The State-Trait Anxiety Inventory: Shadows and Lights on its Construct Validity

Past studies on the factor validity of the Trait subscale of the Spielberger’s State-Trait Anxiety Inventory (STAI-T) do unanimously agree on its structure. In fact, researchers are still debating whether the STAI-T is unidimensional or multidimensional. Our aim was to clarify what the STAI-T measures. The STAI-T, the Beck Depression Inventory–II, the Teate Depression Inventory, and the Beck Anxiety Inventory were administered to 1124 psychiatric outpatients and to 877 healthy subjects. A confirmatory factor analysis was performed in order to compare various models in the literature. The internal consistency and convergent and discriminant validity of the STAI-T as well as its factorial subscales were assessed. The one-construct two-method (i.e., the STAI-T measures one substantive anxiety construct plus artifacts due to negative–positive item polarity) and the bifactor (i.e., the STAI-T comprises two first-order specific factors [“Anxiety” and “Depression”] and one first-order general factor) models were the best-fitting solutions for the STAI–T in both the clinical and nonclinical samples. The STAI–T total score correlated more strongly with measures of depression than with a concurrent measure of anxiety. The STAI-T should be considered a measure of general negative affect, including specific aspects of cognitive anxiety and depression together.

[1]  E. Raufaste,et al.  Dimensionality of the Revised Life Orientation Test and the status of filler items , 2003 .

[2]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[3]  R. Snaith,et al.  What do anxiety scales measure? , 1996, Acta psychiatrica Scandinavica.

[4]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[5]  A. E. Bartz Basic Statistical Concepts , 1976 .

[6]  P. Lachenbruch Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[7]  S. Vautier,et al.  A Bistable View of Single Constructs Measured Using Balanced Questionnaires: Application to Trait Anxiety , 2004 .

[8]  Xiao-Li Meng,et al.  Comparing correlated correlation coefficients , 1992 .

[9]  L. Cronbach,et al.  Construct validity in psychological tests. , 1955, Psychological bulletin.

[10]  David Andrich,et al.  Models for measurement, precision, and the nondichotomization of graded responses , 1995 .

[11]  P. Lewinsohn,et al.  Longitudinal associations between depressive and anxiety disorders: a comparison of two trait models , 2007, Psychological Medicine.

[12]  P. Bentler,et al.  Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives , 1999 .

[13]  V. Hodapp,et al.  The multidimensionality of test anxiety: A test of different models , 1997 .

[14]  J. S. Long,et al.  Testing Structural Equation Models , 1993 .

[15]  Jeri Benson,et al.  THE IMPACT OF ITEM PHRASING ON THE VALIDITY OF ATTITUDE SCALES FOR ELEMENTARY SCHOOL CHILDREN , 1985 .

[16]  H. Caci,et al.  The Spielberger trait anxiety inventory measures more than anxiety , 2003, European Psychiatry.

[17]  S. Vautier,et al.  A Longitudinal SEM Approach to STAI Data: Two Comprehensive Multitrait-Multistate Models , 2004, Journal of personality assessment.

[18]  K. Schermelleh-Engel,et al.  Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. , 2003 .

[19]  H W Marsh,et al.  Positive and negative global self-esteem: a substantively meaningful distinction or artifactors? , 1996, Journal of personality and social psychology.

[20]  N. Sartorius,et al.  Assessment of Depression , 1986, Springer Berlin Heidelberg.

[21]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[22]  M. First DSM-5 proposals for mood disorders: a cost–benefit analysis , 2011, Current opinion in psychiatry.

[23]  S. West,et al.  A Comparison of Bifactor and Second-Order Models of Quality of Life , 2006, Multivariate behavioral research.

[24]  M. Antony,et al.  Handbook of assessment and treatment planning for psychological disorders. , 2002 .

[25]  M. Browne,et al.  Alternative Ways of Assessing Model Fit , 1992 .

[26]  K. Dobson An analysis of anxiety and depression scales. , 1985, Journal of personality assessment.

[27]  J. Jackson Barnette,et al.  Effects of Stem and Likert Response Option Reversals on Survey Internal Consistency: If You Feel the Need, There is a Better Alternative to Using those Negatively Worded Stems , 2000 .

[28]  Adrian Wells,et al.  Metacognitive Therapy for Anxiety and Depression , 2008 .

[29]  J. Gómez-Benito,et al.  The State-Trait Anxiety Inventory, Trait Version: Does It Really Measure Anxiety? , 2010, Journal of personality assessment.

[30]  P. Snaith What Do Depression Rating Scales Measure? , 1993, British Journal of Psychiatry.

[31]  D. Watson,et al.  Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. , 1991, Journal of abnormal psychology.

[32]  Richard L. Morris,et al.  Assessment of State and Trait Anxiety in Subjects with Anxiety and Depressive Disorders , 2004, Psychiatric Quarterly.

[33]  C. Spielberger,et al.  Stress and Anxiety , 1981 .

[34]  Robert K. Gable,et al.  The Impact of Positive and Negative Item Stems on the Validity of a Computer Anxiety Scale , 1990 .

[35]  M. Antony,et al.  Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). , 2007, Psychological assessment.

[36]  Martin M Antony,et al.  Evidence-based assessment of anxiety disorders in adults. , 2005, Psychological assessment.

[37]  D. Patrick,et al.  Strategies for Improving and Expanding the Application of Health Status Measures in Clinical Settings , 1992 .

[38]  Georg Rasch,et al.  Probabilistic Models for Some Intelligence and Attainment Tests , 1981, The SAGE Encyclopedia of Research Design.

[39]  I. Gotlib Depression and general psychopathology in university students. , 1984, Journal of abnormal psychology.

[40]  Anthony P S Guerrero,et al.  Psychometric Properties of the State-Trait Anxiety Inventory for Asian/Pacific-Islander Adolescents , 2000, Assessment.

[41]  Charles D. Spielberger,et al.  State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory. , 1994 .

[42]  A. Beck Depression : clinical, experimental, and theoretical aspects , 1967 .

[43]  K. Power,et al.  Four Systems Anxiety Questionnaire (FSAQ): a self-report measure of somatic, cognitive, behavioral, and feeling components. , 1990, Journal of personality assessment.

[44]  T. Cleary,et al.  Direction of Wording Effects in Balanced Scales , 1993 .

[45]  R. Davidson,et al.  Patterning of Cognitive and Somatic Processes in the Self‐Regulation of Anxiety: Effects of Meditation versus Exercise , 1978, Psychosomatic medicine.

[46]  D. Shek Reliability and factorial structure of the Chinese version of the State-Trait Anxiety Inventory , 1988 .

[47]  Keith S. Dobson,et al.  The relationship between anxiety and depression. , 1985 .

[48]  P. Emmelkamp,et al.  Self report assessment of anxiety: a cross validation of the Lehrer Woolfolk Anxiety Symptom Questionnaire in three populations. , 1992, Behaviour research and therapy.

[49]  L. Bufka,et al.  Brief screening assessments for managed care and primary care. , 2002 .

[50]  M. First,et al.  Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet , 1997 .

[51]  Rex B. Kline,et al.  Principles and Practice of Structural Equation Modeling , 1998 .

[52]  K. Abe,et al.  Characteristic Factor Structures of the Japanese Version of the State-Trait Anxiety Inventory: Coexistence of Positive-Negative and State-Trait Factor Structures , 2000, Journal of personality assessment.

[53]  I. Bernstein,et al.  State vs trait anxiety: A case study in confirmatory factor analysis , 1982 .

[54]  S. Vautier,et al.  Do balanced scales assess bipolar constructs? The case of the STAI scales. , 2009, Psychological assessment.

[55]  K. Power,et al.  Profiles of DSM III anxiety disorders on the somatic, cognitive, behavioural and feeling components of the four systems anxiety questionnaire , 1991 .

[56]  P. Bentler,et al.  Fit indices in covariance structure modeling : Sensitivity to underparameterized model misspecification , 1998 .

[57]  Gregory T. Smith On construct validity: issues of method and measurement. , 2005, Psychological assessment.

[58]  N. Endler,et al.  Anxiety: the state-trait model and the interaction model. , 1974, Journal of personality.

[59]  I. Gotlib,et al.  Handbook of Depression , 2011 .

[60]  D. Jackson,et al.  The Meaning And Measurement Of Neuroticism And Anxiety , 1961 .

[61]  C. Spielberger,et al.  Is the state-trait anxiety inventory multidimensional? , 1980 .

[62]  M. Antony,et al.  The State-Trait Anxiety Inventory, Trait version: structure and content re-examined. , 1998, Behaviour research and therapy.

[63]  R A Deyo,et al.  Strategies for improving and expanding the application of health status measures in clinical settings. A researcher-developer viewpoint. , 1992, Medical care.

[64]  A. Beck,et al.  The Beck Anxiety Inventory–Trait (BAIT): A Measure of Dispositional Anxiety Not Contaminated by Dispositional Depression , 2008, Journal of personality assessment.

[65]  R. Kline Principles and practice of structural equation modeling, 3rd ed. , 2011 .

[66]  R. Motl,et al.  The Social Physique Anxiety Scale: an example of the potential consequence of negatively worded items in factorial validity studies. , 2000, Journal of applied measurement.

[67]  Charles D. Spielberger,et al.  Cross-Cultural Anxiety , 1982 .

[68]  Nancy L. Kocovski,et al.  State and trait anxiety revisited. , 2001, Journal of anxiety disorders.

[69]  T. Brown,et al.  Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. , 2001, Journal of abnormal psychology.

[70]  Chester A. Schriesheim,et al.  The Effect of Negation and Polar Opposite Item Reversals on Questionnaire Reliability and Validity: An Experimental Investigation , 1991 .

[71]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[72]  S. Hathaway,et al.  MMPI-2 : Minnesota Multiphasic Personality Inventory-2 : manual for administration and scoring , 1989 .

[73]  I. Al-Issa Culture and Psychopathology , 1982 .

[74]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .

[75]  J. Gauthier,et al.  Adaptation Canadienne-Francaise De la Forme Revisee Du State-Trait Anxiety Inventory De Spielberger , 1993 .

[76]  D. Campbell,et al.  Convergent and discriminant validation by the multitrait-multimethod matrix. , 1959, Psychological bulletin.

[77]  J. Kahn Factor Analysis in Counseling Psychology Research, Training, and Practice , 2006 .

[78]  E. Diener,et al.  Handbook of Multimethod Measurement in Psychology , 2005 .

[79]  F. Vigneau,et al.  The Factor Structure of the State-Trait Anxiety Inventory: An Alternative View , 2008, Journal of personality assessment.

[80]  C. Spielberger,et al.  Validation of the State-Trait Distinction in Anxiety Research. , 1975, Multivariate Behavioral Research.

[81]  Michael Eid,et al.  Structural Equation Models for Multitrait-Multimethod Data , 2006 .

[82]  Colin MacLeod,et al.  Distinguishing Cognitive and Somatic Dimensions of State and Trait Anxiety: Development and Validation of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) , 2008, Behavioural and Cognitive Psychotherapy.

[83]  R. Steer,et al.  Manual for the Beck Anxiety Inventory. , 2013 .