Cited by 84Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingMental Health Research Topics

The Worry Behaviors Inventory: Assessing the behavioral avoidance associated with generalized anxiety disorder

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Mahoney, Alison E.J., Hobbs, Megan J., Newby, Jill M., Williams, Alishia D., Sunderland, Matthew, Andrews, Gavin·2016·Journal of Affective Disorders

Abstract

Background Understanding behavioral avoidance associated with generalized anxiety disorder (GAD) has implications for the classification, theoretical conceptualization, and clinical management of the disorder. This study describes the development and preliminary psychometric evaluation of a self-report measure of avoidant behaviors associated with GAD: the Worry Behaviors Inventory (WBI). Methods The WBI was administered to treatment-seeking patients (N=1201). Convergent validity was assessed by correlating the WBI with measures of GAD symptom severity. Divergent validity was assessed by correlating the WBI with measures of general disability and measures of depression, social anxiety and panic disorder symptom severity. Results Exploratory and confirmatory factor analyses supported a two-factor structure (Safety Behaviors and Avoidance). Internal reliability was acceptable for the 10-item WBI scale (α=.86), Safety Behaviors (α=.85) and Avoidance subscales (α=.75). Evidence of convergent, divergent, and discriminant validity is reported. WBI subscales demonstrated differential associations with measures of symptom severity. The Safety Behaviors subscale was more strongly associated with GAD symptoms than symptoms of other disorders, whereas the Avoidance subscale was as strongly correlated with GAD severity as it was with depression, social anxiety and panic disorder severity. Limitations Structured diagnostic interviews were not conducted therefor validity analyses are limited to probable diagnoses based on self-report. The cross-sectional design precluded examination of the WBI's temporal stability and treatment sensitivity. Conclusions Preliminary evidence supports the use of the WBI in research and clinical settings and may assist clinicians to identify behaviors that are theorized to maintain GAD and that can be targeted during psychological treatment.

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Crossref · 10.1016/j.jad.2016.06.020

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  • In clinical samples, evidence of the WBI's internal consistency, temporal stability, and construct validity has been reported.

    “In clinical samples, evidence of the measure's internal consistency, temporal stability, and construct validity has been reported (Mahoney et al., 2016; Mahoney et al., 2018a).”

    From The Mediating Relationship between Maladaptive Behaviours, Cognitive Factors, and Generalised Anxiety Disorder Symptoms (2018) · cites this paper as Mahoney et al., 2016

    Section 3.4 reports satisfactory internal consistency, and section 3.5 reports correlations supporting the WBI’s construct validity in a clinical sample. However, section 4.1 explicitly says the cross-sectional design meant temporal stability was not assessed. That part of the claim is not supported by this 2016 paper. (LLM, conf=0.92)

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  • The Worry Behaviours Inventory (WBI) is a brief index of clinically meaningful, maladaptive behaviours associated with GAD symptom severity.

    “The Worry Behaviours Inventory (WBI) is a brief index of clinically meaningful, maladaptive behaviours that are associated with GAD symptom severity.”

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Research works printed but not linked: 1

  1. Kroenke, K., Spitzer, R., Williams, J.B., Löwe, B. (2010). The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. Gen. Hosp. Psychiatr, 32, 345-359.

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Authors
Mahoney, A. E. J., Hobbs, M. J., Newby, J. M., Williams, A. D., Sunderland, M., & Andrews, G.
Affiliations
  • UNSW Sydney (AU)
  • Utrecht University (NL)
Corresponding author
Mahoney, Alison E.J.
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2016-10
Volume
203
Pages
256-264
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2409439106
Cited by
84
References
68
Citations by year
2026: 10 · 2025: 5 · 2024: 6 · 2023: 8 · 2022: 5 · 2021: 25 · 2020: 9 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 1
FWCI
7.12
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
  • UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • RUNE (Research UNE) (submittedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
generalized anxiety disorder, behavioral avoidance, safety behavior, self-report measure development, psychometric validation, convergent and discriminant validity, factor structure, anxiety maintenance
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Anxiety Disorders, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Panic, Psychometrics, Reproducibility of Results, Young Adult, Self Report

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