title: Reliability and validity of shortened state trait anxiety inventory in Spanish patients receiving mechanical ventilation.
abstract: BACKGROUND
  In order to measure anxiety in physically and cognitively debilitated patients, such as patients receiving invasive mechanical ventilation, the use of reliable and valid instruments is recommended; however, these instruments should be short.
  
  
  OBJECTIVE
  To analyze the reliability and validity of a short version of the state subscale from the Spielberger State-Trait Anxiety Inventory, developed by Chlan and colleagues and translated into Spanish (STAI-E6), in patients receiving invasive mechanical ventilation.
  
  
  METHODS
  An instrumental study was conducted of 80 patients receiving invasive mechanical ventilation in the intensive care unit at the Hospital of Alicante (Spain). The patients completed the 6-item STAI-E6 scale. Before the patients completed the scale, the interviewers indicated their impression of each patient's level of anxiety by using a linear scale. Internal consistency, construct validity, and convergent validity of the scale were analyzed.
  
  
  RESULTS
  The scale did not present a floor/ceiling effect, the Cronbach α was 0.79, and the single-factor structure of the original scale was maintained. Scores on the scale correlated positively with the subjective assessment of the health professional. Significant differences were found only between anxiety level and duration of intubation.
  
  
  CONCLUSIONS
  The 6-item version of the state subscale from the STAI-E6 shows satisfactory reliability and validity for Spanish patients receiving invasive mechanical ventilation.
authors.affiliation: Nursing Department, Universidad de Alicante, Alicante, Spain. Juana.Perpina@ua.es
authors.forename: Juana
authors.initials: J
authors.lastname: Perpiñá-Galvañ
authors.forename: María José
authors.initials: MJ
authors.lastname: Cabañero-Martínez
authors.forename: Miguel
authors.initials: M
authors.lastname: Richart-Martínez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012121:Respiration, Artificial / Q000523:psychology*; D013030:Spain; D013732:Test Anxiety Scale; D055815:Young Adult