Health anxiety: comparison of the latent structure in medical and non-medical samples

J Anxiety Disord. 2011 May;25(4):612-4. doi: 10.1016/j.janxdis.2011.01.011. Epub 2011 Feb 26.

Abstract

The Short Health Anxiety Inventory (SHAI; Salkovskis, Rimes, Warwick, & Clark, 2002) is a self-report measure designed to assess health anxiety in both medical and non-medical samples. The invariance of the factor structure across these samples has not been examined in the 14-item version of the SHAI. In the current study, the SHAI was completed by a community sample with no serious medical conditions (n=232) and a medical sample with multiple sclerosis (n=245). Factor analysis implied the same two-factor solution for both samples, with the two factors labelled: (1) Thought Intrusion, and (2) Fear of Illness. Item loadings were invariant across the medical and non-medical samples, but the two factors were more strongly correlated in the non-medical sample. Implications of the findings as well as directions for future research are discussed.

MeSH terms

  • Adult
  • Anxiety / diagnosis*
  • Anxiety / psychology
  • Anxiety Disorders / diagnosis*
  • Anxiety Disorders / psychology
  • Attitude to Health*
  • Factor Analysis, Statistical
  • Fear / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / psychology
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Surveys and Questionnaires