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Anxiety Sensitivity Factor Structure Among Brazilian Patients with Anxiety Disorders

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Abstract

Anxiety sensitivity (i.e., fear of arousal-related bodily sensations, including sensations that arise from normal physiological processes, due to the personal belief that these sensations will produce harmful consequences) is an important psychological construct involved in the etiology and maintenance of different anxiety disorders. The present study evaluated the psychometric proprieties and the factor structure of the 18-item Anxiety Sensitivity Index-3 (ASI-3) among 585 Brazilian patients with primary anxiety disorder diagnosis. Results indicated good internal consistency and item-total correlation coefficients. Exploratory factor analyses suggested a hierarchical structure composed of a single higher-order factor and three lower-order factors related to physical, cognitive and social concern. ASI-3 score comparisons across the different anxiety disorder groups indicated that panic disorder patients produced significantly higher overall ASI-3 scores as well as on the physical and social subscales.

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References

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 58, 893–897.

    Article  Google Scholar 

  • Blais, M. A., Otto, M. W., Zucker, B. G., McNally, R. J., Schmidt, N. B., Fava, M., & Pollack, M. H. (2001). The anxiety sensitivity index: item analysis and suggestions for refinement. Journal of Personality Assessment, 77, 272–294.

    Article  PubMed  Google Scholar 

  • Bouvard, M., Ayxeres-Vighetto, A., Dupont, H., Aupetit, J., Portalier, S., & Arrindell, W. (2006). Preliminary validation of the French translation of anxiety sensibility index-revised (ASI-R). Encephale, 29, 157–164.

    Google Scholar 

  • Cox, B. J., Parker, J. D., & Swinson, R. P. (1996). Anxiety sensitivity: confirmatory evidence for a multidimensional construct. Behaviour Research and Therapy, 34, 591–598.

    Article  PubMed  Google Scholar 

  • Cunha, J. A. (2001). Manual da versão em português das Escalas Beck. São Paulo: Casa do Psicólogo.

    Google Scholar 

  • Deacon, B., & Abramowitz, J. (2006). Anxiety sensitivity and its dimensions across the anxiety disorders. Journal of Anxiety Disorders, 20, 837–857.

    Article  PubMed  Google Scholar 

  • Deacon, B. J., Abramowitz, J. S., Woods, C. M., & Tolin, D. F. (2003). The Anxiety Sensitivity Index - Revised: psychometric properties and factor structure in two nonclinical samples. Behaviour Research and Therapy, 41, 1427–1449.

    Article  PubMed  Google Scholar 

  • Eke, M., & McNally, R. J. (1996). Anxiety sensitivity, suffocation fear, trait anxiety, and breath-holding duration as predictors of response to carbon dioxide challenge. Behaviour Research and Therapy, 34, 603–307.

    Article  PubMed  Google Scholar 

  • Field, A. (2005). Discovering statistics using SPSS. London: Sage.

    Google Scholar 

  • Friedman, S. (Ed.), (1997). Cultural issues in the treatment of anxiety. New York: Guilford.

  • Guarnaccia, P. J. (1997). A cross-cultural perspective on anxiety disorders. In S. Friedman (Ed.), Cultural issues in the treatment of anxiety pp. 3–20. New York: Guilford.

    Google Scholar 

  • Hayton, J. C., Allen, D. G., & Scarpello, V. (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organizational Research Methods, 7, 191–205.

    Article  Google Scholar 

  • Hinton, D. E., Pich, V., Safren, S. A., Pollack, M. H., & McNally, R. J. (2006). Anxiety sensitivity among Cambodian refugees with panic disorder: A factor analytic investigation. Journal of Anxiety Disorders, 20, 281–295.

    Article  PubMed  Google Scholar 

  • Hoge, E. A., Tamrakar, S. M., Christian, K. M., Mahara, N., Nepal, M. K., Pollack, M. H., et al. (2006). Cross-cultural differences in somatic presentation in patients with generalized anxiety disorder. The Journal of Nervous and Mental Disease, 194, 962–966.

    Article  PubMed  Google Scholar 

  • Irvine, S. H., & Carroll, W. K. (1980). Testing and assessment across cultures. In H. C. Triandis & J. W. Berry. In Handbook of cross-cultural psychology. (Volume 2). Boston: Allyn & Bacon.

    Google Scholar 

  • Kirmayer, L. J., Young, A., & Hayton, B. C. (1995). The cultural context of anxiety disorders. Psychiatric Clinics of North America, 18, 503–521.

    PubMed  Google Scholar 

  • Li, W., & Zinbarg, R. E. (2007). Anxiety sensitivity and panic attacks: a 1-year longitudinal study. Behavior Modification, 31, 145–61.

    Article  PubMed  Google Scholar 

  • Lim, Y. J., Yu, B. H., & Kim, J. H. (2007). Korean Anxiety Sensitivity Index-revised: its factor structure, reliability, and validity in clinical and nonclinical samples. Depression and Anxiety, 24, 331–341.

    Article  PubMed  Google Scholar 

  • Maller, R. G., & Reiss, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6, 241–247.

    Article  Google Scholar 

  • Maruta, T., Yamate, T., Ito, K., Sato, M., Iimori, M., & Kato, M. (2007). Reliability and validity of the Japanese version of the Anxiety Sensitivity Index. Comprehensive Psychiatry, 48, 289–292.

    Article  PubMed  Google Scholar 

  • McWilliams, L. A., Stewart, S. H., & MacPherson, P. S. (2000). Does the social concern component of the anxiety sensitivity index belong to the domain of anxiety sensitivity or the domain of negative evaluation sensitivity? Behavior Research and Therapy, 38, 985–992.

    Article  Google Scholar 

  • Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill.

    Google Scholar 

  • O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instrumentation, and Computers, 32, 396–402.

    Google Scholar 

  • Peterson, R. A., & Heilbronner, R. L. (1987). The anxiety sensitivity index: Construct validity and factor analytic structure. Journal of Anxiety Disorders, 1, 117–121.

    Article  Google Scholar 

  • Peterson, R. A., & Plehn, K. (1999). Measuring anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: theory, research, and treatment in the fear of anxiety (pp. 61–68). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Plehn, K., & Peterson, R. A. (2002). Anxiety sensitivity as a predictor of the development of panic symptoms, panic attacks, and panic disorder: a prospective study. Journal of Anxiety Disorders, 16, 455–74.

    Article  PubMed  Google Scholar 

  • Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2007). Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. Behavior Research and Therapy, 45, 1967–1975.

    Article  Google Scholar 

  • Reis, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss, & R. R. Bootzin (Eds.), Theoretical Issues in Behavior Therapy (pp. 107–121). San Diego, CA: Academic Press.

    Google Scholar 

  • Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behavior Research and Therapy, 24, 1–8.

    Article  Google Scholar 

  • Rodriguez, B. F., Bruce, S. E., Pagano, M. E., Spencer, M. A., & Keller, M. B. (2004). Factor structure and stability of the anxiety sensitivity index in a longitudinal study of anxiety disorder patients. Behavior Research and Therapy, 42, 79–91.

    Article  Google Scholar 

  • Sandin, B., Chorot, P., & McNally, R. J. (1996). Validation of the Spanish version of the Anxiety Sensitivity Index in a clinical sample. Behavior Research and Therapy, 34, 283–290.

    Article  Google Scholar 

  • Schmid, J., & Leiman, J. M. (1957). The development of hierarquical factor solutions. Psychometrika, 22, 53–61.

    Article  Google Scholar 

  • Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1997). The role of anxiety sensitivity in the pathogenesis of panic: prospective evaluation of spontaneous panic attacks during acute stress. Journal of Abnormal Psychology, 106, 355–364.

    Article  PubMed  Google Scholar 

  • Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1999). Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. Journal of Abnormal Psychology, 108, 532–537.

    Article  PubMed  Google Scholar 

  • Schmidt, N. B., Maner, J. K., & Zvolensky, M. J. (2007). Reactivity to challenge with carbon dioxide as a prospective predictor of panic attacks. Psychiatry Research, 151, 173–176.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. New York: Harper Collins.

    Google Scholar 

  • Taylor, S. (Ed.), (1999). Anxiety sensitivity: theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Lawrence Erlbaum Associates.

  • Taylor, S., & Cox, B. J. (1998). An expanded anxiety sensitivity index: evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463–483.

    Article  PubMed  Google Scholar 

  • Taylor, S., Koch, W. J., McNally, R. J., & Crockett, D. J. (1992). Conceptualizations of anxiety sensitivity. Psychological Assessment, 4, 245–250.

    Article  Google Scholar 

  • Taylor, S., Koch, W. J., & Crockett, D. J. (1991). Anxiety sensitivity, trait anxiety, and the anxiety disorders. Journal of Anxiety Disorders, 5, 293–311.

    Article  Google Scholar 

  • Taylor, S., Koch, W. J., Woody, S., & McLean, P. (1996). Anxiety sensitivity and depression: how are they related? Journal of Abnormal Psychology, 105, 474–479.

    Article  PubMed  Google Scholar 

  • Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188.

    Article  PubMed  Google Scholar 

  • Velicer, W. F. (1976). Determining the number of components from the matrix of partial correlations. Psychometrika, 41, 321–327.

    Article  Google Scholar 

  • Wardle, J., Ahmad, T., & Hayward, P. (1990). Anxiety sensitivity in agoraphobia. Journal of Anxiety Disorders, 4, 325–333.

    Article  Google Scholar 

  • Wolff, H.-G., & Preising, K. (2005). Exploring item and higher order factor structure with the Schmid-Leiman solution: Syntax codes for SPSS and SAS. Behavior Research Methods, Instruments, & Computers, 37, 48–58.

    Google Scholar 

  • Zinbarg, R. E., Barlow, D. H., & Brown, T. A. (1997). Hierarchical structure and general factor structure saturation of the anxiety sensitivity index: evidence and implications. Psychological Assessment, 9, 277–284.

    Article  Google Scholar 

  • Zinbarg, R. E., Brown, T. A., Barlow, D. H., & Rapee, R. M. (2001). Anxiety sensitivity, panic, and depressed mood: a reanalysis teasing apart the contributions of the two levels in the hierarchical structure of the Anxiety Sensitivity Index. Journal of Abnormal Psychology, 110, 372–377.

    Article  PubMed  Google Scholar 

  • Zvolensky, M. J., Arrindell, W. A., Taylor, S., Bouvard, M., Cox, B. J., Stewart, S. H., et al. (2003). Anxiety sensitivity in six countries. Behaviour Research and Therapy, 41, 841–859.

    Article  PubMed  Google Scholar 

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Correspondence to J. Landeira-Fernandez.

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This research was supported by CNPq grant 522720-95-1. MRPGE and ACMFB were awarded with a CNPq fellowship. The authors would like to thank Paulo Fernando H. Britto (PUC-Rio) and Silésia Delphino Tosi (Casa do Psicólogo) for hel** the translation of the ASI-R. Thanks are also due to Cilio Ziviani for the critical reading of the manuscript.

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Escocard, M.R.P.G., Fioravanti-Bastos, A.C.M. & Landeira-Fernandez, J. Anxiety Sensitivity Factor Structure Among Brazilian Patients with Anxiety Disorders. J Psychopathol Behav Assess 31, 246–255 (2009). https://doi.org/10.1007/s10862-008-9103-3

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