Abstract
Relaxation sensitivity indexes the fear of relaxation-related events. The purpose of this study was to develop and provide initial validation of a self-report measure of relaxation sensitivity, the Relaxation Sensitivity Index (RSI). Three independent samples of undergraduate students (n = 300 unselected, n = 349 nonclinical, and n = 197 with elevated anxiety/depression symptoms) completed self-report measures to examine the factor structure, reliability, and validity of the RSI. Results of exploratory and confirmatory factor analyses supported a three-factor structure (correlated physical, cognitive, and social concerns). The RSI demonstrated good internal consistency and construct validity as evidenced by expected correlations with measures of anxiety and depression symptoms. The RSI showed good predictive validity in terms of a history of fearful responding to relaxation. RSI scores were significantly higher in the symptomatic compared with nonclinical sample. Results suggest the RSI is a valid and reliable measure that may be useful in clinical and research settings.
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Notes
In the interest of space, full details on the CFA results from the nonclinical and analog samples are not presented here. They can be obtained from the corresponding author upon request.
References
Abramowitz, J. S. D., Huppert, J., Cohen, A. B., Tolin, D. F., & Cahill, S. P. (2002). Religious obsessions and compulsions in a non-clinical sample: the Penn Inventory of Scrupulosity (PIOS). Behaviour Research and Therapy, 40(7), 825–838.
Abramowitz, J. S., Deacon, B. J., & Valentiner, D. P. (2007). The short health anxiety inventory: properties and construct validity in a non-clinical sample. Cognitive Therapy and Research, 31, 871–883.
Adler, C. M., Craske, M. G., & Barlow, D. H. (1987). Relaxation-induced panic: when resting isn’t peaceful. Integrative Psychiatry, 5, 94–112.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. https://doi.org/10.1037/0033-2909.107.2.238.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606. https://doi.org/10.1037/0033-2909.88.3.588.
Braith, J. A., McCullough, J. P., & Bush, J. P. (1988). Relaxation-induced anxiety in a subclinical sample of chronically anxious individuals. Journal of Behavior Therapy and Experimental Psychiatry, 19, 193–198. https://doi.org/10.1016/0005-7916(88)90040-7.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30, 33–37. https://doi.org/10.1016/0005-7967(92)90093-V.
Browne, M., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–159). Newbury Park, CA: Sage.
Carrington, P. (1977). Freedom in meditation. New York: Doubleday-Anchor.
Clark, L. A., & Watson, D. (1995). Constructing validity: basic issues in objective scale development. Psychological Assessment, 7, 309–319. https://doi.org/10.1037/1040-3590.7.3.309.
Cohen, A. S., Barlow, D. H., & Blanchard, E. B. (1985). Psychophysiology of relaxation-associated panic attacks. Journal of Abnormal Psychology, 94, 96–101. https://doi.org/10.1037/0021-843X.94.1.96.
Denny, M. R. (1976). Post-aversive relief and relaxation and their implications for behavior therapy. Journal of Behavior Therapy and Experimental Psychiatry, 7, 315–322. https://doi.org/10.1016/0005-7916(76)90098-7.
Hammen, C. (2005). Stress and depression. Annual Reviews in Clinical Psychology, 1, 293–319.
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381.
Heide, F. J., & Borkovec, T. D. (1983). Relaxation-induced anxiety: paradoxical anxiety enhancement due to relaxation training. Journal of Consulting and Clinical Psychology, 51, 171–182. https://doi.org/10.1037/0022-006X.51.2.171.
Heide, F. J., & Borkovec, T. D. (1984). Relaxation-induced anxiety: mechanisms and theoretical implications. Behavior Research and Therapy, 22, 1984. https://doi.org/10.1016/0005-7967(84)90027-5.
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. The British Journal of Clinical Psychology, 44(2), 227–239.
Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118.
Julian, L. J. (2011). Measures of anxiety. Arthritis Care and Research, S11, S467–S472. https://doi.org/10.1002/acr.20561.
Kim, H., & Newman, M. G. (2019). The paradox of relaxation training: relaxation induced anxiety and mediation effects of negative contrast sensitivity in generalized anxiety disorder and major depressive disorder. Journal of Affective Disorders, 259, 271–278.
Lazarus, A. A. (1965). Behavior therapy, incomplete treatment, and symptom substitution. The Journal of Nervous and Mental Disease, 140, 71–79.
Lazarus, A. A. (1976). Psychiatric problems precipitated by transcendental meditation. Psychological Reports, 39, 601–602.
Lazarus, A. A., & Mayne, T. J. (1990). Relaxation: some limitations, side effects, and proposed solutions. Psychotherapy, 27, 261–266. https://doi.org/10.1037/0033-3204.27.2.261.
Leen-Feldner, E. W., Feldner, M. T., Bernstein, A., McCormick, J. T., & Zvolensky, M. J. (2005). Anxiety sensitivity and anxious responding to bodily sensations: a test among adolescents using a voluntary hyperventilation challenge. Cognitive Therapy and Research, 29(5), 593–609.
Lehrer, P. M., Woolfolk, R. L., Rooney, A. J., McCann, B. C., & Carrington, P. (1983). Progressive relaxation and meditation: a study of the psychological and therapeutic differences between two techniques. Behaviour Research and Therapy, 21, 651–666.
Luthe, W., & Blumberger, S. R. (1977). Autogenic therapy. In D. W. Whittkower & H. Warnes (Eds.), Psychosomatic medicine: its clinical applications (pp. 146–165). New York: Harper & Row.
McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 48–946. https://doi.org/10.1016/S0006-3223(02)01475-0.
McKeachie, W. J. (1985). Relaxation-induced anxiety: additional findings. Psychological Reports, 57, 1277–1278.
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. https://doi.org/10.1016/0005-7967(90)90135-6.
Muthén, L. K., & Muthén, B. O. (2010). Mplus User's Guide (6th ed.). Los Angeles, CA: Muthén & Muthén.
Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136, 128–150. https://doi.org/10.1037/a0018055.
Norton, G. R., Rhodes, L., & Hauch, J. (1985). Characteristics of subjects experiencing relaxation and relaxation-induced anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 16, 211–216. https://doi.org/10.1016/0005-7916(85)90065-5.
Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: a meta-analytic review and synthesis. Psychological bulletin, 135(6), 974.
Pennebaker, J. W. (2000). Psychological factors influencing the reporting of physical symptoms. The science of self-report: Implications for research and practice, 299–315.
Park, E. R., Traeger, L., Vranceanu, A. M., Scult, M., Lerner, J. A., Benson, H., ... & Fricchione, G. L. (2013). The development of a patient-centered program based on the relaxation response: the Relaxation Response Resiliency Program (3RP). Psychosomatics, 54(2), 165–174.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385–401.
Rapee, R. M., & Medoro, L. (1994). Fear of the physical sensations and trait anxiety as mediators of the response to hyeprventiliation in nonclinical subjects. Journal of Abnormal Psychology, 103, 693–699. https://doi.org/10.1037/0021-843X.103.4.693.
Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2007). Anxiety sensitivity within the anxiety disorders: disorder-specific sensitivities and depression comorbidity. Behaviour Research and Therapy, 45(8), 1967–1975.
Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107–122). New York: Academic Press.
Rosa, H. (2003). Social acceleration: ethical and political consequences of a desynchronized high-speed society. Constellations, 10, 3–33. https://doi.org/10.1111/1467-8675.00309.
Schmidt, N. B., Zvolensky, M. J., & Maner, J. K. (2006). Anxiety sensitivity: prospective prediction of panic attacks and axis I psychopathology. Journal of Psychiatric Research, 40, 691–699. https://doi.org/10.1016/j.jpsychires.2006.07.009.
Schmidt, N. B., & Zvolensky, M. J. (2007). Anxiety sensitivity and CO2 challenge reactivity as unique and interactive prospective predictors of anxiety pathology. Depression and Anxiety, 24(8), 527–536.
Shapero, B. G., Hankin, B. L., & Barrocas, A. L. (2013). Stress generation and exposure in a multi-wave study of adolescents: transactional processes and sex differences. Journal of Social and Clinical Psychology, 32, 989–1012.
Spielberger, C. (1983). Manual for the State-Trait Anxiety Inventory (rev. ed.). California: Consulting Psychologists Press.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn & Bacon.
Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., & Bouvard, M. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index – 3. Psychological Assessment, 19, 176–188. https://doi.org/10.1037/1040-3590.19.2.176.
Tull, M. T., & Gratz, K. L. (2008). Further examination of the relationship between anxiety sensitivity and depression: the mediating role of experiential avoidance and difficulties engaging in goal-directed behavior when distressed. Journal of Anxiety Disorders, 22(2), 199–210.
Watson, D. (2000). Basic problems in positive mood regulation. Psychological Inquiry, 11, 205–209.
Watson, D., Clark, L. A., & Carey, G. (1988a). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 9, 346–353.
Watson, D., Clark, L. A., & Tellegen, A. (1988b). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.
Watson, D., O’Hara, M. W., Chmielewski, M., McDade-Montez, E. A., Koffel, E., Naragon, K., & Stuart, S. (2008). Further validation of the IDAS: evidence of convergent, discriminant, criterion, and incremental validity. Psychological Assessment, 20, 248–259. https://doi.org/10.1037/a0012570.
Watson, D., O’Hara, M. W., Simms, L. J., Kotov, R., Chmielewski, M., McDade-Montez, E. A., Gamez, W., & Stuart, S. (2007). Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychological Assessment, 19, 253–268. https://doi.org/10.1037/1040-3590.19.3.2.
Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: an attentional approach to treatment. Behavior Therapy, 21, 273–280.
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Luberto, C.M., McLeish, A.C. & Kallen, R.W. Development and Initial Validation of the Relaxation Sensitivity Index. J Cogn Ther 14, 320–340 (2021). https://doi.org/10.1007/s41811-020-00086-3
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DOI: https://doi.org/10.1007/s41811-020-00086-3