Screening for generalized anxiety disorder in Spanish Primary Care Centers with the GAD-7

Abstract The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite...

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Published in:	Psychiatry research Vol. 256; pp. 312 - 317
Main Authors:	Muñoz-Navarro, Roger, Cano-Vindel, Antonio, Moriana, Juan Antonio, Adrián Medrano, Leonardo, Ruíz-Rodríguez, Paloma, Agüero, Laura, Rodríguez-Enríquez, Mónica, Pizà, María Rosa, Ramírez-Manent, Ignasi
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01-10-2017
Subjects:	Adolescent Adult Aged Anxiety Disorders - diagnosis Computerized instruments Criterion validity Diagnostic and Statistical Manual of Mental Disorders Female GAD-7 Generalized anxiety disorder Health Surveys Humans Male Mass Screening - methods Middle Aged Predictive Value of Tests Primary care Primary Health Care - methods Psychiatry Psychological Tests - standards Reference Values Reproducibility of Results Screening Sensitivity and Specificity Spain Surveys and Questionnaires - standards Young Adult primary care screening computerized instruments GAD-7 generalized anxiety disorder criterion validity Screening Criterion validity Generalized anxiety disorder Computerized instruments Primary care
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Abstract	Abstract The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite International Diagnostic Interview (CIDI) for DSM-IV Axis I Disorders, which was used as a reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. A cut-off of 10 yielded a sensitivity of .87, a specificity of .78, a positive predictive value of .93, a negative predictive value of .64, a positive likelihood ratio of 3.96 a negative likelihood ratio of .17 and Younden's Index of .65. The GAD-7 performed very well with a cut-off value of 10, the most frequently used cut-off point. Thus, a computerized version of the GAD-7 is an excellent screening tool for detecting general anxiety disorder in Spanish primary care settings.
AbstractList	Abstract The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite International Diagnostic Interview (CIDI) for DSM-IV Axis I Disorders, which was used as a reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. A cut-off of 10 yielded a sensitivity of .87, a specificity of .78, a positive predictive value of .93, a negative predictive value of .64, a positive likelihood ratio of 3.96 a negative likelihood ratio of .17 and Younden's Index of .65. The GAD-7 performed very well with a cut-off value of 10, the most frequently used cut-off point. Thus, a computerized version of the GAD-7 is an excellent screening tool for detecting general anxiety disorder in Spanish primary care settings. The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite International Diagnostic Interview (CIDI) for DSM-IV Axis I Disorders, which was used as a reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. A cut-off of 10 yielded a sensitivity of .87, a specificity of .78, a positive predictive value of .93, a negative predictive value of .64, a positive likelihood ratio of 3.96 a negative likelihood ratio of .17 and Younden's Index of .65. The GAD-7 performed very well with a cut-off value of 10, the most frequently used cut-off point. Thus, a computerized version of the GAD-7 is an excellent screening tool for detecting general anxiety disorder in Spanish primary care settings. The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite International Diagnostic Interview (CIDI) for DSM-IV Axis I Disorders, which was used as a reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. A cut-off of 10 yielded a sensitivity of .87, a specificity of .78, a positive predictive value of .93, a negative predictive value of .64, a positive likelihood ratio of 3.96 a negative likelihood ratio of .17 and Younden's Index of .65. The GAD-7 performed very well with a cut-off value of 10, the most frequently used cut-off point. Thus, a computerized version of the GAD-7 is an excellent screening tool for detecting general anxiety disorder in Spanish primary care settings. •Generalized anxiety disorder is highly prevalent in Spanish primary care centers.•The criterion validity was tested of a computerized version of the Spanish GAD-7.•The GAD-7 performed very well as a screening instrument with a cut-off of 10.•A ROC curve study was compared to the CIDI clinical interview as a gold standard.
Author	Ruíz-Rodríguez, Paloma Moriana, Juan Antonio Agüero, Laura Rodríguez-Enríquez, Mónica Pizà, María Rosa Ramírez-Manent, Ignasi Cano-Vindel, Antonio Adrián Medrano, Leonardo Muñoz-Navarro, Roger
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Keywords	primary care screening computerized instruments GAD-7 generalized anxiety disorder criterion validity Screening Criterion validity Generalized anxiety disorder Computerized instruments Primary care
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Snippet	Abstract The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to... The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect...
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SubjectTerms	Adolescent Adult Aged Anxiety Disorders - diagnosis Computerized instruments Criterion validity Diagnostic and Statistical Manual of Mental Disorders Female GAD-7 Generalized anxiety disorder Health Surveys Humans Male Mass Screening - methods Middle Aged Predictive Value of Tests Primary care Primary Health Care - methods Psychiatry Psychological Tests - standards Reference Values Reproducibility of Results Screening Sensitivity and Specificity Spain Surveys and Questionnaires - standards Young Adult
Title	Screening for generalized anxiety disorder in Spanish Primary Care Centers with the GAD-7
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