Cited by 57Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChronic Obstructive Pulmonary Disease (COPD) ResearchPsychometric Methodologies and Testing

The Development and Validation of the Anxiety Inventory for Respiratory Disease

Willgoss, Thomas G., Goldbart, Juliet, Fatoye, Francis, Yohannes, Abebaw M.·2013·Chest

Abstract

Background Anxiety is a common comorbidity in patients with COPD, yet it remains underrecognized. Existing anxiety measures contain somatic items that can overlap with symptoms of COPD and side effects of medications. There is a need for a disease-specific nonsomatic anxiety scale to screen and measure anxiety in patients with COPD. Methods In phase 1, 88 patients with COPD (mean age 71 years, 36% men) completed a 16-item scale developed with patients and clinicians. Six items were removed using item and factor analysis. In phase 2, 56 patients with COPD (mean age 70 years, 48% men) completed the 10-item scale and other self-report measures of anxiety, quality of life, and functional limitations. Of these, 41 patients completed the scale on a second occasion, 14 days later. Construct validity (using confirmatory factor analysis [CFA]), discriminant validity, convergent validity, and anxiety screening accuracy were explored. Results The Anxiety Inventory for Respiratory Disease (AIR) had high internal consistency (Cronbach α = 0.92) and test-retest reliability (intraclass correlation coefficient = 0.81) and excellent convergent validity, correlating with the Hospital Anxiety and Depression-Anxiety subscale (r = 0.91, P Conclusions The AIR is a short, user-friendly, reliable, and valid scale for measuring and screening anxiety in patients with COPD.

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Crossref · 10.1378/chest.13-0168

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Authors
Willgoss, T. G., Goldbart, J., Fatoye, F., & Yohannes, A. M.
Affiliations
Manchester Metropolitan University (GB)
Corresponding author
Yohannes, Abebaw M.
Venue
Chest
Publisher
Elsevier BV
Published
2013-11
Volume
144
Issue
5
Pages
1587-1596
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2073629521
Cited by
57
References
7
Citations by year
2026: 2 · 2025: 3 · 2024: 7 · 2023: 8 · 2022: 3 · 2021: 7 · 2020: 7 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 3 · 2014: 2
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Locations
  • CHEST Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
anxiety screening, chronic obstructive pulmonary disease, psychometric validation, scale development, anxiety comorbidity, panic symptoms, general anxiety, test-retest reliability
MeSH terms
Aged, Anxiety, England, Female, Follow-Up Studies, Humans, Male, Personality Inventory, Surveys and Questionnaires, Reproducibility of Results, Pulmonary Disease, Chronic Obstructive

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