Trent N H, Templer D I, Gandolfo R, Corgiat M, Trent A P
United States Disciplinary Barracks, Fort Leavenworth, Kansas, USA.
J Clin Psychol. 1995 Mar;51(2):196-201. doi: 10.1002/1097-4679(199503)51:2<196::aid-jclp2270510208>3.0.co;2-7.
The purpose of the present research was to interrelate dimensions of anxiety in a psychiatric population, based primarily on the conceptual formulation of Templer, Corgiat, and Brooner (1984). Two hundred twenty outpatients served as subjects. The Fear Survey Schedule, State-Trait Anxiety Inventory, Hamilton Anxiety Scale, and a Likert-formated criterial symptom checklist for Generalized Anxiety Disorder (GAD) were employed to derive measures of Severity, Stimulus Specificity, Subjective Component (Cognitive vs. Somatic), Chronicity, and Temporal Constancy (Sometimes vs. Always present). Principal components factor analysis yielded three distinct dimensions of anxiety: Morbidity, Subjective Component, and Chronicity. Clinical and theoretical relevance of these findings are discussed specific to construction of a working model of anxiety, clinical assessment of anxiety response systems, and the feasibility of a dimensional approach to understanding psychopathology.
本研究的目的是主要基于坦普勒、科尔贾和布鲁纳(1984年)的概念框架,将精神科患者焦虑的各个维度相互关联起来。220名门诊患者作为研究对象。使用恐惧调查量表、状态-特质焦虑量表、汉密尔顿焦虑量表以及一份针对广泛性焦虑障碍(GAD)的李克特式标准症状清单,来得出严重程度、刺激特异性、主观成分(认知与躯体)、慢性程度和时间稳定性(有时存在与总是存在)的测量值。主成分因子分析得出了焦虑的三个不同维度:发病率、主观成分和慢性程度。针对焦虑工作模型的构建、焦虑反应系统的临床评估以及维度方法理解精神病理学的可行性,讨论了这些发现的临床和理论相关性。