A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Reads0
Chats0
TLDR
In this article, a 7-item anxiety scale (GAD-7) had good reliability, as well as criterion, construct, factorial, and procedural validity, and increasing scores on the scale were strongly associated with multiple domains of functional impairment.Abstract:
Background Generalized anxiety disorder (GAD) is one of the most common mental disorders; however, there is no brief clinical measure for assessing GAD. The objective of this study was to develop a brief self-report scale to identify probable cases of GAD and evaluate its reliability and validity. Methods A criterion-standard study was performed in 15 primary care clinics in the United States from November 2004 through June 2005. Of a total of 2740 adult patients completing a study questionnaire, 965 patients had a telephone interview with a mental health professional within 1 week. For criterion and construct validity, GAD self-report scale diagnoses were compared with independent diagnoses made by mental health professionals; functional status measures; disability days; and health care use. Results A 7-item anxiety scale (GAD-7) had good reliability, as well as criterion, construct, factorial, and procedural validity. A cut point was identified that optimized sensitivity (89%) and specificity (82%). Increasing scores on the scale were strongly associated with multiple domains of functional impairment (all 6 Medical Outcomes Study Short-Form General Health Survey scales and disability days). Although GAD and depression symptoms frequently co-occurred, factor analysis confirmed them as distinct dimensions. Moreover, GAD and depression symptoms had differing but independent effects on functional impairment and disability. There was good agreement between self-report and interviewer-administered versions of the scale. Conclusion The GAD-7 is a valid and efficient tool for screening for GAD and assessing its severity in clinical practice and research.read more
Citations
More filters
Journal ArticleDOI
Mindfulness-based stress reduction for women diagnosed with breast cancer
TL;DR: MBSR may improve quality of life slightly at the end of the intervention but may result in little to no difference up to 6 months (based on low-certainty evidence from three studies with a total of 339 participants); however, these confidence intervals (except for short-term depression) are compatible with both an improvement and little toNo difference.
Journal ArticleDOI
Effect of the COVID-19-induced lockdown on nutrition, health and lifestyle patterns among adults in Zimbabwe
TL;DR: The lockdown period was associated with increase in food prices, decrease in dietary diversification, elevated GAD symptoms, disrupted diet and consumption patterns, thus increasing the risk of overweight and obesity.
Journal ArticleDOI
Stigma and suicide risk among the LGBTQ population: Are anxiety and depression to blame and can connectedness to the LGBTQ community help?
Andrea R. Kaniuka,Kelley C. Pugh,Megan Jordan,Byron D. Brooks,Julia Dodd,Abbey K. Mann,Stacey L. Williams,Jameson K. Hirsch +7 more
TL;DR: In this article, the authors examined the effect of community connectedness on the risk of suicidal behavior in the context ofLGBTQ individuals, and found that protective factors, such as community connection, may reduce risk.
Journal ArticleDOI
Lisdexamfetamine Dimesylate Augmentation in Adults With Persistent Executive Dysfunction After Partial or Full Remission of Major Depressive Disorder
Manisha Madhoo,Richard S.E. Keefe,Robert M. Roth,Angelo Sambunaris,James Wu,Madhukar H. Trivedi,Colleen Anderson,Robert Lasser +7 more
TL;DR: In this trial, LDX augmentation significantly improved executive dysfunction and depressive symptoms in participants with mild MDD and the safety profile of LDX was consistent with prior studies in adults with attention-deficit/hyperactivity disorder.
Journal ArticleDOI
Predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder--comparison with DSM-IV somatoform disorders and additional criteria for consideration.
Katharina Voigt,Eileen Wollburg,Nina Weinmann,Annabel Herzog,Björn Meyer,Gernot Langs,Bernd Löwe +6 more
TL;DR: Psychological symptoms enhance predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder compared to DSM-IV somatoform disorders and identifies more psychologically impaired patients than its DSM- IV precursor.
References
More filters
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal ArticleDOI
The PHQ-9: validity of a brief depression severity measure.
TL;DR: In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity, which makes it a useful clinical and research tool.
Journal ArticleDOI
An inventory for measuring clinical anxiety: psychometric properties.
TL;DR: Un nouvel inventaire auto-administre destine a mesurer l'anxiete pathologique, le «Beck Anxiety Cheklist» (BAI) est decrit, evalue et compare au «Hamilton Anxiety Rating Scale» (test avec lequel des correlations moderees sont trouvees).
Journal ArticleDOI
The validity of the Hospital Anxiety and Depression Scale: An updated literature review
TL;DR: HADS was found to perform well in assessing the symptom severity and caseness of anxiety disorders and depression in both somatic, psychiatric and primary care patients and in the general population.