Cited by 308Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingHealth Education and Validation

Support for the reliability and validity of a six-item state anxiety scale derived from the State-Trait Anxiety Inventory

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Tluczek, Audrey, Henriques, Jeffrey B., Brown, Roger L.·2009·Journal of Nursing Measurement

Abstract

Identifying the most efficient and theoretically appropriate methods to assess patient anxiety in fast-paced medical environments may be beneficial for clinical purposes as well as for research. The purpose of this study was to examine the reliability and validity of two previously published six-item versions of the State form of the State-Trait Anxiety Inventory (STAI) and to identify the version that would be most appropriate to use with a sample of parents who had infants with normal or abnormal newborn screens. In the current study, confirmatory factor analyses were conducted to evaluate the fit of the two six-item forms with STAI data collected at three time points from 288 parents of 150 infants. Study groups of parents were based upon infant newborn screens and subsequent diagnostic testing to include cystic fibrosis (CF; n = 26), congenital hypothyroidism (CH; n = 39), CF Carriers (CF–C; n = 45), and healthy infants (H; n = 40). The results showed the version containing items 1, 3, 6, 15, 16, and 17 of the State form of the STAI to be a better fitting model across all three time points, and it had better internal consistency than the version containing items 5, 9, 10, 12, 17, and 20. Both short forms were highly correlated with the 20-item STAI score, and all internal consistency reliabilities were greater than .90. It was concluded that the version containing items 1, 3, 6, 15, 16, and 17 of the State Anxiety scale was a reliable and valid instrument for this study sample.

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  1. Belsky J Grossmann Klaus E. Grossmann K Waters E Attachment theory and research in ecological perspective Attachment from infancy to adulthood: The major longitudinal studies 2005 71 97 The Guilford Press, Inc. New York
  2. Yu CY Evaluating cutoff criteria of model fit indices for latent variable models with binary and continuous outcomes Doctoral dissertation 2002 University of California Los Angeles

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Authors
Tluczek, A., Henriques, J. B., & Brown, R. L.
Affiliations
University of Wisconsin–Madison (US)
Venue
Journal of Nursing Measurement
Published
2009-05
Volume
17
Issue
1
Pages
19-28
ISSN
  • 1061-3749 (ISSN-L)
  • 1945-7049
OpenAlex
W2016709782
Cited by
308
References
7
Citations by year
2026: 19 · 2025: 17 · 2024: 25 · 2023: 45 · 2022: 38 · 2021: 36 · 2020: 32 · 2019: 17 · 2018: 11 · 2017: 12 · 2016: 15 · 2015: 12 · 2014: 7 · 2013: 15 · 2012: 5
FWCI
2.96
Type
journal article
Language
en
Open access
Locations
  • Journal of Nursing Measurement (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23 HD42098, K23HD042098)
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 › Education › Health Education and Validation
Keywords
state anxiety, State-Trait Anxiety Inventory, parental anxiety, newborn screening, cystic fibrosis, congenital hypothyroidism, cystic fibrosis carriers, infant diagnosis, scale validation, internal consistency, factor structure
MeSH terms
Adult, Anxiety, Congenital Hypothyroidism, Cystic Fibrosis, Factor Analysis, Statistical, Female, Humans, Infant, Newborn, Male, Parents, Personality Inventory, Psychometrics, Reproducibility of Results, Chi-Square Distribution

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