open access
메뉴E-ISSN : 2733-4538
The Beck Anxiety Inventory (BAI) has been used in many countries since its psychological properties have been verified. However, as there is significant heterogeneity in affective experiences among cultures, a population-specific validation study is necessary. This study examined the psychometric properties of the BAI in a non-clinical Korean population. The BAI, Spielberger State-Trait Anxiety Inventory (STAI), and Patient Health Questionnaire-9 were used to assess the concurrent and discriminant validity. The factorial structures suggested by previous research were examined using the mean- and varianceadjusted weighted least squares estimation. The internal consistency and the item-total correlations were favorable. The testretest reliability was slightly higher in this present study compared with that in previously reported studies. There was a moderate correlation between the BAI and the STAI. Among the five different factor structures, the four-factor model provided the best overall fit. Overall, the current results support the use of the BAI to assess the anxiety severity in community-dwelling populations of Korean adults.
Bakker, I. M., van Marwijk, H. W., Terluin, B., Anema, J. R., van Mechelen, W., & Stalman, W. A. (2010). Training GP's to use a minimal intervention for stress-related mental disorders with sick leave (MISS): Effects on performance: Results of the MISS project;A cluster-randomised controlled trial [ISRCTN43779641]. Patient Education and Counselings, 78, 206-211.
Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic (2 ed.). New York: Guilford press.
Beck, A. T., Brown, G., Steer, R. A., Eidelson, J. I., & Riskind, J. H. (1987). Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis. Journal of Abnormal Psychology, 96, 179-183.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., & Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.
Beck, A. T., & Steer, R. A. (1991). Relationship between the Beck Anxiety Inventory and the Hamilton Anxiety Rating Scale with anxious outpatients. Journal of Anxiety Disorders, 5, 213-223.
Beck, A. T., Steer, R. A., & Beck, J. S. (1993). Types of self-reported anxiety in outpatients with DSM-III-R anxiety disorders. Anxiety, Stress, & Coping, 6, 43-55.
Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238-246.
Bentler, P. M., & Bonnet, D. C. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 107, 238-246.
Bergua, V., Meillon, C., Potvin, O., Bouisson, J., Le Goff, M., Rouaud, O., Amieva, H. (2012). The STAI-Y trait scale: Psychometric properties and normative data from a large population-based study of elderly people. International Psychogeriatrics, 24, 1163-1171.
Borden, J. W., Peterson, D. R., & Jackson, E. A. (1991). The Beck Anxiety Inventory in nonclinical samples: Initial psychometric properties. Journal of Psychopathology and Behavioral Assessments, 13, 345-356.
Brown, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136-162). Newbury Park, CA: Sage.
Chai, S. H., Han, E. K., & Cho, Y. (2011). Confirmatory factor analysis of the Korean version of the Beck Anxiety Inventory in a sample of male alcoholics. Korean Journal of Clinical Psychology, 30, 1027-1035.
Cho, M. J. (2011). The epidemiology survey of mental disorders in Korea. Seoul: Ministry of Health and Welfare.
Choi, H. S., Choi, J. H., Park, K. H., Joo, K. J., Ga, H., Ko, H. J., & Kim, S. R. (2007). Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder. Journal of the Korean Academy of Family Medicine, 28, 114-119.
Contreras, S., Fernandez, S., Malcarne, V. L., Ingram, R. E., & Vaccarino, R. V. (2004). Reliability and validity of the Beck Depression and Anxiety Inventories in Caucasian Americans and Latinos. Hispanic Journal of Behavioral Sciences, 26, 446-462.
Cox, B. J., Cohen, E., Direnfeld, D. M., & Swinson, R. P. (1996). Does the Beck Anxiety Inventory measure anything beyond panic attack symptoms? Behaviour Research and Therapy, 34, 949-954.
Creamer, M., Foran, J., & Bell, R. (1995). The Beck Anxiety Inventory in a non-clinical sample. Behaviour Research and Therapy, 33, 477-485.
de Beurs, E., Wilson, K. A., Chambless, D. L., Goldstein, A. J., & Feske, U. (1997). Convergent and divergent validity of the Beck Anxiety Inventory for patients with panic disorder and agoraphobia. Depression and Anxiety, 6, 140-146.
Fydrich, T. (1992). Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders, 6, 55-61.
Hahn, D. W., Lee, C. H., Chon, K. K., & Speilberger, C. D. (2000). Manual for STAI-KYZ. Seoul: Hakjisa.
Han, E., Cho, Y., Park, S., Kim, H., & Kim, S. (2003). Factor structure of the Korean version of the Beck Anxiety Inventory: An application of confirmatory factor analysis in psychiatric patients. Korean Journal of Clinical Psychology, 22, 261-270.
Hendriks, S. M., Spijker, J., Licht, C. M., Hardeveld, F., de Graaf, R., Batelaan, N. M., Beekman, A. T. (2015). Long-term work disability and absenteeism in anxiety and depressive disorders. Journal of Affective Disorders, 178, 121-130.
Hu, L. T., & Bentler, P. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
Jolly, J. B., Aruffo, J. F., Wherry, J. N., & Livingston, R. (1993). The utility of the Beck Anxiety Inventory with inpatient adolescents. Journal of Anxiety Disorders, 7, 95-106.
Kabacoff, R. I., Segal, D. L., Hersen, M., & Van Hasselt, 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.
Kendler, K. S. (1996). Major depression and generalised anxiety disorder. Same genes, (partly) different environments-revisited. British Journal of Psychiatry Supplement, 30, 68-75.
Kim, S., & Kim, K. (2007, June). Confirmatory factor analysis of the Korean version of the Beck Anxiety Inventory in psychiatric patients. Paper presented at the annual meeting of the Korean Psychological Association.
Kjærgaard, M., Arfwedson Wang, C. E., Waterloo, K., & Jorde, R. (2014). A study of the psychometric properties of the Beck Depression Inventory‐II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scandinavian Journal of Psychology, 55, 83-89.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613.
Kroenke, K., Spitzer, R. L., Williams, J. B., & Lowe, B. (2010). The Patient Health Questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry, 32, 345-359.
Muntingh, A. D., van der Feltz-Cornelis, C. M., van Marwijk, H. W., Spinhoven, P., Penninx, B. W., & van Balkom, A. J. (2011). Is the Beck Anxiety Inventory a good tool to assess the severity of anxiety? A primary care study in the Netherlands Study of Depression and Anxiety (NESDA). BMC Family Practice, 12, 66.
Norton, G. R., Dorward, J., & Cox, B. J. (1986). Factors associated with panic attacks in nonclinical subjects. Behavior Therapy, 17, 239-252.
Osman, A., Hoffman, J., Barrios, F. X., Kopper, B. A., Breitenstein, J. L., & Hahn, S. K. (2002). Factor structure, reliability, and validity of the Beck Anxiety Inventory in adolescent psychiatric inpatients. Journal of Clinical Psychology, 58, 443-456.
Osman, A., Kopper, B. A., Barrios, F. X., Osman, J. R., & Wade, T. (1997). The Beck Anxiety Inventory: Reexamination of factor structure and psychometric properties. Journal of Clinical Psychology, 53, 7-14.
Piotrowski, C. (1999). The status of the Beck Anxiety Inventory in contemporary research. Psychological Reports, 85(1), 261-262.
Rapee, R. (1991). Generalized anxiety disorder: A review of clinical features and theoretical concepts. Clinical Psychology Review, 11, 419-440.
Somers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2006). Prevalence and incidence studies of anxiety disorders: A systematic review of the literature. Canadian Journal of Psychiatry, 51, 100-113.
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.
Steer, R. A., Ranieri, W. F., Beck, A. T., & Clark, D. A. (1993). Further evidence for the validity of the Beck Anxiety Inventory with psychiatric outpatients. Journal of Anxiety Disorders, 7, 195-205.
Teachman, B. A. (2006). Aging and negative affect: The rise and fall and rise of anxiety and depression symptoms. Psychology and Aging, 21, 201-207.
Tseng, W. S., & Streltzer, J. (2013). Culture and psychopathology: A guide to clinical assessment. New York: Routledge.
Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346-353.
Wilson, K. A., De Beurs, E., Palmer, C. A., & Chambless, D. L. (1999). Beck Anxiety Inventory. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (2nd ed., pp. 971-992). Mahwah, NJ: Lawrence Erlbaum.
Wittchen, H. U., Zhao, S., Kessler, R. C., & Eaton, W. W. (1994). DSM-III-R generalized anxiety disorder in the national comorbidity survey. Archives of General Psychiatry, 51, 355-364.
Yook, S., & Kim, Z. (1997). A clinical study on the Korean version of Beck Anxiety Inventory: Comparative study of patient and non-patient. Korean Journal of Clinical Psychology, 16, 185-197.