Distinguishing depression and anxiety in self-report: Evidence from confirmatory factor analysis on nonclinical and clinical samples.
Journal of Consulting and Clinical PsychologyPublished 1 January 1993
Lisa A. Feldman
Citations160
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SJR score2.23
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Abstract
Psychologists believe that anxiety and depression self-report scales tap distinct constructs. This assumption was tested by using confirmatory factor analysis on mood data from nonclinical samples (K. S. Dobson, 1985a; I. H. Gotlib, 1984; J. Tanaka-Matsumi & V.A. Kameoka, 1986) and a clinical sample (J. Mendels, N. Weinstein, & C. Cochrane, 1972). These analyses provide evidence that anxiety and depression self-report scales do not measure discriminant mood constructs and may therefore be better thought of as measures of general negative mood rather than as measures of anxiety and depression per se.
Keywords
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This transmutability of the validation matrix argues for the comparisons within the heteromethod block as the most generally relevant validation data, and illustrates the potential interchangeability of trait and method components.
Journal of Consulting and Clinical PsychologyAn inventory for measuring clinical anxiety: Psychometric properties.
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The structure of human personality
1,331 Citations1953H. J. Eysenck
Social ForcesStructural Equation Modeling with LISREL: Essentials and Advances.
1,323 Citations1990Kenneth C. Land, Leslie A. Hayduk
Journal of Personality and Social PsychologySelf-discrepancies and emotional vulnerability: How magnitude, accessibility, and type of discrepancy influence affect.
695 Citations1986E. Tory Higgins, Ronald N. Bond +2 more
For high- Discrepancy subjects, but not low-discrepancySubjects with a predominant actual:ideal discrepancy felt more dejection whereas ought priming increased their agitation, and cognitive-motivational factors that may serve as vulnerability markers for emotional problems are discussed.
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Psychological BulletinAnalysis of correlation matrices using covariance structure models.
549 Citations1989Robert Cudeck
Journal of Abnormal PsychologyDepression and general psychopathology in university students.
490 Citations1984Ian H. Gotlib
Clinical Psychology ReviewThe relationship between anxiety and depression
349 Citations1985Keith S. Dobson
The Journal of PsychologyScales For Measuring Depression and Anxiety
307 Citations1967C. G. Costello, Andrew L. Comrey
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275 Citations1986Chrissoula Stavrakaki, Beverley Vargo
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Results indicate that (a) mismatches constitute cognitive structures and (b) automatic activation of different mismatches via contextual priming induces distinct types of emotional discomfort.
Journal of Abnormal PsychologySelf-discrepancies in clinical depression and social phobia: Cognitive structures that underlie emotional disorders?
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The depressives and social phobics showed the greatest increases in dejection and agitation, respectively, according to their dominant self-discrepancy, suggesting that specific cognitive structures may underlie clinical depression and anxiety.
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Evidence strongly suggests that a group of patients who have mixed symptoms of anxiety and depression that are below diagnostic thresholds for either group of disorders exists and that, despite lacking sufficient symptoms to meet diagnostic thresholds from the revised 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders, they often have significant impairment in social and vocational functioning.
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Multivariate analyses revealed configurational group differences involving anxiety, depression, and insomnia and indicated that information concerning previous treatment response played an additional role in treatment assignment.
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It was found that psychiatrists hold concepts of these unpleasant affects that are much more differentiated than those held by patients, and patients were unable to discriminate between anxiety and depression on the basis of 11 somatic symptoms, but were able to use these symptoms to distinguish Anxiety and depression from irritability.