Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-22T18:13:28.386Z Has data issue: false hasContentIssue false

The STAI-Y trait scale: psychometric properties and normative data from a large population-based study of elderly people

Published online by Cambridge University Press:  21 March 2012

Valérie Bergua
Affiliation:
Univ. Bordeaux, Psychologie, Santé et Qualité de vie, EA 4139, Bordeaux, France
Céline Meillon
Affiliation:
INSERM, ISPED, Centre INSERM U897, Bordeaux, France
Olivier Potvin
Affiliation:
University of Sherbrooke, Sherbrooke, Canada Centre de recherche de l'Hôpital Charles LeMoyne, Longueuil, Canada Centre de recherche Université Laval Robert-Giffard, Québec, Canada
Jean Bouisson
Affiliation:
Univ. Bordeaux, Psychologie, Santé et Qualité de vie, EA 4139, Bordeaux, France
Mélanie Le Goff
Affiliation:
INSERM, ISPED, Centre INSERM U897, Bordeaux, France
Olivier Rouaud
Affiliation:
CMRR CHU Dijon, Dijon, France
Karen Ritchie
Affiliation:
Inserm U1061, F-34093 Montpellier, France University of Montpellier 1, Montpellier, France Imperial College, London, UK
Jean-François Dartigues
Affiliation:
INSERM, ISPED, Centre INSERM U897, Bordeaux, France
Hélène Amieva*
Affiliation:
INSERM, ISPED, Centre INSERM U897, Bordeaux, France
*
Correspondence should be addressed to: Hélène Amieva, INSERM U897, Université Bordeaux Segalen, 146 Rue Léo Saignat, 33076 Bordeaux cedex, France. Phone: +33 5 57 57 15 10; Fax: +33 5 57 57 14 86. Email: [email protected].
Get access

Abstract

Background: Whereas the State-Trait Anxiety Inventory (STAI-Y) is probably the most widely used self-reported measure of anxiety, the lack of current norms among elderly people appears to be problematic in both a clinical and research context. The objective of the present study was to provide normative data for the STAI-Y trait scale from a large elderly cohort and to identify the main sociodemographic and health-related determinants of trait anxiety.

Methods: The STAI-Y trait scale was completed by 7,538 community-dwelling participants aged 65 years and over from the “Three City” epidemiological study. Trained nurses and psychologists collected information during a face-to-face interview including sociodemographic characteristics and clinical variables.

Results: The scale was found to have good internal consistency (Cronbach's α = 0.89). Norms were stratified for gender and educational level differentiating persons with and without depressive symptoms. Multivariate linear regression found the STAI-Y trait score to be significantly associated with female gender, psychotropic medication use, higher depressive symptoms, higher cognitive complaints, and with an interaction between subjective health and marital status. Age was not associated with the total score.

Conclusion: This study provides norms for the STAI-Y trait scale in the general elderly population which are of potential use in both a clinical and research context. The present results confirm the importance of several factors previously associated with higher trait anxiety in the elderly. However, more research is needed to better understand the clinical specificities of anxiety in the elderly and the improvement of assessment.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alpérovitch, A. and the 3C Study Group (2003). Vascular factors and risk of dementia: design of the Three-City Study and baseline characteristics of the study population. Neuroepidemiology, 22, 316325.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorder, 3rd edn, revised. Paris: Masson.Google Scholar
Bados, A., Gomez-Benito, J. and Balaguer, G. (2010). The State-Trait Anxiety Inventory, trait version: does it really measure anxiety? Journal of Personality Assessment, 92, 560576.CrossRefGoogle ScholarPubMed
Barberger-Gateau, P. and Fabrigoule, C. (1997). Disability and cognitive impairment in the elderly (review). Disability and Rehabilitation, 19, 175193.CrossRefGoogle Scholar
Beekman, A. T. F., de Beurs, E., van Balkom, A. J. L. M., Deeg, D. J. H., van Duck, R. and van Tilberg, W. (2000). Anxiety and depression in later life: co-occurrence and communality of risk factors. American Journal of Psychiatry, 157, 8995.CrossRefGoogle ScholarPubMed
Bruchon-Schweitzer, M. and Paulhan, I. (1993). Adaptation Française de L'Inventaire D'Anxiété Etat Trait Forme Y. Paris: Les Editions du Centre de Psychologie Appliquée.Google Scholar
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, 233250.CrossRefGoogle Scholar
Byrne, G. J., Pachana, N. A., Goncalves, D. C., Arnold, E., King, R. and Khoo, S. K. (2010). Psychometric properties and health correlates of the Geriatric Anxiety Inventory in Australian community-residing older women. Aging and Mental Health, 14, 247254.CrossRefGoogle ScholarPubMed
Chaudieu, I., Beluche, I., Norton, J., Boulenger, J. P., Ritchie, K. and Ancelin, M. L. (2008). Abnormal reactions to environmental stress in elderly persons with anxiety disorders: evidence from a population study of diurnal cortisol changes. Journal of Affective Disorders, 106, 307313.CrossRefGoogle ScholarPubMed
Dennis, R. E., Boddington, S. J. A. and Funnell, N. J. (2007). Self-report measures of anxiety: are they suitable for older adults? Aging and Mental Health, 11, 668677.CrossRefGoogle ScholarPubMed
Fuentes, K. and Cox, B. (2000). Assessment of anxiety in older adults: a community-based survey and comparison with younger adults. Behavior Research and Therapy, 38, 297309.CrossRefGoogle ScholarPubMed
Fuhrer, R. and Rouillon, F. (1989). La version française de l'échelle CES-D (Center for epidemiologic studies—depression scale). Description et traduction de l'échelle d'autoévaluation. Psychiatry & Psychobiology, 4, 163166.CrossRefGoogle Scholar
Grenier, S. et al. and the Scientific Committee of the ESA Study (2011). The impact of DSM-IV symptom and clinical significance criteria on the prevalence estimates of subthreshold and threshold anxiety in the older adult population. American Journal of Geriatric Psychiatry, 19, 316326.CrossRefGoogle ScholarPubMed
Henderson, A. S., Jorm, A. F., Korten, A. E., Jacomb, P., Christensen, H. and Rodgers, B. (1998). Symptoms of depression and anxiety during adult life: evidence for a decline in prevalence with age. Psychological Medicine, 28, 321328.CrossRefGoogle ScholarPubMed
Himmelfarb, S. and Murrell, S. A. (1984). The prevalence and correlates of anxiety symptoms in older adults. Journal of Psychology, 116, 159167.CrossRefGoogle ScholarPubMed
Hopko, D. R. et al. (2000). Generalized anxiety disorder in older adults: examining the relation between clinician severity ratings and patient self-report measures. Depression and Anxiety, 12, 217225.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Jorm, A. F., Christensen, H., Henderson, A. S., Korten, A. E., Mackinnon, A. J. and Scott, R. (1994). Complaints of cognitive decline in the elderly: a comparison of reports by subjects and informants in a community survey. Psychological Medicine, 24, 365374.CrossRefGoogle Scholar
Kabacoff, R. I., Segal, D. L., Hersen, M. and Hasselt, V. B. (1997). Psychometric properties and diagnostic utility on the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. Journal of Affective Disorders, 11, 3347.Google 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, 109132.CrossRefGoogle ScholarPubMed
Krasucki, C., Howard, R. and Mann, A. (1998). The relationship between anxiety disorders and age. International Journal of Geriatric Psychiatry, 13, 7999.3.0.CO;2-G>CrossRefGoogle ScholarPubMed
Kvaal, K., McDougall, F. A., Brayne, C., Matthews, F. E., Dewey, M. E. and MRC CFAS (2008). Co-occurrence of anxiety and depressive disorders in a community sample of older people: results from the MRC CFAS (Medical Research Council Cognitive Function and Ageing Study). International Journal of Geriatric Psychiatry, 23, 229237.CrossRefGoogle Scholar
Lauderdale, S. A. and Sheikh, J. I. (2003). Anxiety disorders in older adults. Clinics in Geriatric Medicine, 19, 721741.CrossRefGoogle ScholarPubMed
Lenze, E. J., Mulsant, B. H., Shear, M. K., Alexopoulos, G. S., Frank, E. and Reynolds, C. F. (2001). Comorbidity of depression and anxiety disorders in later life. Depression and Anxiety, 14, 8693.CrossRefGoogle ScholarPubMed
Paterniti, S., Bisserbe, J. C. and Alperovitch, A. (1998). Médicaments psychotropes, anxiété et dépression dans une population âgée. Étude EVA. Revue d'Epidemiologie et Sante Publique, 46, 253262.Google ScholarPubMed
Potvin, O. et al. (2011). Norms and associated factors of the STAI-Y State anxiety inventory in older adults: results from the PAQUID study. International Psychogeriatrics, 21, 111.Google Scholar
Seignourel, P. J., Kunik, M. E., Snow, L., Wilson, N. and Stanley, M. (2008). Anxiety in dementia: a critical review. Clinical Psychology Review, 28, 10711082.CrossRefGoogle ScholarPubMed
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto: Consulting Psychologist Press.Google Scholar
Spielberger, C. D., Gorshu, R. L. and Lushene, R. D. (1970). Test Manual for the State Trait Anxiety Inventory. Palo Alto: Consulting Psychologist Press.Google Scholar
Stanley, M. A., Novy, D. M., Bourland, S. L., Beck, J. G. and Averill, P. M. (2001). Assessing older adults with generalized anxiety: a replication and extension. Behaviour Research and Therapy, 39, 221225.CrossRefGoogle ScholarPubMed
Teachman, B. A. (2006). Aging and negative affect: the rise and fall and rise of anxiety and depression symptoms. Psychology and Aging, 21, 201207.CrossRefGoogle ScholarPubMed
Vink, D., Aartsen, M. J. and Schoevers, R. A. (2008). Risk factors for anxiety and depression in the elderly: a review. Journal of Affective Disorders, 106, 2944.CrossRefGoogle ScholarPubMed
Wolitsky-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, 190211.CrossRefGoogle Scholar