Department of Psychology, Dalhousie University, Halifax, Canada.
Cogn Behav Ther. 2013;42(3):193-202. doi: 10.1080/16506073.2012.756059. Epub 2013 May 22.
The fear of arousal sensations characterizes some anxiety disorders and is a core feature of an established risk factor for anxiety and related disorders (i.e. anxiety sensitivity; Taylor, 1999). Anxiety sensitivity (AS) refers to a fear of anxiety-related bodily sensations stemming from beliefs that these have catastrophic consequences. Interoceptive exposure (IE; repeated exposure to feared arousal sensations) has been shown to decrease AS. The 33-item Hyperventilation Questionnaire (HVQ; Rapee & Medoro, 1994) measures state levels of cognitive, affective, and somatic responses to IE and arousal induction exercises more generally. The aim of the present set of studies was to develop and evaluate a brief version of the HVQ, the HVQ-B, in order to facilitate its use in research and clinical settings. In Study 1, three existing data sets that used the long version of the HVQ were combined to select the items to be retained for the HVQ-B. In Study 2, the 18-item HVQ-B was administered and its psychometric properties were evaluated. In Study 3, a confirmatory factor analysis (CFA) was performed on the 18 items of the HVQ-B. The HVQ-B demonstrated excellent psychometric properties, and accounted for most of the variance of the questionnaire's longer version. CFA indicated a reasonably good fit of the three-factor measurement model. Finally, the HVQ-B was able to distinguish between responses to arousal induction exercises by high versus low AS participants. The HVQ-B is a useful tool to assess cognitive, affective, and somatic responsivity to arousal sensations in both research and practice.
唤醒感觉恐惧是一些焦虑症的特征，也是焦虑和相关障碍的一个既定风险因素（即焦虑敏感；Taylor，1999）的核心特征。焦虑敏感（AS）是指对与焦虑相关的身体感觉的恐惧，源于对这些感觉具有灾难性后果的信念。内脏暴露（IE；反复暴露于恐惧的唤醒感觉）已被证明可以降低 AS。33 项过度通气问卷（HVQ；Rapee & Medoro，1994）测量 IE 和唤醒诱导练习更一般的认知、情感和躯体反应的状态水平。本系列研究的目的是开发和评估 HVQ 的简短版本，即 HVQ-B，以便在研究和临床环境中更方便地使用它。在研究 1 中，合并了使用长版本 HVQ 的三个现有数据集，以选择保留用于 HVQ-B 的项目。在研究 2 中，对 18 项 HVQ-B 进行了评估，并评估了其心理测量特性。在研究 3 中，对 HVQ-B 的 18 个项目进行了验证性因素分析（CFA）。HVQ-B 具有出色的心理测量特性，并解释了问卷较长版本的大部分方差。CFA 表明三因素测量模型的拟合度相当好。最后，HVQ-B 能够区分高 AS 参与者和低 AS 参与者对唤醒诱导练习的反应。HVQ-B 是一种在研究和实践中评估对唤醒感觉的认知、情感和躯体反应的有用工具。
