Behaviour Research and Therapy
Volume 43, Issue 12, 2005, Pages 1631-1643

Anxiety sensitivity in traumatized Cambodian refugees: A discriminant function and factor analytic investigation (Article)

Hinton D.E.* , Pich V. , Safren S.A. , Pollack M.H. , McNally R.J.
  • a Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, Southeast Asian Clinic, Arbour Counseling Center, Lowell, MA, United States, Harvard University, Cambridge, MA, United States
  • b Southeast Asian Clinic, Arbour Counseling Center, Lowell, MA, United States
  • c Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, Harvard University, Cambridge, MA, United States
  • d Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, Harvard University, Cambridge, MA, United States
  • e Harvard University, Cambridge, MA, United States

Abstract

We examined the psychometric properties and factor structure of a Cambodian translation of the Anxiety Sensitivity Index (ASI) and an Augmented ASI (the ASI supplemented with a 9-item addendum that assesses additional Cambodian concerns about anxiety-related sensations). Both the ASI and the Augmented ASI distinguished among three diagnostic groups: highest score, PTSD with panic disorder (PP group); next, panic disorder without PTSD (P group); and then, other disorders than PTSD or panic disorder (O group). In the discriminant function analysis using the Augmented ASI, the best classificatory predictor (PP vs. P vs. O) was an Addendum item ("It scares me when I stand up and feel dizzy"). The principal component analysis (oblimin rotation) of the ASI yielded a 3-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Social Concerns) and of the Augmented ASI, a 4-factor solution (I, Weak Heart Concerns; II, Control Concerns; III, Wind Attack Concerns; IV, Social Concerns). The item clustering within the factor solution of both the ASI and Augmented ASI illustrates the role of cultural syndromes in generating fear of mental and bodily events. © 2005 Elsevier Ltd. All rights reserved.

Author Keywords

Panic disorder posttraumatic stress disorder Anxiety Sensitivity Index Discriminant function analysis Cambodian refugees factor analysis

Index Keywords

discriminant analysis refugee Panic Disorder anxiety disorder Cambodia Anxiety Sensitivity Index Factor Analysis, Statistical human Refugees middle aged violence controlled study Anxiety Disorders panic United States Humans male female prediction Psychiatric Status Rating Scales scoring system psychologic test Article psychometry major clinical study adult posttraumatic stress disorder principal component analysis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-26844505966&doi=10.1016%2fj.brat.2005.01.001&partnerID=40&md5=8832b8887453e065f4e20e9121dea2ad
DOI: 10.1016/j.brat.2005.01.001
ISSN: 00057967
Cited by: 29
Original Language: English