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generalized anxiety disorder scale (GAD-2, GAD-7)

7 item scale for screening & assessing treatment outcome for anxiety disorder in primary care. The GAD-2 is a 2 item version of the 7 item scale. best screening to for anxiety in primary care [1] Procedure: - questions ask the frequency of symptoms over the past 2 weeks - hard to control worry* - feelings of nervousness or anxiety - repsonses (scoring) [2] - 0: not at all - 1: several days - 2: > 1/2 of days - 3: nearly every day * "In the past 2 weeks, how often were you not able to stop worrying or control your worrying?" is the single best screening question [1] Interpretation: - a score 0-5 = minimal-mild anxiety - a score 6-10 = mild-moderate anxiety - a score 11-15 = moderate-severe anxiety - a score 16-21 = severe anxiety

General

anxiety assessment numerical rating scale (NRS)

References

  1. Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016 - Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  2. ACP Depression Care Guide: GAD-2 https://integrationacademy.ahrq.gov/sites/default/files/GAD-2_0.pdf
  3. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. PMID: 16717171
  4. Wild B, Eckl A, Herzog W, Niehoff D et al Assessing generalized anxiety disorder in elderly people using the GAD-7 and GAD-2 scales: results of a validation study. Am J Geriatr Psychiatry. 2014 Oct;22(10):1029-38. PMID: 23768681
  5. Spitzer RL, Kroenke K, Williams JB, Lowe B. A Brief Measure for Assessing Generalized Anxiety Disorder. The GAD-7. Arch Intern Med. 2006;166(10):1092-1097 PMID: 16717171 http://archinte.jamanetwork.com/article.aspx?articleid=410326
  6. Generalized Anxiety Disorder 7-item (GAD-7) scale http://www.integration.samhsa.gov/clinical-practice/GAD708.19.08Cartwright.pdf