Worry Scale for Older Adults
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About Worry Scale for Older Adults
Scale Name
Worry Scale for Older Adults
Author Details
Patricia A. Wisocki
Translation Availability
English

Background/Description
The Worry Scale for Older Adults (WSOA) is a self-report questionnaire designed to assess worry and anxiety among older adults, focusing on concerns particularly relevant to this population. Developed in 1988 by Patricia A. Wisocki, the WSOA was created to address the unique worry content of older adults, such as health, finances, and social issues, which may differ from those of younger populations. Its development responded to the need for a tailored tool to evaluate anxiety in the elderly, where worry can impact quality of life and contribute to mental health challenges like generalized anxiety disorder (GAD) or depression.
The original WSOA consists of 35 items, rated on a 5-point Likert scale (0 = “never” to 4 = “much of the time”), covering three subscales: financial concerns (5 items), health concerns (17 items), and social concerns (13 items). Total scores range from 0 to 140, with higher scores indicating greater worry. A revised version, the Worry Scale for Older Adults–Revised (WSOA-R), expanded to 88 items, includes additional subscales: world issues, personal concerns, and family issues, plus a brief coping instrument. The WSOA is validated in community-dwelling and homebound older adults, showing sensitivity to worry’s functional impact. Its brevity (original version) makes it practical for clinical use, while the revised version offers deeper insight for research.
Psychologists and clinicians value the WSOA for its specificity to older adults, aiding in screening, treatment planning, and outcome evaluation for interventions like cognitive-behavioral therapy (CBT). Its translations enhance its applicability, enabling professionals to assess worry in diverse elderly populations, supporting tailored mental health care with empathy and precision.
Administration, Scoring and Interpretation
- Obtain a copy of the Worry Scale for Older Adults (original or revised) from a reputable source, such as peer-reviewed journals, authorized psychological research platforms, or the University of Massachusetts archives, ensuring proper use permissions.
- Explain the purpose of the WSOA to the respondent, noting that it assesses worries common among older adults to guide care or research, emphasizing its straightforward format.
- Provide instructions, asking the respondent to rate each item (35 for the original, 88 for the revised) based on how often they worry about each concern, using the 0-4 scale, typically over the past week or month.
- Approximate time for completion is 5-10 minutes for the original WSOA and 15-20 minutes for the WSOA-R, depending on the respondent’s pace.
- Administer the scale in a private, comfortable setting, using paper or digital formats, to promote honest and accurate responses.
Reliability and Validity
The WSOA demonstrates acceptable psychometric properties, though limited studies on the revised version warrant caution. The original WSOA shows good internal consistency, with Cronbach’s alpha values of 0.70-0.85 across subscales, and the WSOA-R reports similar reliability (α ≥ 0.70). Test-retest reliability for the original WSOA is adequate, with correlations of 0.70-0.80 over short intervals in stable populations, but data for the WSOA-R is sparse.
Convergent validity is supported by moderate correlations with other anxiety measures, such as the Penn State Worry Questionnaire (r = 0.50-0.65) and the Spielberger State-Trait Anxiety Inventory (r = 0.45-0.60), in older adults with GAD or community samples. Discriminant validity is evidenced by weaker correlations with depression scales (r < 0.40), though some overlap occurs due to worry’s emotional impact. Criterion validity is shown through its ability to differentiate worry levels in clinical (e.g., GAD) versus nonclinical samples and its correlation with mental and physical health outcomes. Mean scores range from 10.4-17.4 in active community samples to 17.3-23.7 in homebound older adults, with GAD samples averaging 35.4. These qualities, as noted by Wisocki (1988) and Stanley et al. (1996), affirm its utility, though further validation of the WSOA-R is needed.
Available Versions
35-Items
Reference
Wisocki, P. A. (1988). Worry as a phenomenon relevant to the elderly. Behavior Therapy, 19(3), 369-379.
Important Link
Scale File:
Frequently Asked Questions
What does the WSOA measure?
It measures worry in older adults, focusing on financial, health, and social concerns.
Who can use the WSOA?
Clinicians, psychologists, and researchers assessing anxiety in older adults.
How long does the WSOA take to complete?
The original takes 5-10 minutes; the revised takes 15-20 minutes.
Is the WSOA specific to older adults?
Yes, it’s tailored to their unique worry content.
Can the WSOA track treatment outcomes?
Yes, it’s sensitive to changes from interventions like CBT.
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