Refinement of anxiety sensitivity measurement: The Short Scale Anxiety Sensitivity Index (SSASI).

Refinement of anxiety sensitivity measurement: The Short Scale Anxiety Sensitivity Index (SSASI).
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DOI:
10.1016/j.psychres.2018.08.115
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发表时间:
2018-11
影响因子:
11.3
通讯作者:
Schmidt NB
Schmidt NB
中科院分区:
医学2区
文献类型:
--
作者:
Zvolensky MJ;Garey L;Fergus TA;Gallagher MW;Viana AG;Shepherd JM;Mayorga NA;Kelley LP;Griggs JO;Schmidt NB

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焦虑敏感性,定义为对焦虑和唤醒相关感觉的恐惧,在情绪和相关障碍的研究和治疗中,一直是最有影响力的基于认知的跨诊断风险和维持因素之一。目前可用的焦虑敏感度测量受到其长度的限制。具体地说,这些工具的长度阻碍了在临床或医疗环境(例如,初级保健)中采用常规的焦虑敏感性评估。本研究的目的是使用三个独立的临床样本,开发和评估焦虑敏感指数-3(ASI-3)的简写版本,名为短量表焦虑敏感指数(SSASI)。结果表明,SSASI的五项简略版具有良好的内部一致性,并与ASI-3有较强的关联性。此外,在所有样本中,都有证据表明单一维度和良好的收敛和区分效度。也有证据表明性别间的部分测量不变性和时间上的完全测量不变性。总体而言,五项量表提供了一个可以用来衡量焦虑敏感度的单一分数。使用SSASI可以促进焦虑敏感性的筛查工作和症状跟踪,特别是在实际需要需要使用简短评估工具的临床环境中。
Anxiety sensitivity, defined as the fear of anxiety and arousal-related sensations, has been among the most influential cognitive-based transdiagnostic risk and maintenance factors in the study and treatment of emotional and related disorders. The currently available anxiety sensitivity measures are limited by their length. Specifically, the length of these instruments discourages the adoption of routine anxiety sensitivity assessment in clinical or medical settings (e.g., primary care). The goals of this study were to develop and assess the validity and reliability of a short version of the Anxiety Sensitivity Index-3 (ASI-3), entitled the Short Scale Anxiety Sensitivity Index (SSASI), using three independent clinical samples. Results indicated that the abbreviated five-item version of the SSASI had good internal consistency and a robust association with the ASI-3. Further, across the samples, there was evidence of unidimensionality and excellent convergent and discriminant validity. There also was evidence of partial measurement invariance across sex and full measurement invariance across time. Overall, the five-item scale offers a single score that can be employed to measure anxiety sensitivity. Use of the SSASI may facilitate screening efforts and symptom tracking for anxiety sensitivity, particularly within clinical settings where practical demands necessitate the use of brief assessment instruments.
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