Psychometric Properties of the Persian Version of Adult Separation Anxiety Questionnaire

Subject Areas :

maryam bakhtiari ¹ , amir mehdi katani ² , meysam bazani ³ , amirsam kiani moghadam ⁴ , amin sohrabzade fard ⁵ , nasrin safarlo ⁶ , ali kheradmand ⁷

1 - Associate Professor of Clinical psychology, Department of Clinical psychology, Taleghani Hospital Research Development committee, school of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 - نواب کوچه رحمت فرعی 4 پلاک 311
3 - نواب کوچه رحمت فرعی 4 پلاک 311
4 - Assistant professor of Clinical Psychology, Department of Clinical psychology, school of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
5 - PhD Student of Clinical Psychology, Department of Clinical psychology, Taleghani Hospital Research Development committee, school of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 - MSc in Clinical Psychology, school of Medicine, Islamic Azad University of Medical Sciences, Tehran, Iran.
7 - Associate professor of psychiatry, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti Medical University, Tehran, Iran

Received: 2022-12-29 Accepted : 2023-07-25 Published : 2025-02-23

Keywords: psychometric properties, questionnaire, separation anxiety, adult,

Abstract :

The aim of present study was to investigate the psychometric properties of Adult Separation Anxiety Questionnaire. In this study, 293 referrals to the psychiatric clinic of Taleghani Hospital in Tehran in 2019 were selected by convenience sampling method. Evaluation of the individuals was performed using Structured-Clinical Interview for Separation Anxiety Symptoms (SCI-SAS), Adult Separation Anxiety Questionnaire )Manicavasagar, Silove, Wagner & Drobny, 2003), and brief form of Psychological Symptoms Checklist (Najarian & Davodi, 2001). Data were analyzed using descriptive and inferential indicators. Confirmatory factor analysis confirmed the one-factor structure of the questionnaire. Also, internal consistency and test-retest reliability were adequate. The correlation coefficients of the score of this questionnaire with the structured clinical interview and the checklist of psychological symptoms indicated a good convergent validity for the questionnaire. The correlation coefficients for the clinical interview of childhood separation anxiety, the adult separation anxiety interview, and the list of psychological symptoms, were 0.52, 0.63, and 0.55 respectively. Also, a score of 3 3 with sensitivity of 95.5 and specificity of 84.2 was showed as the best cut off score. The findings of the present study show that the Adult Separation Anxiety Questionnaire has good psychometric properties and can be used as a valid tool for clinical and research purposes.

References:

Aaronson, C. J., Shear, M. K., Goetz, R. R., Allen, L. B.,
Barlow, D. H., White, K. S., & Woods, S. W. (2008).
Predictors and tie course of response among panic
disorder patients treated with cognitive-behavioral
therapy. The Journal of Clinical Psychiatry, 69(3),
.418-424
Anthoine, E., Moret, L., Regnault, A., Sébille, V., & Hard-
ouin, J. B. (2014). Sample size used to validate a scale:
a review of publications on newly-developed patient
reported outcomes measures. Health and Quality of
Life Outcomes, 12, 1-10.
Association, A. P. (2013). Diagnostic and Statistical
Manual of Mental Disorders (Fifth ed.). Washington,
DC: American psychiatric publishing.
Bandelow, B., & Michaelis, S. (2022). Epidemiology of
anxiety disorders in the 21st century. Dialogues in
Clinical Neuroscience, 17(3), 327-335.
Bazani, M., Bakhtiari, M., & Masjedi Arani, A. (2022).
An investigation of long-distance relationship mainte-
nance in married individuals in Tehran, 2020. Ameri-
can Journal of Family Therapy, 50(5), 491-509.
Bögels, S. M., Knappe, S., & Clark, L. A. (2013). Adult
separation anxiety disorder in DSM-5. Clinical Psy-
chology Review, 33(5), 663-674.
Boucher, H. C., & Maslach, C. (2009). Culture and indi-
viduation: The role of norms and self-construals. The
Journal of Social Psychology, 149(6), 677-693.
Cyranowski, J. M., Shear, M. K., Rucci, P., Fagiolini, A.,
Frank, E., Grochocinski, V. J., & Cassano, G. (2002).
Adult separation anxiety: Psychometric properties of
a new structured clinical interview. Journal of Psychi-
atric Research, 36(2), 77-86.
Dırıöz, M., Alkin, T., Yemez, B., Onur, E., & Eminağaoğ-
lu, N. (2012). The validity and reliability of Turkish
version of separation anxiety symptom inventory and
adult separation anxiety questionnaire. Turkish Jour-
nal of Psychiatry, 23(2), 108-116.
Kohlhoff, J., Barnett, B., & Eapen, V. (2015). Adult sep-
aration anxiety and unsettled infant behavior: Associations
with adverse parenting during childhood and insecure adult
attachment. Comprehensive Psychiatry, 61, 1-9.
Manicavasaga, V., Silove, D., & Curtis, J. (1997). Separa-
tion anxiety in adulthood: A phenomenological inves-
tigation. Comprehensive Psychiatry, 38(5), 274-282.
Manicavasagar, V., Silove, D., Curtis, J., & Wagner, R.
(2000). Continuities of separation anxiety from
early life into adulthood. Journal of Anxiety Dis-
orders, 14(1), 1-18.
Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J.
(2003). A self-report questionnaire for measuring sep-
aration anxiety in adulthood. Comprehensive Psychi-
atry, 44(2), 146-153.
Pini, S., Gesi, C., Abelli, M., Muti, M., Lari, L., Cardi-
ni, A., & Shear, K. M. (2012). The relationship be-
tween adult separation anxiety disorder and compli-
cated grief in a cohort of 454 outpatients with mood
and anxiety disorders. Journal of Affective Disorders,
.64-68 ,)1-3(143
Pini, S., Martini, C., Abelli, M., Muti, M., Gesi, C., Mon-
tali, M., & Cassano, G. B. (2005). Peripheral-type ben-
zodiazepine receptor binding sites in platelets of patients
with panic disorder associated to separation anxiety
symptoms. Psychopharmacology, 181(2), 407-411.
Ruiz-García, A., Jiménez, Ó., Resurrección, D. M., Fer-
reira, M., Reis-Jorge, J., & Fenollar-Cortés, J. (2021).
Portuguese validation of the Adult Separation Anxiety
Questionnaire (ASA-27). Plos one, 16(3), e0248149.
Silove, D., & Rees, S. (2014). Separation anxiety disorder
across the lifespan: D SM-5 lifts age restriction on di-
agnosis. Asian Journal of Psychiatry, 11, 98-101.
Silove, D. M., Marnane, C. L., Wagner, R., Manicav-
asagar, V. L., & Rees, S. (2010). The prevalence and
correlates of adult separation anxiety disorder in an
anxiety clinic. BMC psychiatry, 10(1), 21.
Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2007).
Using multivariate statistics (Vol. 5). Boston, MA:
Pearson.
Talaienejad, N. (2018). Separation Anxiety Assessment
Scale (Parent Version): Instruction and Scoring (per-
sian version). Journal of Developmental Psychology:
Iranian Psychologists, 14(55), 343-346. [In Persian].
Tanhaye Reshvanloo, F., & Saadati Shamir, A. (2015).
Construct validity and reliability of Symptom Check-
list-25 (SCL-25). Journal of Fundamentals of Mental
Health, 18(1), 48-56. [In Persian].