Development and Validation of the Xhosa Translations of the Beck Inventories: 1. Challenges of the Translation Process

This article describes the translation of the Beck Depression Inventory-II, the Beck Hopeless Scale, and the Beck Anxiety Inventory, into Xhosa the language spoken in the Eastern Cape of South Africa. The processes of translation, back-translation and committee discussion failed to yield trustworthy translations because of practical difficulties in working with translators. Critical words and phrases were identified which gave rise to lack of agreement. For each, a range of options was generated and the advantages and disadvantages evaluated in terms of criteria such as conceptual and idiomatic equivalence, and extensiveness of usage. Examples are given of the problems encountered and the way in which final decisions were made. A pilot clinical trial demonstrated the acceptability of the translated instruments. Two further articles report the psychometric evaluation of the translated scales.     

Development and Validation of the Xhosa Translations of the Beck Inventories: 2. Item Analysis,Internal Consistency and Factor Analysis

The Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), and the Beck Hopelessness Scale (BHS) were translated into Xhosa, a language widely spoken in South Africa to yield translated scales referred to as the XBDI-I (Xhosa BDI-II), the XBAI (Xhosa BAI) and the XBHS (Xhosa BHS). These scales were administered to a sample of 122 Xhosa respondents which included students and patients. The psychometric properties of the translated scales were comparable to those of the original English versions. Measures of internal consistency were as high as those for the validation studies in the USA and good item-scale correlations were obtained. This suggests that the translation yielded clinically useful scales which tap symptoms that are largely culturally universal.     

Counselling in a culture of competence

In this article, a counsellor working in the public sectors of health and education considers her work in the light of the contemporary political context. Describing the trend towards what she is calling a ‘culture of competence’, she notes recent changes to the identity of the professional, whose authority, once taken for granted, is increasingly limited and subject to evaluation and proof of effectiveness. She then considers some ways in which counsellors working in the public sector are now experiencing such measures, noting both the benefits that can accrue from evaluating their work, but also the dangers when certain pressures and anxieties are not taken into account.     

Anxiety in Swedish School Children: Situational Specificity,Informant Variability and Coping Strategies

In a school sample, 463 Swedish children aged between 8 and 12 years reported their experience of anxiety during 11 "typical" home and school setting activities. In addition to rating the frequency and type of anxiety experienced, the children reported whether they used coping strategies to reduce their anxiety. Parents and teachers also rated the anxiety levels in the same children. Nine percent of the children reported that they experienced anxiety "often" during at least 1 of the 11 home and school activities and 1.5% reported an anxiety level of "often" averaged across all of the 11 activities. The parents reported that 9% of the children experienced "moderate" to "very much" anxiety levels averaged across the home-related activities, whereas the teachers reported that 38.5% of the children had such anxiety levels at school. Overall, the children's ratings of their frequency levels of anxiety were found to depend more on age than on gender. The children and their parents both regarded anxiety to be most common during "leaving home for school" and "going to bed at night" activities. The correspondence between child, parent and teacher reports of overall anxiety in the children was low; similar findings were obtained for anxiety among children in the various setting activities. The 8-year-old children reported a higher use of various coping strategies than did the 12-year-olds. The results are discussed in view of the current literature on anxiety and fears in children.     

Cognitive Coping vs Emotional Disclosure in the Treatment of Anxious Children: A Pilot-Study

The present pilot-study was a first attempt to examine the effectiveness of the cognitive component of cognitive behaviour therapy for children with anxiety problems. A total of 24 highly anxious children were assigned to 1 of 2 intervention conditions: a Cognitive Coping intervention, which focussed primarily on the cognitive component of cognitive behaviour therapy, or an Emotional Disclosure intervention in which children were invited to write about their fears and anxious experiences. Children completed self-report questionnaires of anxiety disorders symptoms and worry at 3 points in time: (i) 6 weeks before treatment (i.e. baseline), (ii) at pre-treatment, and (iii) at post-treatment. The results showed, firstly, that levels of anxiety disorder symptoms and worry remained relatively stable over a 6-week waiting period and then decreased substantially after the interventions. This suggests that the children did not suffer from momentary anxiety and worry complaints and that treatments generally were effective in reducing these symptoms. Secondly, although within-group comparisons suggested that treatment effects were somewhat larger in the Cognitive Coping condition than in the Emotional Disclosure condition (effects sizes for anxiety disorders symptoms and worry were, respectively, 1.03 and 0.87 for Cognitive Coping vs 0.54 and 0.39 for Emotional Disclosure), statistical tests could not substantiate this impression, probably due to a lack of power as a result of the small numbers of children in both intervention conditions.     

Fear response to dissociation challenge

Abstract

Participants (N = 101) scoring high or low on a new scale for assessing fear of dissociative sensations (Dissociation Sensitivity Index) underwent an audio/visual sensory challenge using a device called the D.A.V.I.D. Participants' report of subjective fear and level of dissociation were measured before and after completing the audio/visual sensory challenge. Consistent with prediction, participants scoring high on the DSI responded to the challenge with significantly greater increases in subjective fear and dissociative symptoms relative to those scoring low on the DSI. Contrary to prediction, the DSI performed poorer than the Anxiety Sensitivity Index in predicting participants' response to the audio/visual sensory challenge. Theoretical and clinical implications of the findings are discussed.     

Environmental anxiety: Assessing emotional distress and concerns after toxin exposure

Abstract

Anxiety in face of environmental risks is common, but few attempts have been made to assess individual differences psychometrically and to validate the measures in samples that have suffered from exposure to neurotoxic substances. The present study deals with this problem in two ways. First, levels of general anxiety were determined in two large independent samples of workers who were exposed to multiple organic solvents and in their nonexposed referents. In both samples, anxiety was substantially higher in exposed subjects than in their referents. Second, an Environmental Worry Scale (EWS) was developed and validated in three samples. This 17-item instrument and its 8-item subscale yielded satisfactory psychometric properties and also succeeded in discriminating solvent exposed from nonexposed subjects. Finally, the EWS was used in a structural equation model that was designed to predict the intention to avoid chemicals. The worry factor served as a mediator between exposure and intention, whereas exposure by itself did not influence intentions.     

The effect of anxiety on linguistic parameters of public speech: A verbal impairment model

This study presents a new research paradigm designed to explore the effect of anxiety on semantic information processing. It is based on the premise that the demonstrated effect of anxiety on cognitive performance and apparent inconsistencies reported in the literature might be better understood in terms of linguistic properties of inner speech which underlies analytic (vs. intuitive) thought processes. The study employed several parameters of functional linguistics in order to analyse properties of public speech by high- and low-anxious individuals. Results indicate that anxiety is associated with greater use of associative clauses that take the speaker further away from the original starting point before coming back and concluding (identified as reduced semantic efficiency). This is accompanied by a speech pattern that includes greater amounts of factual information unaccompanied by elaborate argumentation. While these results are considered tentative due to methodological and empirical shortcomings, they suggest the viability of this approach.     

Long-term effect of theory of mind on school achievement: The role of sensitivity to criticism

This study adds to the research on theory of mind (ToM) and school achievement by testing whether the mediating effect of sensitivity to criticism is significant when considered longitudinally and using an index of academic performance that incorporates both direct and indirect measures. A group of 49 children was tested during the last year of kindergarten (Time 1, mean age = 5 years and 6 months), in Year 1 (Time 2, mean age = 6 years and 5 months) and Year 5 (Time 3, mean age = 10 years and 2 months) of primary school. Children's ToM and verbal ability were tested at each time point, sensitivity to criticism at Time 2 and school achievement at Time 3. Results showed that sensitivity to criticism (as indexed by self-reported ability rating) mediates the relationship between Time 1 ToM and Time 3 school achievement. Practical implications of this pattern of associations are discussed.     

Individual differences in personality and face identification

Unfamiliar face identification is characterised by substantial variation between individual observers, but the cause of this variation is largely unknown. This study investigated whether individual differences in face identification are linked to an observer's personality, by combining performance on an established face-matching test with two in-depth personality assessments (the 16PF5 and the NEO-PI-R). The face test revealed a broad distribution in identification ability, but associations between face perception and personality were found only in female observers. In this group, correct face identifications related to low anxiety, low tension, and high emotional stability. These results suggest that associations between personality and face perception are limited, and are confined to anxiety and facets of neuroticism.