Segers M J, Mertens C
Acta Psychiatr Belg. 1977 May-Jun;77(3):360-78.
This study addresses to critical issues related to the role of anxiety in myocardial infarct. Is the predictive value of the Anxiety Scale Questionnaire (ASQ) to be found in content of items and its self-rating by the subject or in response style to the questionnaire? Would anxiety play in certain circumstances a positive role in that it drives the individual to seek early medical treatment? Differences in anxiety scores, response style indices and factorial structures of the ASQ items reveal : 1. myocardial infarction subjects have higher, but not significantly higher, anxiety scores relative to healthy volunteers to an atherosclerosis screening test and healthy control individuals matched for age, sex and socio-economic status, 2. healthy volunteers are characterized by extreme response style that could reveal their involvement in the testing situation; 3. control individuals show a tendency to intermediate response; 4. the lack of invariance of factorial structure across the three groups suggests that each of them has a specific organization of anxiety. Scale-checking style, though strongly associated with the content of items, could have a predictive value since, anxiety levels being equal, subjects may be differently involved in their answers. The assumption is supported by the specific organization of anxiety evidenced in each group considered. A relation between such organization and preventive behaviour is not infirmed by the present data and ought to be further analyzed.
本研究探讨了与焦虑在心肌梗死中的作用相关的关键问题。焦虑量表问卷（ASQ）的预测价值是体现在项目内容及其由受试者自我评定上，还是体现在对问卷的回答方式上？焦虑在某些情况下是否会起到积极作用，促使个体寻求早期医疗治疗？焦虑得分、回答方式指标以及ASQ项目的因子结构差异表明：1. 与接受动脉粥样硬化筛查测试的健康志愿者以及年龄、性别和社会经济地位相匹配的健康对照个体相比，心肌梗死患者的焦虑得分更高，但差异不显著；2. 健康志愿者的特点是回答方式极端，这可能表明他们参与测试的情况；3. 对照个体表现出中等回答的倾向；4. 三组之间因子结构缺乏不变性，表明每组都有特定的焦虑组织方式。量表检查方式虽然与项目内容密切相关，但可能具有预测价值，因为在焦虑水平相同的情况下，受试者对答案的参与程度可能不同。这一假设得到了所考虑的每组中焦虑的特定组织方式的支持。目前的数据并未否定这种组织方式与预防行为之间的关系，对此应进一步分析。
