Abstract
Symptom covariation and lack of symptom specificity have proven to be complicating factors in research on the emotional, cognitive, and physiologic characteristics of anxiety and depression. Numerous attempts have been made to investigate the unique and overlapping features of anxiety and depression. Of interest in the present study were potential distinctions among proposed types of anxiety and depression. A variety of self-report measures were administered to 783 college students. Correlational analyses and confirmatory factor analyses converged in suggesting that anxious arousal (somatic anxiety) and anxious apprehension (worry) represent distinct affective dimensions that can be distinguished from depression and negative affect.
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American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Andrews, G. (1996). Comorbidity in neurotic disorders: The similarities are more important than the differences. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 3–20). New York: Guilford Press.
Andrews, V. H., & Borkovec, T. D. (1988). The differential effects of inductions of worry, somatic anxiety, and depression on emotional experience. Journal of Behavior Therapy and Experimental Psychiatry, 19, 21–26.
Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford Press.
Barlow, D. H. (1991). Disorders of emotion. Psychological Inquiry, 2, 58–71.
Barlow, D. H., Chorpita, B. F., & Turovsky, J. (1996). Fear, panic, anxiety, and disorders of emotion. Nebraska Symposium on Motivation, 43, 251–328.
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. (1987). Manual for the Revised Beck Depression Inventory. San Antonio, TX: Psychological Corporation.
Beck, A. T., & Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 42, 861–865.
Bentler, P. M. (1990). Fit indexes, Lagrange multipliers, constraint changes and incomplete data in structural models. Multivariate Behavioral Research, 25, 163–172.
Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behavior Research and Therapy, 21, 9–16.
Borkovec, T. D., Shadick, R., & Hopkins, M. (1991). The nature of normal and pathological worry. In R. M. Rapee & D. H. Barlow (Eds.), Chronic anxiety, generalized anxiety disorder, and mixed anxiety depression (pp. 29–51). New York: Guilford Press.
Brown, T. A., & Chorpita, B. F. (1996). Reply to Andrews. On the validity and comorbidity of the DSM-III-R and DSM-IV anxiety disorders. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 48–52). New York: Guilford Press.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.
Burns, D. D. (1998). Why are depression and anxiety correlated? A test of the tripartite model. Journal of Consulting and Clinical Psychology, 66, 461–473.
Clark, D. A., Beck, A. T., & Stewart, B. (1990). Cognitive specificity and positive- negative affectivity: Complementary or contradictory views on anxiety and depression? Journal of Abnormal Psychology, 99,148–155.
Clark, D. A., Cook, A., & Snow, D. (1998). Depressive symptom differences in hospitalized, medically ill, depressed psychiatric inpatients and nonmedical controls. Journal of Abnormal Psychology, 107,38–48.
Clark, D. A., Steer, R. A., & Beck, A. T. (1994). Common and specific dimensions of self-reported anxiety and depression: Implications for the cognitive and tripartite models. Journal of Abnormal Psychology, 103, 645–654.
Clark, L. A. (1989). The anxiety and depressive disorders: Descriptive psychopathology and differential diagnosis. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 83–129). New York: Academic Press.
Clark, L. A., & Watson, D. (1991a). General affective dispositions in physical and psychological health. In C. R. Snyder & D. R. Donaldson (Eds.), Handbook of social and clinical psychology, (pp. 221–245). New York: Pergamon Press.
Clark, L. A., & Watson, D. (1991b). Theoretical and empirical issues in differentiating depression from anxiety. In J. Becker & A. Kleinman (Eds.), Psychosocial aspects of depression, (pp. 39–65). Hillsdale, NJ: Erlbaum.
Clark, L. A., & Watson, D. (1991c). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.
Darlington, R. B. (1975). Radicals and squares: Statistical methods for the behavioral sciences. New York: Logan Hill Press.
Frankel, A. N., Fresco, D. M., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (1998, November). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Poster presented at the Annual Conference of the Association for the Advancement of Behavior Therapy, Washington, D.C.
Fraser, C., & McDonald, R. P. (1988). COSAN: Covariance structure analysis. Multivariate Behavioral Research, 23, 263–265.
Hammen, C. L., & Padesky, C. A. (1977). Sex differences in the expression of depressive responses on the Beck Depression Inventory. Journal of Abnormal Psychology, 86, 609–614.
Heller, W., & Nitschke, J. B. (1998). The puzzle of regional brain activity in depression and anxiety: The importance of subtypes and comorbidity. Cognition and Emotion, 12, 421–447.
Heller, W., Nitschke, J. B., Etienne, M. A., & Miller, G. A. (1997). Patterns of regional brain activity differentiate types of anxiety. Journal of Abnormal Psychology, 106, 376–385.
McDonald, R. P. (1999). Test theory: A unified treatment. Mahwah, NJ: Erlbaum.
McDonald, R. P., & Marsh, H. W. (1990). Choosing a multivariate model: Noncentrality and goodness of fit. Psychological Bulletin, 107, 247–255.
Mennin, D. S., Fresco, D. M., Frankel, A. N., Turk, C. L., & Heimberg, R. G. (1998, August). Relationship of rumination and worry to negative affective states. Poster presented at the Annual Meeting of the American Psychological Association, San Francisco, California.
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.
Molina, S., & Borkovec, T. D. (1994). The Penn State Worry Questionnaire: Psychometric properties and associated characteristics. In G. C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment and treatment (pp. 265–283). Chichester, England: Wiley.
Nitschke, J. B., Heller, W., & Miller, G. A. (1998, May). Psychometric differentiation of affective dimensions: Implications for the tripartite model. In S. J. Catanzaro (Chair), The tripartite model of anxiety and depression: Current research and future prospects. Symposium conducted at the annual meeting of the Midwestern Psychological Association, Chicago, Illinois
Nitschke, J. B., Heller, W., & Miller, G. A. (2000). Anxiety, stress, and cortical brain function. In J. C. Borod (Ed.), The neuropsychology of emotion (pp. 298–319). New York: Oxford University Press.
Nitschke, J. B., Heller, W., Palmieri, P. A., & Miller, G. A. (1999). Contrasting patterns of brain activity in anxious apprehension and anxious arousal. Psychophysiology, 36, 628–637.
Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259–282.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582.
Nolen-Hoeksema, S. (1994). An interactive model for the emergence of gender differences in depression in adolescence. Journal of Research on Adolescence, 4, 519–534.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121.
Osman, A., Barrios, F. X., Aukes, D., Osman, J. R., & Markway, K. (1993). The Beck Anxiety Inventory: Psychometric properties in a community population. Journal of Psychopathology and Behavioral Assessment, 15, 287–297.
Schwartz, G. E., Davidson, R. J., & Goleman, D. J. (1978). Patterning of cognitive and somatic processes in the self-regulation of anxiety: Effects of meditation versus exercise. Psychosomatic Medicine, 40, 321–328.
Spielberger, C. D. (1968). Self-evaluation questionnaire. STAI Form X-2. Palo Alto, CA: Consulting Psychologists Press.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.
Stangler, R. S., & Printz, A. M. (1980). DSM-III: Psychiatric diagnosis in a university population. American Journal of Psychiatry, 137, 937–940.
Tanaka, J. (1993). Multifaceted conceptions of fit in structural equation models. In K. A. Bollen & J.S. Long (Eds.), Testing structural equation models (pp. 10–39). Newbury Park, CA: Sage.
Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.
Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104, 15–25.
Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98,219–235.
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104, 3–14.
Weissman, M. M., Leaf, P. J., Holzer, C. E. I., Myers, J. K., & Tischler, G. L. (1984). The epidemiology of depression: An update on sex differences in rates. Journal of Affective Disorders, 7, 179–188.
York, D., Borkovec, T. D., Vasey, M., & Stern, R. (1987). Effects of worry and somatic anxiety induction on thoughts, emotion and physiological activity. Behavior Research Therapy, 25, 523–526.
Zinbarg, R. E., & Barlow, D. H. (1996). Structure of anxiety and the anxiety disorders: A hierarchical model. Journal of Abnormal Psychology, 105, 181–193.
Zinbarg, R. E., Barlow, D.H., Liebowitz, M., Street, L., Broadhead, E., Katon, W., Roy-Byrne, P., Lepine, J. P., Teherani, M., Richards, J., et al. (1994). The DSM-IV field trial for mixed anxiety- depression. American Journal of Psychiatry, 151, 1153–1162.
Zuckerman, M., & Lubin, B. (1965). Manual for the Multiple Affect Adjective Check List. San Diego, CA: EdITS.
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Nitschke, J.B., Heller, W., Imig, J.C. et al. Distinguishing Dimensions of Anxiety and Depression. Cognitive Therapy and Research 25, 1–22 (2001). https://doi.org/10.1023/A:1026485530405
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DOI: https://doi.org/10.1023/A:1026485530405