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Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI).
Abstract
The State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA; M. J. Ree, C. MacLeod, D. French, & V. Locke, 2000) was designed to assess cognitive and somatic symptoms of anxiety as they pertain to one's mood in the moment (state) and in general (trait). This study extended the previous psychometric findings to a clinical sample and validated the STICSA against a well-published measure of anxiety, the State-Trait Anxiety Inventory (STAI; C. D. Spielberger, 1983). Patients (N=567) at an anxiety disorders clinic were administered a battery of questionnaires. The results of confirmatory factor analyses (Bentler-Bonnett nonnormed fit index, comparative fit index, and Bollen fit index>.90; root-mean-square error of approximation<.05); convergent and discriminant validity analyses; and group comparisons supported the reliability and validity of the STICSA as a measure of state and trait cognitive and somatic anxiety. In addition, compared with the STAI (anxiety: rs</=.52; depression: rs>/=.64), the STICSA was more strongly correlated with another measure of anxiety (rs>/=.67) and was less strongly correlated with a measure of depression (rs</=.61). These findings suggest that the STICSA may be a purer measure of anxiety symptomatology than is the STAI.
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“The STAI was initially intended to assess anxiety, but has been more recently determined to measure a broader type of distress, a “higher order factor of negative affect” that incorporates both anxiety (worry, distressing thoughts) and depression (dysphoric mood and negative self-appraisal (Bieling, Antony, & Swinson, 1998; Caci, Bayle, Dossios, Robert, & Boyer, 2003; Gros, Antony, Simms, & McCabe”
From Mindfulness-Based Cognitive Therapy Improves Emotional Reactivity to Social Stress: Results from a Randomized Controlled Trial (2012) · cites this paper as Gros, Antony, Simms, & McCabe, 2007
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“To assess state anxiety and stress at various points throughout the experiment, we administered the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA), which has been validated as a reliable measure of state and trait cognitive and somatic anxiety (Gr€os et al., 2007).”
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High and low worriers do not differ in unstimulated resting-state brain connectivity
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“The STAI has also shown convergent validity in demonstrating significant correlations with other anxiety measures (Grös et al., 2007).”
BackgroundTsironi, M., Malliarou, M. M., Alikari, V., & Zyga, S. (2014) · Cited by 4
Mullane, C. (2011) · Cited by 4
A preliminary mechanistic test of the effects of light therapy in bulimia nervosa
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“In addition, the STICSA better differentiates anxiety from depression than other short, self-report measures of anxiety (Grös et al., 2007; Ree, French, MacLeod, & Locke, 2008).”
Garcia, S., Hopfer, S., Botes, E., & Greiff, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052872 · Cited by 3
Citro, A. T., Norton, C. M., Pcola, S. J., & Vogt, K. M. (2020) · Data in Brief · doi:10.1016/j.dib.2020.105669 · Cited by 4
“Measures include the tate Inventory for Cognitive and Somatic Anxiety (CSA), the Pain Anxiety Symptom Scale – hort Form 20 (PASS), the Pain Vigilance and Awareness Questionnaire (PVAQ), and the Pain atastrophizing Scale (PCS).”
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“Upon arrival, and immediately before the experimental session, participants completed a questionnaire on their state anxiety (STICSA-S: Grös et al., 2007; Ree et al., 2008) and physical state (e.g. hunger, thirst, tiredness, etc.).”
Zain, E., Watanabe, Y., Takabayashi, S., Por, L., Fujita, S., Moriyama, S., Honma, A., Fukui, N., & Boku, S. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1659497 · Cited by 5
Increased generalisation in trait anxiety is driven by aversive value transfer
Verra, L., Spitzer, B., Schuck, N. W., & Zika, O. (2026) · Communications Psychology · doi:10.1038/s44271-026-00415-w · Cited by 3
“Further work is warranted to ensure that fi ndings based on trait anxiety apply to clinical populations, keeping in mind that trait anxiety is not a sharply de fi ned construct and overlaps with related traits such as neuroticism, chronic worry and negative affect 61 .”
Łoś, Z., Żurko, M., Słowińska, A. M., Senejko, A., & Madeja-Bień, K. (2022) · Current Issues in Personality Psychology · doi:10.5114/cipp.2022.112945 · Cited by 3
“The distinction between “feel at this moment” and “generally feel” is also used in other tools, such as STICSA (Grös et al., 2007).”
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Edwards, S., Galang, C. M., Fung, K., Knight, A., & Obhi, S. S. (2025) · Consciousness and Cognition · doi:10.1016/j.concog.2025.103872 · Cited by 3
Assessing future expectations and the two-dimensional model of affect in an Italian population
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Anxiety Scale For Science Teachers’ Laboratory Work And Teaching: Validity and Reliability Analyses
KAHRAMAN, M., & Polat, D. (2017) · Uludağ Üniversitesi Eğitim Fakültesi Dergisi · doi:10.19171/uefad.369240 · Cited by 3
Metadata
- Authors
- Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E.
- Affiliations
- University at Buffalo, State University of New York (US)
- Toronto Metropolitan University (CA)
- St. Joseph’s Healthcare Hamilton (CA)
- Venue
- Psychological Assessment
- Published
- 2007
- Volume
- 19
- Issue
- 4
- Pages
- 369-381
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2118347730
- Cited by
- 615
- References
- 56
- Citations by year
- 2026: 20 · 2025: 21 · 2024: 29 · 2023: 43 · 2022: 40 · 2021: 78 · 2020: 46 · 2019: 43 · 2018: 42 · 2017: 35 · 2016: 52 · 2015: 35 · 2014: 33 · 2013: 37 · 2012: 10
- FWCI
- 9.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- 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 › Applied Psychology › Psychological Testing and Assessment
- Keywords
- State-Trait Anxiety Inventory, cognitive anxiety, somatic anxiety, state anxiety, trait anxiety, anxiety assessment, psychometric validation, anxiety disorders, depression, factor structure
- MeSH terms
- Adult, Affect, Anxiety Disorders, Cognition, Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Male, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Somatoform Disorders, Students, Reproducibility of Results, Discriminant Analysis
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