scholarly journals A Preliminary Investigation into Worry about Mental Health: Development of the Mental Health Anxiety Inventory

2015 ◽  
Vol 44 (3) ◽  
pp. 347-360 ◽  
Author(s):  
Della Commons ◽  
Kenneth Mark Greenwood ◽  
Rebecca A. Anderson

Background: Worry about physical health is broadly referred to as health anxiety and can range from mild concern to severe or persistent anxiety such as that found in DSM-IV hypochondriasis. While much is known about anxiety regarding physical health, little is known about anxiety regarding mental health. However, recent conceptualizations of health anxiety propose that individuals can experience severe and problematic worry about mental health in similar ways to how people experience extreme worry about physical health. Aims: Given the paucity of research in this area, the aim of the current study was to explore anxiety regarding mental health through validation of the Mental Health Anxiety Inventory (MHAI), a modified version of the Short Health Anxiety Inventory. Method: The MHAI, and measures of state anxiety (Depression, Anxiety and Stress Scales-21), trait worry (Penn State Worry Questionnaire), and health anxiety (Short Health Anxiety Inventory) were administered to 104 adult volunteers from the general community. Results: The MHAI demonstrated high internal consistency, acceptable test-retest reliability, and good construct validity when correlated with other measures of anxiety. Results also indicated that participants worried about their mental health and physical health equally, and that almost 9% of participants reported levels of mental health anxiety that were potentially problematic. Conclusion: Preliminary results suggest that a small proportion of adults in the community may experience high levels of mental health anxiety requiring treatment, and that the MHAI, if validated further, could be a useful tool for assessing this form of anxiety.


Salud Mental ◽  
2020 ◽  
Vol 43 (6) ◽  
pp. 253-261
Author(s):  
Jesua Iván Guzmán-González ◽  
Franco Giordano Sánchez-García ◽  
Saúl Ramírez-de los Santos ◽  
Francisco Gutiérrez-Rodríguez ◽  
David Palomino-Esparza ◽  
...  

Introduction. Preventive measures taken during periods of health crisis, specifically in pandemics, have consistently been associated with detrimental effects on mental health. Isolation and loneliness are indirect effects of these preventive measures. Given these premises, monitoring the behavior of the population in the face of these eventualities becomes important. Worry as an indirect measure of anxiety and stress enables one to recognize subjects who are vulnerable to phenomena of high uncertainty, since measures taken to avoid excessive contagion can have high costs for this population. This phenomenon has been consistently observed in other pandemics such as H1/N1 influenza. Objective. To determine the prevalence of worry and perceived risk of contagion in the Guadalajara population during the COVID-19 quarantine and to identify differentiating effects. Method. A total of 255 people from western Mexico (Guadalajara, Jalisco) voluntarily participated by answering the Penn State Worry Questionnaire (PSWQ) adapted to Mexican population. The average age of the respondents, aged between 18 and 70 years, was 31.71 (± 5.19). A total of 170 women and 85 men participated in the study. Results. 40.12% of the population scored high levels of worry, making them vulnerable to mental health conditions. Subjects favored the prevention of a contagion regardless of whether they were self-isolated. The only variable that had a differential effect was sex (p < .05), and there were no differences in educational attainment, occupational demandingness, and isolation between the groups. Discussion and conclusion. A preventive attitude was observed among the participants, and so it is important to implement strategies that will prevent mental health costs in those who express excessive worry to avoid saturating mental health services.



Author(s):  
Hacer BELEN

Epidemics and pandemics are difficult periods for the affected community, specifically in the proliferation of mental health issues. In such adverse times, factors of psychological vulnerability such as propensity to worry and low emotional stability might have a detrimental effect on the mental health of the individuals. To investigate the impact of such factors on mental health, this study examined the impacts of propensity to worry and fear of COVID-19 on anxiety depending on the individuals’ levels of emotional stability. As a means of such investigation, this study was conducted based on quantitative data, and the research sample was selected using a convenient sampling method. Participants included 304 university students (71.6% were women and 28.4% were men; MAge = 22.37 ± 3.04) and responded to the Penn State Worry Questionnaire, Fear of COVID-19 Scale, Symptom Checklist-90 Revised, and 10-Item Personality Inventory. The moderated mediation analysis using PROCESS macro (Model 14) was performed to examine the study hypotheses. Results revealed that propensity to worry was associated with anxiety symptoms. Fear of COVID-19 mediated this link and emotional stability moderated the relationship between propensity to worry and anxiety. The findings showed that trait worry, trait emotional stability, and fear of COVID-19 are determinants of anxiety symptoms, suggesting that such factors are important in understanding these issues.



Author(s):  
Chiara Baiano ◽  
Isa Zappullo ◽  
Massimiliano Conson ◽  

Background: We tested whether the tendency to worry could affect psychological responses to quarantine by capitalizing on the opportunity of having collected data before the COVID-19 outbreak on measures of worry, anxiety, and trait mindfulness in a group of university students. Methods: Twenty-five participants completed self-report measures assessing worry (Penn State Worry Questionnaire, PSWQ), anxiety (Anxiety Sensitivity Index, ASI-3), and trait mindfulness (Mindful Attention Awareness Scale, MAAS) at T0 (pre-lockdown, 4 November 2019–17 February 2020) and T1 (at the end of lockdown, 26 April–30 April 2020). We compared assessments at the two time points in the whole sample and in high and low worriers (defined at T0 by scores on PSWQ respectively above and below 1.5 SD from mean of the Italian normative sample). Outcomes: High worriers showed at T1 a significant increase of anxiety sensitivity and fear of mental health in comparison to low worriers. Moreover, in the whole sample, at T1 trait mindfulness was inversely related to worry and fear of mental health. Interpretation: A valuable approach to support individuals experiencing anxiety related to the COVID-19 outbreak could be represented by mindfulness-based interventions improving the ability to focus attention and awareness on the present moment.



2002 ◽  
Vol 18 (2) ◽  
pp. 158-164 ◽  
Author(s):  
Kamel Gana ◽  
Bettina Martin ◽  
Marie-Dominique Canouet ◽  
Raphael Trouillet ◽  
Fiammetta Meloni

Summary: This study presents a French version of the Penn State Worry Questionnaire (PSWQ), the factorial structure of which was evaluated on a nonclinical sample of 668 adults. A confirmatory factor analysis showed that the French PSWQ is a one-dimensional worry instrument. However, the inclusion of method factors was needed to reach a good fit of the model. Method effects appear to be associated with negatively keyed items. Finally, the instrument demonstrated excellent internal consistency and good test-retest reliability.



Author(s):  
Graham C. L. Davey ◽  
Frances Meeten ◽  
Andy P. Field

Abstract Background The frequency and severity of mental health problems in student populations have been a growing cause for concern worldwide, and studies have identified measures of a number of mental health symptoms that have been steadily increasing in frequency and intensity over the past 20–25 years. Methods In two studies we investigate the levels and domains of pathological worrying in university student participants. Study 1 is a retrospective study of Penn State Worry Questionnaire (PSWQ) data collected between 2001 and 2019. Study 2 describes the development of the Student Worry Questionnaire, a short and easily delivered measure of student worrying that identifies both frequency of worry as well as the student-relevant domains across which worrying occurs. Results Study 1 revealed a steady increase in student worry scores of around 20% between 2001 and 2019, with a significant positive correlation between year of data collection and mean PSWQ score. The domain scores in Study 2 indicated that academic work was a significantly higher worry than any of the other domains, and worries about intimate relationships and ‘what people think of me’ were also worries that scored higher than either financial or health worries. Conclusions The present studies indicate that pathological worrying can be added to the list of anxiety- and stress-related symptoms that have been shown to be on the increase in student populations in recent decades, and we discuss whether these increases represent a greater willingness to report symptoms or a genuine increase in experienced symptoms over time.



2009 ◽  
Vol 65 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Colin van der Heiden ◽  
Peter Muris ◽  
Arjan E. R. Bos ◽  
Henk van der Molen ◽  
Martijn Oostra


Author(s):  
João Tiago Oliveira ◽  
Divo Faustino ◽  
Fátima Freitas ◽  
Miguel M. Gonçalves ◽  
Eugénia Ribeiro ◽  
...  


2021 ◽  
Author(s):  
Rahul Suresh ◽  
Armaghan Alam ◽  
Zoe Karkossa

BACKGROUND The coronavirus (COVID-19) pandemic has had a significant impact on society’s overall mental health with a notable effect on healthcare providers. To manage this global crisis, governments have had to implement numerous measures such mandated lockdowns and physical distancing to minimize the risk of overloading healthcare systems. Altogether, these measures have contributed to higher levels of anxiety, depression, insomnia, post-traumatic stress disorder, and other metrics indicating worsening mental health. Unfortunately, the availability of crucial mental health resources and support remains scarce during this time as services attempt to transition to an effective online delivery model. Peer support, which is peer-to-peer provided social and emotional support, is an underutilized and effective mental health resource that is easily delivered/accessed in-person by members within a social distancing bubble, or virtually across different bubbles. OBJECTIVE This review aims to summarize the toll that this pandemic has had on society’s mental health as found in peer-reviewed literature from October 2019 to March 2021, as well as suggest the utility of peer support to address these needs. Lastly, we provide strategies to effectively deliver peer support so that members of the community can better support one another during these unprecedented times. METHODS References for this review were chosen through searches of PubMed, Web of Science, and Google Scholar for articles published between October 2019 and March 2021 that used the terms: “coronavirus”, “COVID-19”, “mental health”, “anxiety”, “depression”, “isolation”, “mental health resources”, “peer support”, “online mental health resources”, and “healthcare workers”. Articles resulting from these searches and relevant references cited in those articles were reviewed. Articles published in English, French and Italian were included. RESULTS As stated in peer-reviewed literature, this pandemic has ubiquitously worsened the mental health of populations across the world, which is further exacerbated by extended periods of lockdown. Peer support has been demonstrated to yield positive effects on the mental health of a wide variety of recipients, and it can be provided through numerous accessible mediums such as web/mobile applications, video-conferencing software, workshops, telephone services, and student programs. CONCLUSIONS The provision of peer support can be very beneficial for improving mental health during the COVID-19 pandemic and may be an effective tool should similar events arise in the future. CLINICALTRIAL N/A



2021 ◽  
Author(s):  
Catherine Porter ◽  
Annina Hittmeyer ◽  
Marta Favara ◽  
Douglas Scott ◽  
Alan Sánchez

Background Though COVID-19 presents less risk to young people of serious morbidity or mortality, the resulting economic crisis has impacted their livelihoods. There is relatively little evidence on young people's mental health in Low-and-Middle-Income-Countries (LMICs) as the pandemic has progressed. Methods Two consecutive phone-surveys (August/October and November/December 2020) in Ethiopia, India, Peru and Vietnam interviewed around 9,000 participants of a 20-year cohort study who grew up in poverty (now aged 19 and 26). We investigate how young people's mental health has evolved in the four countries during the pandemic. Rates of (at least mild) anxiety (depression) measured by GAD-7 (PHQ-8) were compared across countries; between males/females, and food secure/food insecure households. Results Overall, rates of at least mild anxiety (depression) significantly decreased in all countries but Ethiopia as infection rates fell. However, young people in food insecure households report high rates of anxiety and depression and have not shown consistent improvements. Food insecure households are poorer, and have significantly more children (p<0.05) except in Ethiopia. Conclusions Food insecurity has increased during the COVID-19 pandemic and is negatively associated with young people's mental health. Urgent support is needed for the most vulnerable. Keywords COVID-19, mental health, anxiety, depression, food insecurity, youth



2006 ◽  
Vol 20 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Marcantonio M. Spada ◽  
Kalliopi Hiou ◽  
Ana V. Nikcevic

The present study explored the relationships between metacognitions, negative emotions, and procrastination. A convenience sample of 179 participants completed the following questionnaires: General Procrastination Scale, Decisional Procrastination Scale, Meta-cognitions Questionnaire 30, Penn State Worry Questionnaire and Hospital Anxiety and Depression Scale. A cross-sectional design was adopted and data analysis consisted of correlation and multiple regression analyses. One dimension of metacognitions was found to be positively and significantly correlated with behavioral procrastination. Four dimensions of metacognitions were found to be positively and significantly correlated with decisional procrastination. Positive and significant relationships were also observed between anxiety, depression and behavioral procrastination; and between anxiety, depression, worry, and decisional procrastination. Multiple regression analyses indicated that depression and beliefs about cognitive confidence independently predicted behavioral procrastination, and that depression and positive beliefs about worry independently predicted decisional procrastination. These preliminary results would seem to suggest that metacognitive theory may be relevant to understanding procrastination.



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