E-ISSN : 2733-4538
The Ministry for Health & Welfare Affairs has marked a major milestone in a new mental health paradigm emphasizing the importance of preventative and early interventions. In this context, the development of a reliable and valid screening tool for mental disorders has become a high priority. A consensus has recently emerged among experts that there is a paucity of screening tools available for anxiety disorders and none of them is sufficient in its sensitivity and specificity. The development of new screening approaches for anxiety disorders was therefore recommended. In the current study, the multi-disciplinary research team comprised of clinical psychologists, psychiatrists and psychometricians, conducted a systematic review of existing screening tools for anxiety disorders to analyze strengths and limitations of the tools and to summarize the background and rationale for development of the new Korean screening tool for anxiety disorders (K-ANX). The K-ANX aims to cover recent diagnostic criteria from the DSM-5 and RDoC in a concise manner with sufficient diagnostic sensitivity and specificity. We also summarize the sub-domains of anxiety disorders and develop 273 preliminary item pools of the K-ANX. A preliminary study using the K-ANX was then conducted with 150 individuals whice showed that it demonstrates high concurrent validity with the BAI. Finally, the directions for the validation of the final K-ANX project were discussed.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders. (3rd ed.). Washington, DC: American Psychiatric Press.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders. (3rd ed. rev). Washington, DC: American Psychiatric Press.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. (4th ed.). Washington, DC: American Psychiatric Press.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., Steer, R. A., Ball, R., Ciervo, C. A., & Kabat, M. (1997). Use of the Beck Anxiety and Depression Inventories for primary care with medical outpatients. Assessment, 4, 211-219.
Bieling, P. J., Antony, M. M., & Swinson, R. P. (1998). The State-Trait Anxiety Inventory, Trait version: Structure and content re-examined. Behaviour Research and Therapy, 36, 777-788.
Chung, S. K., Kwon, J. S., & 2006 Korean Anxiety Research Group. (2006). 2006 Korean anxiety: Report on anxiety research results. Anxiety and Mood, 2, 115-121.
Dillon, D. G., Rosso, I. M., Pechtel, P., Killgore, W. D., Rauch, S. L., & Pizzagalli, D. A. (2014). Peril and pleasure: An rdoc‐inspired examination of threat responses and reward processing in anxiety and depression. Depression and Anxiety, 31, 233-249.
Gibbons, R. D., Weiss, D. J., Pilkonis. P. A., Frank, E., Moore, T., Kim, J. B., & Kupfer, D. J. (2014). Development of the CAT-ANX: A Computerized Adaptive Test for Anxiety. American Journal of Psychiatry, 171, 187-194.
Hahn, D. W., Lee, C. H., & Chon, K. K. (1996). Korean adaptation of Spielberger’s STAI (K-STAI). Korean Journal of Health Psychology, 1, 1-14.
Hahn, D. W., Lee, C. H., & Tak, J. K. (1993). A study for the standardization of the Spielberger State-Trait Anxiety Inventory. Journal of Student Guidance, 10, 214-222.
Hamilton, M. A. X. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50-55.
Han, E. K., Cho, Y. R., Park, S. H., Kim, H. R., & Kim, S. H. (2003). Factor structure of the Korean version of the Beck Anxiety Inventory:An application of confirmatory factor analysis in psychiatric patients. Korean Journal of Clinical Psychology, 1, 261-270.
Jahng, S. M. (2014). Basics and applications of Item Response Theory. 2014 Korean Psychological Association Annual Conference Program & Abstract, 1, 207.
Jong-Geun, S. (2015). Validation of the Generalized Disorder-7 (GAD-7) and GAD-2 in patients with migraine. (Unpublished doctoral dissertation). Kyungpook National University, Daegu, Korea.
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve‐month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169-184.
Kim, J. T. (1978). A study based on the standardization of the STAI for Korea. The New Medical Journal, 21, 69-75.
Kwon, S. M. (1992). Differential roles of dysfunctional attitude and automatic thoughts in depression: An integrated cognitive model of depression. (Unpublished doctoral dissertation). University of Queensland, Brisbane, Australia.
Lee, J. H. (1996). Development of the Korean form of Zung’s self-rating anxiety scale. Yeungnam University Journal of Medicine, 13, 279-294.
Lee, K. S., Bae, H. L., & Kim, D. H. (2008). Factor analysis of the Korean version of the state-trait anxiety inventory in patients with anxiety disorder. Anxiety and Mood, 4, 104-110.
Leyfer, O. T., Ruberg, J. L., &Woodruff-Borden, J. (2006). Examination of the utility of the Beck Anxiety Inventory and its factors as a screener for anxiety disorders. Journal of Anxiety Disorders, 20, 444-458.
Lim, Y. J., Kim, Y. H., Lee, E. H., & Kwon, S. M. (2008). The Penn State worry questionnaire: Psychometric properties of the Korean version. Depression and Anxiety, 25, E97-E103.
Lin, E. H., Katon, W., Von Korff, M., Bush, T., Lipscomb, P., Russo, J., & Wagner, E. (1991). Frustrating patients. Journal of General Internal Medicine, 6, 241-246.
Maier, W., Buller, R., Philipp, M., & Heuser, I. (1988). The Hamilton Anxiety Scale: Reliability, validity and sensitivity to change in anxiety and depressive disorders. Journal of Affective Disorders, 14, 61-68.
Maier, W., Gansicke, M., Freyberger, H. J., Linz, M., Heun, R., & Lecrubier, Y. (2000). Generalized anxiety disorder (ICD-10) in primary care from a cross-cultural perspective: A valid diagnostic entity? Acta Psychiatrica Scandinavica, 101, 29-36.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State worry questionnaire. Behaviour Research and Therapy, 28, 487-495
McQuaid, J. R., Stein, M. B., McCahill, M., Laffaye, C., & Ramel, W. (2000). Use of brief psychiatric screening measures in a primary care sample. Depression and Anxiety, 12, 21-29.
Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., rickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215-233.
Olatunji, B. O., Deacon, B. J., Abramowitz, J. S., & Tolin, D. F. (2006). Dimensionality of somatic complaints: Factor structure and psychometric properties of the Self-Rating Anxiety Scale. Journal of Anxiety Disorders, 20, 543-561.
Park, H. J., Kim, J. H., Lee, J. H., Heo, J. Y., & Yu, B. H. (2014). The usefulness of the Korean version of Penn State Worry Questionnaire for screening generalized anxiety disorder: A receiver operating characteristic analysis. Psychiatry Investigation, 11, 12-17.
Sanislow, C. A., Pine, D. S., Quinn, K. J., Kozak, M. J., Garvey, M. A., Heinssen, R. K., ... & Cuthbert, B. N. (2010). Developing constructs for psychopathology research: Research domain criteria. Journal of Abnormal Psychology, 119, 631-639.
Seoul National University College of Medicine & Ministry for Health & Welfare Affairs. (2011). The Epidemiological Survey of Mental disorders in Korea. Retrieved from http://www.mohw.go.kr/
Shear, M. K., Vander Bilt, J., Rucci, P., Endicott, J., Lydiard, B., Otto, M. W., ... & Frank, D. M. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH‐A). Depression and Anxiety, 13, 166-178.
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y). Palo Alto, CA: Consulting Psychologists Press.
Spielberger, R., Gorsuch, R., & Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092-1097.
Sung, P. Y., & Zoung, S. K. (1997). A clinical study on the Korean version of Beck Anxiety Inventory: Comparative study of patient and non-patient. Korean Journal of Clinical Psychology, 16, 185-197.
Wittchen, H. U., Kessler, R. C., Beesdo, K., Krause, P., Höfler, M., & Hoyer, J. (2002). Generalized anxiety and depression in primary care: Prevalence, recognition, and management. Journal of Clinical Psychiatry, 63, 24-34.
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics, 12, 371-379.