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19-07-2022

What do Anxiety Scales Really Measure? An Item Content Analysis of Self-Report Measures of Anxiety

Auteurs: Andy D. Wall, Eric B. Lee

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2022

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Abstract

Anxiety is a common experience and component of the human condition, but as a construct it is difficult to define and anxiety scales vary in which aspects are emphasized. In the present study, we analyzed and quantified the content overlap of self-report instruments used to measure non-specific or global anxiety. Categorization of the 313 items across thirteen commonly used anxiety scales resulted in 60 disparate categories that spanned a wide variety of symptoms. Mean overlap between all of the selected scales was generally low. On average, only 30.9.% of all symptoms were captured by any given measure. Results indicate that the scales are heterogenous in the content that they measure. Therefore, anxiety-related scales should not be assumed to be interchangeable and careful consideration should be taken when selecting measures.
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Literatuur
go back to reference Antony, M. M. (2002). Assessment of anxiety and the anxiety disorders: an overview. In M. M. Antony, S. M. Orsillo, & L. Roemer (Eds.), Practitioner’s Guide to Empirically Based Measures of Anxiety (pp. 9–17). Kluwer Academic Publishers. https://doi.org/10.1007/0-306-47628-2_2 Antony, M. M. (2002). Assessment of anxiety and the anxiety disorders: an overview. In M. M. Antony, S. M. Orsillo, & L. Roemer (Eds.), Practitioner’s Guide to Empirically Based Measures of Anxiety (pp. 9–17). Kluwer Academic Publishers. https://​doi.​org/​10.​1007/​0-306-47628-2_​2
go back to reference Antony, M. M., & Barlow, D. H. (Eds.). (2020). Handbook of assessment and treatment planning for psychological disorders (Third edition). The Guilford Press. Antony, M. M., & Barlow, D. H. (Eds.). (2020). Handbook of assessment and treatment planning for psychological disorders (Third edition). The Guilford Press.
go back to reference Antony, M. M., Orsillo, S. M., & Roemer, L. (2001). Practitioner’s guide to empirically based measures of anxiety. Springer Science & Business Media. Antony, M. M., Orsillo, S. M., & Roemer, L. (2001). Practitioner’s guide to empirically based measures of anxiety. Springer Science & Business Media.
go back to reference Aylett, E., Small, N., & Bower, P. (2018). Exercise in the treatment of clinical anxiety in general practice–a systematic review and meta-analysis. BMC Health Services Research, 18(1), 1–18.CrossRef Aylett, E., Small, N., & Bower, P. (2018). Exercise in the treatment of clinical anxiety in general practice–a systematic review and meta-analysis. BMC Health Services Research, 18(1), 1–18.CrossRef
go back to reference Baxter, A., Vos, T., Scott, K., Ferrari, A., & Whiteford, H. (2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44(11), 2363.CrossRefPubMed Baxter, A., Vos, T., Scott, K., Ferrari, A., & Whiteford, H. (2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44(11), 2363.CrossRefPubMed
go back to reference Chrobak, A. A., Siwek, M., Dudek, D., & Rybakowski, J. K. (2018). Content overlap analysis of 64 (hypo) mania symptoms among seven common rating scales. International Journal of Methods in Psychiatric Research, 27(3), e1737. Chrobak, A. A., Siwek, M., Dudek, D., & Rybakowski, J. K. (2018). Content overlap analysis of 64 (hypo) mania symptoms among seven common rating scales. International Journal of Methods in Psychiatric Research, 27(3), e1737.
go back to reference Costello, C. G. (1967). Costello Comrey depression and anxiety scales. Measures for Clinical Practice: Aa Sourcebook. 2nd, 2, 155–160. Costello, C. G. (1967). Costello Comrey depression and anxiety scales. Measures for Clinical Practice: Aa Sourcebook. 2nd, 2, 155–160.
go back to reference Derogatis, L. R. (1994). SCL-90-R: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems. Derogatis, L. R. (1994). SCL-90-R: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems.
go back to reference Dowle, M., Srinivasan, A., Gorecki, J., Chirico, M., Stetsenko, P., Short, T., Lianoglou, S., Antonyan, E., Bonsch, M., & Parsonage, H. (2019). Package ‘data. Table.’ Extension of ‘data. Frame. Dowle, M., Srinivasan, A., Gorecki, J., Chirico, M., Stetsenko, P., Short, T., Lianoglou, S., Antonyan, E., Bonsch, M., & Parsonage, H. (2019). Package ‘data. Table.’ Extension of ‘data. Frame.
go back to reference Dray, S., & Dufour, A.-B. (2007). The ade4 package: Implementing the duality diagram for ecologists. Journal of Statistical Software, 22(4), 1–20.CrossRef Dray, S., & Dufour, A.-B. (2007). The ade4 package: Implementing the duality diagram for ecologists. Journal of Statistical Software, 22(4), 1–20.CrossRef
go back to reference Elwood, L. S., Wolitzky-Taylor, K., & Olatunji, B. O. (2012). Measurement of anxious traits: a contemporary review and synthesis. Anxiety, Stress & Coping, 25(6), 647–666.CrossRef Elwood, L. S., Wolitzky-Taylor, K., & Olatunji, B. O. (2012). Measurement of anxious traits: a contemporary review and synthesis. Anxiety, Stress & Coping, 25(6), 647–666.CrossRef
go back to reference Epskamp, S., Cramer, A. O., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software, 48(4), 1–18.CrossRef Epskamp, S., Cramer, A. O., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software, 48(4), 1–18.CrossRef
go back to reference Evans, J. D. (1996). Straightforward statistics for the behavioral sciences. Brooks/Cole Pub. Co. Evans, J. D. (1996). Straightforward statistics for the behavioral sciences. Brooks/Cole Pub. Co.
go back to reference Firth, J., Torous, J., Nicholas, J., Carney, R., Rosenbaum, S., & Sarris, J. (2017). Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 218, 15–22.CrossRefPubMed Firth, J., Torous, J., Nicholas, J., Carney, R., Rosenbaum, S., & Sarris, J. (2017). Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 218, 15–22.CrossRefPubMed
go back to reference Garnier, S., Ross, N., Rudis, B., Sciaini, M., & Scherer, C. (2018). viridis: Default color maps from ‘matplotlib.’ R Package Version 0.5, 1, 2018. Garnier, S., Ross, N., Rudis, B., Sciaini, M., & Scherer, C. (2018). viridis: Default color maps from ‘matplotlib.’ R Package Version 0.5, 1, 2018.
go back to reference Kagan, J. (2009). Two Is Better Than One. 2. Kagan, J. (2009). Two Is Better Than One. 2.
go back to reference Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ, 339(jul21 1), b2700–b2700. https://doi.org/10.1136/bmj.b2700 Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ, 339(jul21 1), b2700–b2700. https://​doi.​org/​10.​1136/​bmj.​b2700
go back to reference Lovibond, S. H., & Lovibond, P. F. (1996). Manual for the depression anxiety stress scales. Psychology Foundation of Australia. Lovibond, S. H., & Lovibond, P. F. (1996). Manual for the depression anxiety stress scales. Psychology Foundation of Australia.
go back to reference Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Quality of Life Research, 19(4), 539–549. https://doi.org/10.1007/s11136-010-9606-8CrossRefPubMedPubMedCentral Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Quality of Life Research, 19(4), 539–549. https://​doi.​org/​10.​1007/​s11136-010-9606-8CrossRefPubMedPubMedCentral
go back to reference Ree, M. J., MacLeod, C., French, D., & Locke, V. (2000). State-trait inventory for cognitive and somatic anxiety (STICSA). The University of Western Australia. Ree, M. J., MacLeod, C., French, D., & Locke, V. (2000). State-trait inventory for cognitive and somatic anxiety (STICSA). The University of Western Australia.
go back to reference Snaith, R. P., Baugh, S. J., Clayden, A. D., Husain, A., & Sipple, M. A. (1982). The clinical anxiety scale: an instrument derived from the Hamilton anxiety scale. The British Journal of Psychiatry, 141(5), 518–523.CrossRefPubMed Snaith, R. P., Baugh, S. J., Clayden, A. D., Husain, A., & Sipple, M. A. (1982). The clinical anxiety scale: an instrument derived from the Hamilton anxiety scale. The British Journal of Psychiatry, 141(5), 518–523.CrossRefPubMed
go back to reference Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y)(“ self-evaluation questionnaire”). Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y)(“ self-evaluation questionnaire”).
go back to reference Taylor, J. A. (1953). Manifest anxiety scale. American Psychological Association Washington, DC. Taylor, J. A. (1953). Manifest anxiety scale. American Psychological Association Washington, DC.
go back to reference Terluin, B., Rhenen, W. V., Schaufeli, W. B., & De Haan, M. (2004). The Four-Dimensional Symptom Questionnaire (4DSQ): Measuring distress and other mental health problems in a working population. Work & Stress, 18(3), 187–207.CrossRef Terluin, B., Rhenen, W. V., Schaufeli, W. B., & De Haan, M. (2004). The Four-Dimensional Symptom Questionnaire (4DSQ): Measuring distress and other mental health problems in a working population. Work & Stress, 18(3), 187–207.CrossRef
go back to reference Watson, D., & Clark, L. A. (1991). The mood and anxiety symptom questionnaire (MASQ). Unpublished Manuscript, University of Iowa, Iowa City. Watson, D., & Clark, L. A. (1991). The mood and anxiety symptom questionnaire (MASQ). Unpublished Manuscript, University of Iowa, Iowa City.
go back to reference Wickham, H. (2007). Reshaping data with the reshape package. Journal of Statistical Software, 21(12), 1–20.CrossRef Wickham, H. (2007). Reshaping data with the reshape package. Journal of Statistical Software, 21(12), 1–20.CrossRef
go back to reference Wickham, H. (2009). ggplot2: Elegant graphics for data analysis. Springer-Verlag. Wickham, H. (2009). ggplot2: Elegant graphics for data analysis. Springer-Verlag.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed
go back to reference Zung, W. (1971). Zung Self-Rating Anxiety Scale (SAS). Zung, W. (1971). Zung Self-Rating Anxiety Scale (SAS).
Metagegevens
Titel
What do Anxiety Scales Really Measure? An Item Content Analysis of Self-Report Measures of Anxiety
Auteurs
Andy D. Wall
Eric B. Lee
Publicatiedatum
19-07-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2022
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-022-09973-9

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