Structure of Anxiety and Depression in Urban Youth: An Examination of the Tripartite Model.

In this study, the authors examined the validity of the tripartite model of anxiety and depression (L. A. Clark & D. Watson, 1991) in a community epidemiological sample of 467 urban African American youth. Participants completed the Baltimore How I Feel (N. S. Ialongo, S. G. Kellam, & J. Poduska, 1999), a measure of anxiety and depressive symptoms, in Grades 6 and 9. Confirmatory factor analyses indicated that a 3-factor model representing the tripartite model fit the data well and better than competing models. Longitudinal confirmatory factor analysis revealed configural invariance of the tripartite factor structure. However, a predicted divergence among dimensions over time was not evidenced. High correlations among the tripartite dimensions suggest that anxiety and mood symptoms may not differentiate in urban youth. Results are discussed in terms of the ethnicity and urban context of this community sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The association of anxiety and depressive symptoms with cognitive performance in community-dwelling older adults.

The authors examined the association of anxiety, depressive symptoms, and their co-occurrence on cognitive processes in 102 community-dwelling older adults. Participants completed anxiety and depression questionnaires as well as measures of episodic and semantic memory, word fluency, processing speed/shifting attention, and inhibition. Participants with only increased anxiety had poorer processing speed/shifting attention and inhibition, but depressive symptoms alone were not associated with any cognitive deficits. Although coexisting anxiety and depressive symptoms were associated with deficits in 3 cognitive domains, reductions in inhibition were solely attributed to anxiety. Findings suggest an excess cognitive load on inhibitory ability in normal older adults reporting mild anxiety. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliability and Validity of the Beck Depression Inventory--II With Adolescent Psychiatric Inpatients.

This investigation was conducted to validate the Beck Depression Inventory--II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in samples of adolescent psychiatric inpatients. The sample in each substudy was primarily Caucasian. In Study 1, expert raters (N=7) and adolescent psychiatric inpatients (N=13) evaluated the BDI-II items to assess content validity. In Study 2, confirmatory factor analyses of several first-order solutions failed to provide adequate fit estimates to data for 205 boys, 203 girls, and the combined sample. Exploratory factor analyses identified new item-factor solutions. Reliability estimates were good (range = .72 to .91) for the BDI-II total and scale scores. In Study 3 (N=161 boys and 158 girls from Study 2), preliminary evidence for estimates of concurrent, convergent, and discriminant validity were established for the BDI-II. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Onset of Frailty in Older Adults and the Protective Role of Positive Affect.

The aim of this study was to examine the longitudinal association between positive affect and onset of frailty for 1,558 initially nonfrail older Mexican Americans from the Hispanic Established Populations for Epidemiological Studies of the Elderly database. The incidence of frailty increased 7.9% during the 7-year follow-up period. High positive affect was found to significantly lower the risk of frailty. Each unit increase in baseline positive affect score was associated with a 3% decreased risk of frailty after adjusting for relevant risk factors. Findings add to a growing positive psychology literature by showing that positive affect is protective against the functional and physical decline associated with frailty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment of Depression and Anxiety in East Asia.

This article provides a critical review of the literature on research with self-report measures of depression and anxiety in East Asia. Three trends are noteworthy. First, research on depression and anxiety in East Asia has relied heavily on the use of a limited number of translated instruments. Second, available research suggests that the Asian language versions of these instruments are reliable and valid for use with Asian populations. Third, some subpopulations in East Asia have been studied extensively with respect to depression and anxiety, but there are many regions of Asia where little research literature is available outside of those published in native language journals. The review concludes with recommendations for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS).

The authors describe a new self-report instrument, the Inventory of Depression and Anxiety Symptoms (IDAS), which was designed to assess specific symptom dimensions of major depression and related anxiety disorders. They created the IDAS by conducting principal factor analyses in 3 large samples (college students, psychiatric patients, community adults); the authors also examined the robustness of its psychometric properties in 5 additional samples (high school students, college students, young adults, postpartum women, psychiatric patients) who were not involved in the scale development process. The IDAS contains 10 specific symptom scales: Suicidality, Lassitude, Insomnia, Appetite Loss, Appetite Gain, Ill Temper, Well-Being, Panic, Social Anxiety, and Traumatic Intrusions. It also includes 2 broader scales: General Depression (which contains items overlapping with several other IDAS scales) and Dysphoria (which does not). The scales (a) are internally consistent, (b) capture the target dimensions well, and (c) define a single underlying factor. They show strong short-term stability and display excellent convergent validity and good discriminant validity in relation to other self-report and interview-based measures of depression and anxiety. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differentiating anxiety and depression in older adults with generalized anxiety disorder.

To examine affect and cognition in differentiating anxiety and depression, 83 older participants with generalized anxiety disorder completed the Cognitive Checklist (CCL) and the Positive and Negative Affect Schedule (PANAS). A 3-factor solution was found for the PANAS: positive affect (PA), anxiety and anger (Negative Affect 1 [NA-1]), and guilt and shame (Negative Affect 2 [NA-2]). A 2-factor structure was noted for the CCL. Correlations with anxiety and depression measures suggested that the CCL Depression (CCL-D) subscale showed stronger correlations with depression, whereas the CCL Anxiety subscale did not uniquely correlate with anxiety. The NA-1 subscale correlated positively with measures of depression and anxiety, whereas the PA subscale showed negative correlations. Hierarchical regression suggested that the CCL-D subscale was a significant predictor of self-reported depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment of generalized anxiety disorder diagnostic criteria in the National Comorbidity Survey and Virginia Adult Twin Study of Psychiatric and Substance Use Disorders.

The authors investigated measurement properties of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, generalized anxiety disorder (GAD) criteria in the National Comorbidity Survey and the Virginia Adult Twin Study of Psychiatric and Substance Use Disorders (VATSPSUD). The two studies used different widely used instruments. There were significant (p     

Intergenerational Transmission of Depression: Test of an Interpersonal Stress Model in a Community Sample.

An interpersonal stress model of depression transmission was tested in a community sample of nearly 800 depressed and never-depressed women and their 15-year-old children. It was hypothesized that maternal depression (and depression in the maternal grandmother) contributed to chronic interpersonal stress in the mothers, affecting quality of parenting and youths' social competence. In turn, poor social functioning and interpersonal life events caused at least in part by the youths were predicted to be the proximal predictors of current depressive symptoms and diagnoses. Structural equation modeling confirmed the predicted associations among variables and the link between youth chronic and episodic interpersonal stress and depression. Additionally, the association between maternal and child depression was entirely mediated by the predicted family and interpersonal stress effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations of positive and negative affectivity to anxiety and depression in children: Evidence from a latent variable longitudinal study.

The tripartite model of anxiety and depression has been studied with adults; however, support is still emerging with children concerning measurement and relations between positive (PA) and negative (NA) affect and psychopathology. In this longitudinal study of 270 4th- to 11th-grade children (mean age=12.9 years, SD=2.23), confirmatory factor analysis supported a 2-factor orthogonal model of children's self-reported affect and revealed that the concurrent relations of NA and PA to anxiety and depression symptoms were consistent with the tripartite model. Structural equation modeling demonstrated moderate cross-time stability of trait PA and NA, consistent with a temperament view of these factors, as well as partial support for the role of NA and PA in the development of anxiety and depression symptoms in children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal analysis of anxiety and depressive symptoms.

The authors modeled depressive and anxiety symptom data from 1,391 participants in a longitudinal study of middle-aged and older Swedish twins (M age?=?60.9 years, SD?=?13.3). Although anxiety and depression were highly correlated, a model with distinct Anxiety and Depression factors fit the data better than models with Positive and Negative Affect factors or a single Mental Health factor. Lack of well-being was associated with anxiety rather than depression. Over two 3-year intervals, anxiety symptoms led to depressive symptoms, but the relationship was not reciprocal. Anxiety symptoms were more stable than depression. These findings provide additional support for the idea that anxiety symptoms may reflect a personality trait such as neuroticism more than do depressive symptoms and suggest that low positive affect may not be as specific to depression among older adults as in younger people. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tripartite dimensions of emotion in a child clinical sample: Measurement strategies and implications for clinical utility.

Several measurement strategies to assess the tripartite model of emotion in child and adolescent samples have been developed. However, no studies have comparatively examined the most suitable strategies in clinical samples of children and adolescents. This study involved the evaluation of 2 distinct measures of tripartite constructs relative to anxiety and depression criterion variables in a clinical sample of 226 children in Grades 1 through 12. Results indicated that the measures performed similarly overall, but some differences were pronounced enough to suggest that the measures indexed slightly different aspects of the same constructs. These differences appear consistent with the scale design of each instrument. Implications for measurement of these constructs in future research are highlighted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive Processes and Models of Depression.

The articles in this issue of the Journal of Abnormal Psychology, taken as a whole, indicate that many of the predictions of the original learned helplessness model of depression are true only for certain subpopulations in certain settings. As a result, more complex cognitive elaborations of the model are being proposed. This trend requires that researchers on depression attend more carefully to certain areas of cognitive research and to the problems involved in the construction of models of cognitive processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and Preliminary Validation of the Physiological Hyperarousal Scale for Children.

Considerable empirical support exists for the positive affect and negative affect components of the tripartite model of anxiety and depression proposed by L. A. Clark and D. Watson (1991); however, less attention has been paid to the physiological hyperarousal component of the model. The development of the Physiological Hyperarousal Scale for Children (PH-C; J. Laurent, S. J. Catanzaro, & T. E. Joiner Jr., 1995) is described. The psychometric properties of items are examined using students in Grades 6-12 (N = 398). Initial scale validation includes a joint factor analysis with the Positive and Negative Affect Scale for Children (PANAS-C; J. Laurent et al., 1999; J. Laurent, K. Potter, & S. J. Catanzaro, 1994). The relationship between the PH-C and existing measures that tap related constructs is examined. Together, the PH-C and PANAS-C provide a means to assess tripartite model constructs useful in differentiating anxiety and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of Age on Symptoms of Anxiety and Depression in a Sample of Retired Police Officers.

This study addressed the effects of age on anxiety and depressive symptoms. The analysis was based on the responses of 1,334 retired male Scottish police officers (34-94 years old) to the Hospital Anxiety and Depression Scale. Multiple regression analysis was used to determine the partialed linear and curvilinear effects of symptoms of, separately, anxiety and depression on age and retirement variables. Significant partialed effects of retirement type and present age were found. Early retirement was a vulnerability factor for both disorders. The authors found a consistent linear reduction in anxiety across age and a U-shaped function for depression across age. The differing profiles and independent effects of age on anxiety and depression are consistent with their status as separate entities. Respondents were increasingly susceptible to depression from the mid-50s onward, whereas susceptibility to anxiety was reduced with age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychometric Evaluation of the Behavioral Inhibition/Behavioral Activation Scales in a Large Sample of Outpatients With Anxiety and Mood Disorders.

The latent structure, reliability, and validity of the Behavioral Inhibition/Behavioral Activation Scales (BIS/BAS; C. L. Carver & T. L. White, 1994) were examined in a large sample of outpatients (N = 1,825) with anxiety and mood disorders. Four subsamples were used for exploratory and confirmatory factor analyses. In addition to generally upholding a latent structure found previously in nonclinical samples, results indicated measurement invariance of the BIS/BAS between genders and a higher order structure of the BAS scales. Convergent and discriminant validity of the BIS/BAS were supported by findings that the subscales correlated most strongly with measures of neighboring personality constructs (e.g., BIS with neuroticism, BAS with positive affect) than with measures of current anxiety and depression symptoms. Overall, the results support the psychometric properties of the BIS/BAS in this clinical sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Placebo-Controlled Test of Cognitive-Behavioral Therapy for Comorbid Insomnia in Older Adults.

The present study tested cognitive-behavioral therapy (CBT) for insomnia in older adults with osteoarthritis, coronary artery disease, or pulmonary disease. Ninety-two participants (mean age = 69 years) were randomly assigned to classroom CBT or stress management and wellness (SMW) training, which served as a placebo condition. Compared with SMW, CBT participants had larger improvements on 8 out of 10 self-report measures of sleep. The type of chronic disease had no impact on these outcomes. The hypothesis that CBT would improve daytime functioning more than SMW was only supported by a global rating measure. These results add to findings that challenge the dichotomy between primary and secondary insomnia and suggest that psychological factors are likely involved in insomnias that are presumed to be secondary to medical conditions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Descriptive Epidemiology of Lifetime Trauma and the Physical Health Status of Older Adults.

Three issues are evaluated in this study. The 1st involves examining the relationship between exposure to trauma over the life course and physical health status in old age. The 2nd has to do with seeing whether the relationship between trauma and health varies across 3 cohorts of older adults: the young-old (ages 65-74), the old-old (ages 75-84), and the oldest old (age 85 and over). The 3rd issue involves seeing whether the age at which a trauma was encountered is related to health in late life. Data from a nationwide survey of older people (N = 1,518) reveal that trauma is associated with worse health. Moreover, the young-old appear to be at greatest risk. Finally, data suggest that trauma arising between the ages of 18 and 30 years, as well as ages 31 to 64 years, has the strongest relationship with current health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Prospective Test of the Stress-Buffering Model of Depression in Adolescent Girls: No Support Once Again.

The stress-buffering model posits that social support mitigates the relation between negative life events and onset of depression, but prospective studies have provided little support for this assertion. The authors sought to provide a more sensitive test of this model by addressing certain methodological and statistical limitations of past studies with prospective data from 496 adolescent girls. Deficits in peer support predicted increases in depressive symptoms, and negative life events predicted onset of depressive pathology. However, none of the 14 prospective tests provided support for the stress-buffering model despite sufficient power. Results provide scant support for the stress-buffering model and suggest that it might be time to shift attention to alternative multivariate models concerning these risk factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does age play a role in structure of anxiety and depression in children and youths? An investigation of the tripartite model in three age cohorts.

Although previous studies provide some support for a tripartite model of relations between anxiety and depression in children, there is evidence to suggest that anxiety and depression may be increasingly differentiated over development. Using a confirmatory factor analytic strategy with rationally selected item sets from the Revised Children's Manifest Anxiety Scale and the Children's Depression Inventory, the current study sought to test unitary, dual. and tripartite models for anxiety and depression in a cross-sectional design using 3 narrow-band age cohorts of nonreferred children and youths. The results found little evidence of increasing differentiation. All models provided a moderate fit to the data, with some evidence that a correlated 3-factor model was the preferred model in all age cohorts. Further research is required to explore the discriminant validity and clinical utility of the tripartite dimensions in childhood populations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)