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Journal of Clinical and
            Basic Psychosomatics                                  Psychometric analysis of the mass shootings worry inventory




            Table 1. MSWI group comparisons
             Measures            Dysfunctional worry   Non‑dysfunctional worry   Mean scores   t (df)  Cohen’s d
                                  group mean scores   group mean scores    difference
            Post-traumatic stress     15.94                9.01              6.93       22.07 (756.23) a  1.57
            Negative religious coping  4.63                1.44              3.19       21.20 (757) a   1.56
            Substance-use coping       4.30                1.21              3.09       18.41 (560.53) a  1.41
            Functional impairment     11.48                3.39              8.09       23.44 (757) a   1.72
                a
            Note:  P<0.001, MSWI: Mass shootings worry inventory.
            validity. The MSWI scores were strongly correlated with   mass shooting event. Because the MSWI is only two items
            measures  of  post-traumatic  stress  (r  =  0.69,  P  <  0.001),   long, it can easily be incorporated into most medical and
            functional impairment  (r  =  0.67,  P  < 0.001),  negative   mental health evaluations. Moreover, researchers can
            religious coping (r = 0.64, P < 0.001), and substance-use   readily include the MSWI in large-scale research studies on
            coping (r  = 0.58,  P  < 0.001). Similarly, the independent   the psychological effects of mass shooting events without
            sample t-tests showed that the dysfunctional worry   having to worry about survey length.
            group showed severer post-traumatic stress, functional
            impairment,  negative  religious  coping,  and  substance-  Acknowledgments
            use coping than their less worried counterparts (Table 1).   None.
            The  effect  sizes  are  considered  large  (Cohen’s  d  >  0.80),
            which is consistent with previous literature suggesting that   Funding
            dysfunctional anxiety is highly distressing, crippling, and
            associated with maladaptive coping strategies [4,8,9] .  None.
              Mass shootings appear to be a relatively common event   Conflict of interest
            in the U.S., and 79% of adults report experiencing stress due   The authors declare that they have no competing interests.
            to a possible mass shooting . The past research has shown
                                 [6]
            that similar traumatic events produce negative psychological   Author contributions
            and physical health outcomes for the public [15,16] . However,
            relatively little attention has been paid to the mental health   Conceptualization: All authors
            consequences of this public form of gun violence. Because   Formal analysis: All authors
            normal reactions of worry should be expected in the   Investigation: All authors
            aftermath of a mass shooting, researchers and clinicians   Methodology: All authors
            need specific tools to help them distinguish people’s   Writing – original draft: All authors
            “normal” worry about mass shootings from “dysfunctional”   Writing – review and editing: All authors
            manifestations of this concern. Persistent patterns of worry   Ethics approval and consent to participate
            are clinically distressing and can lead to further health
            problems . In sum, this study supports the reliability and   All procedures performed in this study were in accordance
                   [6]
            validity of the MSWI. Although more research should be   with the ethical standards of Christopher Newport
            conducted on the psychometric integrity and cross-cultural   University’s (CNU) institutional research committee
            validity of the MSWI, this study represents one of the first   and with the 1964 Helsinki Declaration and its later
            steps in the empirical validation of this screening tool.  amendments or comparable ethical standards. The CNU
                                                               IRB reviewed and approved the current study’s research
            4. Conclusion                                      project (project 1493187-1)  on  September 18,  2019,
            The results of this survey study of 759 adults revealed that   according to federal regulations. Informed consent, using
            the MSWI is a reliable and valid screening tool to measure   an online form, was obtained from all individual adult
            dysfunctional worry over a modern form of public gun   participants included in the present study.
            violence. Given that mass shooting events appear common   Consent for publication
            and can be viewed as a significant macro-level social
            stressor, we recommend that clinicians and researchers use   The data used in this study were granted permission by
            the MSWI in their respective lines of work. For example,   the participants using an online consent form. The data
            clinicians can use the MSWI to quickly screen patients   are based on survey research using rating-type scales and
            who have been exposed, either directly or indirectly, to a   choice options, with no personal identifying information.


            Volume 1 Issue 1 (2023)                         3                        https://doi.org/10.36922/jcbp.0546
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