The Development of a Short Chinese Version of the State-Trait Anxiety Inventory

克朗巴赫阿尔法 焦虑 验证性因素分析 临床心理学 可靠性(半导体) 心理学 标准效度 人口 有效性 评定量表 精神科 医学 结构效度 心理测量学 结构方程建模 发展心理学 统计 环境卫生 功率(物理) 物理 量子力学 数学
作者
Qing-Yun Du,Haowen Liu,Chengjiao Yang,Xiaoyu Chen,Xiaoyuan Zhang
出处
期刊:Frontiers in Psychiatry [Frontiers Media]
卷期号:13 被引量:11
标识
DOI:10.3389/fpsyt.2022.854547
摘要

Few studies on anxiety in China have used the full version of the Spielberger State-Trait Anxiety Inventory (STAI) due to its length, despite its numerous advantages. The goal of this study was to develop a short Chinese version of the STAI and examine its reliability and validity among the general Chinese population and psychiatric patients diagnosed with anxiety.A total of 1,142 participants were invited to test the short Chinese version of the STAI; item analysis, validity testing and internal consistency reliability analysis were performed. Subsequently, 40 participants were enrolled to assess retest reliability 1 week later. Finally, 330 participants, including 33 psychiatric patients with anxiety, were used to assess the criterion and empirical validity. The Self-Rating Anxiety Scale (SAS) and Satisfaction with Life Scale (SWLS) were used as criteria, and receiver operating characteristic (ROC) analysis was conducted to evaluate the discrimination of the short version of the STAI between the groups with and without anxiety disorders.The short Chinese version of the STAI contains six items for each subscale (STAI-S-6 and STAI-T-6). The Pearson correlation coefficients between the two shortened Chinese versions of the STAI and the full-length STAI were 0.970 and 0.962, the Cronbach's α coefficients were 0.871 and 0.842, and the retest reliability values were 0.728 and 0.813 (p < 0.001). Confirmatory factor analysis showed that the 2-factor model achieved an adequate model fit: for the STAI-S-6, CFI = 0.986, TLI = 0.974, and RMSEA = 0.075, and for the STAI-T-6, CFI = 0.994, TLI = 0.988, and RMSEA = 0.052. The short Chinese version of the STAI had a significant positive correlation with the SAS score (r = 0.289, 0.313; p < 0.001) and a negative correlation with the SWLS score (r = -0.476, 0.554; p < 0.001). A significant difference in the level of anxiety was found between participants with and without anxiety disorders. The diagnostic accuracy of the STAI-S-6 and STAI-T-6 for major anxiety disorder was acceptable, with areas under the ROC curves of 0.798 and 0.745, respectively.The short Chinese version of the STAI demonstrates sound psychometric properties and is applicable in evaluating the level of anxiety in Chinese populations.
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