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Psychometric properties of the Spanish version of the Geriatric Anxiety Inventory

Published online by Cambridge University Press:  04 August 2011

María Márquez-González ,
Andrés Losada ,
Virginia Fernández-Fernández  and
Nancy A. Pachana
María Márquez-González*
Affiliation:
Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, Spain
Andrés Losada
Affiliation:
Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain
Virginia Fernández-Fernández
Affiliation:
Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain
Nancy A. Pachana
Affiliation:
School of Psychology, University of Queensland, Brisbane, Australia
*
Correspondence should be addressed to: María Márquez-González, Facultad de Psicología. Departamento de Psicología Biológica y de la Salud. Universidad Autónoma de Madrid, Madrid, Spain, 28049. Email: [email protected].
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Abstract

Background: The Geriatric Anxiety Inventory (GAI) was developed for assessing anxiety in older adults. The objectives of this work were: (a) to analyze the psychometric properties of the Spanish version of the GAI, and (b) to explore the associations between anxiety and other variables related to emotional distress (depression) and emotion regulation (rumination, experiential avoidance, and emotion suppression).

Methods: Three-hundred-and-two people (75.5% female) aged 60 years and over living in the community participated in this study. Anxiety, depression, rumination, suppression and experiential avoidance were measured.

Results: Three factors explaining 50.11% of the variance were obtained. The obtained internal consistency for the total scale was 0.91, with alphas ranging between 0.71 and 0.89 for the factors. Significant associations between all the GAI factors, the GAI total score, and depression, rumination, and experiential avoidance were found (all p < 0.01). Women reported higher scores than men for both the GAI total score and for all of the subscales. However, no significant gender differences were found between people with scores higher than the cut-off score for the GAI.

Conclusions: The results of this study suggest that the Spanish version of the GAI displays good psychometric properties. Further, our data suggest that the scale can be recommended for measuring anxiety in non-clinical older Spanish persons, and may be a useful instrument to be used in research studies aimed at analyzing anxiety and its correlates among older adults.

Keywords

anxietyassessmentelderlyfactor analysisemotion regulation
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 1 , January 2012 , pp. 137 - 144
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Andrew, D. H. and Dulin, P. L. (2007). The relationship between self-reported health and mental health problems among older adults in New Zealand: experiential avoidance as a moderator. Aging and Mental Health, 11, 596–603. doi: 10.1080/13607860601086587.CrossRefGoogle ScholarPubMed
Barraca, M. (2004). Spanish adaptation of the Acceptance and Action Questionnaire (AAQ). International Journal of Psychology and Psychological Therapy, 4, 505–515.Google Scholar
Beekman, A. T., de Beurs, E., van Balkom, A. J., Deeg, D. J., van Dyck, R., and van Tilburg, W. (2000). Anxiety and depression in later life: co-occurrence and communality of risk factors. American Journal of Psychiatry, 157, 89–95.CrossRefGoogle ScholarPubMed
Bryant, C., Jackson, H. and Ames, D. (2008). The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233–250. doi:10.1016/j.jad.2007.11.008CrossRefGoogle Scholar
Butler, J. and Ciarrochi, J. (2007). Psychological acceptance and quality of life in the elderly. Quality of Life Research, 16, 607–615. doi: 10.1007/s11136-006-9149-1.CrossRefGoogle ScholarPubMed
Byrne, G. J. and Pachana, N. A. (2011). Development and validation of a short form of the Geriatric Anxiety Inventory: the GAI-SF. International Psychogeriatrics, 23, 125–131.CrossRefGoogle Scholar
Carmin, C. N., Wiegartz, P. S. and Scher, C. (2000). Anxiety disorders in the elderly. Current Psychiatry Reports, 2, 13–19.CrossRefGoogle ScholarPubMed
Diefenbach, G. J., Robison, J. T., Tolina, D. F. and Blank, K. (2004). Late-life anxiety disorders among Puerto Rican primary care patients: impact on well-being, functioning, and service utilization. Journal of Anxiety Disorders, 18, 841–858. doi:10.1016/j.janxdis.2003.10.005.CrossRefGoogle ScholarPubMed
Diefenbach, G. J., Tolin, D. F., Meunier, S. A. and Gilliam, C. (2009). Assessment of anxiety in older home care recipients. The Gerontologist, 49, 141–153. doi:10.1093/geront/gnp019.CrossRefGoogle ScholarPubMed
Gross, J. J. and John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi: 10.1037/0022-3514.85.2.348.CrossRefGoogle ScholarPubMed
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M. and Strosahl, K. D. (1996). Emotional avoidance and behavior disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.CrossRefGoogle ScholarPubMed
Hayes, S. C., Bisset, R. T., Strosahl, K. D., Wilson, K. D., Pistorello, J. and Dykstra, T. A. (2000). Psychometric properties of the Acceptance and Action Questionnaire (AAQ). Unpublished manuscript.Google Scholar
Hu, L. and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRefGoogle Scholar
Jackson, B. and Nolen-Hoeksema, S. (1998). Mediators of the gender difference in rumination. Psychology of Women Quarterly, 25, 37–47. doi: 10.1111/1471-6402.00005.Google Scholar
John, O. P. and Gross, J. J. (2004). Healthy and unhealthy emotion regulation: Personality processes, individual differences, and life-span development. Journal of Personality, 72, 1301–1333CrossRefGoogle ScholarPubMed
Kabacoff, R. I., Segal, D. L., Hersen, M. and van Hassellt, V. B. (1997). Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. Journal of Anxiety Disorders, 11, 33–47.CrossRefGoogle ScholarPubMed
Kashdan, T. B., Barrios, V., Forsyth, J. P. and Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 9, 1301–1320.CrossRefGoogle Scholar
Losada, A., Peñacoba, C., Márquez-González, M. and Cigarán, M. (2008). Cuidar Cuidándose. Evaluación e intervención interdisciplinar con cuidadores familiares de personas con demencia. Madrid: Obra Social Caja Madrid.Google Scholar
Márquez-González, M., Izal, M., Montorio, I. and Losada, A. (2008). Experiencia y regulación emocional a lo largo de la etapa adulta del ciclo vital: análisis comparativo en tres grupos de edad. Psicothema, 20, 616–622.Google Scholar
Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504–511. doi: 101037/10021-843X.109.3.504.CrossRefGoogle ScholarPubMed
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 Psychogeriatrics, 19, 103–114. doi: 10.1017/S1041610206003504.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi: 10.1177/014662167700100306.CrossRefGoogle Scholar
Robertson, S. M. and Hopko, D. (2009). Experiential avoidance: a moderator of the relationship between age and emotional expression. Aging and Mental Health, 13, 611–618.CrossRefGoogle ScholarPubMed
Roemer, L., Salters, K., Raffa, S. and Orsillo, S. M. (2005). Fear and avoidance of internal experiences in GAD: preliminary tests of a conceptual model. Cognitive Therapy and Research, 29, 71–88.CrossRefGoogle Scholar
Rozzini, L., Chilovi, B. V., Peli, M., Contil, M., Rozzini, R., Trabucchi, M. and Padovani, A. (2008). Anxiety symptoms in mild cognitive impairment. International Journal of Geriatric Psychiatry, 24, 300–305. doi: 10.1002/gps.2106.CrossRefGoogle Scholar
Schaub, R. T. and Linden, M. (2000). Anxiety and anxiety disorders in the old and very old: results from the Berlin Aging Study (BASE). Comprehensive Psychiatry, 41, 48–54.CrossRefGoogle ScholarPubMed
Wetherell, J. L. and Arean, P. A. (1997). Psychometric evaluation of the Beck Anxiety Inventory with older medical patients. Psychological Assessment, 9, 135–144.CrossRefGoogle Scholar
Wetherell, J. L., Le Roux, H. and Gatz, M. (2003). DSM-IV criteria for generalized anxiety disorder in older adults: distinguishing the worried from the well. Psychology and Aging, 18, 622–627.CrossRefGoogle ScholarPubMed
Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A. and Craske, M. G. (2010). Anxiety disorders in older adults: a comprehensive review. Depression and Anxiety, 27, 190–211. doi: 10.1002/da.20653.CrossRefGoogle ScholarPubMed