Assessing worry in older adults: confirmatory factor analysis of the Penn State Worry Questionnaire and psychometric properties of an abbreviated model

The assessment of worry among older adults typically has involved measures designed with younger cohorts. Because of special concerns in assessing older adults, modifications to existing instruments may be necessary. Addressing equivocal factor analytic data on the Penn State Worry Questionnaire (PSWQ) among younger adults, the authors conducted confirmatory factor analyses to evaluate the generalizability of previous models to older adults with generalized anxiety disorder. Data fit poorly with established single- and two-factor models. The single-factor model was modified, resulting in the elimination of 8 items, strong fit indices, high internal consistency, adequate test-retest reliability, and good convergent and divergent validity. Further psychometric work is required to assess whether the revised model is a more parsimonious method to assess late-life anxiety.     

The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings

Clinical features of older primary care patients with GAD (PC-GAD; n = 22) were examined relative to older patients with GAD recruited for two academic clinical trials (M. A. Stanley, J. G. Beck, et al., 2003; J. L. Wetherell, M. Gatz, & M. G, Craske, 2003) and to a sample of older primary care patients without psychiatric diagnoses (No Dx; n = 10). Comparisons revealed similar levels of worry, anxiety, depressive symptoms, quality of life, and functional status between the PC-GAD subsample and patients recruited for academic trials, although primary care patients were older, less well educated, and more ethnically diverse. The PC-GAD subgroup, however, reported greater symptom severity, reduced quality of life, and poorer perceived general health, mental health, and vitality than the No Dx subgroup (² = .23–.43). Service utilization was not different between PC-GAD and No Dx subgroups, with the exception of psychotropic medication use. The Penn State Worry Questionnaire (PSWQ) and an abbreviated version of this measure may be useful for identifying late-life GAD in primary care. Cutoff scores of 50 and 22 on the full and abbreviated versions of the PSWQ, respectively, demonstrated excellent specificity, sensitivity, and positive predictive value. Negative predictive value was less impressive, probably as a result of high base rates for GAD in this sample.     

Multiple attachment relationships within families: mothers and fathers with two young children

Security of attachment between mothers and fathers and their 2 children was examined in 41 maritally intact families. Strange Situation assessments of attachment security for the younger children (mean age = 1 year 10 months), Attachment Q-sort ratings of the older children (mean age = 4 years 8 months), and ratings of parental caregiving behavior of both children were obtained. Younger and older children developed concordant attachments to both parents. Parents were consistent in their caregiving behavior toward their 2 children. However, parents were not congruent in their attachment to their 2 children. Associations were found between maternal caregiving and attachment only in the younger group. The results support the idea that parental caregiving behavior accounts for only modest portions of the variance in attachment security; evolving attachments integrate developmental inputs from the children and the caregivers in the network of early family relationships.     

Visual acuity improvement following fading and feedback training—I. Comparison of myopic and emmetropic volunteers

18 myopes and 18 emmetropes were randomly assigned in pairs to either Fading and Feedback training or a no-treatment control condition. The emmetropes were fitted with plus lenses equivalent to the spherical correction of the paired myope to simulate myopic visual acuity. Extensive visual acuity measures were obtained pre- and post-training. Data analyses indicated significant increases in recognition visual acuity for trained subjects, compared to no-treatment controls. The myopia/emmetropia variable did not interact with training even though there were noticably greater increases in visual acuity for trained myopes compared to the other conditions. Resolution visual acuity did not change as a function of training. These data are discussed in terms of their implications for better understanding the mechanisms responsible for visual acuity increases following behavioural training.     

Captured in Time: Friendship and Aging

This essay explores the general issues of aging—loneliness, vulnerability, dispossession, disempowerment, fear of death—from a Christian perspective. Drawing on Aristotle and Aelred of Rievaulx, we argue first that Christian stories transform these issues such that we see aging as a gift rather than a threat. Second, friendships among the elderly, and between the elderly and the young, are essential to the church; we need the elderly to tell the Christian stories, to embody the church's memory, and to teach the young how to grow old and die. Finally, we make a few suggestions about how churches can approximate more closely Aelred's vision of a community of friendship.     

What is constructive empiricism?

An earlier (and much funnier) version of this paper was presented as Constructive Empiricism and Everyday Life at a conference on laws of nature at the University of Michigan in April, 1990. I am grateful to Bas van Fraassen for his generous response at the conference, and also to Paul Benacerraf, Lisa Eckstrom, Sally Haslanger, Jim Joyce, Peter Railton, Larry Sklar, Jamie Tappenden, Paul Thomson and Steve Yablo for comments, conversations, etc.     

Validating a “spurning scale” for teachers

Based on a model on helpers’ reactions to rejection of their help, a spurning scale for teachers was constructed, comprising items that examine teachers’ perception of spurning of their help/advice by students and colleagues. Three avenues were taken to assess the validity of the scale: The relationships of the spurning scores with burnout scores; the relationships of spurning scores with job (dis)satisfaction and with job turnover; and relationships of spurning scores with job stresses from different sources. In-service teachers enrolled in a teacher training program were invited to fill out a questionnaire that contained these variables. Results suggest that the spurning scale is valid.     

Augmentation-reduction and pain: reply to petrie

The comments by Petrie (1978) on our earlier paper (Elton, et al., 1978) are discussed. Clarification of procedures demonstrates that Petrie's comments do not warrant any modification of our conclusion that the relationship between perceptual reactance and pain has not been clearly established.     

The responsiveness and equality of mental health care to Chicanos and Native Americans

An examination was made of the services received by Chicano and Native American clients in 17 community mental health facilities. Although these minority clients differed from Anglos in demographic variables, there was no evidence that they were rendered inferior or discriminatory services. However, failure to return for therapy was much higher among minority clients. Possible reasons for this failure to return are discussed. It is suggested that for ethnic group clients, equality of services may not mean responsive services.