"The role of anxiety sensitivity in the pathogenesis of panic: Prospective evaluation of spontaneous panic attacks during acute stress": Correction to Schmidt et al. (1997).

Reports an error in "The role of anxiety sensitivity in the pathogenesis of panic: Prospective evaluation of spontaneous panic attacks during acute stress" by Norman B. Schmidt, Darin R. Lerew and Robert J. Jackson (Journal of Abnormal Psychology, 1997[Aug], Vol 106[3], 355-364). The article contained an error in the scoring of the Anxiety Sensitivity Index (ASI). A data conversion error led to transformation of ASI scores that dramatically truncated this measure (scores of 0-2 recoded to 0, 3 receded to 1, and 4 recoded to 2). The corrected values (items scored 0-4), revised statistics, and amended conclusions are presented in the corrected text. (The following abstract of the original article appeared in record 1997-05214-001.) Expectancy theory posits that anxiety sensitivity may serve as a premorbid risk factor for the development of anxiety pathology (S. Reiss, 1991). The principal aim of the present study was to determine whether anxiety sensitivity acts as a specific vulnerability factor in the pathogenesis of anxiety pathology. A large, nonclinical sample of young adults (N?=?1, 401) was prospectively followed over a 5-week highly stressful period of time (i.e., military basic training). Anxiety sensitivity was found to predict the development of spontaneous panic attacks after controlling for a history of panic attacks and trait anxiety. Approximately 20% of those scoring in the upper decile on the Anxiety Sensitivity Index (R. A. Peterson & S. Reiss, 1987) experienced a panic attack during the 5-week follow-up period compared with only 6% for the remainder of the sample. Anxiety sensitivity also predicted anxiety symptomatology, functional impairment created by anxiety, and disability. These data provide strong evidence for anxiety sensitivity as a risk factor in the development of panic attacks and other anxiety symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A psychometric study of the McMaster Family Assessment Device in psychiatric, medical, and nonclinical samples.

Investigated the psychometric properties of the McMaster Family Assessment Device (FAD [N. Epstein et al; see PA, Vol 71:2891]), a multidimensional measure of family functioning, using data from psychiatric (n?=?1,138), nonclinical (n?=?627), and medical (n?=?298) samples. Internal scale reliabilities and factorial validity were assessed for each group, and results were compared across groups. In general, scale reliabilities were favorable and the hypothesized factor structure of the FAD was supported. Results also support the use of the 60-item version over the original 53-item version. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of anxiety sensitivity in the pathogenesis of panic: Prospective evaluation of spontaneous panic attacks during acute stress.

[Correction Notice: An erratum for this article was reported in Vol 107(3) of Journal of Abnormal Psychology (see record 2008-09589-001). The article contained an error in the scoring of the Anxiety Sensitivity Index (ASI). A data conversion error led to transformation of ASI scores that dramatically truncated this measure (scores of 0-2 recoded to 0, 3 receded to 1, and 4 recoded to 2). The corrected values (items scored 0-4), revised statistics, and amended conclusions are presented in the corrected text.] Expectancy theory posits that anxiety sensitivity may serve as a premorbid risk factor for the development of anxiety pathology (S. Reiss, 1991). The principal aim of the present study was to determine whether anxiety sensitivity acts as a specific vulnerability factor in the pathogenesis of anxiety pathology. A large, nonclinical sample of young adults (N?=?1, 401) was prospectively followed over a 5-week highly stressful period of time (i.e., military basic training). Anxiety sensitivity was found to predict the development of spontaneous panic attacks after controlling for a history of panic attacks and trait anxiety. Approximately 20% of those scoring in the upper decile on the Anxiety Sensitivity Index (R. A. Peterson & S. Reiss, 1987) experienced a panic attack during the 5-week follow-up period compared with only 6% for the remainder of the sample. Anxiety sensitivity also predicted anxiety symptomatology, functional impairment created by anxiety, and disability. These data provide strong evidence for anxiety sensitivity as a risk factor in the development of panic attacks and other anxiety symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure of the Anxiety Sensitivity Index among African American college students.

This study examined the factor structure of the Anxiety Sensitivity Index (ASI) among African American college students. Confirmatory factor analysis indicated the 3-factor solution commonly found among other populations did not fit the data for African Americans. Although an exploratory factor analysis indicated the presence of a Mental Incapacitation factor, the Physical Concerns factor was divided into unsteady and cardiovascular concerns. Items typically comprising the Social factor were reflective of emotional controllability among African Americans. The ASI was also moderately correlated with measures of anxiety and depression providing only weak evidence of convergent and discriminate validity of the ASI for African Americans. Although support for the multidimensional nature of AS was found, the factor composition differs for African Americans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Aberrant Salience Inventory: A new measure of psychosis proneness.

Aberrant salience is the unusual or incorrect assignment of salience, significance, or importance to otherwise innocuous stimuli and has been hypothesized to be important for psychosis and psychotic disorders such as schizophrenia. Despite the importance of this concept in psychosis research, no questionnaire measures are available to assess aberrant salience. The current research describes 4 studies designed to develop and validate the Aberrant Salience Inventory (ASI) as a measure of aberrant salience. In Study 1, an overinclusive item pool was subjected to an exploratory factor analysis, and items were kept or discarded based on factor loadings. In Study 2, the 5-factor structure of the ASI was confirmed with a confirmatory factor analysis, and a 2nd-order factor analysis found evidence consistent with a single higher order factor. Study 2 also provided support for the scale score's convergent validity as the ASI was strongly associated with psychosis-proneness measures and dissociation measures and moderately correlated with measures associated with levels of dopamine. This study also provided support for its discriminant validity as the ASI was only weakly associated with social anhedonia. Study 3 found that participants with elevated psychosis proneness had increased ASI scores, but in contrast, participants with elevated social anhedonia had similar scores to comparison participants. Finally, Study 4 found that participants with a history of psychosis had elevated ASI scores compared to a psychiatric comparison group. Overall, the ASI demonstrated sound psychometric properties and may be useful for measuring aberrant salience and psychosis proneness in clinical and nonclinical samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The facets of anxiety sensitivity represented in the Childhood Anxiety Sensitivity Index: Confirmatory analyses of factor models from past studies.

Results of past factor analytic studies of the Childhood Anxiety Sensitivity Index and Anxiety Sensitivity Index were used to formulate hypotheses about factor models of anxiety sensitivity. Using a nonclinical sample of 767 children and adolescents and confirmatory factor analysis, hypothesized models with 2, 3, and 4 lower order factors (facets) were tested. Goodness-of-fit criteria indicated that a model with 4 facets fits these data well. Support was found for factorial invariance of the 4 facets across age and gender, using nonclinical and clinical samples. Results support a hierarchical factor model in that there was a strong general factor, explaining 71% of the variance. Findings are discussed in the context of anxiety sensitivity theory and research with children and adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hierarchical structure and general factor saturation of the Anxiety Sensitivity Index: Evidence and implications.

The Anxiety Sensitivity Index (ASI) is one of the most widely used measures of the construct of anxiety sensitivity. Until the recent introduction of a hierarchical model of the ASI by S. O. Lilienfeld, S. M. Turner, and R. G. Jacob (1993), the factor structure of the ASI was the subject of debate, with some researchers advocating a unidimensional structure and others proposing multidimensional structures. In the present study, involving 432 outpatients seeking treatment at an anxiety disorders clinic and 32 participants with no mental disorder, the authors tested a hierarchical factor model. The results supported a hierarchical factor structure consisting of 3 lower order factors and 1 higher order factor. It is estimated that the higher order, general factor accounts for 60% of the variance in ASI total scores. The implications of these findings for the conceptualization and assessment of anxiety sensitivity are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measuring individual and cultural differences in implicit trait theories.

A new measure of implicit theories or beliefs regarding the traitedness versus contextuality of behavior was developed and tested across cultures. In Studies 1 (N = 266) and 2 (N = 266), these implicit beliefs dimensions were reliably measured and replicated across U.S. college student samples and validity evidence was provided. In Study 3, their structure replicated well across an individualistic culture (the United States; N = 249) and a collectivistic culture (Mexico, N = 268). Implicit trait and contextual beliefs overlapped only modestly with implicit entity theory beliefs and were predicted by self-construals in ways that generally supported cultural psychology hypotheses. Implicit trait beliefs were fairly strongly endorsed in both cultures, suggesting that such beliefs may be university held. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Taxometric and factor analytic models of anxiety sensitivity: Integrating approaches to latent structural research.

This study represents an effort to better understand the latent structure of anxiety sensitivity (AS), as indexed by the 16-item Anxiety Sensitivity Index (ASI; S. Reiss, R. A. Peterson, M. Gursky, & R. J. McNally, 1986), by using taxometric and factor-analytic approaches in an integrative manner. Taxometric analyses indicated that AS has a taxonic latent class structure (i.e., a dichotomous latent class structure) in a large sample of North American adults (N = 2,515). As predicted, confirmatory factor analyses indicated that a multidimensional 3-factor model of AS provided a good fit for the AS complement class (normative or low-risk form) but not the AS taxon class (high-risk form). Exploratory factor analytic results suggested that the AS taxon may demonstrate a unique, unidimensional factor solution, though there are alternative indications that it may be characterized by a 2-factor solution. Findings suggest that the latent structural nature of AS can be conceptualized as a taxonic latent class structure composed of 2 types or forms of AS, each of these forms characterized by its own unique latent continuity and dimensional structure. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Assessment of music performance anxiety in late childhood: A validation study of the Music Performance Anxiety Inventory for Adolescents (MPAI-A).

The Music Performance Anxiety Inventory for Adolescents (MPAI-A), the first standardized measure of music performance anxiety (MPA) for adolescents, was developed using an Australian sample of 381 talented young musicians, ages 12 to 19 years. This study validates the MPAI-A on a younger sample of 84 band musicians from the United States, ages 11 to 13 years. The MPAI-A was reliable (Cronbach's α = .91) and valid for this sample. Construct validity was demonstrated by significant positive relationships with measures of social phobia and trait anxiety. These results are comparable to the findings of the original sample and support the use of this instrument as a screening tool for MPA in young musicians. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Latent structure of anxiety: Taxometric exploration.

Taxometrics is a statistical tool that can be used to discern categories from continua. Taxometric analyses (MAXCOV and MAXEIG) were conducted in a large nonclinical sample (N=1,215) to determine whether extreme anxiety forms a distinct psychopathological category, an anxiety taxon. Anxiety was operationalized with self-report measures of subjective anxiety, anxious cognitive style, physiological arousal, and anxiety-related impairment. Procedures consistently identified a taxon with a prevalence of approximately 11%. Examination of the taxon's convergent and discriminant validity revealed that it reflects general distress rather than physiological arousal. Taxon membership showed some evidence of incremental validity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale.

Although several measures of obsessive-compulsive (OC) symptoms exist, most are limited in that they are not consistent with the most recent empirical findings on the nature and dimensional structure of obsessions and compulsions. In the present research, the authors developed and evaluated a measure called the Dimensional Obsessive-Compulsive Scale (DOCS) to address limitations of existing OC symptom measures. The DOCS is a 20-item measure that assesses the four dimensions of OC symptoms most reliably replicated in previous structural research. Factorial validity of the DOCS was supported by exploratory and confirmatory factor analyses of 3 samples, including individuals with OC disorder, those with other anxiety disorders, and nonclinical individuals. Scores on the DOCS displayed good performance on indices of reliability and validity, as well as sensitivity to treatment and diagnostic sensitivity, and hold promise as a measure of OC symptoms in clinical and research settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comment on Holloway and McNally's (1987) "Effects of anxiety sensitivity on the response to hyperventilation."

W. Holloway and R. J. McNally (see record 1988-07600-001) found that normals with high scores on the Anxiety Sensitivity Index (ASI), an instrument developed to assess beliefs regarding the adverse consequences of anxiety, reported more anxiety and more frequent and intense somatic sensations following hyperventilation than did normals with low scores on the ASI. They concluded that this result provides support for the construct validity of the ASI and thus for the construct of anxiety sensitivity. Nevertheless, we argue that (a) the developers of the ASI have conflated beliefs regarding the adverse consequences of anxiety with fear of these consequences, (b) the accumulated evidence for the construct validity of the ASI is weak, and (c) Holloway and McNally's design and analyses do not permit them to exclude the more parsimonious explanation that trait anxiety accounts for their findings. Implications for research on anxiety sensitivity are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A short, valid, predictive measure of work–family conflict: Item selection and scale validation.

The purpose of this research is to develop an abbreviated version of Carlson, Kacmar, and Williams’s (2000) multidimensional measure of work–family conflict. The abbreviated measure would have high utility in research situations in which a measure representative of the entire theoretical construct is desired, but the use of a long measure is precluded, as in diary and longitudinal designs. Two 3-item abbreviated measures based on Carlson et al.’s multidimensional measures were developed, 1 to assess work-to-family conflict and 1 to assess family-to-work conflict. Two samples were used to provide concurrent and predictive validity evidence for the abbreviated measure. Results from Study 1 indicate that the abbreviated measure has the expected factor structure and exhibited concurrent and predictive validity that replicated results found with Carlson et al.’s 18-item measure. Results from Study 2 provide additional psychometric and construct validity evidence for the abbreviated measure; the abbreviated measure was internally consistent, exhibited good test–retest reliability, and was systematically related to measures of role stressors, work–family balance, and well-being outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adaptation of Panic-Related Psychopathology Measures to Russian.

The study reports results of adaptation of panic-related psychopathology measures to Russian, including the Anxiety Sensitivity Index (ASI), the Agoraphobic Cognitions Questionnaire (ACQ), and the Mobility Inventory for Agoraphobia (MIA). Psychometric properties (e.g., reliability, factor structure, endorsement) and external validity of the adaptations were evaluated in a representative sample of Moscow residents (N=390) and Ukrainian undergraduates (N=492). The adapted ASI was generally equivalent to the original English-language version. The ACQ showed structural equivalency but did not exhibit expected specificity to panic. Finally, the MIA displayed notable structural discrepancies but had external validity comparable to the original. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictive validity of the Addiction Severity Index's composite scores in the assessment of 2-year outcomes in a methadone maintenance population.

The current research tested the predictive validity of 6 of the 7 Composite Scores (CSs) of the Addiction Severity Index (ASI) in 310 methadone maintenance patients assessed at treatment entry using the ASI and other measures, and followed for 2 years. Logistic regression was used to estimate the sensitivity and specificity of the CSs at intake in predicting their respective validity criterion measures at follow up. Except for the Medical CS, each of the other 5 CS measures significantly predicted its validity criterion measure. The CSs measuring drug use, alcohol abuse, psychopathology, and legal problems had high specificity (79% for the Drug CS, 91% for the Alcohol CS, 96% for the Legal CS, and 100% for the Psychological CS). The CSs measuring employment problems had high sensitivity (76%). The results support the predictive validity of most of the ASI CSs as measures of specific problems as well as the validity of the multidimensional construct on which the ASI is based. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anxiety sensitivity and depression: How are they related?

Anxiety sensitivity is the fear of anxiety-related bodily sensations, which arises from beliefs that the sensations have harmful somatic, psychological, or social consequences. Elevated anxiety sensitivity, as assessed by the Anxiety Sensitivity Index (ASI), is associated with panic disorder. The present study investigated the relationship between anxiety sensitivity and depression. Participants were people with panic disorder (n?=?52 ), major depression (n?=?46), or both (n?=?37 ). Mean ASI scores of each group were elevated, compared to published norms. Principal components analysis revealed 3 factors of anxiety sensitivity: (a) fear of publicly observable symptoms, (b) fear of loss of cognitive control, and (c) fear of bodily sensations. Factors 1 and 3 were correlated with anxiety-related measures but not with depression-related measures. Conversely, factor 2 was correlated with depression related measures but not with anxiety-related measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Intolerance of Uncertainty Scale for Children: A psychometric evaluation.

Intolerance of uncertainty (IU) has contributed to our understanding of excessive worry and adult anxiety disorders, but there is a paucity of research on IU in child samples. This gap is due to the absence of a psychometrically sound measure of IU in youth. The present study adapted parallel child- and parent-report forms of the Intolerance of Uncertainty Scale (IUS) and examined the internal consistency, convergent validity, and classification properties of these forms in youth aged 7–17 (M = 11.6 years, SD = 2.6). Participating youth (N = 197; 100 girls, 97 boys) either met diagnostic criteria for an anxiety disorder (n = 73) or were nonreferred community participants (n = 124). The child-report form (i.e., IUS for Children, or IUSC), and to a lesser extent the parent-report form, demonstrated strong internal consistency and convergent validity, evidenced by significant associations with anxiety and worry (and reassurance-seeking in the case of the child-report form). Children diagnosed with anxiety disorders scored higher than nonreferred community youth on both forms. Receiver operating characteristic (ROC) analysis demonstrated acceptable overall utility in distinguishing the 2 groups of youth. Findings provide preliminary support for use of the IUSC for continuous measurement of children’s ability to tolerate uncertainty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis.

There has been significant interest in the role of anxiety sensitivity (AS) in the anxiety disorders. In this meta-analysis, we empirically evaluate differences in AS between anxiety disorders, mood disorders, and nonclinical controls. A total of 38 published studies (N = 20,146) were included in the analysis. The results yielded a large effect size indicating greater AS among anxiety disorder patients versus nonclinical controls (d = 1.61). However, this effect was maintained only for panic disorder patients compared to mood disorder patients (d = 0.85). Panic disorder was also associated with greater AS compared to other anxiety disorders except for posttraumatic stress disorder (d = 0.04). Otherwise the anxiety disorders generally did not differ from each other in AS. Although these findings suggest that AS is central to the phenomenology of panic disorder and posttraumatic stress disorder, causal inferences regarding the role of AS in these anxiety disorders cannot be made. Moderator analyses showed that a greater proportion of female participants was associated with larger differences in AS between anxiety and nonclinical control groups. However, more female participants were associated with a smaller AS difference between anxiety and mood disorder groups. This finding suggests that AS is less robust in distinguishing anxiety from mood disorders among women. Age also moderated some observed effects such that AS was more strongly associated with anxiety disorders in adults compared to children. Type of AS measure used also moderated some effects. Implications of these findings for the conceptualization of AS in anxiety-related disorders are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A reanalysis of the Tridimensional Personality Questionnaire (TPQ) and its relation to Cloninger's Type 2 alcoholism.

The factor structure and external validity of the TPQ were examined in a sample of 303 male alcoholics in an inpatient treatment program. Confirmatory factor analyses did not support either the original tridimensional structure or the factor structures obtained in a nonclinical sample by C. R. Cloninger, T. R. Przybeck, and D. M. Svrakic (1991). An exploratory factor analysis suggested the TPQ comprises 5 factors: Subjective Distress, Detachment, Disinhibition, Relaxed Confidence, and Orderliness/Persistence. Each of the original scales was found to be multidimensional in terms of the 5 factors. The Novelty Seeking scale included most of the items of the Disinhibition factor scale, and the construct validity of both scales was supported by correlations with external measures of antisocial behavior and a measure of Cloninger's Type 2 alcoholism. Advantages of the factor scales are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)