Symptom-positive and symptom-negative items in the state-trait anxiety inventory: A comparison and replication

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Abstract
Substantially higher mean scores on symptom-negatively versus symptom-positively worded items have consistently been reported in the literature for the balanced Stait-Trait Anxiety Inventory. In this study we aimed at replicating and comparing these findings for the Dutch adaptation of the inventory. Results indicated significantly higher mean subscale scores for symptom-negative as opposed to symptompositive items of both the Trait and State version, across sexes and age groups as well as across different levels of distress in students, policemen and psychiatric out-patients. Positive-negative mean difference scores were consistently larger for the State than for the Trait version. State and Trait mean difference scores were found to be mainly confined to symptom-positive subscales. Scale intercorrelations were lowest between symptom-positive and symptom-negative subscales both within and across measures. Factor analyzing the combined versions identified separate symptom-negative and symptom-positive factors, tentatively labeled “absence of positive affect” and “presence of negative affect”. Several explanations of the findings among which item-intensity specificity, the response style of social desirability and the model of positive and negative affectivity are discussed.