Beck Anxiety Inventory ( BAI )

Overview

Acronym: 
BAI
Author(s): 
Beck, Aaron T., M.D., & Steer, R.A.
Author Contact: 
Aaron T. Beck Psychopathology Research Unit 3535 Market Street, Room 2032 Philadelphia, PA 19104 Fax: (215) 573-3717 Contact first author via e-mail.
Citation: 
Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation.
To Obtain: 
Harcourt Assessment, Inc. 19500 Bulverde Road San Antonio, Texas 78259 Phone: 1-800-211-8378 Fax: 1-800-232-1223
Cost: 
$1.64
Description: 
The Beck Anxiety Inventory (BAI) is a widely used 21-item self-report inventory used to assess anxiety levels in adults and adolescents. It has been used in multiple studies, including in treatment-outcome studies for individuals who have experienced traumas. Although the age range for the measure is from 17 to 80, the measure has been used in peer-reviewed studies with younger adolescents aged 12 and older (see Notes under "Construct Validity" for studies and ages of adolescents). In a comparative analysis of the research output on clinical measures of anxiety (PsychInfo citation analysis for 1991-1998), the "BAI ranks third, behind the State-Trait Anxiety Inventory and the Fear Survey Schedule, in terms of use in research" (Piotrowski, 1999).
Theoretical Orientation Summary: 
Items were selected based upon their consistency with DSM-III-R criteria for anxiety disorders, with an emphasis on panic disorder and generalized anxiety disorder.
Domains Assessed: 
Anxiety (cgiver)
Anxiety (child)
Languages: 
Arabic
Chinese
English (USA)
Farsi
Finnish
French
German
Korean
Norwegian
Portuguese
Spanish
Swedish
Turkish
Age Range: 
12-80 Years`
Measure Type: 
Screening
Number of Items: 
21
Measure Format: 
Questionnaire
Time to Complete: 
10
Reporter: 
Self
Score Time: 
5
Education Level: 
0
Periodicity: 
Unknown
Response Format: 
4-point Likert-type scale: Not All (0), Mildly (1), Moderately (2), Severely (3)
Materials Needed: 
Paper and pencil Testing stimuli (e.g. pictures, testing kit)
Materials Notes: 
Measure can be administered as an interview if necessary.The manual gives the age range as 17-80, but because the measure has been frequently used and validated with adolescents age 12 and older, we list the age range as 12-80.Standardized scoring forms must be ordered through the Psychological Corporation. Spanish record forms are also available. Computerized scoring is also available. Materials available (as of 6/05) include:1. Complete kit with Manual and 25 Record Forms: $752. BAI Manual: $403. Record Forms (pkg/100): $150 (Pricing is based on purchase of this item.)4. Spanish Record Forms (pkg/100): $1505. Scannable Record Forms (pkg/100): $150
Sample Items: 
Domain Scales Sample
Competence Academic Competence How hard is he/she working?
Competence Adaptive Functioning Not Available
Competence Inattention Fidgets
Competence Hyperactivity-Impulsivity Disturbs others
Competence Social Problems Too dependent
Competence Thought Problems Hears things
Internalizing Anxious/depressed Hurt when criticized
Information Provided: 
Areas of concern/risks
Continuous assessment
Percentiles
Raw Scores
Standard scores

Training

Training to Administrator: 
Via manual/video
Training to Interpret: 
Not Available
Training Notes: 
The BAI can be administered and scored by paraprofessionals, but requires interpretation by professionals with the appropriate clinical training and experience as determined by the American Psychological Associations Standards for Educational and Psychological Tests.

Psychometrics

Global Rating: 
Somewhat established, psychometrics validated by researchers other than the authors
Norms: 
None
Psychometric Norm Notes: 
T-scores and percentiles are available based on Psych Corp's normal sample of community adults. Normative BAI scores are also presented in Gillis, Haaga, & Ford (1995), which included a sample of 242 individuals aged 18-65. The demographic variables for the 393 patients showed that the BAI is significantly related to gender and age, which has been replicated in numerous studies, suggesting the need for separate norms by gender and age.
Clinical Cutoffs: 
Raw scores of 8-15 (mild anxiety), 16-25 (moderate anxiety), & 26-63 (severe anxiety)

Pros & Cons

Pros: 
1. This measure is a quick screening measure used to identify anxiety symptoms in individuals. 2. The measure can either be self-reported or orally administered. 3. The 21 questions are accurate predictors of anxiety disorders, which makes this screening tool useful in diagnosing clients. 4. The BAI is a useful tool to determine client baselines. Throughout the course of therapy, the BAI can be helpful for ongoing assessment of the client's symptomatology. 5. Compared to other measures of anxiety, the BAI better discriminates anxiety symptoms from depression. 6. The measure has been validated in other countries, with studies suggesting that the measure is reliable and valid in numerous cultures.
Cons: 
1. While many items tap the somatic symptoms of anxiety, this measure fails to assess other anxiety symptoms that commonly appear in trauma-exposed individuals. 2. A number of researchers have suggested that the BAI may be tapping more physiological aspects of anxiety such as panic. The physiological aspect of anxiety is, however, an important aspect to assess in PTSD, given the high comorbidity of PTSD and panic and research studies showing that many individuals experience panic symptoms during trauma exposure and that such symptoms are related to later symptomatology (Bryant & Panasetis, 2001; Nixon & Bryant, 2003). 3. BAI symptoms have been found to be associated with measures of health status (Wetherell & Gatz, 2005), suggesting that in samples with health problems (e.g., medical trauma) an anxiety measure that taps cognitive rather than somatic aspects of anxiety may be important. 4. Given the research suggesting that females score higher than males, separate norms are needed by gender. 5. Psychometric studies involving U.S. adolescents have involved predominantly White samples. More research is needed involving samples with greater ethnic and socioeconomic diversity.

Author Comments

Author Comments: 
The author provided comments, which were integrated.
Citation for Review: 
Jennifer DeFeo, M.A.
Editor of Review: 
Chandra Ghosh Ippen, Ph.D., Nicole Taylor, Ph.D., Robyn Igelman, M.S., Madhur Kulkarni, M.S.
Last Updated: 
Wed, 06/08/2005
PDF Available: 
Yes

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