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
Randomized controlled trial of Internet-delivered cognitive behavioral therapy for posttraumatic stress disorder.
Jay Spence,Nickolai Titov,Blake F. Dear,Luke Johnston,Karen Solley,Carolyn N. Lorian,Carolyn N. Lorian,Bethany M. Wootton,Judy Zou,Genevieve Schwenke,Genevieve Schwenke +10 more
TL;DR: Results provide preliminary support for Internet‐based CBT as an efficacious treatment for individuals with a confirmed primary diagnosis of PTSD, according to Wiley‐Liss, Inc.
Journal ArticleDOI
Relationship between loneliness and mental health in students
TL;DR: In this paper, a longitudinal analysis of 454 British undergraduate students completed measures of loneliness and mental health at four time points and found that greater loneliness predicted greater anxiety, stress, depression and general mental health over time.
Journal ArticleDOI
Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties†
Anju Devianee Keetharuth,John Brazier,Janice Connell,Jakob B. Bjorner,Jill Carlton,Elizabeth Taylor Buck,Tom Ricketts,Kirsty McKendrick,John Browne,Tim Croudace,Michael Barkham +10 more
TL;DR: Both versions of the Recovering Quality of Life measure are appropriate for measuring service-user recovery-focused quality of life outcomes.
Journal ArticleDOI
Engaging Diverse English- and Spanish-Speaking Older Adults in Advance Care Planning: The PREPARE Randomized Clinical Trial.
Rebecca L. Sudore,Dean Schillinger,Dean Schillinger,Mary Katen,Ying Shi,Ying Shi,W. John Boscardin,Stacy Osua,Deborah E. Barnes +8 more
TL;DR: The patient-facing PREPARE program and an easy-to-read advance directive, without clinician-level or system-level interventions, increased documentation of advance care planning and patient-reported engagement, with statistically higher gains for PREPare vs advance directive alone.
Journal ArticleDOI
Quality of life, psychological burden, needs, and satisfaction during specialized inpatient palliative care in family caregivers of advanced cancer patients
Anneke Ullrich,Lilian Ascherfeld,Gabriella Marx,Carsten Bokemeyer,Corinna Bergelt,Karin Oechsle +5 more
TL;DR: This pilot study demonstrated feasibility of the questionnaire survey and showed relevant psychosocial burden and unmet needs in FCs during SIPC and FCs’ satisfaction with SipC seemed to be high.
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.