Assessing older adults with generalized anxiety: a replication and extension

Stanley, Melinda A.; Novy, Diane M.; Bourland, Stacey L.; Beck, J. Gayle; Averill, Patricia M.

doi:10.1016/s0005-7967(00)00030-9

Cited by 111 publications

(126 citation statements)

References 31 publications

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“…The internal consistency of the PSWQ has been excellent in populations of college students (α=.90; Fresco, Heimberg, Mennin, & Turk, 2002;α=.93;Meyer, et al, 1990), and patients with anxiety disorders (α=.93; Brown, Antony, & Barlow, 1992), and good in populations of older adults (α=.83 to .85) . Among older adults, the PSWQ demonstrated adequate convergent validity in patients with and without GAD (Beck, Stanley, & Zebb, 1995;Stanley, Novy, Bourland, Beck & Averill, 2001) and unlike with younger adults, correlated weakly with the BDI .…”

Section: Methodsmentioning

confidence: 99%

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Gloster

Rhoades

Novy

et al. 2008

Journal of Affective Disorders

378

290

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The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important.To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures.These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Psychometric Properties of the Depression Anxiety and Stress Scale-21 in Older Primary Care PatientsLovibond and Lovibond (1995a) developed a single measure to assess the core symptoms of depression and anxiety while maximizing discriminant validity between these constructs. Using an empirically driven iterative process, they identified a third factor, which they labeled stress. Their research resulted in the Depression Anxiety Stress Scale (DASS), which consists of 42 items comprising three scales of 14 items. Items refer to the past week; and scores range from 0, "Did not apply to me at all," to 4, "Applied to me very much, or most of the time." The Depression scale measures hopelessness, low self-esteem, and low positive affect. The Anxiety scale assesses autonomic arousal, physiological hyperarousal, and the subjective feeling of fear. The Stress scale items measure tension, agitation, and negative affect. Brown, et al., 1997;Clara et al., 2001), , and Depression -Stress (.57 -.79). Older AdultsDespite encouraging psychometric data with the DASS in younger adults, the measure remains untested in older adults. Given the high prevalence of anxiety, depression, and comorbid anxiety-depression in older adults and the need for briefer instruments that efficiently ev...

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Section: Methodsmentioning

confidence: 99%

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Gloster

Rhoades

Novy

et al. 2008

Journal of Affective Disorders

378

290

View full text Add to dashboard Cite

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“…It has been validated in samples of older adults diagnosed with GAD (Beck et al, 1995;Stanley et al, 2001). Cronbach's alpha in the present sample was .95.…”

Section: Methodsmentioning

confidence: 99%

“…The PSWQ is a measure of trait pathological worry that appears to have reasonably good psychometric properties in older adults with GAD (Beck, Stanley, & Zebb, 1995;Stanley, Novy, Bourland, Beck, & Averill, 2001). However, the reverse-scored items on the PSWQ may be difficult for older adults to interpret and answer appropriately (Hopko et al, 2003).…”

mentioning

confidence: 99%

The Beck Anxiety Inventory in Older Adults With Generalized Anxiety Disorder

Wetherell

Gatz

2005

J Psychopathol Behav Assess

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The authors investigated the psychometric properties of the Beck Anxiety Inventory (BAI) in a sample of 75 older generalized anxiety disorder (GAD) patients and a comparison group of 32 older adults without significant psychopathology. Internal consistency was above .80, and the BAI showed evidence of convergent validity in both groups. Evidence for discriminant validity with respect to measures of depression was weaker. Two items, fearing the worst and nervousness, correctly distinguished 86.5% of patients with GAD and 93.8% of the normal controls. Medical comorbidity was associated with somatic but not cognitive anxiety symptoms in the normal older sample. Overall, results indicate the limitations of the BAI in assessing anxiety symptoms in older adults and suggest the need for use of an instrument focusing on cognitive aspects of anxiety.

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“…The items are rated on a 5-point scale with possible scores ranging from 16 to 80. The PSWQ is a widely used measure with excellent psychometric properties for adults and older adults (Beck, Stanley, & Zebb, 1995;Meyer et al, 1990;Molina & Borkovec, 1994;Stanley, Novy, Bourland, Beck, & Averill, 2001). In the present study, internal consistency coefficients of .91 and .93 were obtained for the older and younger samples, respectively.…”

Section: Trait Worrymentioning

confidence: 99%

Age-Related Differences in Worry and Related Processes

Basevitz¹,

Pushkar

Chaikelson

et al. 2008

Int J Aging Hum Dev

106

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This study investigated the hypothesis that older adults would show age-related reductions in the tendency to worry in both their retrospective accounts and through cross-sectional age comparisons with a sample of younger adults. We also sought to determine whether age differences would be evident in psychological processes associated with a tendency to worry in general adult samples (intolerance of uncertainty and beliefs in the functional value of worry). Support was found for the hypothesized age-related reduction in worry in both retrospective reports among the older adults and cross-sectional age comparisons. Older adults were also found to report less intolerance of uncertainty and

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Assessing older adults with generalized anxiety: a replication and extension

Cited by 111 publications

References 31 publications

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

The Beck Anxiety Inventory in Older Adults With Generalized Anxiety Disorder

Age-Related Differences in Worry and Related Processes

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