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Psychometric Properties of the Spanish Version of the Panic Disorder Severity Scale

Published online by Cambridge University Press:  25 March 2018

Gideoni Fuste
Affiliation:
Private practice A Coruña (Spain)
María Ángeles Gil
Affiliation:
Private practice Zaragoza (Spain)
Clara López-Solà
Affiliation:
Hospital Universitario Parc Taulí (Spain)
Silvia Rosado
Affiliation:
Hospital del Mar (Spain)
Albert Bonillo
Affiliation:
Universitat Autónoma de Barcelona (Spain)
Guillem Pailhez
Affiliation:
Hospital del Mar (Spain)
Antoni Bulbena
Affiliation:
Hospital del Mar (Spain)
Víctor Pérez
Affiliation:
Hospital del Mar (Spain)
Miguel A. Fullana*
Affiliation:
Hospital del Mar (Spain)
*
*Correspondence concerning this article should be addressed to Miguel A. Fullana. Institute of Neuropsychiatry and Addictions, Hospital del Mar, Barcelona (Spain) E-mail: miguelangelfullana@gmail.com

Abstract

The Panic Disorder Severity Scale (PDSS) is a well-established measure of panic symptoms but few data exist on this instrument in non north-American samples. Our main goal was to assess the psychometric properties (internal consistency, test re-test reliability, inter-rater reliability, convergent and divergent validity) and the factor structure of the Spanish version. Ninety-four patients with a main diagnosis of panic disorder were assessed with the Spanish version of PDSS, the Anxiety Sensitivity Index–3 (ASI-3), the Panic and Agoraphobia Scale (PAS), the Beck Anxiety Inventory (BAI), the Beck Depression Inventory-II (BDI-II) the PDSS self-rating form and the Clinical Global Impression-Severity scale (CGI). The Spanish PDSS showed acceptable internal consistency (α = .74), excellent test-retest (total score and items 1–6: α > .58, p < .01) and inter-rater reliability (most intraclass correlation coefficient values for the total score were > .90) and medium to large convergent validity (r = .68, 95% CI [.54, .79], p < .01; r = .80, 95% CI [.70, .87], p < .01; r = .48, 95% CI [.28, .67], p < .01; BAI, PAS and ASI–3 total scores respectively). Data on divergent validity (BDI-II total score: r = .52, 95% CI [.34, .67], p < .01) suggest some need for refinement of the PDSS. The confirmatory factor analysis suggested a two-factor modified model for the scale (nested χ2 = 14.01, df = 12, p < .001). The Spanish PDSS has similar psychometric properties as the previous versions and is a useful instrument to assess panic symptoms in clinical settings in Spanish-speaking populations.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2018 

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Footnotes

How to cite this article:

Fuste, G., Gil, M. A., López-Solá, C., Rosado, S., Bonillo, A., Pailhez, G., Bulbena, A., Pérez, V., & Fullana, M. A. (2018). Psychometric properties of the Spanish version of the Panic Disorder Severity Scale. The Spanish Journal of Psychology, 21. e5. Doi:10.1017/sjp.2018.6

References

American Psychological Association, APA. (2000). Diagnostic and statistical manual of mental disorders, text revision, DSM-IV-TR (4th ed.). Washington DC: Author.Google Scholar
Bandelow, B. (1995). Assessing the efficacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale. International Clinical Psychopharmacology, 10(2), 7381. https://doi.org/10.1097/00004850-199506000-00003 CrossRefGoogle ScholarPubMed
Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st Century. Dialogues in Clinical Neuroscience, 17(3), 327335.Google Scholar
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.Google Scholar
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238246. https://doi.org/10.1037/0033-2909.107.2.238 CrossRefGoogle ScholarPubMed
Bobes, J. A. (1998). Spanish validation study of the Mini International Neuropsychiatric Interview. European Psychiatry, 13, 198199. https://doi.org/10.1016/S0924-9338(99)80240-5 Google Scholar
Bobes, J. A., Portilla, M. P., Bascarán, M. T., Saiz, P. A., & Bousoño, M. (2002). Banco de instrumentos básicos para la práctica de psiquiatría clínica [Collection of basic tools for the practice of clinical psychiatry]. (2nd ed.). Barcelona, Spain: Psiquiatría Editores.Google Scholar
Cohen, J. (1997). Statistical power analysis for the behavioral sciences (Rev.. ed.). New York, NY: Academy Press.Google Scholar
Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98104. https://doi.org/10.1037/0021-9010.78.1.98 CrossRefGoogle Scholar
Furukawa, T. A., Shear, M. K., Barlow, D. H., Gorman, J. M., Woods, S. W., Money, R., & Leucht, S. (2009). Evidence-based guidelines for interpretation of the Panic Disorder Severity Scale. Depression and Anxiety, 26(10), 922929. https://doi.org/10.1002/da.20532 Google Scholar
Gadermann, A. M., Alonso, J., Vilagut, G., Zaslavsky, A. M., & Kessler, R. C. (2012). Comorbidity and disease burden in the National Comorbidity Survey Replication (NCS-R). Depression and Anxiety, 29(9), 797806. https://doi.org:/10.1002/da.21924 CrossRefGoogle ScholarPubMed
Guy, W. (2000). Clinical Global Impressions (CGI) Scale Modified From: Rush J, et al. Psychiatric Measures. Washington, DC: APA.Google Scholar
Houck, P. R., Spiegel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the Panic Disorder Severity Scale. Depression and Anxiety, 15(4), 183185. https://doi.org:/10.1002/da.10049 Google Scholar
Hu, L., & Bentler, P. M. (1999). Cut off criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 155. https://doi.org/10.1080/10705519909540118 Google Scholar
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 Psychiatric Research, 21(3), 169184. https://doi.org:/10.1002/mpr.1359 CrossRefGoogle ScholarPubMed
Kim, J. B. (2001). Development of the Korean version of the Panic Disorder Severity Scale. Korean Journal of Psychopathology, 10, 140151.Google Scholar
Knappe, S., Klotsche, J., Heyde, F., Hiob, S., Siegert, J., Hoyer, J., & Beesdo-Baum, K. (2013). Test–retest reliability and sensitivity to change of the dimensional anxiety scales for DSM–5. CNS Spectrums, 256–267. https://doi.org/10.1017/s1092852913000710 Google Scholar
Lee, E. H., Kim, J. H., & Yu, B. H. (2009). Reliability and validity of the self-report version of the Panic Disorder Severity Scale in Korea. Depression and Anxiety, 26(8), E120E123. https://doi.org/10.1002/da.20461 Google Scholar
Lim, Y. J., Yu, B. H., & Kim, J. H. (2007). Korean Panic Disorder Severity Scale: Construct validity by confirmatory factor analysis. Depression and Anxiety, 24(2), 95102. https://doi.org:/10.1002/da.20206 Google Scholar
Monkul, E. S., Tural, U., Onur, E., Fidaner, H., Alkin, T., & Shear, M. K. (2004). Panic Disorder Severity Scale: Reliability and validity of the Turkish version. Depression and Anxiety, 20(1), 816. https://doi.org:/10.1002/da.20011 Google Scholar
Muthén, L. K., & Muthén, B. O. (2012). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
Saiz, P. A., Martinez-Barrondo, S., Garcia-Portilla, M. P., Corcoran, P., Morales, B., Bascaran, M. T., & Bobes, J (2009). Implicación de polimorfismos serotoninérgicos en la gravedad clínica del trastorno de pánico [Role of serotonergic polymorphisms in the clinical severity of the panic disorder]. Revista de Psiquiatría y Salud Mental, 2(1), 3541. https://doi.org/10.1016/s1888-9891(09)70712-8 Google Scholar
Sandín, B., Valiente, R. M., Chorot, P., & Santed, M. A. (2007). ASI–3: Nueva escala para la evaluación de la sensibilidad a la ansiedad. [ASI-3: A new scale for the assessment of anxiety sensitivity]. Revista de Psicopatología y Psicología Clínica, 12(2), 91104. https://doi.org/10.5944/rppc.vol.12.num.2.2007.4036 CrossRefGoogle Scholar
Santacana, M., Fullana, M. A., Bonillo, A., Morales, M., Montoro, M., Rosado, S., & Bulbena, A. (2014). Psychometric properties of the Spanish self-report version of the Panic Disorder Severity Scale. Comprehensive Psychiatry, 55(6), 14671472. https://doi.org:/10.1016/j.comppsych.2014.04.007 Google Scholar
Sanz, J., & Navarro, M. E. (2003). Propiedades psicométricas de una versión española del Inventario de Ansiedad de Beck (BAI) en estudiantes universitarios [Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in university students]. Ansiedad y Estrés, 9, 5984.Google Scholar
Sanz, J., García-Vera, M. P., Espinosa, R., Fortún, M., & Vázquez, C. (2005). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): Propiedades psicométricas en pacientes con trastornos psicológicos [Spanish adaptation of the Beck Depression Inventory-II (BDI-II): Psychometric properties in patients with psychological disorders]. Clínica y Salud, 16(2), 121142.Google Scholar
Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., & Papp, L. A. (1997). Multicenter collaborative Panic Disorder Severity Scale. American Journal of Psychiatry, 154(11), 15711575. https://doi.org/10.1176/ajp.154.11.1571 Google Scholar
Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., & Wang, T. (2001). Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. Journal of Psychiatric Research, 35(5), 293296. https://doi.org/10.1016/S0022-3956(01)00028-0 CrossRefGoogle ScholarPubMed
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD–10. Journal of Clinical Psychiatry, 59(20), 2233.Google Scholar
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173180. https://doi.org/10.1207/s15327906mbr2502_4 Google Scholar
Steiger, J. H. (2007). Understanding the limitations of global fit assessment in structural equation modeling. Personality and Individual Differences, 42(5), 893898. https://doi.org/10.1016/j.paid.2006.09.017 Google Scholar
Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., & Bouvard, M. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index–3. Psychological Assessment, 19(2), 176188. https://doi.org/10.1037/1040-3590.19.2.176 CrossRefGoogle ScholarPubMed
Wu, Z, & Fang, Y. (2014). Comorbidity of depressive and anxiety disorders: Challenges in diagnosis and assessment. Shangai Archives of Psychiatry. 26(4), 227231. https://doi.org/10.3969/j.issn.1002-0829.2014.04.006 Google Scholar
Wuyek, L. A., Antony, M. M., & McCabe, R. E. (2011). Psychometric properties of the Panic Disorder Severity Scale: Clinician-administered and self-report versions. Clinical Psychology & Psychotherapy, 18(3), 234243. https://doi.org/10.1002/cpp.703 CrossRefGoogle ScholarPubMed
Yamamoto, I., Nakano, Y., Watanabe, N., Noda, Y., Furukawa, T. A., Kanai, T., & Otsubo, T. (2004). Cross-cultural evaluation of the Panic Disorder Severity Scale in Japan. Depression and Anxiety, 20(1), 1722. https://doi.org:/10.1002/da.20029 CrossRefGoogle ScholarPubMed