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.
Similar content being viewed by others
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.
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.
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.
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.
Cunha, J. A. (2001). Manual da versão em português das Escalas Beck. São Paulo: Casa do Psicólogo.
Deacon, B., & Abramowitz, J. (2006). Anxiety sensitivity and its dimensions across the anxiety disorders. Journal of Anxiety Disorders, 20, 837–857.
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.
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.
Field, A. (2005). Discovering statistics using SPSS. London: Sage.
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.
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.
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.
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.
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.
Kirmayer, L. J., Young, A., & Hayton, B. C. (1995). The cultural context of anxiety disorders. Psychiatric Clinics of North America, 18, 503–521.
Li, W., & Zinbarg, R. E. (2007). Anxiety sensitivity and panic attacks: a 1-year longitudinal study. Behavior Modification, 31, 145–61.
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.
Maller, R. G., & Reiss, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6, 241–247.
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.
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.
Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill.
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.
Peterson, R. A., & Heilbronner, R. L. (1987). The anxiety sensitivity index: Construct validity and factor analytic structure. Journal of Anxiety Disorders, 1, 117–121.
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.
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.
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.
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.
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.
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.
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.
Schmid, J., & Leiman, J. M. (1957). The development of hierarquical factor solutions. Psychometrika, 22, 53–61.
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.
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.
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.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. New York: Harper Collins.
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.
Taylor, S., Koch, W. J., McNally, R. J., & Crockett, D. J. (1992). Conceptualizations of anxiety sensitivity. Psychological Assessment, 4, 245–250.
Taylor, S., Koch, W. J., & Crockett, D. J. (1991). Anxiety sensitivity, trait anxiety, and the anxiety disorders. Journal of Anxiety Disorders, 5, 293–311.
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.
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.
Velicer, W. F. (1976). Determining the number of components from the matrix of partial correlations. Psychometrika, 41, 321–327.
Wardle, J., Ahmad, T., & Hayward, P. (1990). Anxiety sensitivity in agoraphobia. Journal of Anxiety Disorders, 4, 325–333.
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Additional information
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.
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10862-008-9103-3