement and Psychometric Properties of the Eight-Item Brazilian Positive and Negative Affective Schedule for Children (PANAS-C8)

This study aimed to refine the Brazilian Positive and Negative Affect Scale for Children (PANAS-C34). A total of 1,160 children, between seven and 16 years of age (M = 11.2; SD = 1.92), from public elementary schools in eight Brazilian southern cities participated in the study. Four studies were conducted for this project. Study I (n = 370) evaluated the factorial structure of the PANAS-C34 (the original 34-item version). Ten potential items were selected for the instrument’s refined version. Employing an independent sample (n = 340), Study II assessed the utility of this ten-item version. Exploratory factor analysis, parallel analysis, and confirmatory factor analysis supported a bi-factorial solution. However, significant modification indices emerged for two items (happy and sad) regarding their respective factors and thus they were excluded. In Study III, using another independent sample (n = 450), it was demonstrated that the eight-item version (PANAS-C8) had better fit indices than the ten-item version. In Study IV (N = 1,160) a multigroup confirmatory factor analysis was conducted to evaluate the measurement invariance of the factorial solution across gender. Moreover, convergent validity was also evaluated using the Child Depression Inventory (CDI) and the General Life Satisfaction Scale for Children (GLSS-C). Measurement invariance was obtained for the PANAS-C8 across all the investigated model parameters. The correlations between the PANAS-C8 and both the CDI and the GLSS-C were of similar magnitude to those obtained using the PANAS-C34. The PANAS-C8 had adequate validity indices, demonstrating its usefulness in evaluating positive and negative affect in children.     

Reactive and self-regulatory dimensions of temperament: Interactive relations with symptoms of general distress and anhedonia

Converging evidence indicates that shared temperamental diatheses partly underlie the covariance between anxiety and depression. Although developmental psychopathology research suggests that self-regulatory temperament (e.g., effortful control or EC) mitigates reactive risks associated with negative affectivity (NA) and positive affectivity (PA), and their respective counterparts, behavioral inhibition- and activation sensitivity (BIS and BAS), no studies have established EC’s protective effects in adulthood. This study examined concurrent relations between temperament and distress symptoms shared by anxiety and depression, and anhedonic symptoms unique to depression, in young adults. Anticipated two- and three-way interactions emerged supporting EC’s moderating effect between reactive temperament (i.e., high BIS and low BAS) and both symptom dimensions. However, no interactive relations emerged between symptoms and NA, PA, and EC.     

Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder

The Brief Fear of Negative Evaluation Scale (BFNE; M. R. Leary, 1983a) is often used to assess fear of negative evaluation, the core feature of social anxiety disorder. However, few studies have examined its psychometric properties in large samples of socially anxious patients. Although the BFNE yields a single total score, confirmatory factor analysis indicated a 2-factor solution to be more appropriate, with the 1st factor consisting of all straightforwardly worded items (BFNE-S) and the 2nd of all reverse-scored items (BFNE-R). Support was obtained for the convergent and discriminant validity of the BFNE and BFNE-S, but not the BFNE-R. These results suggest that standard scoring of the BFNE may not be optimal for patients with social anxiety disorder.     

A psychometric reanalysis of the Albany Panic and Phobia Questionnaire

The psychometric properties of the 27-item Albany Panic and Phobia Questionnaire (APPQ) were evaluated in 1930 outpatients with DSM-IV anxiety and mood disorders. Although prior findings of a 3-factor latent structure were upheld in several replications (Social Phobia, Agoraphobia, Interoceptive), three items failed to load on their predicted factor (Interoceptive). Multiple-groups CFAs indicated that the measurement properties of the APPQ were invariant in male and female patients, with the exception of an intercept of one item from the Agoraphobia scale which evidenced bias against females. The three APPQ dimensions were consistently associated with high levels of scale reliability and factor determinacy. Strong evidence of concurrent validity of the Social Phobia and Agoraphobia factors was obtained in relation to interview and questionnaire measures. Although the Interoceptive factor was more strongly related to criterion measures of anxiety sensitivity and fear of panic than Social Phobia, the Agoraphobia factor had the strongest relationships with these validity indices. The results are discussed in regard to psychometric implications for the APPQ and conceptual issues pertaining to the discriminant validity of fear of agoraphobic situations and fear of sensation-producing activities.     

Assessing the factor structure of the Behaviour of Young Novice Drivers Scale (BYNDS)

The Behaviour of Young Novice Drivers Scale (BYNDS) is a self-report instrument to assess risky driving behaviours among youth population. Although previous studies have offered evidences of reliability and validity for the BYNDS scores, results are not conclusive as regards its factor structure. The aim of this research was to assess the factor structure of the BYNDS via Confirmatory Factor Analyses (CFA). The BYNDS was administered to a sample of 832 drivers aged from 18 to 25 years (Argentina = 270, Colombia = 350, and Mexico = 212). Six models were examined: three derived from previous literature, one emerged from an exploratory factor analysis, a unidimensional model, and a bifactor model. Results showed that none of the models analysed offered a completely acceptable fit to the data. However, the original model hypothesizing five orthogonal factors showed the best fit indices, with all of the items loading onto the associated factor. Results of the bifactor analysis suggested that three of the subscales (transient violations, fixed violations, and misjudgements) share a strong common basis and their scores would not offer much information above and beyond the total score. On the contrary, the items in the subscale of risk-exposure are clearly influenced by a specific domain factor, contributing to the multidimensionality of the BYNDS. In line with previous studies, males scored higher than females in driving violations, fixed violations, and risk-exposure. This study contributes to the psychometric refinement of a novel measure of risky driving in youth population. This self-report could be a valuable tool in the evaluation of road safety performance.     

Do socially anxious individuals fear embarrassment by close others? Development of the Fear of Embarrassment by Others Scale

Social anxiety disorder is characterized by an intense fear of social or performance situations, and a fear of acting in a way that will be humiliating or embarrassing. However, the extent to which socially anxious individuals fear embarrassment due to the behavior of close others remains unknown. The Fear of Embarrassment by Others Scale (FEOS) was developed to assess the extent to which individuals with social anxiety fear being embarrassed by others. To assess the psychometric properties of this measure, 162 undergraduate students low or high in social anxiety completed the FEOS, along with additional questionnaires. An exploratory factor analysis suggested a single factor. The measure demonstrates high internal consistency, and is correlated with measures of social anxiety, fear of negative evaluation, and anxiety sensitivity. Fear of embarrassment by others was not found to be a significant predictor of social anxiety, as compared to anxiety sensitivity and fear of negative evaluation. The FEOS discriminated among participants high and low in social anxiety, as those high in social anxiety scored significantly higher on the measure than did participants low in social anxiety. The utility of this scale for research and clinical practice is discussed.     

Depression Anxiety Stress Scales: Factor structure and differential item functioning across women and men

This study examined the factor structure, and differential item functioning of the Depression Anxiety Stress Scales (DASS; Lovibond & Lovibond, 1995) across sex. The DASS was completed by 201 women and 165 men from the general community. Confirmatory factor analysis (CFA) indicated support for the original 3-factor oblique model (factors for depression, anxiety and stress). There was however more support for a bifactor model, with four orthogonal factors: a general factor on which all the depression, anxiety and stress items load, and specific independent factors for depression, anxiety and stress items. None of the DASS items showed DIF. The practical, theoretical, research and clinical implications of the findings are discussed.     

Measuring Positive Affect,Negative Affect,and Physiological Hyperarousal among Italian Youth: Translations of the PANAS-C and PH-C

Italian-language versions of the Positive and Negative Affect Scale for Children (PANAS-C; Laurent et al. Psychological Assessment, 11, 326–338, 1999) and Physiological Hyperarousal Scale for Children (PH-C; Laurent et al. Psychological Assessment, 16, 373–380, 2004) were developed. Students (N = 1026; M age = 12.05 years, SD = 1.49) from central Italy completed these scales. Measures were evaluated based on criteria from previous studies resulting in an 11-item PANAS-C PA scale (α = .88), a 13-item PANAS-C NA scale (α = .87), and a 14-item PH-C (α = .85). Confirmatory factor analyses resulted in best-fit indices that favored a 3-factor model consistent with the tripartite model of anxiety and depression. Similar to results reported with the original English-language and other translations of these measures, scores on the PA scale were lower and scores on the NA and PH scales were higher for older girls than older boys and younger boys and girls. Findings suggested that the psychometric properties of the Italian-language versions of the PANAS-C and PH-C were similar to the English-language versions and other translated versions of the measures.