The High Five Model as a predictor of academic performance over conventional psychological predictors in university students.

Introduction: The High Five Model (HFM) categorizes five positive human characteristics-erudition, peace, joviality, honesty, and tenacity-utilizing an inductive psycholexic approach. This study examines the predictive power of HFM on academic performance among university students, hypothesizing that it surpasses conventional predictors such as academic motivation, exam anxiety, and academic procrastination. Methods: A non-experimental cross-sectional correlational design was implemented using a non-probabilistic convenience sample of 1,007 Ecuadorian university students (403 females). Self-reported measures of the "high factors," academic motivation, exam anxiety, and academic procrastination were collected. Linear regression analysis was utilized to evaluate the predictive capacity of the HFM on academic performance. Results: The analysis revealed that the high factors of the HFM significantly predict academic performance, demonstrating a stronger predictive ability than traditional psychological predictors. Discussion: The findings suggest that incorporating the HFM into academic settings could enhance understanding and prediction of student performance. This could potentially inform targeted interventions that leverage these high factors, thereby fostering better academic outcomes. Further research could explore the integration of the HFM with other educational strategies and its applicability across diverse educational contexts.

Comparison of the Stress and Anxiety to Viral Epidemic-9 and SAVE-6 scales among healthcare workers in Peru.

Introduction: Peru is a country that has a high incidence of viral outbreaks and epidemics, which is why it is necessary to validate a scale that measures anxiety and stress in professionals who are on the front lines of these events. Therefore, our objective was to validate the Peruvian-Spanish version of the Stress and Anxiety to Viral Epidemics-9 items (SAVE-9) scale and to concurrently compare its validity and internal consistency with the SAVE-6 scale among healthcare workers (HCWs). Materials and methods: We conducted a cross-sectional study based on data collected from a self-reported survey in paper-and-pencil format between April and July 2023. A total of 203 HCWs participated in the research. We developed a confirmatory factor analysis (CFA) and item response theory (IRT). We calculated Cronbach's α coefficient and McDonald's ω to assess the internal consistency of the scales. Results: The results show that SAVE-9 (a two-factor model) and SAVE-6 (a one-factor model) provided an excellent fit in the confirmatory factor analysis. Both scales demonstrated strong internal consistency (Cronbach's α 0.85 and 0.86, respectively). Significant correlations were found between the SAVE-9 and SAVE-6 scales and Generalized Anxiety Disorder-7 items scale (r = 0.44 and r = 0.38, respectively, p < 0.001) as well as the Patient Health Questionnaire-9 items (r = 0.39 and r = 0.35, respectively, p < 0.001). The optimal cutoff points for SAVE-9 and SAVE-6 were identified for assessing anxiety, aligned with a GAD-7 score ≥5 points. Conclusion: The Peruvian-Spanish SAVE-9 and SAVE-6 scales are reliable and valid rating scales to assess the anxiety response of HCWs in response to viral epidemics. Though COVID-19 is diminished, these scales will be useful for other viral epidemics in the future.

An exploratory study of test anxiety management workshop based on the Unified Protocol / Estudio exploratorio de un taller basado en el Protocolo Unificado para el manejo de ansiedad ante exámenes.

Introduction: Test anxiety is a multidimensional construct, defined as a set of phenomenological, physiological and behavioral responses associated with cognitive processes linked to excessive concern about possible negative consequences in an evaluative situation. In university students, it presents occurrence rates between 10 % and 40 %. Therefore, the main objective of the present study is to evaluate the usefulness of a group and online workshop for managing this problem based on the Unified Protocol. Methods: A total of 31 Argentinian students aged 18 to 35 years (M=25; SD=5.24) participated in the study, from which 93.5 % were women. They were evaluated with pre, post and follow-up measures in symptomatology associated with test anxiety (GTAI-AR), emotional regulation strategies (ERQ) and mindfulness (MAAS). The Wilcoxon test corroborated intragroup differences, and Hedge's g was calculated to measure effect size (ES). Results: Regarding the primary variable, the differences were significant with moderate & large ES, which were maintained between the three measures applied. Respecting the secondary variables, in the pre-post measures, only cognitive reappraisal reflected significant ES (small).; in the post-follow-up, expressive suppression was the only dimension that showed meaningful ES (moderate), and in the pre-follow-up, it was found that only mindfulness showed considerable ES (small). Discussion: The results are consistent with the Unified Protocol framework and current research on its application. Conclusions: These results are expected to be helpful for the design of similar interventions. Although the results were encouraging, more rigorous research is needed to study their efficacy.

Introducción: La ansiedad ante exámenes es un constructo multidimensional, caracterizado por respuestas fenomenológicas, fisiológicas, conductuales y cognitivas asociadas a una preocupación excesiva sobre posibles consecuencias negativas ante una situación evaluativa. En estudiantes universitarios, presenta tasas de  ocurrencia entre 10 % y 40 %. El objetivo es evaluar la utilidad de un taller grupal y online para el manejo de esta problemática, basado en el Protocolo Unificado. Método: Participaron 31 estudiantes argentinos con edades de 18 a 35 años (M=25; DE= 5,24), siendo el 93.5 % mujeres. Se evaluó medidas pre, post y seguimiento en sintomatología asociada a la ansiedad ante exámenes (GTAI-AR) como variable primaria, y estrategias de regulación emocional (ERQ) y conciencia plena (MAAS) como variables secundarias. Para corroborar diferencias intra grupo se calculó la prueba de Wilcoxon, y como medida de tamaño del efecto (TE), la g de Hedges. Resultados: En cuanto a la variable primaria entre las tres medidas aplicadas, las diferencias fueron significativas con TE moderados y grandes. En las variables secundarias, solo la  reevaluación cognitiva reflejó TE considerables (pequeños) en el pre-post; en el post-seguimiento la supresión expresiva fue la única dimensión que reflejó TE significativos (moderados); y en el pre-seguimiento, únicamente la conciencia plena arrojó TE relevantes (pequeños). Discusión: Los resultados son coherentes con el marco del Protocolo Unificado y las investigaciones actuales sobre su aplicación. Conclusiones: Se espera que estos resultados sean útiles para el diseño de intervenciones similares. Si bien éstos fueron alentadores, se requieren investigaciones de mayor rigurosidad que permitan estudiar su eficacia.

Ansiedad frente a exámenes, un tipo de ansiedad fóbica que se presenta en el contexto académico / Test anxiety, a type of phobic anxiety that occurs in the academic context

Experimentar ansiedad frente a exámenes desencadena una respuesta emocional acompañada de cambios fisiológicos que el estudiante siente ante una situación percibida como amenazante, específicamente ante una evaluación, examen escrito u oral; actualmente, se la cataloga dentro de las fobias específicas. El individuo que busca evitar o eludir dicho escenario cae en la conducta de procrastinación. Esto afecta su rendimiento académico y acarrea consecuencias graves de salud mental, el estudiante comienza a percibirse afectado en su autovalia, autoestima y en su ambiente social, que muchas veces lo lleva a contraer trastorno depresivo e ideación suicida. El presente artículo es un estudio de revisión bibliográfica y su objetivo fue describir la experiencia de la. ansiedad frente a exámenes como fobia específica situacional, las consecuencias de dicho padecimiento, su comorbilidad con otros trastornos psicológicos y los tratamientos disponibles. Fueron analizados y comparados unos 26 artículos científicos, basados en ensayos controlados de manera aleatoria, otros son estudios controlados de caso único, publicados en importantes revistas electrónicas de impacto. La búsqueda se realizó utilizando las palabras clave. Como conclusión, se destacó la importancia del conocimiento de esta patología, a fin de realizar un diagnóstico precoz y prevención en psicoterapia, evitando así un mayor deterioro en la salud mental de los estudiantes. No obstante, es necesaria la realización de más investigación controlada al respecto.

Experiencing test anxiety triggers an emotional response accompanied by physiological changes that the student feels in a situation perceived as threatening, specifically in the face of an evaluation, written or oral exam; Currently, it is classified as a specific phobia. The individual who seeks to avoid or avoid this scenario falls into procrastination behavior. This affects their academic performance and has serious mental health consequences. The student begins to feel affected in his or her self-worth, self-esteem, and social environment, which often leads him or her to contract a depressive disorder and suicidal ideation. This article is a bibliographic review study regarding experiencing test anxiety as a situational specific phobia, the consequences of said condition, its comorbidity with other psychological disorders and the available treatments. Some 26 scientific articles were analyzed and compared, based on randomized controlled trials, others are controlled single case studies, published in important impact electronic journals. The search was carried out using keywords. In conclusion, the importance of knowledge of this pathology was highlighted, in order to make an early diagnosis and prevention in psychotherapy, thus avoiding further deterioration in the mental health of students. However, more controlled research is needed in this regard.

Evidências psicométricas da versão brasileira da Escala Comportamental de Ansiedade aos Exames (ECAE)

O estudo objetivou reunir evidências de precisão e validade da Escala Comportamental De Ansiedade Aos Exames (ECAE) em contexto brasileiro. Especificamente, verificou-se o padrão de relação com ansiedade cognitiva de provas. Realizaram-se dois estudos com estudantes universitários. No primeiro (n = 223; M idade = 21,57; DP = 5,35), foi realizada a adaptação da ECAE e uma análise fatorial exploratória, sugerindo-se uma estrutura bifatorial. No segundo (n = 239; M idade = 21,68; DP = 3,71), por meio de uma análise fatorial confirmatória a estrutura teórica composta por dois fatores foi corroborada. Ademais, realizou-se a correlação de Pearson (r), evidenciando relações positivas entre os fatores da ECAE (dificuldade de execução e conduta de evitação) e a ansiedade cognitiva de provas, indicando validade convergente. Conclui-se que a ECAE reuniu adequadas evidências psicométricas, podendo ser uma ferramenta útil na avaliação de estudantes universitários com elevada ansiedade de provas, além de contribuir para a compreensão e desenvolvimento de estratégias interventivas relacionadas à temática da ansiedade de provas.

The study aimed to gather evidence of accuracy and validity of the Behavioral Test Anxiety Scale (BTAS) in the Brazilian context. Specifically, the study examined its relationship with cognitive test anxiety. Two studies were conducted with university students. In the first study (n = 223; Mage = 21.57; SD = 5.35), the ECAE was adapted, and an exploratory factor analysis was performed, suggesting a bifactorial structure. In the second study (n = 239; Mage = 21.68; SD = 3.71), a confirmatory factor analysis confirmed the theoretical structure composed of two factors. Additionally, Pearson correlation (r) was used, showing positive relationships between the factors of the ECAE (execution difficulty and avoidance behavior) and cognitive test anxiety, indicating convergent validity. It can be concluded that the ECAE gathered adequate psychometric evidence and can be a useful tool in assessing university students with high-test anxiety, as well as contributing to the understanding and development of intervention strategies related to the theme of test anxiety.

El estudio tuvo como objetivo reunir evidencias de precisión y validez de la Escala Conductual de Ansiedad Frente a los Exámenes (ECAE) en el contexto brasileño. Específicamente, se examinó su relación con la ansiedad cognitiva en pruebas. Se llevaron a cabo dos estudios con estudiantes universitarios. En el primer estudió (n = 223; Medad = 21,57; DE = 5,35), se adaptó la ECAE y se realizó un análisis factorial exploratorio, sugiriendo una estructura bifactorial. En el segundo estudió (n = 239; Medad = 21,68; DE = 3,71), a través de un análisis factorial confirmatorio, se confirmó la estructura teórica compuesta por dos factores. Además, se realizó la correlación de Pearson (r), evidenciando relaciones positivas entre los factores de la ECAE (dificultad de ejecución y conducta de evitación) y la ansiedad cognitiva en pruebas, lo que indica validez convergente. Se concluye que la ECAE reunió adecuadas evidencias psicométricas y puede ser una herramienta útil en la evaluación de estudiantes universitarios con elevada ansiedad en pruebas, además de contribuir a la comprensión y desarrollo de estrategias de intervención relacionadas con la temática de la ansiedad en pruebas.

Ansiedad ante exámenes en universitarios: papel de engagement, inteligencia emocional y factores asociados con pruebas académicas / Test Anxiety university students: role of engagement, emotional intelligence and factors associated to academic test solving

Resumen Introducción: La ansiedad ante los exámenes (AE) es común entre universitarios e implica manifestaciones cognitivas, motoras y fisiológicas de tensión y preocupación permanente ante la evaluación que puede afectar su desempeño académico. Objetivo: Evaluar si el engagement, la inteligencia emocional y los factores asociados con la realización de pruebas académicas predicen las manifestaciones de AE en una muestra de 400 estudiantes universitarios. Método: Mediante un diseño predictivo transversal se evaluó el engagement (Vigor, Dedicación, Absorción), la inteligencia emocional (Atención, Claridad, Reparación) y diversos factores relacionados con pruebas académicas, analizando su relación con las manifestaciones de AE, y se construyeron modelos de regresión categórica para definir el nivel predictivo de las variables. Resultados: Se descartó la relación entre engagement y AE (p>0,05) mientras que Claridad y Reparación se asociaron inversamente con las manifestaciones de AE, excepto las fisiológicas. Diferentes factores asociados con la realización de exámenes como control docente, temor a la evaluación y tipo de preguntas predicen las respuestas de ansiedad fisiológica (R2=0,10, p<0,01), motora (R2=0,09, p<0,01) y cognitiva (R2=0,12, p<0,01). La Claridad predice negativamente la ansiedad motora (β=-0,131, p<0,01). Conclusiones: Engagement académico y AE se registran como variables independientes una de la otra, entre tanto, la Claridad emocional regula débilmente la ansiedad motora. Factores cognitivos y situacionales al momento de realizar exámenes son relevantes en el desencadenamiento de la respuesta ansiosa.

Abstract Introduction: Test Anxiety (TA) is common among university students and involves cognitive, motor, and physiological manifestations of tension and permanent concern about exams that may affect their academic performance. Objective: Assess whether engagement, emotional intelligence and factors associated with academic test solving predict the manifestations of TA in a sample of 400 university students. Method: Using a cross-sectional predictive design, engagement (Vigor, Dedication, Absorption), emotional intelligence (Attention, Clarity, Repair) and several factors related to academic test solving were evaluated, analyzing their relationship with the manifestations of TA, and categorical regression models were constructed to define the predictive level of the variables. Results: The relationship between engagement and TA was discarded (p>0,05) while Clarity and Repair were inversely associated with TA manifestations, except the physiological ones. Different factors associated with exams such as professor control, fear of exams and the question type predict physiological (R2=0,10, p<0,01), motor (R2=0,09, p<0,01) and cognitive (R2=0,12, p<0,01) anxiety responses. Clarity predicts motor anxiety (β=-0,131, p<0,01) negatively. Conclusions: Academic engagement and TA are registered as independent variables of each other; meanwhile, emotional Clarity regulates motor anxiety weakly. Cognitive and situational factors at the time of exams are relevant in the triggering of the anxious response.

Procrastinación, ansiedad ante los exámenes y rendimiento académico en estudiantes universitarios / Procrastination, test anxiety and academic performance on university students

Resumen La procrastinación se define como una tendencia conductual a postergar tareas que, por sus características poco motivadoras o tediosas, no son atractivas para quien las realiza, y cuyo retraso puede acarrear consecuencias negativas. El propósito de este estudio es examinar el efecto de la procrastinación académica y la ansiedad ante los exámenes sobre el rendimiento académico, así como la relación entre ambas variables. Para ello, se ha realizado una investigación con 201 estudiantes universitarios empleando el Inventario Alemán de Ansiedad frente a los Exámenes Adaptado (GTAI-A), la Escala de Procrastinación Académica (EPA) y un registro de las calificaciones obtenidas por los participantes recogidos a través de un autoinforme. Los resultados revelan la presencia de ansiedad ante la evaluación y la procrastinación académica en estudiantes universitarios, e indican que la ansiedad ante los exámenes muestra una relación negativa con el rendimiento académico. De igual forma, la procrastinación se relaciona con dos factores de ansiedad (interferencia y falta de confianza), incidiendo de forma indirecta en dicho rendimiento. Adicionalmente, se han encontrado diferencias significativas en el rendimiento académico en función de los diferentes niveles de ansiedad identificados (χ2(2,201) = 16.929; p = .001). En conclusión, para prevenir e intervenir en el bajo rendimiento académico y en los problemas psicosociales asociados, los servicios universitarios de atención psicológica deben considerar la influencia de múltiples variables, de forma que se apliquen programas de intervención específicos para cada dimensión, aumentando así los niveles de eficacia y eficiencia en su labor asistencial.

Abstract Procrastination is defined as a behavioral tendency to postpone tasks that, because of their unmotivating or tedious characteristics, are not attractive to the performer, and whose delay can lead to negative consequences. This is the behavior of delaying responsibilities, being aware of their importance and the repercussions of the delay. These consequences can affect the personal, social, occupational and academic spheres of individuals. Therefore, the purpose of this study is to examine the relationship of academic procrastination and test anxiety on academic performance, as well as the relationship between the two variables. In this way, the aim is to achieve a better understanding of the links between the three variables, which will serve as a theoretical basis for preventing and intervening in the negative repercussions of procrastination. To this end, an investigation has been carried out with 201 college students, using the German Test Anxiety Inventory (GTAI-A), the Academic Procrastination Scale (EPA), and a record of the qualifications obtained by the participants collected through a self-report. This is a correlational design that does not include experimental manipulation of variables or randomization of the sample, so the aim is not to establish causal relationships but to determine the direction and strength of the associations between variables. The results reveal the presence of academic procrastination and test anxiety in university students. Specifically, the majority of participants (45.3 %) reflected a medium level of anxiety, 28.9 % reflected a high level and 25.9 % showed a low level. In the total sample, procrastination showed a mean score of 30.3 points out of 60. As for the relationships of both variables with academic performance, test anxiety shows a negative relationship with academic performance, so higher levels of anxiety are associated with worse grades. Procrastination does not show a significant and direct relationship with grades, but it is related to two anxiety factors (interference and lack of confidence), indirectly affecting academic performance. In addition, significant differences in academic performance have been found based on the different anxiety levels identified (χ2(2,201) = 16.929; p = .001), with the high anxiety group obtaining a lower mean score (M = 5.74; SD = 1.27). This supports the hypothesis that test anxiety is negatively associated with academic performance. Moreover, it has been found that comparing the medium and low anxiety groups, the differences are not significant, but comparing each of them with the high anxiety group they are. Therefore, significant differences in the grades only appear when the level of anxiety is high. That is, a moderate level of anxiety is adaptive, and only becomes detrimental if it becomes high. In conclusion, to prevent and intervene in academic underachievement and associated psychosocial problems, university psychological services should consider the influence of test anxiety, procrastination and other cognitive, behavioral, motivational and emotional variables. According to this study, intervention in test anxiety is a central aspect, as it has a direct effect on academic performance. In the same way, procrastinating behaviors can be intervened, as they interfere indirectly in academic outcomes, being associated with cognitive manifestations of test anxiety. The relative weight of the different variables associated with academic achievement varies according to each student, so that an individualized approach to these types of problems would increase the levels of effectiveness and efficiency in the care provided by university psychological services. Finally, the need for more research to identify the factors associated with low academic performance and the relationships between them is highlighted, in order to facilitate the design of effective interventions for different student profiles.

Transtorno de ansiedade generalizada entre estudantes de cursos de pré-vestibular / Generalized anxiety disorder among university-entrance preparation course students

RESUMO Objetivo Medir a prevalência de sintomatologia de transtorno de ansiedade generalizada (TAG) entre estudantes de um curso pré-vestibular do sul do Brasil e sua associação com fatores sociais, demográficos, acadêmicos e psicológicos. Métodos Este estudo teve delineamento transversal, tendo como participantes estudantes com idade igual ou superior a 18 anos de um curso pré-vestibular privado do sul do Brasil. Foi administrado um questionário autoaplicável que avaliava aspectos sociais, demográficos, acadêmicos, de ansiedade relacionada à prova e estresse percebido. O desfecho analisado foi a sintomatologia de TAG, por meio do instrumento General Anxiety Disorder-7 (GAD-7). Para análise multivariável, utilizou-se a regressão de Poisson com ajuste robusto da variância. Resultados Participaram 137 alunos (taxa de resposta de 90,7%) e a prevalência de sintomatologia de TAG foi de 41,4%. Após análise ajustada, ser do sexo feminino, ter estudado em escola privada, ter maiores escores de estresse percebido e de ansiedade relacionada à prova permaneceram como fatores de risco. Estar com 19 anos apresentou-se como fator de proteção. Conclusões A ansiedade relacionada à prova foi o fator mais fortemente associado com a sintomatologia de TAG, o que sugere que as emoções e preocupações específicas do contexto de avaliação podem predispor o indivíduo a maior risco de desenvolver esse transtorno. A partir desses resultados, sugere-se a inclusão de profissionais da saúde mental no contexto do pré-vestibular, assim como intervenções direcionadas ao desenvolvimento de uma relação saudável entre o aluno e suas demandas acadêmicas.

ABSTRACT Objective To measure prevalence of symptomatology of generalized anxiety disorder (GAD) among students from a university-entrance preparation course in southern Brazil and its association with social, demographic, academic and psychological factors. Methods This study had a cross-sectional design and participants were students aged 18 years or older from a private university-entrance preparation course in southern Brazil. A self-administered questionnaire that assessed social, demographic, and academic variables, as well as test-related anxiety and perceived stress was administered. The outcome analyzed was the symptomatology of GAD through the General Anxiety Disorder-7 (GAD-7) instrument. Poisson regression with robust adjustment of variance was used in multivariate analysis. Results 137 students participated (90.7% response rate) and the prevalence of GAD symptomatology was 41.4%. After adjusted analysis, being female, having studied in a private school, having higher perceived stress and test anxiety scores remained as risk factors. Being 19 years old was a protective factor. Conclusions Anxiety regarding the test was the factor most strongly associated with symptomatology of GAD, which suggests that the emotions and concerns specific to the context of evaluations may predispose the individual to a higher risk of developing this disorder. Based on these results, we suggest the inclusion of mental health professionals in the context of university-entrance preparation courses, as well as interventions aiming the development of a healthy relationship between the student and their academic demands.

Are concepts of achievement-related emotions universal across cultures? A semantic profiling approach.

Verifying that conceptualisations of emotions are consistent across languages and cultures is a critical precondition for meaningful cross-cultural research on emotional experience. For achievement-related emotions tied to successes or failures, such evidence is virtually non-existent. To address this gap, we compared Canadian, German, Colombian, and Chinese university students' (NTotal = 126) perceptions of affective, cognitive, motivational, physiological, and expressive characteristics of 16 achievement-related emotions using a psycholinguistic tool for profiling emotion concepts (Achievement Emotions CoreGRID). Cross-cultural similarity of emotion concepts quantified through double-entry intraclass correlations was generally high, and highest for their affective, cognitive, and motivational components. However, results also point to cultural variation, particularly for physiological and expressive components. Variation in perceived physiological characteristics was most pronounced for boredom, and for comparisons of Canada, Germany, and Colombia with China. Implications for theoretical propositions of universality of emotion concepts and future research on achievement-related emotions are discussed.

Instrumentos de avaliação da ansiedade da criança hospitalizada / Instrumentos de evaluación de ansiedad de niños hospitalizados / Anxiety assessment tools in hospitalized children

Resumo Objetivo Identificar na literatura os instrumentos existentes para a avaliação da ansiedade em crianças hospitalizadas. Métodos Trata-se de uma revisão integrativa. As buscas foram realizadas de janeiro a maio de 2017 nas seguintes bases de dados: PubMed, LILACS e CINAHL, com os descritores anxiety, hospitalized child, inpatients, children, emotional responses, emotional manifestation, emotional reactions, validation studies, manifest anxiety scale e test anxiety scale. Resultados Após a seleção, foram analisados 33 artigos, sendo identificados dez instrumentos para a avaliação da ansiedade da criança. Oito instrumentos utilizaram a Escala de Likert nas respostas, um empregou a escala analógica de um a dez e o único instrumento que utilizou uma estratégia lúdica, o desenho dirigido, foi o Child Drawing: Hospital. Conclusão Recomenda-se a tradução, adaptação transcultural e validação do instrumento CD:H. Este estudo visa contribuir para o conhecimento dos enfermeiros pediatras no manejo da ansiedade da criança em unidades pediátricas, a fim de diminuir seu sofrimento emocional durante a hospitalização.

Resumen Objetivo Identificar en la literatura los instrumentos existentes para evaluar la ansiedad de niños hospitalizados. Métodos Se trata de una revisión integradora. Las búsquedas se realizaron de enero a mayo de 2017 en las siguientes bases de datos: PubMed, LILACS y CINAHL, con los descriptores anxiety, hospitalized child, inpatients, children, emotional responses, emotional manifestation, emotional reactions, validation studies, manifest anxiety scale y test anxiety scale. Resultados Luego de realizar la selección, se analizaron 33 artículos, en los que se identificaron diez instrumentos para evaluar la ansiedad de niños. Ocho instrumentos utilizaron la escala de Likert en las respuestas, uno empleó la escala analógica de uno a diez y el único instrumento que utilizó una estrategia lúdica, el dibujo dirigido, fue el Child Drawing: Hospital. Conclusión Se recomienda la traducción, adaptación transcultural y validación del instrumento CH:H. Este estudio tiene el objetivo de contribuir para el conocimiento de los enfermeros pediatras en el manejo de la ansiedad de los niños en unidades pediátricas, a fin de reducir su sufrimiento emocional durante la hospitalización.

Abstract Objective Identify existing tools for the assessment of anxiety in hospitalized children in the literature. Methods An integrative review was undertaken. The searches took place from January to May 2017 in the following databases: PubMed, LILACS and CINAHL, using the descriptors anxiety, hospitalized child, inpatients, children, emotional responses, emotional manifestation, emotional reactions, validation studies, manifest anxiety scale and test anxiety scale. Results After the selection, 33 articles were analyzed, in which 10 child anxiety assessment tools were identified. Eight instruments used the Likert scale in the answers, one used the analogue scale from one to ten and the only instrument that used a playful strategy, directed drawing, was the Child Drawing: Hospital. Conclusion The translation, cross-cultural adaptation and validation of the CD:H is recommended. This study aims to contribute to pediatric nurses' knowledge in the management of child anxiety in pediatric wards, with a view to reducing their emotional suffering during hospitalization.

Heart rate variability, salivary cortisol and competitive state anxiety responses during pre-competition and pre-training moments.

The study aimed to investigate physiological and psychological states prior to competition and prior to training in three different demanding activities. Eighteen canoe athletes, 18 street runners and 18 jiu-jitsu fighters were included in this study (n=54). The Competitive State Anxiety Inventory-2 (CSAI-2), salivary cortisol and heart rate variability (HRV) were measured at two time points (pre-training and pre-competition). Somatic anxiety (F1,42 = 15.29, p = 0.0003), HRV (F1,42 = 23.24, p < 0.0001) and salivary cortisol (F1,42 = 22.96, p < 0.0001) were significantly greater at the pre-competition measurement point than at the pre-training point, but without a main effect of the type of athlete on these variables. A main effect of the type of athlete was found on somatic anxiety (F2,42 = 6.58, p = 0.0033), cognitive anxiety (F2,42 = 10.69, p = 0.0002) and self-confidence (F2,42 = 5.42, p = 0.0080). Correlations between most CSAI-2 and physiological parameters were not significant (p > 0.05). In conclusion, the results indicated that both emotional indices and psychophysiological indices of stress are higher before competition than before training, with differences between emotional states between these sports. Although correlations between emotional states and psycho-physiological states before competition and before training were largely non-significant, these findings reinforce the importance of psychological monitoring of athletes in association with traditional physiological markers such as cortisol and HRV in sportive training programmes as complementary resources to improve both competition performance and the training routine.

Validation of an anxiety scale for prenatal diagnostic procedures / Validação de uma escala de ansiedade para procedimentos diagnósticos prénatais

ABSTRACT OBJECTIVE: To perform a cross-cultural adaptation of the Prenatal Diagnostic Procedures Anxiety Scale questionnaire for application in the Brazilian cultural context. METHODS: The translation and back translation processes followed internationally accepted criteria. A committee of experts evaluated the semantic, idiomatic, experimental and conceptual equivalence, proposing a pre-final version that was applied in 10.0% of the final sample. Afterwards, the final version was approved for the psychometric analysis. At that stage, 55 pregnant women participated which responded to the proposed Brazilian version before taking an ultrasound examination at a public hospital in Santa Catarina, in the year of 2017. The Edinburgh Postnatal Depression Scale was used as an external reliability parameter. The internal consistency of the instrument was obtained by Cronbach's alpha. Validation was performed by exploratory factorial analysis with extraction of principal components by the Kaiser-Guttman method and Varimax rotation. RESULTS: The Cronbach's alpha value of the total instrument was 0.886, and only the percentage of variance from item 2 (0.183) was not significant. The Kaiser-Guttman criterion defined three factors responsible for explaining 78.5% of the variance, as well as the Scree plot. Extraction of the main components by the Varimax method presented values from 0.713 to 0.926, with only item 2 being allocated in the third component. CONCLUSIONS: The Brazilian version is reliable and valid for use in the diagnosis of anxiety related to the performance of ultrasound procedures in prenatal care. Due to the lack of correlation with the rest of the construct, it is suggested that item 2 be removed from the final version.

RESUMO OBJETIVO: Proceder à adaptação transcultural do questionário Prenatal Diagnostic Procedures Anxiety Scale para aplicação no contexto cultural brasileiro. MÉTODOS: Os processos de tradução e retrotradução seguiram critérios aceitos internacionalmente. Um comitê de especialistas avaliou as equivalências semântica, idiomática, experimental e conceitual, propondo uma versão pré-final que foi aplicada em 10,0% da amostra final. Em seguida, foi aprovada a versão final para a análise psicométrica. Nessa etapa participaram 55 gestantes que responderam à versão brasileira proposta antes de realizarem um exame ultrassonográfico em um hospital público de Santa Catarina, no ano de 2017. A Edinburgh Postnatal Depression Scale foi utilizada como parâmetro de confiabilidade externa. A consistência interna do instrumento foi obtida pelo alfa de Cronbach. A validação foi realizada por análise fatorial exploratória com extração de componentes principais pelo método de Kaiser-Guttman e rotação Varimax. RESULTADOS: O alfa de Cronbach do instrumento total foi 0,886, e apenas o percentual de variância do item 2 (0,183) não foi significativo. O critério de Kaiser-Guttman definiu três fatores responsáveis por explicar 78,5% da variância, assim como o gráfico de Escarpa. A extração dos componentes principais pelo método Varimax apresentou valores de 0,713 a 0,926, sendo apenas o item 2 alocado no terceiro componente. CONCLUSÕES: A versão brasileira é confiável e válida para uso no diagnóstico de ansiedade relacionada à realização de procedimentos ultrassonográficos no pré-natal. Devido à falta de correlação com o restante do construto, sugere-se a retirada do item 2 da versão final.

Adaptação cultural do instrumento Child Drawing: hospital / Cultural adaptation of the instrument Child Drawing: Hospital

Introdução: A hospitalização representa para as crianças um momento geralmente assustador e incomum à sua rotina, pois frequentemente são submetidas a procedimentos hospitalares, bem como a tratamentos terapêuticos que podem acarretar dor, sofrimentos físicos e psicológicos. Estudos demonstram que, apesar de algumas crianças verbalizarem suas necessidades e sentimentos, outras não o fazem tão claramente, o que exige do profissional de enfermagem uma abordagem mais lúdica e criativa, tal como o desenho. Entretanto, é importante também realizar intervenções nessas necessidades, tornando-se imprescindíveis escalas e instrumentos validados para proceder tal ação. Um dos instrumentos existentes, porém ainda não traduzido e adaptado no Brasil, é o CD:H Child Drawing: Hospital, um instrumento que analisa a ansiedade de crianças hospitalizadas em idade escolar por meio do desenho. O instrumento CD:H é peculiar, no sentido que o que deve ser traduzido são as instruções de aplicação do instrumento e de análise do desenho realizado pela criança. Apesar de ser aplicado em crianças, o profissional que utiliza o instrumento é quem deve entender as instruções de aplicação e análise, a fim de que todos os profissionais que o utilizarem possam chegar ao mesmo diagnóstico do nível de ansiedade, confirmando a sua aplicabilidade. Objetivo e Método: O objetivo deste estudo foi adaptar o instrumento para a língua portuguesa falada no Brasil, de acordo com as diretrizes de adaptação transcultural de Guillemin, Beaton e Bombardier (1993) e Beaton et al. (1998, 2000, 2007) adotando os seguintes passos: a) Tradução; b) Revisão e Síntese das traduções; c) Comitê de Juízes; d) Retrotradução; e) Reavaliação da pontuação dos resultados; f) Validação de face e de conteúdo. Resultados: Foram realizadas duas traduções independentes do inglês para o português por duas pessoas fluentes na língua pretendida. Após as traduções, pesquisadora, orientadora e tradutora realizaram reuniões para gerar a síntese das traduções. O Comitê de Juízes foi composto por oito enfermeiros de quatro regiões do Brasil: Sul, Sudeste, Nordeste e Centro-Oeste. O valor mínimo necessário de Razão de Validade de Conteúdo (RVC) deveria ser igual ou maior a 0,75, a partir do cálculo realizado pelo psicometrista pelo Critério de Lawshe (Wilson, Pan, Schumsky, 2012). O instrumento como um todo foi bem avaliado pelo Comitê de Juízes, com boa validade semântica e de conteúdo, com RVC=1 (66,95%) e RVC de 0,75 a 1 em 175 itens do CD:H VB (73,23%). Os 15 itens discordantes (6,28%), que receberam o índice RVC de 0,75, tiveram modificações gramaticais para uma melhor adequação do instrumento. Foi elaborada somente uma retrotradução do português para o inglês e a revisão do instrumento por um professor associado da Escola de Enfermagem de uma universidade norte-americana pela impossibilidade de as autoras originais o fazerem. Após rigoroso processo de tradução e adaptação transcultural, a versão final do instrumento Child Drawing: Hospital foi finalizada, apenas com ajustes gramaticais e a substituição do crayon pelo lápis de cor como principal adaptação cultural, uma vez que, na cultura brasileira, as atividades de desenhar e pintar geralmente são realizadas com lápis de cor e não giz de cera. Conclusão: Este estudo é a primeira fase do processo de validação do instrumento CD:H, tendo sido realizada sua tradução e adaptação cultural, obtendo-se o instrumento Child Drawing: Hospital Versão Brasileira CD:H VB. Pode-se concluir que os objetivos do estudo foram alcançados e que o instrumento CD:H VB tem condições de continuar o processo de validação a ser realizado posteriormente.

Introduction: Hospitalization is normally a frightening and unusual time for children, because in such occasions they often undergo hospital procedures, as well as therapeutic treatments that can lead to pain, besides physical and psychological suffering. Studies show that, while some children verbalize their needs and feelings, others do not do it so clearly, a situation that requires a more playful and creative approach from the nursing professional, such as the use of drawing. However, it is also important to make interventions about such needs. Considering that, it is necessary to validate scales and instruments to carry out such action. One of the existing instruments, but not yet translated or adapted in Brazil, is CD:H - Child Drawing: Hospital, an instrument that aims at analyzing the anxiety of hospitalized children of school age through drawing. The CD:H instrument is peculiar, in the sense that what should be translated are the instructions for applying the instrument and analyzing the drawing performed by the child. Although the instrument is applied in children, the professional who uses it is the one who must understand the instructions for application and analysis, so that all professionals who use it can arrive at the same diagnosis for the level of anxiety, confirming the instruments applicability. Objective and Method: The objective of this study was to adapt the aforementioned instrument to the Portuguese language spoken in Brazil, according to Guillemin, Beaton and Bombardier (1993) and Beaton et al. (1998, 2000, 2007). The study was based on the following steps: a) Translation; b) Review and Synthesis of translations; c) Expert Committee; d) Back-translation; e) Re-evaluation of the scores of the results; f) Validation of face and content. Results: Two independent translations were performed from English to Portuguese by two professionals fluent in the intended language. After this process was finished, researcher, counselor and translator held meetings to generate a synthesis of all translations. The Expert Committee was composed of eight nurses from four regions of Brazil: South, Southeast, Northeast and Midwest. The minimum required Content Validity Ratio (CVR) value should be equal to or greater than 0.75, based on a calculation performed by a psychometrist, which was based on the Lawshe's Criterion (Wilson; Pan; Schumsky, 2012). The instrument as a whole was well evaluated by the Expert Committee, presenting good semantic and content validity, with CVR=1 (66.95%) and CVR of 0.75 to 1 in 175 CD:H VB items (73.23%). The 15 discordant items (6.28%), which received the CVR index of 0.75, suffered grammatical modifications for better instrument suitability. Only a back-translation from Portuguese to English and a revision of the instrument by an associate professor of the Nursing School of an American university was carried out, because the original authors could not do so. After rigorous transcultural translation and adaptation, the Child Drawing: Hospital instrument received its final version, with only grammatical adjustments and the replacement of crayons with colored pencils, which was considered the main cultural adaptation, since, in Brazil, the activities of drawing and painting are usually done with colored pencil, and not crayon. Conclusion: This study represents the first phase of the validation process of the CD:H instrument, offering translation and cultural adaptation. As a result, the instrument Child Drawing: Hospital Versao Brasileira (CD:H VB) was obtained. It can be concluded that the objectives of this study were achieved and that the CD:H VB instrument is able to have its validation process continued later in the future.

Trait vs. state anxiety in different threatening situations / Ansiedade traço versus ansiedade estado em diferentes situações de ameaça

Abstract Objective Anxiety as a uni- or multidimensional construct has been under discussion. The unidimensional approach assumes that there is a general trait anxiety, which predisposes the individuals to increases in state anxiety in various threatening situations. In this case, there should be a correlation between state and trait anxiety in any situation of threat. Therefore, the aim of this study was to investigate the correlation between trait and state anxiety in participants exposed to two different anxiogenic situations: interpersonal threat (Video-Monitored Stroop Test - VMST) and physical threat (third molar extraction - TME). Methods Participants with various levels of trait anxiety (general trait: State-Trait Anxiety Inventory - STAI, Hospital Anxiety and Depression Scale; specific trait: Social Phobia Inventory, Dental Anxiety Scale) had their anxious state evaluated (STAI, self-evaluation of tension level, heart rate, electromyogram activity) before, during and after the VMST or the TME. Results In VMST, trait anxiety correlated to state anxiety (psychological parameters) in all test phases. However, in TME, the only trait measurement that correlated to state anxiety (psychological parameters) was the Dental Anxiety Scale. Conclusion Trait anxiety correlates positively to state anxiety in situations of interpersonal threat, but not of physical threat.

Resumo Objetivo A ansiedade como um construto uni ou multidimensional tem estado em discussão. A abordagem unidimensional presume que há uma ansiedade-traço geral, a qual predispõe o indivíduo a aumentar a ansiedade-estado em situações de ameaça. Neste caso, deveria existir uma correlação entre estado e traço ansioso em diferentes situações ameaçadoras. Portanto, o objetivo deste estudo foi avaliar a correlação entre ansiedade-traço e ansiedade-estado em participantes que foram expostos a duas situações ansiogênicas diferentes: ameaça interpessoal (Teste de Stroop Monitorado por Vídeo - TSMV) e ameaça física (exodontia do terceiro molar - ETM). Métodos Participantes com vários níveis de ansiedade-traço (traço geral: Inventário de Ansiedade Traço-Estado - IDATE; Escala Hospitalar de Ansiedade e Depressão; traço específico: Inventário de Fobia Social, Escala de Ansiedade Dental de Corah) tiveram seus estados ansiosos avaliados (IDATE, escala analógica de tensão, frequência cardíaca, eletromiografia) antes, durante e depois do TSMV ou da ETM. Resultados No TSMV, a ansiedade-traço correlacionou-se com a ansiedade-estado (parâmetros psicológicos) em todas as fases do teste. Entretanto, na ETM, a única medida de traço que se correlacionou com a ansiedade-estado (parâmetros psicológicos) foi a Escala de Ansiedade Dental de Corah. Conclusão A ansiedade-traço correlaciona-se positivamente com a ansiedade-estado em situações de ameaça interpessoal, mas não de ameaça física.

Combined Effect of Levels in Personal Self-Regulation and Regulatory Teaching on Meta-Cognitive, on Meta-Motivational, and on Academic Achievement Variables in Undergraduate Students.

The Theory of Self- vs. Externally-Regulated Learning™ (SRL vs. ERL) proposed different types of relationships among levels of variables in Personal Self-Regulation (PSR) and Regulatory Teaching (RT) to predict the meta-cognitive, meta-motivational and -emotional variables of learning, and of Academic Achievement in Higher Education. The aim of this investigation was empirical in order to validate the model of the combined effect of low-medium-high levels in PSR and RT on the dependent variables. For the analysis of combinations, a selected sample of 544 undergraduate students from two Spanish universities was used. Data collection was obtained from validated instruments, in Spanish versions. Using an ex-post-facto design, different Univariate and Multivariate Analyses (3 × 1, 3 × 3, and 4 × 1) were conducted. Results provide evidence for a consistent effect of low-medium-high levels of PSR and of RT, thus giving significant partial confirmation of the proposed rational model. As predicted, (1) the levels of PSR and positively and significantly effected the levels of learning approaches, resilience, engagement, academic confidence, test anxiety, and procedural and attitudinal academic achievement; (2) the most favorable type of interaction was a high level of PSR with a high level RT process. The limitations and implications of these results in the design of effective teaching are analyzed, to improve university teaching-learning processes.

Análisis estructural y desarrollo de una versión breve de la versión en español del Inventario de Ansiedad ante Exámenes (TAI-E) en universitarios de Lima / Structural analysis and development of a short form of the Test Anxiety Inventory ­ Spanish version (TAI-S) in college students from Lima

El presente estudio tuvo como objetivos examinar la estructura interna de la versión en español del Inventario de Ansiedad ante Exámenes (TAI-E), y obtener una versión breve. Fue evaluada una muestra de 376 universitarios peruanos (73.1% mujeres) entre 16 y 55 años (M = 20.71). La estructura interna del TAI-E fue analizada mediante el modelamiento de ecuaciones estructurales (análisis factorial confirmatorio), y la versión breve fue obtenida teniendo como base un modelo Bifactor y criterios conceptuales. Fueron evaluados cuatro modelos: ortogonal, oblicuo, bifactor y unidimensional. En cuanto a los resultados, el TAI-E está constituido por una sola dimensión. Del mismo modo, la versión breve muestra indicadores robustos y evidencias de equivalencia empírica con la versión extensa. Finamente, las dos versiones mostraron coeficientes de confiabilidad con magnitudes elevadas. En conclusiones, las dos versiones estudiadas evidencias propiedades psicométricas favorables que respaldan su uso en el contexto peruano.

The aim of the present study is to examine the internal structure of the Test Anxiety Inventory-Spanish version (TAI-S) and have a brief version. It was assessed of a sample of 376 Peruvian university students (73.1% women) between 16 and 55 years old (M = 20.71). The internal structure of TAI-S was analyzed by using structural equation modeling (factorial confirmatory analysis) and the short version was obtained on the basis of a Bifactoral model and conceptual approaches. Four models were evaluated: orthogonal, oblique, bifactor and one-dimensional. As the result, the TAI-S is constituted by a single dimension. Likewise, the short version shows robust indicators and based on the empirical evidence with the long version. Finally, the two versions showed reliability coefficient with high magnitudes. In conclusion, the two version studied show favorable psychometric properties that support its use in the Peruvian context.

Eficacia de una Intervención para Disminuir la Ansiedad frente a los Exámenes en Estudiantes Universitarios Argentinos / Eficácia de uma Intervenção para Diminuir a Ansiedade ante os Exames em Estudantes Universitários Argentinos / Efficacy of an Intervention Aimed at Reducing Test Anxiety in Argentinean University Students

Se evaluó la efectividad de un programa para disminuir la ansiedad ante los exámenes, la procrastinación académica e incrementar la autoeficacia regulatoria, con 19 estudiantes universitarios de Argentina. El programa estimula el automonitoreo de las estrategias de aprendizaje implementadas, el aprendizaje de técnicas cognitivo-conductuales de control de la ansiedad y el ensayo anticipado de exámenes. Al comparar los resultados pre- y posintervención, se constataron mejorías moderadas. Se deben revisar los procedimientos para incrementar la adherencia al programa y la validez de los resultados.

The effectiveness of an intervention designed to reduce test anxiety and academic procrastination, and improve regulatory self-efficacy was evaluated with 19 university students. The program promotes self-monitoring of the study strategies implemented, learning of cognitive –behavioural anxiety control techniques, and practice tests prior to the exam. Comparison of pre- and post-intervention results revealed moderate improvements. Thus, it is necessary to review procedures to improve adherence to the program and to increase the validity of the results.

Avaliou-se a efetividade de um programa para diminuir a ansiedade ante os exames, a procrastinação acadêmica e aumentar a autoeficiência regulatória, com 19 estudantes universitários da Argentina. O programa estimula o automonitoramento das estratégias de aprendizagem implementadas, a aprendizagem de técnicas cognitivo-comportamentais de controle da ansiedade e o ensaio antecipado de exames. Ao comparar os resultados pré- e pós-intervenção, constataram-se melhorias moderadas. Devem-se revisar os procedimentos para aumentar a aderência ao programa e a validade dos resultados.

Estudo do perfil sociodemográfico e psicossocial de mães de neonatos e seus conhecimentos sobre a Triagem Auditiva Neonatal / Study of the social-demographic and psychosocial profile of mothers of newborns and their knowledge about Newborn Hearing Screening

Este estudo teve como objetivos caracterizar o perfil sociodemográfico e psicossocial das mães de neonatos que realizaram Triagem Auditiva Neonatal (TAN); avaliar seu o conhecimento sobre TAN; e mensurar o nível de ansiedade materna frente à testagem do bebê. Participaram do estudo 107 mães, que inicialmente responderam um questionário com o objetivo de obter os dados socioeconômicos (escolaridade e profissão), demográficos (idade e estado civil) e psicossociais (suporte social e planejamento da gestação). A segunda parte do questionário referiu-se aos aspectos da TAN: conhecimentos e importância da TAN, informante do procedimento, consequências da perda auditiva e aos sentimentos envolvidos na realização da TAN. Em seguida, para investigar o nível de ansiedade materna antes da realização da TAN, foi utilizado um questionário de ansiedade. A idade das mães variou entre 14 e 44 anos; 53,27% mulheres tinham escolaridade igualou inferior ao fundamental completo. No que se refere à ocupação, 66,36% das entrevistadas referiu ser dona de casa;64,49% são casadas; e 88,78% planejaram a gestação. Ao investigar o suporte social, 88,79% possuía o marido como fonte de apoio financeiro, afetivo e emocional. Em relação ao conhecimento sobre TAN, 76,64% não sabia o que era o exame. Além disso, 42% das mães souberam que seu filho faria o procedimento durante a internação, e a enfermeira foi o principal profissional da saúde que informou sobre a TAN. Observou-se o predomínio de reações negativas (81,70%)frente à TAN quando a mãe não conhecia o procedimento. Concluiu-se que o perfil encontrado foi de mães jovens, com baixa escolaridade, donas de casa, casadas, com suporte social do marido e que planejaram a gestação. O conhecimento sobre TAN foi restrito. Existiu associação entre sentimentos negativos e falta de conhecimento sobre TAN.

This study aimed to characterize the social-demographic and psychosocial profiles of mothers of newborns submitted to Newborn Hearing Screening (NHS); to evaluate their knowledge of NHS and to measure the level of maternal anxiety towards baby testing. Subjects were 107 mothers who at the outset answered a questionnaire in order to supply socioeconomic (education and occupation), demographic (age and marital status) and psychosocial (social support and planning of pregnancy) data. The second part of the questionnaire referred to aspects of the NHS: the importance and the knowledgeabout NHS, procedures’ informant, consequences of the hearing loss and the feelings involved in making NHS. Then, to investigate the level of maternal anxiety prior to NHS, an anxiety questionnaire was used. The mothers’ ages ranged from14 to 44 years, 53.27% of the women have educational status equal or inferior to Elementary School. As regards occupation,66.36% of the interviewed mothers said to be housewives, 64.49% of them are married and 88.78% of them planned pregnancy. When investigating the social support, 88.79% of them have a husband as financial, affective and emotion al support. As regards knowledge about NHS, 76.64% did not know what it was. In addition, 42% of the mothers knew thattheir children were submitted to the procedure during hospitalization and the nurse was the main health professional who informed them about NHS. It was observed that negative reactions (81.70%) about NHS predominated when mothers didnot know what the procedure is. It was concluded that the profile was: mothers are young, have low education, the majorityis housewives, married, having social support from the husband and planned pregnancy. Knowledge of NHS was rare.There was a relationship between negative feelings about the test and the lack of knowledge about NHS.

Propiedades psicométricas de la versión en español revisada del Inventario Alemán de Ansiedad ante Exámenes (GTAt AR) en universitarios argentinos / Psychometric properties of the revised Spanish version of the German Test Anxiety Inventory (GTAI-AR) in argentinean university students

En el presente estudio se analizaron las propiedades psicométricas de la versión en español del Inventario Alemán de Ansiedad ante Exámenes (GTAI-AR) en universitarios argentinos. Se realizó un análisis factorial exploratorio y otro confirmatorio mediante parcelación de ítems. Se evaluó el ajuste de tres modelos de acuerdo a los antecedentes teóricos, uno que apoya la unidimensionalidad, otro que diferencia los componentes cognitivo y afectivo, y otro de cuatro dimensiones: Preocupación, Interferencia, Falta de Confianza y Emocionalidad como factores primer orden y la Ansiedad ante Exámenes total como factor de segundo orden. Los índices de ajuste para el último modelo fueron adecuados. Se discuten los resultados, el uso de parcelas de ítems y la importancia de contar con instrumentos multidi-mensionales de la Ansiedad ante Exámenes en lengua española.

In the present study was evaluated the psychometric properties of the Spanish version of the German Test Anxiety Inventory in argentinean university students. Was conducted an exploratory and a confirmatory factor analysis using items parcels. The fit of three possible models was evaluated according to the theoretical background, one that supports the unidimensionality of the test anxiety, other that distinguishes the cognitive and affective components, and one that comprising four dimensions, Worry, Interference, Lack of Confidence and Emotionality as primary factors and total Test Anxiety as secondary factor. Fit indices for the last model were all adequate. Are discussed the results, the use of items parcels and the importance of multidimensional instruments of test anxiety in Spanish language.

Content validity of the short version of the subscale of the State-Trait Anxiety Inventory (STAI) / Validade de conteúdo de versão resumida da subescala do Inventário de Ansiedade Traço-Estado (IDATE) / Validez de contenido de versión corta de la subescala del Cuestionario State-Trait Anxiety Inventory (STAI)

The goal was to describe the content validity of a short version of the state subscale of Spielberger's "State-Trait Anxiety Inventory (STAI)", based on the original version adapted to Spanish, in Spanish patients receiving invasive mechanical ventilation (IMV). The sample consisted of 16 patients receiving IMV at the Alicante Hospital (Spain), who selected the items from the full Spanish version of the STAI-state that were most relevant to them. Items 1, 5, 9, 10, 12 and 20 from the original scale are the most relevant for the Spanish patients receiving IMV and 5 of these are included in the short version of the scale (83.3 percent agreement). The short scale has shown adequate content validity for Spanish patients receiving IMV.

Teve-se como objetivo descrever a validade de conteúdo de uma versão resumida da subescala estado do State-Trait Anxiety Inventory (STAI) de Spielberger, a partir da versão original adaptada ao espanhol, em pacientes espanhóis, sob ventilação mecânica invasiva (VMI). A amostra foi composta por 16 pacientes, sob VMI, no hospital de Alicante, Espanha, que selecionaram os itens da versão espanhola completa do Idate-estado de maior relevância para eles. Os itens nº1, 5, 9, 10, 12 e 20 da escala original são os mais relevantes para os pacientes espanhóis sob VMI, e 5 deles estão incluídos na versão resumida da escala (83,3 por cento de concordância). A escala resumida mostrou adequada validade de conteúdo para pacientes espanhóis sob VMI.

Se tuvo por objetivo describir la validez de contenido de una versión corta de la subescala Estado del State-Trait Anxiety Inventory (STAI) de Spielberger, a partir de la versión original adaptada al español, en pacientes españoles con ventilación mecánica invasora (VMI). La muestra fue integrada por 16 pacientes con VMI en el hospital de Alicante (España), que seleccionaron los ítems de la versión española completa del STAI-estado de mayor relevancia para ellos. Los ítems nº: 1,5,9,10,12 y 20 de la escala original son los más relevantes para los pacientes españoles con VMI; siendo que 5 de ellos están incluidos en la versión corta de la escala (83.3 por ciento de acuerdo). La escala corta ha demostrado una adecuada validez de contenido para pacientes españoles con VMI.