Validity and reliability of the beck anxiety inventory (BAI) for family caregivers of children with cancer

Filiberto Toledano-Toledano*, José Moral de la Rubia, Miriam Teresa Domínguez-Guedea, Laura A. Nabors, Blanca E. Barcelata-Eguiarte, Eduardo Rocha-Pérez, David Luna, Ahidée Leyva-López, Leonor Rivera-Rivera

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Currently, information about the psychometric properties of the Beck Anxiety Inventory (BAI) in family caregivers of children with cancer is not available; thus, there is no empirical evidence of its validity and reliability to support its use in this population in Mexico or in other countries. This study examined the psychometric properties of the BAI in family caregivers of children with cancer and pursued four objectives: to determine the factor structure of the BAI, estimate its internal consistency reliability, describe the distribution of BAI scores and the level of anxiety in the sample and test its concurrent validity in relation to depression and resilience. This cross-sectional study was carried out with convenience sampling. A sociodemographic questionnaire, the BAI, the Beck Depression Inventory and the Measurement Scale of Resilience were administered to an incidental sample of 445 family caregivers of children with cancer hospitalized at the National Institute of Health in Mexico City. Confirmatory factor analysis using the maximum likelihood method was performed to determine the factor structure and exploratory factor analysis using axis factorization with oblique rotation was conducted. The two-, three-and four-factor models originally proposed for the BAI did not hold. The exploratory factor analysis showed a model of two correlated factors (physiological and emotional symptoms). Confirmatory factor analysis revealed a lack of discriminant validity between these two factors and supported a single-factor model. The internal consistency of the scale reduced to 11 items (BAI-11) was good (alpha = 0.89). The distribution of BAI-11 scores was skewed to the left. High levels of symptoms of anxiety were present in 49.4% of caregivers. The scale was positively correlated with depression and negatively correlated with resilience. These findings suggest that a reduced single-factor version of the BAI is valid for Mexican family caregivers of children with cancer.

Original languageEnglish
Article number7765
Pages (from-to)1-24
Number of pages24
JournalInternational Journal of Environmental Research and Public Health
Volume17
Issue number21
DOIs
StatePublished - 1 Nov 2020

Bibliographical note

Funding Information:
Funding: This work is one of the products of the research project HIM/2013/019/SSA.1141 Measurement and assessment of resilience in pediatric chronic disease; main researcher: F.T.-T. The present research was funded by federal funds for health research and was approved by the Commissions of Research, Ethics and Biosafety [Comisiones de Investigación, Ética y Bioseguridad], Hospital Infantil de México Federico Gómez, National Institute of Health. The source of federal funds did not control the study design, data collection, analysis or interpretation or manuscript writing.

Funding Information:
This work is one of the products of the research project HIM/2013/019/SSA.1141 Measurement and assessment of resilience in pediatric chronic disease; main researcher: F.T.-T. The present research was funded by federal funds for health research and was approved by the Commissions of Research, Ethics and Biosafety [Comisiones de Investigaci?n, ?tica y Bioseguridad], Hospital Infantil de M?xico Federico G?mez, National Institute of Health. The source of federal funds did not control the study design, data collection, analysis or interpretation or manuscript writing. Acknowledgments: We wish to thank Rosario Garc?a Cort?s for his support.

Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Anxiety
  • BAI
  • Children with cancer
  • Family caregivers
  • Inventory
  • Psychometric evaluation
  • Reliability
  • Validity

Fingerprint

Dive into the research topics of 'Validity and reliability of the beck anxiety inventory (BAI) for family caregivers of children with cancer'. Together they form a unique fingerprint.

Cite this