A test of the tripartite model of depression and anxiety in older adult psychiatric outpatients.

This study examined the tripartite model of depression and anxiety in 131 psychiatric outpatients, ages 55-87. Confirmatory factor analyses revealed that a 3-factor model provided an adequate fit to the observed data, that the 3-factor model was empirically superior to 1- or 2-factor models, and that the 3-factor structure obtained in the current sample of older adult outpatients converged with that obtained on a separate, younger 'sample. Negative affect was significantly related to depression and anxiety symptoms and syndromes, and positive affect was more highly related to depression than anxiety symptoms and syndromes. Ways for taking into account possible age-associated differences in emotion in older adults and thus improving the conceptual model of anxiety and depression are briefly noted.

[1]  R. Dykman,et al.  Using self-report data to differentiate anxious and depressive symptoms in adolescents: Cognitive content specificityand global distress? , 1994, Cognitive Therapy and Research.

[2]  Dianne M. Finkelstein,et al.  A Beginner's Guide to Structural Equation Modeling , 2005, Technometrics.

[3]  T. Joiner.  A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students , 1996, Cognitive Therapy and Research.

[4]  David A. F. Haaga,et al.  The specificity of attributional style and expectations to positive and negative affectivity, depression, and anxiety , 1993, Cognitive Therapy and Research.

[5]  J. Beck,et al.  Differentiating Symptoms of Anxiety and Depression in Older Adults: Distinct Cognitive and Affective Profiles? , 1999, Cognitive Therapy and Research.

[6]  S. Pallesen,et al.  Psychological treatment of late-life anxiety: an empirical review. , 2003, Journal of consulting and clinical psychology.

[7]  A. Swann,et al.  Differentiating anxiety and depression in older adults with generalized anxiety disorder. , 2003, Psychological assessment.

[8]  Patterns of hemispheric perceptual asymmetries: left hemispatial biases predict changes in anxiety and positive affect in undergraduate women. , 2001, Emotion.

[9]  N. Pedersen,et al.  A longitudinal analysis of anxiety and depressive symptoms. , 2001, Psychology and aging.

[10]  M. Kunik,et al.  Anxiety and Depression in Medically Ill Older Adults , 2001 .

[11]  R. Roberts,et al.  Anxiety Disorders Among Older Primary Care Patients , 2001 .

[12]  B. Pollock,et al.  Comorbid anxiety disorders in depressed elderly patients. , 2000, The American journal of psychiatry.

[13]  A. V. van Balkom,et al.  Consequences of anxiety in older persons: its effect on disability, well-being and use of health services , 1999, Psychological Medicine.

[14]  A. Beck,et al.  Physiological hyperarousal: construct validity of a central aspect of the tripartite model of depression and anxiety. , 1999, Journal of abnormal psychology.

[15]  T. Brown,et al.  Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. , 1998, Journal of abnormal psychology.

[16]  D. Barlow,et al.  The structure of negative emotions in a clinical sample of children and adolescents. , 1998, Journal of abnormal psychology.

[17]  R. Howard,et al.  The relationship between anxiety disorders and age , 1998, International journal of geriatric psychiatry.

[18]  S. Mineka,et al.  Comorbidity of anxiety and unipolar mood disorders. , 1998, Annual review of psychology.

[19]  Pearson Jl.  Summary of a National Institute of Mental Health workshop on late-life anxiety. , 1998 .

[20]  M. Gatz,et al.  Empirically validated psychological treatments for older adults. , 1998 .

[21]  G. Livingston,et al.  The natural history of depression and the anxiety disorders in older people: the Islington community study. , 1997, Journal of affective disorders.

[22]  B. Lebowitz,et al.  Diagnosis and Treatment of Depression in Late Life: Consensus Statement Update , 1997 .

[23]  P. Areán,et al.  Psychometric evaluation of the Beck Anxiety Inventory with older medical patients , 1997 .

[24]  M. Hersen,et al.  Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. , 1997, Journal of anxiety disorders.

[25]  P. Lewinsohn,et al.  Relationship of physical disease and functional impairment to depression in older people. , 1996, Psychology and aging.

[26]  D. Karasic,et al.  Anxiety and anxiety disorders. , 1996, Focus.

[27]  S. J. Catanzaro,et al.  Tripartite structure of positive and negative affect, depression, and anxiety in child and adolescent psychiatric inpatients. , 1996, Journal of abnormal psychology.

[28]  R A McCormick,et al.  Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. , 1995, Journal of abnormal psychology.

[29]  M. J. Dyck,et al.  An evaluation of positive affectivity, negative affectivity, and hyperarousal as markers for assessing between syndrome relationships. , 1994 .

[30]  B. Muthén,et al.  Age differences in the symptoms of depression: a latent trait analysis. , 1994, Journal of gerontology.

[31]  B. Byrne.  Book Review: Structural Equation Modeling with EQS and EQS/Windows: Basic Concepts, Applications, and Programming , 1994 .

[32]  F. Scogin,et al.  Efficacy of psychosocial treatments for geriatric depression: a quantitative review. , 1994, Journal of consulting and clinical psychology.

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

[34]  M. Dyck,et al.  Integration of positive and negative affectivity and cognitive content-specificity: improved discrimination of anxious and depressive symptoms. , 1994, Journal of abnormal psychology.

[35]  I. Katz,et al.  Anxiety and Its Association With Depression Among Institutionalized Elderly. , 1993, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[36]  M. Hersen,et al.  Reliability of diagnosis in older psychiatric patients using the structured clinical interview for DSM-III-R , 1993 .

[37]  J. House,et al.  The relationship between age and depressive symptoms in two national surveys. , 1992, Psychology and aging.

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

[39]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[40]  A. Beck,et al.  An inventory for measuring clinical anxiety: psychometric properties. , 1988, Journal of consulting and clinical psychology.

[41]  D. Watson,et al.  Positive and negative affectivity and their relation to anxiety and depressive disorders. , 1988, Journal of abnormal psychology.

[42]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[43]  M M Weissman,et al.  Six-month prevalence of psychiatric disorders in three communities 1980 to 1982. , 1984, Archives of general psychiatry.

[44]  J. Steinmetz,et al.  The Beck Depression Inventory and Research Diagnostic Criteria: congruence in an older population. , 1983, Journal of consulting and clinical psychology.

[45]  C. Spielberger,et al.  Manual for the state-trait anxiety inventory (form Y) : "self-evaluation questionnaire" , 1983 .

[46]  C. Schriesheim.  Causal Analysis: Assumptions, Models, and Data , 1982 .

[47]  L. Thompson,et al.  Reliability of the Beck Depression Inventory with older adults. , 1982, Journal of consulting and clinical psychology.

[48]  H. Merskey.  The behavioural management of anxiety, depression and pain P.O. Davidson (Ed.), Brunne Mazel, New York, 1976, x + 197 pp. , 1979, PAIN.

[49]  A. B. Hollingshead,et al.  Four factor index of social status , 1975 .

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