Reliability and factorial structure of the Chinese version of the State-Trait Anxiety Inventory

The Chinese version of the State-Trait Anxiety Inventory (STAI) was administered to 2150 Chinese secondary-school students. Reliability data revealed that the A-State and A-Trait scales had a high internal consistency, and high item-total correlations were found for most of the items under each scale. Factor analytic data showed that while two factors were abstracted from the A-Trait scale (Anxiety Present and Anxiety Absent), two (Anxiety Present and Anxiety Absent) or three (Anxiety Present, Calmness, and Happiness) factors were abstracted from the A-State scale. By randomly splitting the total sample into two subsamples, factors extracted from the first two factor-solutions could be reproduced reliably and high coefficients of congruence were found. These findings generally suggest that the Chinese A-State and A-Trait scales possess acceptable psychometric properties and the factor analytic data tend to support Spielberger's conception of the multidimensional nature of the A-State and A-Trait scales.This work was supported by UPGC Grant CPAS/714.     

Minnesota Multiphasic Personality Inventory (MMPI)-derived psychopathology subtypes among former prisoners of war (POWs): Replication and extension

Psychopathology and symptom patterns identified among former prisoners of war (POWs) by Sutker, Winstead, Goist, Malow, and Allain (1986) were replicated in an independent sample of 51 former POWs with similar personal backgrounds and military experiences. Data collection instruments included the Minnesota Multiphasic Personality Inventory (MMPI), self-report measures of anxiety and depression, and a structured clinical interview including a POW Trauma Index. Two prototypic MMPI profile patterns were identified using modal profile analysis (Skinner & Lei, 1980). Both were highly similar in shape and elevation to those reported in the previous investigation. Multiprofile-multisample analysis produced prototypic profile patterns which were accurate representations of profiles identified in separate analyses of the derivation and replication samples (r's .96). Representing unique constellations of clinical features, profile subtypes were associated differentially with confinement stress severity, postservice adjustment, and nature and extent of stress-induced symptomatology.     

Cognitive assessment: A multibehavior-multimethod-multiperspective approach

Clarifying methodological and assessment issues is fundamental to the further development of cognitive-behavioral approaches. The present work examines potential method confounds in several cognitive assessment techniques (e.g., self-statement inventories, postperformance videotape reconstruction) in light of social psychological research on objective self-awareness. On the basis of this analysis, a conceptual framework is proposed to organize research on the assessment of clinical cognition.     

Functional classification of obsessive-compulsive phenomena

A classification of obsessive-compulsive phenomena based on the functional definition of obsessions as anxiety/discomfort producing and compulsions as anxiety/discomfort reducing is proposed. Based on the assumption of a functional equivalence between external and internal obsessive-compulsive behavior, four essential obsessive-compulsive forms are derived: (1) obssesions, (2) obsessions plus successful compulsions (anxiety/discomfort reducing), (3) obsessions plus obsessionalized compulsions (anxiety increasing), and (4) rituals consisting mainly of stereotyped, overt or covert behaviors (autonomous of anxiety/discomfort and/or obsessions). In addition, it is hypothesized that forms 1–4 represent developmental stages in the progress of obsessive-compulsive symptomatology, increasing in the order specified in complexity and severity and having varying prognostic implications. Finally, an attempt is made to suggest stage-specific behavioral treatment strategies.     

When the heat is on: romantic partner responses influence distress in socially anxious women

This study provided a preliminary test of whether socially anxious women and their partners would show more negative social support behavior, especially among those with low relationship satisfaction, and whether this would increase the distress of the socially anxious women. Women with (n=22) and without (n=23) heightened social anxiety were observed interacting with their partners under a social-evaluative threat and support behaviors were coded. Unexpectedly, no differences were found between socially and non-socially anxious women and their partners. Although relationship satisfaction influenced this process, it was the more satisfied women who showed more negative behavior. Additionally, the more positive behaviors the partner exhibited, the greater was the distress reported by socially anxious women, particularly among women whose partners reported high relationship satisfaction. Implications for how these findings might expand theories on interpersonal processes in social anxiety are discussed.     

Memory and interpretation of visual representations of threat in socially anxious and nonanxious individuals

The present study was designed to replicate and extend results reported by Brendle and Wenzel (Behav. Res. Ther. 42 (2004) 155), who found that socially anxious individuals accurately recalled threat-relevant information but subsequently imposed a biased interpretation upon that same material, using more ecologically valid stimuli. Socially anxious (n=37) and nonanxious (n=47) individuals viewed two positive, two negative, and two neutral video vignettes and completed two cognitive tasks assessing memory and interpretation of factual details immediately and after 48 h. Similar to the results reported by Brendle and Wenzel (2004), socially anxious and nonanxious individuals did not differ in their memory for details that had been presented in the vignettes. However, socially anxious individuals made more negative interpretations of details included in the vignettes than nonanxious individuals, although unlike Brendle and Wenzel (2004), they did not demonstrate the tendency to make less positive interpretations. It is concluded that socially anxious individuals are characterized by interpretation biases when presented with threat-relevant information, and there is no evidence to suggest that they are characterized by memory biases for threat-relevant information.     

Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia

Cognitive models of social phobia (social anxiety disorder) assume that individuals with social phobia experience anxiety in social situations in part because they overestimate the social cost associated with a potentially negative outcome of a social interaction. Some emotion theorists, on the other hand, point to the perception of control over anxiety-related symptoms as a determinant of social anxiety. In order to examine the relationship between perceived emotional control (PEC), estimated social cost (ESC), and subjective anxiety, we compared three alternative structural equation models: Model 1 assumes that PEC and ESC independently predict social anxiety; Model 2 assumes that ESC partially mediates the relationship between PEC and anxiety, and Model 3 assumes that PEC partially mediates the relationship between ESC and anxiety. We recruited 144 participants with social phobia and administered self-report measures of estimated social cost, perceived anxiety control, and social anxiety. The results support Model 3 and suggest that "costly" social situations are anxiety provoking in part because social phobic individuals perceive their anxiety symptoms as being out of control.     

Treatment of Hypochondriasis with Exposure

Cognitive-behavioral therapy has been shown to be an effective treatment for hypochondriasis. An important element of most of the empirically validated CBT protocols for this problem is exposure. Various approaches to exposure may be useful including in vivo exposure to health and death-related situations, interoceptive exposure to feared bodily symptoms, and imaginal exposure to symptoms and feared illnesses that are difficult to reproduce in real life. Strategies for enhancing the effectiveness of exposure, such as response prevention, cognitive reappraisal, and acceptance, are also discussed. Practical suggestions for implementation of exposure with this population are provided.     

Preferred Prayer Styles and Anxiety Control

To date, the literature on prayer and anxiety has yielded mixed results. Recent development of a new instrument has improved our ability to measure individuals’ prayer activities, which may be a promising means of clarifying this literature. This correlational study examined preferred prayer styles and associated scores on measures of anxiety control and trait anxiety in a sample of 85 college students. Results suggested that individuals whose prayer styles were characterized by active rather than avoidant coping were likely to evidence greater perceived control of anxiety and lower levels of trait anxiety. Dr. Harris is a rehabilitation psychologist at the VA Medical Center in Minneapolis, MN. Dr. Schoneman is a clinical psychologist at Casa Pacifica and in private practice. Dr. Carrera is a counseling psychologist at the Psychological Services Center at the University of Cincinatti. Correspondence to J. Irene Harris, Staff Psychologist, VA Medical Center, One Veterans Drive, Minneapolis, MN 55417; e-mail: jeanette.harris2@med.va.gov.     

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.