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Vol. 47. Issue 4.
Pages 184-189 (January 2011)
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Vol. 47. Issue 4.
Pages 184-189 (January 2011)
Original Article
DOI: 10.1016/S1579-2129(11)70044-1
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Reliability and Validity of a Short Version of the STAI Anxiety Measurement Scale in Respiratory Patients
Fiabilidad y validez de una versión corta de la escala de medida de la ansiedad STAI en pacientes respiratorios
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Juana Perpiñá-Galvaña,
Corresponding author
juana.perpina@ua.es

Corresponding author.
, Miguel Richart-Martínezb, María José Cabañero-Martínezc
a Máster en Enfermería, Departamento de Enfermería, Universidad de Alicante, Alicante, Spain
b Doctor en Psicología, Departamento de Enfermería, Universidad de Alicante, Alicante, Spain
c Doctor en Enfermería, Departamento de Enfermería, Universidad de Alicante, Alicante, Spain
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Abstract
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Abstract
Background

There is comorbidity between respiratory disease and anxiety. In order to measure the anxiety of hospitalized patients it is necessary to use reliable and valid, and preferably short questionnaires.

Objective

To analyze the reliability and validity of a shortened version of the state subscale of the “State-Trait Anxiety Inventory (STAI)” in respiratory patients.

Patients and methods

A total of 103 respiratory patients admitted to the respiratory ward between February of 2009 and February of 2010 were non-consecutively selected. They answered two questionnaires: the Spanish version of the STAI-state and a short version consisting of 7 items. Sociodemographic and clinical variables of the patients were also obtained. The internal consistency, and convergent and construct validity of the short scale were analyzed.

Results

The short scale did not have floor/ceiling effect, the α-Cronbach was acceptable (0.89), and correlated positively (r = 0.90; P =.01) and also maintained the factorial structure of the original scale (half anxiety-present items and half anxiety-absent items).

Conclusions

The short version of the state subscale of the STAI has showed good metric properties in hospitalized respiratory patients.

Keywords:
Anxiety
State-trait anxiety inventory
STAI
Reliability
Validity
Respiratory patients
Resumen
Antecedentes

Existe comorbilidad entre enfermedad respiratoria y ansiedad. Para medir la ansiedad en pacientes hospitalizados es necesario usar cuestionarios fiables, válidos, y preferiblemente, cortos.

Objetivo

Analizar la fiabilidad y validez de una versión corta de la escala de medida de la ansiedad STAI en pacientes respiratorios.

Pacientes y método

Se seleccionó una muestra no probabilística y no consecutiva de 103 pacientes con enfermedad respiratoria ingresados en la planta de neumología entre febrero de 2009 y febrero de 2010. Se administraron dos cuestionarios: la adaptación española de la subescala estado del Cuestionario de Ansiedad Estado-Rasgo (STAI) y una versión corta del mismo instrumento de 7 ítems. También se recogieron variables sociodemográficas y clínicas de los pacientes. Se analizó la consistencia interna y la validez convergente y de constructo de la escala corta.

Resultados

La escala corta no tiene efecto techo/suelo, el α-Cronbach es aceptable (0,89), correlaciona positivamente con la escala original (r = 0,90; p = 0,01) y mantiene la estructura factorial de esta última (mitad de ítems de ansiedad presente y la otra mitad de ansiedad ausente).

Conclusiones

La versión corta del STAI estado muestra buenas propiedades métricas en pacientes respiratorios hospitalizados.

Palabras clave:
Ansiedad
Cuestionario de ansiedad estado-rasgo
STAI
Fiabilidad
Validez
Pacientes respiratorios
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References
[1.]
S.B. Patten, J.V. Williams.
Chronic obstructive lung diseases and prevalence of mood, anxiety, and substance-use disorders in a large population sample.
Psychosomatics, 48 (2007), pp. 496-501
http://dx.doi.org/10.1176/appi.psy.48.6.496 | Medline
[2.]
H. McCathie, S. Spence, R. Tate.
Adjustment to chronic obstructive pulmonary disease: the importance of psychological factors.
Eur Respir J, 19 (2002), pp. 47-53
Medline
[3.]
R.W. Light, E.J. Merrill, J.A. Despars, G.H. Gordon, L.R. Mutalipassi.
Prevalence of depression and anxiety in patients with COPD. Relationship to functional capacity.
Chest, 87 (1985), pp. 35-38
Medline
[4.]
G.A. Brenes.
Anxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment.
Psychosom Med, 65 (2003), pp. 963-970
Medline
[5.]
R.D. Goodwin, D.M. Fergusson, L.J. Horwood.
Asthma and depressive and anxiety disorders among young persons in the community.
Psychol Med, 34 (2004), pp. 1465-1474
Medline
[6.]
S. Centanni, F. Di-Marco, F. Castagna, B. Boveri, F. Casanova, A. Piazzini.
Psychological issues in the treatment of asthmatic patients.
Respir Med, 94 (2000), pp. 742-749
http://dx.doi.org/10.1053/rmed.1999.0766 | Medline
[7.]
J. Maurer, V. Rebbapragada, S. Borson, R. Goldstein, M.E. Kunik, A.M. Yohannes, et al.
Anxiety and depression in COPD. Current understanding, unanswered questions, and research needs.
Chest, 134 (2008), pp. 43S-56S
http://dx.doi.org/10.1378/chest.08-0342 | Medline
[8.]
A. Neuman, M. Gunnbjörnsdottir, A. Tunsäter, L. Nyström, K.A. Franklin, E. Norrman, et al.
Dyspnea in relation to symptoms of anxiety and depression: a prospective population study.
Respir Med, 100 (2006), pp. 1843-1849
http://dx.doi.org/10.1016/j.rmed.2006.01.016 | Medline
[9.]
L.P. Richardson, P. Lozano, J. Russo, E. McCauley, T. Bush, W. Katon.
Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms.
Pediatrics, 118 (2006), pp. 1042-1051
http://dx.doi.org/10.1542/peds.2006-0249 | Medline
[10.]
E. Martínez-Moragón, M. Perpiñá, A. Belloch, A. De Diego, M.E. Martínez-Francés.
Percepción de la disnea durante la broncoconstricción aguda en los pacientes con asma.
Arch Bronconeumol, 39 (2003), pp. 67-73
Medline
[11.]
E. Martínez-Moragón, M. Perpiñá, A. Belloch, A. De Diego.
Prevalencia del síndrome de hiperventilación en pacientes tratados por asma en una consulta de neumología.
Arch Bronconeumol, 41 (2005), pp. 267-271
Medline
[12.]
I. Dahlén, C. Janson.
Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease.
Chest, 122 (2002), pp. 1633-1637
Medline
[13.]
G. Gudmundsson, T. Gislason, C. Janson, E. Lindberg, C.S. Ulrik, E. Brondum, et al.
Depression, anxiety and health status after hospitalisation for COPD: a multicentre study in the Nordic countries.
Respir Med, 100 (2006), pp. 87-93
http://dx.doi.org/10.1016/j.rmed.2005.04.003 | Medline
[14.]
G. Gudmundsson, T. Gislason, C. Janson, E. Lindberg, R. Hallin, C.S. Ulrik, et al.
Risk factors for rehospitalisation in COPD: role of health status, anxiety and depression.
Eur Respir J, 26 (2005), pp. 414-419
http://dx.doi.org/10.1183/09031936.05.00078504 | Medline
[15.]
M.E. Martínez-Francés, M. Perpiñá-Tordera, A. Belloch-Fuster, E.M. Martínez-Moragón, L. Compte-Torrero.
Importancia de la disnea basal e inducida en la calidad de vida de los pacientes con EPOC.
Arch Bronconeumol, 44 (2008), pp. 127-134
Medline
[16.]
K.L. Lavoie, S.L. Bacon, S. Barone, A. Cartier, B. Ditto, M. Labrecque.
What is worse for asthma control and quality of life: depressive disorders, anxiety disorders, or both?.
Chest, 130 (2006), pp. 1039-1047
http://dx.doi.org/10.1378/chest.130.4.1039 | Medline
[17.]
M.E. Kunik, K. Roundy, C. Veazey, J. Souchek, P. Richardson, N.P. Wray, et al.
Surprisingly high prevalence of anxiety and depression in chronic breathing disorders.
Chest, 127 (2005), pp. 1205-1211
http://dx.doi.org/10.1378/chest.127.4.1205 | Medline
[18.]
M. Cordina, A.G. Fenech, J. Vassallo, J.M. Cacciottolo.
Anxiety and the management of asthma in an adult outpatient population.
Ther Adv Respir Dis, 3 (2009), pp. 227-233
http://dx.doi.org/10.1177/1753465809347038 | Medline
[19.]
L. Prieto.
Aspectos psicométricos relacionados con la medida de la ansiedad.
Med Clin, 112 (1999), pp. 278-279
[20.]
J. Perpiñá-Galvañ, M. Richart-Martínez.
Scales for evaluating self-perceived anxiety levels in patients admitted to intensive care units: a review.
Am J Crit Care, 18 (2009), pp. 571-580
http://dx.doi.org/10.4037/ajcc2009682 | Medline
[21.]
J.L. O’Brien, D.K. Moser, B. Riegel, S.K. Frazier, B.J. Garvin, K.A. Kim.
Comparison of anxiety assessments between clinicians and patients with acute myocardial infarction in cardiac critical care units.
Am J Crit Care, 10 (2001), pp. 97-103
Medline
[22.]
G.R. Norman, D.L. Streiner.
Bioestadística.
Harcourt, (2000),
[23.]
C.D. Spielberger, R.L. Gorsuch, R.E. Lushene.
Cuestionario de ansiedad estadorasgo. Adaptación española de S eisdedos N.
7th ed., TEA Ediciones SA, (2008),
[24.]
T.M. Marteau, H. Bekker.
The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI).
Br J Clin Psychol, 31 (1992), pp. 301-306
Medline
[25.]
L. Chlan, K. Savik, C. Weinert.
Development of a shortened state anxiety scale from the Spielberger state-trait anxiety inventory (STAI) for patients receiving mechanical ventilatory support.
J Nurs Meas, 11 (2003), pp. 283-293
Medline
[26.]
Perpiñá-Galvañ J, Richart-Martínez M, Martínez-Durá I, Balboa-Esteve S. Adaptación al español del cuestionario de ansiedad estado-rasgo (STAI) de Spielberger, en pacientes críticos, y comportamiento del nivel de ansiedad como predictor del fracaso de la ventilación no invasiva. Memoria científica del proyecto de investigación n.° 06/90476, financiado por el Instituto de Salud Carlos III, dentro de la convocatoria de Evaluación de Tecnologías Sanitarias.
[27.]
D.A. Dillman.
Mail and telephone surveys.
The total design method, John Wiley and Sons, (1978),
[28.]
C.B. Terwee, S.DM. Bot, M.R. de Boer, D.A.W.M. van der Windt, D.L. Knol, J. Dekker, et al.
Quality criteria were proposed for measurement properties of health status questionnaires.
J Clin Epidemiol, 60 (2007), pp. 34-42
http://dx.doi.org/10.1016/j.jclinepi.2006.03.012 | Medline
[29.]
J. Stein-Parbury, S. McKinley.
Patient's experiences of being in an intensive care Unit: a select literature review.
Am J Crit Care, 9 (2000), pp. 20-27
Medline
[30.]
A. Barreiro, I. Hidalgo, C. Gil, R.J. Díaz, R. De la Cruz.
Estudio de las reacciones emocionales de pacientes ingresados en una unidad de cuidados intensivos.
An Psiquiatr, 6 (1990), pp. 73-76
[31.]
R.M. Kaplan.
Pruebas psicológicas. Principios y aplicaciones.
1st ed., Editorial Thomson Paraninfo, (2007),
[32.]
E.G. Benotsch, S.K. Lutgendorf, D. Watson, L.J. Fick, E.V. Lang.
Rapid anxiety assessment in medical patients: evidence for the validity of verbal anxiety ratings.
Ann Behav Med, 22 (2000), pp. 199-203
Medline
[33.]
D.F. Polit, B.P. Hungler.
Investigación científica en ciencias de la salud.
6th ed., Editorial McGraw-Hill Interamericana, (2000),
[34.]
M.J. De Jong, K. An, S. McKinley, B.J. Garvin, L.A. Hall, D.K. Moser.
Using a 0–10 scale for assessment of anxiety in patients with acute myocardial infarction.
Dimens Crit Care Nurs, 24 (2005), pp. 139-146
Medline
[35.]
Scientific Advisory Committee of the Medical Outcomes Trust.
Assessing health status and quality-of-life instruments: attributes and review criteria.
Qual Life Res, 11 (2002), pp. 193-205
Medline
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