Development and validation of parallel short forms PaSA-cardio for the assessment of general anxiety in cardiovascular rehabilitation patients using Rasch analysis

Abstract

Objective:

To develop and validate parallel short forms for the assessment of general anxiety in cardiovascular rehabilitation patients, that facilitate repeated measurement over time without contamination from residual practice effect variance.

Design:

Development of the parallel short forms using Rasch analysis. Validation study.

Setting:

Cardiac rehabilitation centres in Germany.

Subjects:

Cardiovascular rehabilitation patients.

Interventions:

Not applicable.

Main measures:

Parallel short forms PaSA-cardio, Hospital Anxiety and Depression Scale, Short Form Health Survey SF-12 and Structured Clinical Interview for DSM-IV Axis I Disorders.

Results:

Each version of the parallel short forms (PaSA-cardio-I and PaSA-cardio-II) comprises ten items. The two forms fitted to the Rasch model with a non-significant item–trait interaction (PaSA-cardio-I: chi-square = 39.49, degrees of freedom = 30, probability = 0.12; PaSA-cardio-II: chi-square = 26.56, degrees of freedom = 30, probability = 0.65). Person-separation reliability was 0.75/0.76. Unidimensionality could be verified. Correlation between the two models was 0.94 and 0.95, and correlations with the underlying item bank were 0.95 and 0.93. Validity could be confirmed. The area under the curve was between 0.88 and 0.97 for PaSA-cardio-I and between 0.92 and 0.95 for PaSA-cardio-II.

Conclusions:

Assessment of general anxiety in cardiovascular rehabilitation patients with the PaSA-cardio was valid, economical and accurate. The two forms of the PaSA-cardio are equivalent and allow retest without contamination from residual practice effect variance.

Keywords

Assessment anxiety cardiac rehabilitation psychometry

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References

Baumeister

Hutter

Bengel

Härter

. Quality of life in medically ill persons with comorbid mental disorders: A systematic review and meta-analysis. Psychother Psychosom 2011; 80: 275–286.

Moser

. “The rust of life”: Impact of anxiety on cardiac patients. Am J Crit Care 2007; 16: 361–369.

Tully

Cosh

Baune

. A review of the affects of worry and generalized anxiety disorder upon cardiovascular health and coronary heart disease. Psychol Health Med 2013; 18: 627–644.

Tully

Cosh

. Generalized anxiety disorder prevalence and comorbidity with depression in coronary heart disease: A meta-analysis. J Health Psychol 2013; 18: 1601–1616.

Albus

Jordan

Herrmann-Lingen

. Screening for psychosocial risk factors in patients with coronary heart disease: Recommendations for clinical practice. Eur J Cardiovasc Prev Rehabil 2004; 11: 75–79.

Zigmond

Snaith

. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361–370.

Fastenau

Denburg

Mauer

. Parallel short forms for the Boston Naming Test: Psychometric properties and norms for older adults. J Clin Exp Neuropsychol 1998; 20: 828–834.

Forkmann

Böcker

Wirtz

. Validation of the Rasch-based depression screening in a large scale German general population sample. Health Qual Life Outcomes 2010; 8: 105.

Pevalin

. Multiple applications of the GHQ-12 in a general population sample: An investigation of long-term retest effects. Soc Psychiatry Psychiatr Epidemiol 2000; 35: 508–512.

10.

Ormel

Koeter

MWJ

van den Brink

. Measuring change with the General Health Questionnaire (GHQ): The problem of retest effects. Soc Psychiatry Psychiatr Epidemiol 1989; 24: 227–232.

11.

Sharpe

Gilbert

. Effects of repeated administration of the Beck Depression Inventory and other measures of negative mood states. Pers Indiv Differ 1998; 24: 457–463.

12.

Choquette

Hesselbrock

. Effects of retesting with the Beck and Zung Depression Scales in alcoholics. Alcohol Alcohol 1987; 22: 277–283.

13.

Gilbert

McClernon

Rabinovich

Plath

Jensen

Meliska

. Effects of smoking abstinence on mood and craving in men: Influences of negative-affect-related personality traits, habitual nicotine intake and repeated measurements. Pers Indiv Differ 1998; 25: 399–423.

14.

Devito

Kubis

. Alternate forms of the State-Trait Anxiety Inventory. Educ Psychol Meas 1983; 43:729–734.

15.

French

Sutton

. Reactivity of measurement in health psychology: How much of a problem is it? What can be done about it? Brit J Health Psych 2010; 15: 453–468.

16.

Johnston

. Mood in chronic disease: Questioning the answers. Curr Psychol 1999; 18: 71–87.

17.

Boekkooi-Timminga

. The construction of parallel tests from IRT-based item banks. J Educ Stat 1990; 15: 129–145.

18.

Forkmann

Böcker

Wirtz

. Development and validation of the Rasch-based depression screening (DESC) using Rasch analysis and structural equation modelling. J Behav Ther Exp Psy 2009; 40: 468–478.

19.

Furtkamp

Giffort

Schiers

. In-class evaluation of behavior modification knowledge: Parallel tests for use in applied settings. J Behav Ther Exp Psy 1982; 13: 131–134.

20.

Teng

Wimer

Roberts

. Alzheimer’s dementia: Performance on parallel forms of the Dementia Assessment Battery. J Clin Exp Neuropsychol 1989; 11: 899–912.

21.

Steck

. A revision of A. L. Benton’s Visual Retention Test (BVRT) in two parallel forms. Arch Clin Neuropsychol 2005; 20: 409–416.

22.

Abberger

Haschke

Wirtz

Kroehne

Bengel

Baumeister

. Development and evaluation of a computer-adaptive test to assess anxiety in cardiovascular rehabilitation patients. Arch Phys Med Rehabil 2013; 94: 2433–2439.

23.

Baumeister

Abberger

Haschke

Bocker

Bengel

Wirtz

. Development and calibration of an item bank for the assessment of activities of daily living in cardiovascular patients using Rasch analysis. Health Qual Life Outcomes 2013; 11: 133.

24.

Forkmann

Kroehne

Wirtz

. Adaptive screening for depression – Recalibration of an item bank for the assessment of depression in persons with mental and somatic diseases and evaluation in a simulated computer-adaptive test environment. J Psychosom Res 2013; 75: 437–443

25.

Haschke

Abberger

Müller

Wirtz

Bengel

Baumeister

. Calibration of an item bank for work capacity in cardiological rehabilitation patients. Eur J Prev Cardiol 2013; 20: 807–816.

26.

Abberger

Haschke

Krense

Wirtz

Bengel

Baumeister

. The calibrated, unidimensional anxiety item bank for cardiovascular patients provided the basis for anxiety assessment in cardiovascular rehabilitation patients. J Clin Epidemiol 2013; 66: 919–927.

27.

Andrich

Sheridan

Luo

. Rumm 2030. Perth: RUMM Laboratory, 2009.

28.

Tennant

Conaghan

. The Rasch measurement model in rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis Rheum 2007; 57: 1358–1362.

29.

Smith

. Detecting and evaluating the impact of multidimensionality using item fit statistics and principal component analysis of residuals. J Appl Meas 2002; 3: 205–231.

30.

Rose

Bjorner

Becker

Fries

Ware

. Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS). J Clin Epidemiol 2008; 61: 17–33.

31.

Ware

Kosinski

Keller

. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220–233.

32.

Herrmann

. International experiences with the hospital anxiety and depression scale: A review of validation data and clinical results. J Psychosom Res 1997; 42: 17–41.

33.

First

Spitzer

Gibbon

Williams

JBW

. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Washington, DC: American Psychiatric Press Inc., 1996.

34.

Schisterman

Perkins

Liu

Bondell

. Optimal cut-point and its corresponding Youden Index to discriminate individuals using pooled blood samples. Epidemiology 2005; 16(1): 73–81.

35.

SPSS Inc. IBM SPSS Statistics Version 20.0. Chicago: SPSS Inc., 2011.

36.

Ware

Bjorner

Kosinski

. Practical implications of item response theory and computerized adaptive testing: A brief summary of ongoing studies of widely used headache impact scales. Med Care 2000; 38: 1173–82.

37.

Walter

Becker

Fliege

. Entwicklungsschritte für einen computeradaptiven Test zur Erfassung von Angst (A-CAT). [Development of a computer adaptive test for anxiety (A-CAT)]. Diagnostica 2005; 51: 88–100.

38.

Kawachi

Colditz

Ascherio

. Prospective study of phobic anxiety and risk of coronary heart disease in men. Circulation 1994; 89: 1992–1997.

39.

Denollet

Strik

Lousberg

Honig

. Recognizing increased risk of depressive comorbidity after myocardial infarction: Looking for 4 symptoms of anxiety-depression. Psychother Psychosom 2006; 75: 346–352.

40.

Bunevicius

Staniute

Brozaitiene

. Screening for anxiety disorders in patients with coronary artery disease. Health Qual Life Outcomes 2013; 11: 37.

41.

Härter

Baumeister

Reuter

. Increased 12-month prevalence rates of mental disorders in patients with chronic somatic diseases. Psychother Psychosom 2007; 76: 354–360.

42.

Norton

Cosco

Doyle

Don J Sacker

. The Hospital Anxiety and Depression Scale: A meta confirmatory factor analysis. J Psychosom Res 2013; 74: 74–81.

43.

Cosco

Doyle

Ward

McGee

. Latent structure of the Hospital Anxiety and Depression Scale: A 10-year systematic review. J Psychosom Res 2012; 72: 180–184.

44.

Coyne

van Sonderen

. No further research needed: Abandoning the Hospital and Anxiety Depression Scale (HADS). J Psychosom Res 2012; 72: 173–174.