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Initial evaluation of the Older Adult Social-Evaluative Situations Questionnaire: a measure of social anxiety in older adults

Published online by Cambridge University Press:  30 July 2012

Christine E. Gould ,
Lindsay A. Gerolimatos ,
Caroline M. Ciliberti ,
Barry A. Edelstein  and
Merideth D. Smith
Christine E. Gould*
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
Lindsay A. Gerolimatos
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
Caroline M. Ciliberti
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
Barry A. Edelstein
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
Merideth D. Smith
Affiliation:
Department of Psychology, West Virginia University, West Virginia, USA
*
Correspondence should be addressed to: Christine E. Gould, VA Palo Alto Health Care System, Geriatric Research Education and Clinical Center (GRECC) 3801 Miranda Avenue (182B), Palo Alto, CA 94304, USA Phone: 650-493-5000, ext. 68899; Fax: (650)496-2505. Email: [email protected].
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Abstract

Background: The assessment of social anxiety in late life has been examined in few studies (e.g. Gretarsdottir et al., 2004; Ciliberti et al., 2011). The present study describes the creation and initial psychometric evaluation of a new, content valid measure of social anxiety for older adults, the Older Adult Social-Evaluative Situations Questionnaire (OASES).

Methods: Psychometric properties of the OASES were evaluated in a community dwelling sample of older adults (N = 137; 70.8% female). Convergent validity was established by examining the relation between the OASES and the Liebowitz Social Anxiety Scale (LSAS), Social Phobia and Anxiety Inventory (SPAI), and Beck Anxiety Inventory (BAI). Discriminant validity was established by examining the relation between the OASES and measures of depression (Geriatric Depression Scale, GDS), perceived health status (Short Form Health Survey, SF-12), and demographic variables. The validity analyses of the OASES were based on a smaller sample with n values ranging from 98 to 137 depending on missing data on each questionnaire.

Results: Internal consistency, measured by Cronbach's α, for the OASES total score was 0.96. All items on the OASES were endorsed by participants. Convergent validity was demonstrated by medium to large correlations with the SPAI, LSAS, and BAI. Support for discriminant validity was evidenced by small to medium correlations between the OASES and GDS, SF-12, and demographic variables.

Conclusions: Evidence in support of convergent and discriminant validity of the OASES is discussed. Although the results from the present study suggest that this measure may assess anxiety in and avoidance of social situations salient to older adults, future studies are needed to further examine the psychometric properties of the OASES and replicate these results in both clinical and more diverse samples of older adults.

Keywords

social anxietysocial phobiaassessmentpsychometric validation
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 12 , December 2012 , pp. 2009 - 2018
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Administration on Aging (2011). Profile of Older Americans: 2010. Available at: http://www.aoa.gov/AoARoot/Aging_Statistics/Profile/index.aspx; last accessed 15 November 2011.Google Scholar
Baker, S. L., Heinrichs, N., Kim, H. and Hofmann, S. G. (2002). The Liebowitz Social Anxiety Scale as a self-report instrument: a preliminary psychometric analysis. Behaviour Research and Therapy, 40, 701–715. doi:10.1016/S0005-7967(01)00060-2.CrossRefGoogle ScholarPubMed
Beck, A. T. and Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.Google Scholar
Beck, A. T., Epstein, N., Brown, G. and Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56 (6), 893–897. doi:10.1037/0022-006X.56.6.893.CrossRefGoogle ScholarPubMed
Brown, T. A., Chorpita, B. F. and Barlow, D. H. (1998). Structured relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192. doi:10.1037/0021-843X.107.2.179.CrossRefGoogle ScholarPubMed
Bryant, C. (2010). Anxiety and depression in old age: challenges in recognition and diagnosis. International Psychogeriatrics, 22, 511–513. doi:10.1017/S1041610209991785.CrossRefGoogle ScholarPubMed
Campbell, D. T. and Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56, 81–105. doi:10.1037/h0046016.CrossRefGoogle ScholarPubMed
Carstensen, L. L. (1995). Evidence for a life-span theory of socioemotional selectivity. Current Directions in Psychological Science, 4, 151–156. doi:10.1111/1467-8721.ep11512261.CrossRefGoogle Scholar
Ciliberti, C., Gould, C., Smith, M., Chorney, D. and Edelstein, B. (2011). A preliminary investigation of developmentally sensitive items for the assessment of social anxiety in late life. Journal of Anxiety Disorders, 25, 686–689. doi:10.1016/j.janxdis.2011.03.003.CrossRefGoogle ScholarPubMed
Fresco, D. M. et al. (2001). The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025–1035. doi:10.1017/S0033291701004056.CrossRefGoogle Scholar
Gretarsdottir, E., Woodruff-Borden, J., Meeks, S. and Depp, C. (2004). Social anxiety in older adults: phenomenology, prevalence, and measurement. Behaviour Research and Therapy, 42, 459–475. doi:10.1016/S0005-7967(03)00156-6.CrossRefGoogle ScholarPubMed
Gum, A. M., King-Kalimanis, B. and Kohn, R. (2009). Prevalence of mood, anxiety, and substance-use disorders for older Americans in the National Comorbidity Survey replication. American Journal of Geriatric Psychiatry, 17, 769–781. doi:10.1097/JGP.0b013e3181ad4f5a.CrossRefGoogle ScholarPubMed
Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55. doi:10.1111/j.2044-8341.1959.tb00467.x.CrossRefGoogle ScholarPubMed
Hardy, S. W., Allore, H. and Studenski, S. A. (2009). Missing data: a special challenge in aging research. Journal of the American Geriatrics Society, 57, 722–729. doi:10.1111/j.1532-5415.2008.02168.x.CrossRefGoogle Scholar
Haynes, S. N., Richard, D. C. and Kubany, E. S. (1995). Content validity in psychological assessment: a functional approach to concepts and methods. Psychological Assessment, 7, 238–247.CrossRefGoogle Scholar
Hunt, S. L., Wisocki, P. A. and Roger, P. R. (2009). “What, me worry?” An examination of the literature on worry and the older adult. The Behavior Therapist, 32, 9–16.Google Scholar
Johnson, J. A. and Coons, S. J. (1998). Comparison of the EQ-5D and AF-12 in an adult US sample. Quality of Life Research, 7, 155–166.CrossRefGoogle Scholar
Karlsson, B. et al. (2009). Prevalence of social phobia in non-demented elderly from a Swedish population study. American Journal of Geriatric Psychiatry, 17, 127–135. doi:10.1097/JGP.0b013e3181860051.CrossRefGoogle ScholarPubMed
Kogan, J. N. and Edelstein, B. A. (2004). Modification and psychometric examination of a self-report measure of fear in older adults. Journal of Anxiety Disorders, 18, 397–409. doi:10.1016/S0887-6185(02)00260-8.CrossRefGoogle ScholarPubMed
Kogan, J. N., Edelstein, B. A. and McKee, D. R. (2000). Assessment of anxiety in older adults: current status. Journal of Anxiety Disorders, 14, 109–132. doi:10.1016/S0887-6185(99)00044-4.CrossRefGoogle ScholarPubMed
Kørner, A. et al. (2006). The Geriatric Depression Scale and the Cornell Scale for Depression in Dementia: a validity study. Nordic Journal of Psychiatry, 60, 360–364. doi:10.1080/08039480600937066.CrossRefGoogle ScholarPubMed
Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141–173.CrossRefGoogle ScholarPubMed
Mohlman, J. et al. (2012). Improving recognition of late life anxiety disorders in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: observations and recommendations of the Advisory Committee to the Lifespan Disorders Work Group. International Journal of Geriatric Psychiatry, 27, 549–556.CrossRefGoogle Scholar
Morin, C. M., Landreville, P., Colecchi, C., McDonald, K., Stone, J. and Ling, W. (1999). The Beck Anxiety Inventory: psychometric properties with older adults. Journal of Clinical Geropsychology, 5, 19–29. doi:10.1023/A:1022986728576.CrossRefGoogle Scholar
Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E. and Arnold, E. (2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrcs, 19, 103–114. doi:10.1017/S1041610206003504.CrossRefGoogle ScholarPubMed
Person, J. L. and Borkovec, T. D. (1995, August). Anxiety disorders among the elderly: patterns and issues. Paper presented at the 103rd annual meeting of the American Psychological Association, New York, NY.Google Scholar
Segal, D. L., June, A., Payne, M., Coolidge, F. L. and Yochim, B. (2010). Development and initial validation of a self-report assessment tool for anxiety among older adults: the Geriatric Anxiety Scale. Journal of Anxiety Disorders, 24, 709–714. doi:10.1016/j.janxdis.2010.05.002.CrossRefGoogle ScholarPubMed
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R. and Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Mind Garden.Google Scholar
Stiles, P. G. and McGarrahan, J. F. (1998). The Geriatric Depression Scale: a comprehensive review. Journal of Clinical Geropsychology, 4, 89–110.Google Scholar
The EuroQol Group (1990). EuroQol: a new facility for the measurement of health related quality of life. Health Policy, 16, 199–208.CrossRefGoogle Scholar
Turner, S. M., Beidel, D. C., Dancu, C. V. and Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: the Social Phobia and Anxiety Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 35–40. doi:10.1037/1040-3590.1.1.35.CrossRefGoogle Scholar
Turner, S. M., Beidel, D. C. and Dancu, C. V. (1996). SPAI: Social Phobia and Anxiety Inventory. North Tonawanda, NY: Multi-Health Systems.Google Scholar
Ware, J. E. and Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): conceptual framework and item selection. Medical Care, 30, 473–483. doi:10.1097/00005650-199206000-00002.CrossRefGoogle ScholarPubMed
Ware, J. E., Kosinski, M. and Keller, S. D. (1996). A 12-item short form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.CrossRefGoogle ScholarPubMed
Watson, D. and Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457. doi:10.1037/h0027806.CrossRefGoogle ScholarPubMed
Wetherell, J. L. and Gatz, M. (2005). The Beck Anxiety Inventory in older adults with generalized anxiety disorder. Journal of Psychopathology and Behavioral Assessment, 27, 17–24. doi:10.1007/s10862-005-3261-3.CrossRefGoogle Scholar
Yesavage, J. A. et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 37–49. doi:10.1016/0022-3956(82)90033-4.CrossRefGoogle Scholar
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