Screening for generalized anxiety disorder in Spanish primary care centers with the GAD-7

被引：56

作者：

Munoz-Navarro, Roger ^{[1
]}

Cano-Vindel, Antonio ^{[2
]}

Antonio Moriana, Juan ^{[3
]}

Adrian Medrano, Leonardo ^{[4
]}

Ruiz-Rodriguez, Paloma ^{[5
]}

Aguero-Gento, Laura ^{[6
]}

Rodriguez-Enriquez, Monica ^{[6
]}

Rosa Piza, Maria ^{[7
]}

Ignacio Ramirez-Manent, Jose ^{[8
]}

机构：

[1] Univ Valencia, Fac Psychol, Dept Basic Psychol, Valencia, Spain

[2] Univ Complutense Madrid, Fac Psychol, Dept Basic Psychol, Madrid, Spain

[3] Univ Cordoba, Dept Psychol, Maimonides Inst Res Biomed Cordoba IMIBIC, Cordoba, Spain

[4] Univ Siglo 21, Fac Psychol, Cordoba, Argentina

[5] Hlth Serv Madrid, Castilla La Nueva Primary Care Ctr, Madrid, Spain

[6] Hlth Serv Balear Isl, Son Espases Univ Hosp, Palma De Mallorca, Balear Islands, Spain

[7] Hlth Serv Balear Isl, Palmanova Calvin Mental Hlth Serv, Palma De Mallorca, Balear Islands, Spain

[8] Hlth Serv Balear Isl, Calvia Primary Care Ctr, Palma De Mallorca, Balear Islands, Spain

来源：

PSYCHIATRY RESEARCH | 2017年 / 256卷

关键词：

Screening; Generalized anxiety disorder; GAD-7; Primary care; Criterion validity; Computerized instruments; MENTAL-DISORDERS; PREVALENCE; EUROPE; COMORBIDITY; IMPAIRMENT; VALIDATION; SETTINGS; UTILITY; BURDEN; SPAIN;

D O I：

10.1016/j.psychres.2017.06.023

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

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 s.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.

引用

页码：312 / 317

页数：6

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