Pouzdanost i validnost upitnika Spilbergerovih skala anksioznosti u populaciji studenata i nepsihotičnih psihijatrijskih ambulantnih pacijenata iz Srbije

  • Nikola M Stojanović Faculty of Medicine, University of Niš, Niš, Serbia
  • Pavle Randjelović Institut za fiziologiju, Medicinski fakultet, Univerzitet u Nišu, Zorana Đinđića 81, 18000, Niš, Srbija
  • Gordana Nikolić Zavod za mentalno zdravlje, Klinički centar Niš, Univerzitet u Nišu, 18 000 Niš, Srbija
  • Nenad Stojiljković Institut za fiziologiju, Medicinski fakultet, Univerzitet u Nišu, Zorana Đinđića 81, 18000, Niš, Srbija
  • Sonja Ilić Institut za fiziologiju, Medicinski fakultet, Univerzitet u Nišu, Zorana Đinđića 81, 18000, Niš, Srbija
  • Bogdan Stoiljković Medicinski fakultet, Univerzitet u Nišu, Zorana Đinđića 81, 18000, Niš, Srbija
  • Niko Radulović Departman za hemiju, Prirodno-matematički fakultet, Univerzitet u Nišu, Višegradska 33, 18000, Niš, Srbija
DOI: https://doi.org/10.5937/afmnai37-25011
Ključne reči: STAI skala, anksioznost, validnost, pouzdanost

Sažetak


Anksioznost je urođena emocionalna i kognitivna reakcija koja čoveku omogućava da se izbori sa svakodnevnim situacijama, međutim, anksioznost, takođe, može biti i patološki odgovor. Iako seupitnik Spilbergerovih skala anksioznosti (STAI) najčešće koristi u ispitivanju prisustva/odsustva anksioznosti, ne postoji dovoljno istraživanja sprovedenih na zdravom i/ili bolesnom stanovništvu Srbije, a koja bi ukazivala na pouzdanost i validnost ovog testa. Zato, cilj ovog istraživanja bio je utvrđivanje normativnih vrednosti STAI skala (stanje i osobina) i utvrđivanje njihove pouzdanosti i validnosti u ispitivanoj grupi univerzitetskih studenata i nepsihotičnih psihijatrijskih pacijenata. Vrednosti dobijene iz dva različita uzorka, koje nisu pokazivale normalnu distribuciju, bile su statistički značajno različite. Analiza ROC (Receiver Operating Characteristic) krive otkrila je da su vrednosti površine ispod krive (AUC) za obe skale veće od 0,85, pri p<0,001, a izračunate granične vrednosti za prisustvo anksioznosti su iznosile 38,5 za S-skalu, odnosno 45,5 za T-skalu. Dodatna analiza podataka pokazuje, prema koeficijentu intraklasne korelacije, da S-skala ima umerenu pouzdanost (0,713), a da T-skala ima dobru pouzdanost (0,858). Takođe, Spilbergerove skale anksioznosti (STAI) za pacijente koji pate od anksioznih poremećaja ukazuju na prisustvo anksioznosti sa koeficijentom alfa većim od 0,9. Izračunata validnost, interna doslednost, i pouzdanost za prevedene na srpski STAI skale su zadovoljavajuće, a što znači da se korišćenjem prevedenih STAI skala mogu jasno utvrditi promene u stepenu anksioznosti kod pacijenata koji pate od neurotskih, stresom povezanih i somatoformnih poremećaja.

Reference

1. Stojanović MN, Nikolić G, Todorovska M, et al. Anxiety Disorders – Where do we stand now? Current medicamentous treatment knowledge and future perspectives. Acta Fac Med Naiss 2019;36(2):91-101. https://scindeks-clanci.ceon.rs/data/pdf/0351-6083/2019/0351-60831902091S.pdf
2. Barton S, Karner C, Salih F, et al. Clinical effectiveness of interventions for treatment-resistant anxiety in older people: a systematic review. Health Technol Assess 2014;18(50):1-59. https://doi.org/10.3310/hta18500
3. Spielberger CD, Gorsuch RL, Lushene RE. STAI: manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists; 1970
4. Johnson DT. Effects of interview stress on measures of state and trait anxiety. J Abnorm Psychol, 1968;73(3):245-251. https://doi.org/10.1037/h0025860
5. Popov B. Contribution to assessment of effects of Rational emotive behaviour therapy. Psihologija 2004;37(3):375-388. https://doi.org/10.2298/PSI0403375P
6. Berberovic D. Sexual compulsivity comorbidity with depression, anxiety, and substance use in students from Serbia and Bosnia and Herzegovina. Eur J Psycho, 2013;9(3): 517-530. https://doi.org/10.5964/ejop.v9i3.595
7. Spielberger CD. State-Trait Anxiety Inventory. A comprehensive bibliography. Palo Alto, CA: Consulting Psychologists Press. 1983.
8. Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the State-Trait Anxiety Inventory and the Zung Self-Rating Depression scale. Br J Clin Psychol 1983;22 (Pt 4):245-249. https://doi.org/10.1111/j.2044-8260.1983.tb00610.x
9. Hajian-Tilaki K. Receiver operating characteristic (ROC) curve analysis for medical diagnostic test evaluation. Caspian J Intern Med 2013;4(2):627-635. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3755824/pdf/cjim-4-627.pdf
10. Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012
11. Seok CB, Hamid HSA, Mutang JA, et al. Psychometric properties of the state-trait anxiety inventory (form Y) among Malaysian university students. Sustainability 2018; 10(9): 1-13. https://www.mdpi.com/2071-1050/10/9/3311/pdf
12. Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken), 2011;63 Suppl 11:S467-72. https://doi.org/10.1002/acr.20561
13. Jakovljević S, Karalejić M, Lazarević Lj. The latent structure of conative dimensions ofElite senior and junior basketball players. FU Phys Ed Sport 2010;8(1):21-30.
14. Metzger RL. (1976). A reliability and validity study of the State-Trait Anxiety Inventory. J Clin Psychol 1976;32(2): 276-278. https://doi.org/10.1002/1097-4679(197604)32:2<276
15. Rosenthal R. Pygmalion effects: Existence, magnitude, and social importance. Educat Res1987; 16(9): 37-40. https://doi.org/10.3102/0013189X016009037
16. Counsell N, Cortina-Borja M, Lehtonen A, Stein A. Modelling psychiatric measures using Skew-Normal distributions. Eur Psychiatry 2011;26(2):112-114. https://doi.org/10.1016/j.eurpsy.2010.08.006
17. Kaspersen M, Götestam KG. A survey of music performance anxiety among Norwegian music students. Eur J Psychiatry 2002; 16(2):69-80.
18. McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res 2011;45(8):1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006
19. Bunevicius A, Staniute M, Brozaitiene J, et al. Screening for anxiety disorders in patients with coronary artery disease. Health Qual Life Outcomes 2013;11:37. https://doi.org/10.1186/1477-7525-11-37
20. Kummar R, Indrayan A. Receiver operating characteristic (ROC) curve for medical researchers. Indian Pediatr 2011;48:277–489. https://doi.org/10.1007/s13312-011-0055-4
21. Kristiansen IS, Gyrd-Hansen D, Nexøe J, et al. Number needed to treat: easily understood and intuitively meaningful? Theoretical considerations and randomized trial. J Clin Epidemiol 2002; 55: 888–892. https://doi.org/10.1016/S0895-4356(02)00432-8
22. Grant KA, McMahon C, Austin MP. Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 2008, 108:101–111. https://doi.org/10.1016/j.jad.2007.10.002
23. Grös DF, Antony MM, Simms LJ, et al. Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). Psychol Assess 2007;19(4):369-381. https://doi.org/10.1037/1040-3590.19.4.369
Objavljeno
2025/12/22
Broj časopisa
Vol. 37 Br. 2 (2020): Acta facultatis medicae Naissensis
Rubrika
Originalni rad / Original article