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Screening for generalized anxiety disorder in geriatric primary care patients

✍ Scribed by Julie Loebach Wetherell; Georgia D. Birchler; Joe Ramsdell; Jürgen Unützer

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
138 KB
Volume
22
Category
Article
ISSN
0885-6230

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Objective

To compare two brief screening measures as tools for detecting generalized anxiety disorder (GAD) among older primary care patients.

Methods

Receiver operating characteristic curve analysis was used to compare the Hospital Anxiety and Depression Scale (HADS) and the Brief Symptom Inventory‐18 (BSI‐18) against GAD diagnoses obtained from a structured diagnostic interview.

Results

The HADS Anxiety subscale was the only measure that distinguished individuals with and without GAD. A cutpoint greater than or equal to 8 on the HADS Anxiety subscale resulted in a sensitivity of 0.967 and a specificity of 0.667 for detecting GAD.

Conclusions

The HADS Anxiety subscale appears to show some advantages over the BSI‐18 Anxiety subscale as a brief, self‐report measure of anxiety symptoms among older medical patients. Copyright © 2006 John Wiley & Sons, Ltd.

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