Anxiety was measured through the Beck Anxiety Inventory (Beck et al 1988) The BAI is a 21-item self- report scale that has been developed for measuring the seventy of anxiety m psychiatric populations Cronbach's alpha for the various time intervals, including both client and nurse results, ranged from 0 68 to 0 91 The only alpha below 0 85 was the nurse result of 0 68 at time-2, which reflected a greater diversity of responses at that interval