Olatunji Bunmi O, Deacon Brett J, Abramowitz Jonathan S, Tolin David F
Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 15 Parkman Street, ACC 812, Boston, MA 02114, USA.
J Anxiety Disord. 2006;20(5):543-61. doi: 10.1016/j.janxdis.2005.08.002. Epub 2005 Sep 29.
Somatic complaints are often key features of anxiety pathology. Although most measures of anxiety symptoms capture somatic complaints to some degree, the Self-Rating Anxiety Scale (SAS) was developed primarily as a measure of somatic symptoms associated with anxiety responding. We evaluated the psychometric properties and factor structure of the SAS in two large undergraduate samples who completed the SAS and measures of anxiety and depression. Exploratory factor analysis revealed four lower-order SAS factors in both samples: (1) anxiety and panic; (2) vestibular sensations; (3) somatic control; and, (4) gastrointestinal/muscular sensations. The SAS demonstrated good reliability in both samples, and the correlations between the SAS factors and other anxiety variables provide supportive evidence for convergent validity, though evidence for discriminant validity was limited. The strengths and limitations of the SAS are offered as well as the implications of our findings for the nature and assessment of somatic complaints in anxiety disorders.
躯体主诉往往是焦虑病理学的关键特征。尽管大多数焦虑症状测量方法在一定程度上都涵盖了躯体主诉,但自评焦虑量表(SAS)最初主要是作为一种测量与焦虑反应相关的躯体症状的工具而开发的。我们在两个完成了SAS以及焦虑和抑郁测量的大型本科样本中评估了SAS的心理测量特性和因子结构。探索性因子分析在两个样本中均揭示了四个低阶SAS因子:(1)焦虑和惊恐;(2)前庭感觉;(3)躯体控制;以及(4)胃肠道/肌肉感觉。SAS在两个样本中均表现出良好的信度,SAS因子与其他焦虑变量之间的相关性为聚合效度提供了支持性证据,尽管区分效度的证据有限。我们还讨论了SAS的优势和局限性,以及我们的研究结果对焦虑症中躯体主诉的性质和评估的意义。