The Four Systems Anxiety Questionnaire

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The Four Systems Anxiety Questionnaire

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About Scale Name

Scale Name

The Four Systems Anxiety Questionnaire

Author Details

F. Koksal and D. G. Power

Translation Availability

Not Sure

The Four Systems Anxiety Questionnaire
The Four Systems Anxiety Questionnaire

Background/Description

The Four Systems Anxiety Questionnaire (FSAQ) is a self-report measure used to assess anxiety symptoms in individuals. It was developed by Koksal and Power (1990) and is designed to assess four components of anxiety: somatic, cognitive, behavioral, and affective.

The somatic component measures physical symptoms of anxiety, such as sweating or heart palpitations. The cognitive component measures anxious thoughts and worries, such as excessive worrying about the future. The behavioral component measures changes in behavior due to anxiety, such as avoiding certain situations or activities. The affective component measures emotional responses to anxiety, such as feeling nervous or tense.

The FSAQ consists of multiple items that are rated on a scale from 0 (not at all) to 3 (severely). The total score is calculated by summing up the scores for each subscale. Higher scores indicate greater levels of anxiety.

The FSAQ has been used in research studies and clinical settings to assess anxiety symptoms and monitor treatment progress. It is a useful tool for identifying specific components of anxiety that an individual may be experiencing, which can help inform treatment planning and intervention strategies.

Administration, Scoring and Interpretation

Administration: The Four Systems Anxiety Questionnaire (FSAQ) is a self-report measure, which means that individuals complete the questionnaire themselves. The FSAQ consists of multiple items that assess four components of anxiety: somatic, cognitive, behavioral, and affective. Individuals rate each item on a scale from 0 (not at all) to 3 (severely) based on how much they have experienced each symptom over the past week.

Scoring: Each item is scored based on the individual’s response, with higher scores indicating greater levels of anxiety. The total score is calculated by summing up the scores for each subscale. The maximum total score is 72, with 18 being the maximum possible score for each subscale.

Interpretation of Results: The FSAQ can provide valuable information about an individual’s specific anxiety symptoms across the four components. Clinicians and researchers can use the subscale scores to identify which components of anxiety an individual is experiencing most strongly and tailor treatment or intervention strategies accordingly.

A score of 0-17 on each subscale is considered low anxiety, a score of 18-35 is moderate anxiety, and a score of 36 or higher is high anxiety. A total score of 0-35 is considered low anxiety, a score of 36-71 is moderate anxiety, and a score of 72 is high anxiety. However, interpretation of scores should be done with caution and in the context of other clinical information and assessment measures.

It is important to note that the FSAQ is not a diagnostic tool for anxiety disorders and should be used as a supplement to a comprehensive clinical assessment. Additionally, cultural and individual differences should be taken into account when interpreting scores.

Reliability and Validity

Reliability: The Four Systems Anxiety Questionnaire (FSAQ) has demonstrated good internal consistency reliability in multiple studies, with Cronbach’s alpha coefficients ranging from .80 to .91 for the subscales and .88 to .93 for the total score. This indicates that the FSAQ is a reliable measure of anxiety symptoms across the four components.

Validity: The FSAQ has also demonstrated good construct validity, as it has been found to correlate positively with other measures of anxiety, such as the State-Trait Anxiety Inventory (STAI) and the Beck Anxiety Inventory (BAI). The FSAQ has also been found to discriminate between clinical and non-clinical samples, indicating its ability to differentiate between individuals with high and low levels of anxiety.

Available Versions

18-Items
60-Items

Reference

Koksal, F., & Power, M. J. (1990). Four systems anxiety questionnaire (FSAQ): A self-report measure of somatic, cognitive, behavioral, and feeling components. Journal of Personality Assessment, 54(3-4), 534-545

Important Link

Scale File:

Frequently Asked Questions

Q: What is the FSAQ?
A: The FSAQ is a self-report measure of anxiety symptoms that assesses four components of anxiety: somatic, cognitive, behavioral, and affective. It consists of 18 items, with 4 items for each subscale.

Q: How long does it take to complete the FSAQ?
A: The FSAQ can be completed relatively quickly, usually taking less than 10 minutes to finish.

Q: Is the FSAQ available in languages other than English?
A: Yes, there are translations of the FSAQ available in other languages, such as Turkish and Chinese.

Q: What is the scoring system for the FSAQ?
A: The FSAQ uses a Likert-type scale, with responses ranging from 0 (not at all) to 3 (very much). The total score is the sum of all 18 items, with higher scores indicating greater anxiety symptom severity.

Q: Is the FSAQ a diagnostic tool for anxiety disorders?
A: No, the FSAQ is not a diagnostic tool for anxiety disorders. It is a self-report measure of anxiety symptoms that can be used to assess the severity of anxiety symptoms across the four components of anxiety.

Q: What is the reliability and validity of the FSAQ?
A: The FSAQ has demonstrated good reliability and validity in various studies, indicating that it is a reliable and valid measure of anxiety symptoms across the four components of anxiety.

Q: Who can use the FSAQ?
A: The FSAQ can be used by researchers and clinicians who want to assess anxiety symptoms in adults. It is important to note that self-report measures of anxiety symptoms should not be used as the sole basis for diagnosis or treatment decisions.

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