Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results

Abstract Background State Trait Anxiety Inventory (STAI) scale was developed in the 1980’s and has been widely used both in clinical settings and in research. However the Danish version of STAI has not been validated. The aim of this study was to assess the validity and reliability of STAI - state a...

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Main Authors: L. W. Gustafson, P. Gabel, A. Hammer, H. H. Lauridsen, L. K. Petersen, B. Andersen, P. Bor, M. B. Larsen
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12874-020-00982-4
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author L. W. Gustafson
P. Gabel
A. Hammer
H. H. Lauridsen
L. K. Petersen
B. Andersen
P. Bor
M. B. Larsen
author_facet L. W. Gustafson
P. Gabel
A. Hammer
H. H. Lauridsen
L. K. Petersen
B. Andersen
P. Bor
M. B. Larsen
author_sort L. W. Gustafson
collection DOAJ
description Abstract Background State Trait Anxiety Inventory (STAI) scale was developed in the 1980’s and has been widely used both in clinical settings and in research. However the Danish version of STAI has not been validated. The aim of this study was to assess the validity and reliability of STAI - state anxiety scale in Danish women aged 45 years and older with abnormal cervical cancer screening results. Methods Women ≥45 years referred with an abnormal cervical cytology and healthy volunteers (n = 12) underwent cognitive interview after completing STAI. Further, STAI was sent out in an electronic questionnaire to women (n = 109) seen at the gynecological department with abnormal cervical cancer screening test during 2018. Validity and reliability of STAI was evaluated according to the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist by examining internal consistency, test-retest reliability, measurement error, floor and ceiling, construct validity and content validity. Results In the cognitive interviews the content validity was evaluated to be very good. The internal consistency of the scale was excellent with Cronbach’s α = 0.93. Test-retest reliability was good with an intra-class correlation coefficient of 0.80 and the systematic difference between test-retest results was negligible. The construct validity was good. Conclusion To our best knowledge, this is the first validation study of the Danish translation of STAI-state anxiety scale. This version of STAI demonstrates an acceptable reliability and validity when used in a gynecological setting.
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spelling doaj.art-e86109fe3afd4eb69e258956b1e9f2e92022-12-21T20:35:48ZengBMCBMC Medical Research Methodology1471-22882020-04-012011910.1186/s12874-020-00982-4Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening resultsL. W. Gustafson0P. Gabel1A. Hammer2H. H. Lauridsen3L. K. Petersen4B. Andersen5P. Bor6M. B. Larsen7Department of Public Health Programmes, Randers Regional HospitalDepartment of Public Health Programmes, Randers Regional HospitalDepartment of Clinical Medicine, Aarhus UniversityDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkOpen Patient Data Explorative Network (OPEN) and Department of Obstetrics and Gynecology, Odense University HospitalDepartment of Public Health Programmes, Randers Regional HospitalDepartment of Clinical Medicine, Aarhus UniversityDepartment of Public Health Programmes, Randers Regional HospitalAbstract Background State Trait Anxiety Inventory (STAI) scale was developed in the 1980’s and has been widely used both in clinical settings and in research. However the Danish version of STAI has not been validated. The aim of this study was to assess the validity and reliability of STAI - state anxiety scale in Danish women aged 45 years and older with abnormal cervical cancer screening results. Methods Women ≥45 years referred with an abnormal cervical cytology and healthy volunteers (n = 12) underwent cognitive interview after completing STAI. Further, STAI was sent out in an electronic questionnaire to women (n = 109) seen at the gynecological department with abnormal cervical cancer screening test during 2018. Validity and reliability of STAI was evaluated according to the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist by examining internal consistency, test-retest reliability, measurement error, floor and ceiling, construct validity and content validity. Results In the cognitive interviews the content validity was evaluated to be very good. The internal consistency of the scale was excellent with Cronbach’s α = 0.93. Test-retest reliability was good with an intra-class correlation coefficient of 0.80 and the systematic difference between test-retest results was negligible. The construct validity was good. Conclusion To our best knowledge, this is the first validation study of the Danish translation of STAI-state anxiety scale. This version of STAI demonstrates an acceptable reliability and validity when used in a gynecological setting.http://link.springer.com/article/10.1186/s12874-020-00982-4State trait anxiety inventoryAnxietyQuestionnaireAbnormal cervical screening testValidation and reliability
spellingShingle L. W. Gustafson
P. Gabel
A. Hammer
H. H. Lauridsen
L. K. Petersen
B. Andersen
P. Bor
M. B. Larsen
Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
BMC Medical Research Methodology
State trait anxiety inventory
Anxiety
Questionnaire
Abnormal cervical screening test
Validation and reliability
title Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
title_full Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
title_fullStr Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
title_full_unstemmed Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
title_short Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results
title_sort validity and reliability of state trait anxiety inventory in danish women aged 45 years and older with abnormal cervical screening results
topic State trait anxiety inventory
Anxiety
Questionnaire
Abnormal cervical screening test
Validation and reliability
url http://link.springer.com/article/10.1186/s12874-020-00982-4
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