Clark Heather L, Dixon Laura J, Ramachandran Sujith, Leukel Patric J, Lee Aaron A
Department of Psychology, University of Mississippi, P.O. Box 1848, University, MS, 38677, USA.
Department of Pharmacy Administration, University of Mississippi, University, MS, USA.
J Clin Psychol Med Settings. 2024 Mar;31(1):186-196. doi: 10.1007/s10880-023-09976-y. Epub 2023 Sep 28.
Approximately one-third of adults with chronic respiratory disease (CRD) have comorbid depressive and anxiety disorders; yet these disorders are often unrecognized in this patient population. Transdiagnostic processes such as anxiety sensitivity (AS) are useful for identifying mechanisms underlying psychological and heath conditions. The Short-Scale AS Index (SSASI) is a brief self-report measure of AS which has potential clinical utility among CRD populations to evaluate psychological distress and inform comprehensive care. The present study investigated the psychometric properties of the SSASI among adults with CRDs. Participants were recruited from a web-based panel of adults with CRDs (n = 768; 49.3% female; 57.8% White) including adults with asthma only (n = 230), COPD only (n = 321), or co-occurring asthma and COPD (n = 217). Participants completed a battery of self-report questionnaires assessing psychological and medical symptoms. Analyses were conducted to examine the factor structure and measurement invariance across CRD groups. Convergent validity and criterion validity of the SSASI were assessed within each group. Results supported partial measurement invariance across CRD groups. The SSASI demonstrated high reliability, convergent validity, and criterion validity with each CRD group. Findings from this study and existing work indicate that the SSASI is an effective and economical assessment tool for identifying patients CRD who may benefit from psychological interventions to reduce AS.
约三分之一的慢性呼吸道疾病（CRD）成年患者患有合并的抑郁和焦虑症；然而，这些疾病在该患者群体中往往未被识别。焦虑敏感性（AS）等跨诊断过程有助于识别心理和健康状况背后的机制。简短焦虑敏感性指数（SSASI）是一种对AS的简短自我报告测量方法，在CRD人群中具有潜在的临床效用，可用于评估心理困扰并为综合护理提供信息。本研究调查了CRD成年患者中SSASI的心理测量特性。参与者从一个基于网络的CRD成年患者小组中招募（n = 768；49.3%为女性；57.8%为白人），包括仅患有哮喘的成年人（n = 230）、仅患有慢性阻塞性肺疾病（COPD）的成年人（n = 321）或同时患有哮喘和COPD的成年人（n = 217）。参与者完成了一系列自我报告问卷，以评估心理和医学症状。进行分析以检验CRD组之间的因子结构和测量不变性。在每个组内评估SSASI的收敛效度和效标效度。结果支持CRD组之间的部分测量不变性。SSASI在每个CRD组中都表现出高信度、收敛效度和效标效度。本研究及现有工作的结果表明，SSASI是一种有效且经济的评估工具，可用于识别可能从心理干预中受益以降低AS的CRD患者。
