The utility of the generalized anxiety disorder severity scale (GADSS) with older adults in primary care
Open accessAbstract
BACKGROUND: The Generalized Anxiety Disorder Severity Scale (GADSS) is an interview rating scale designed specifically for assessing symptom severity of generalized anxiety disorder (GAD), which has demonstrated positive psychometric data in a sample of adult primary care patients with GAD and panic disorder. However, the psychometric properties of the GADSS have not been evaluated for older adults. METHODS: This study evaluated the psychometric properties of the GADSS, administered via telephone, with a sample of older primary care patients (n=223) referred for treatment of worry and/or anxiety. RESULTS: The GADSS demonstrated adequate internal consistency, strong inter-rater reliability, adequate convergent validity, poor diagnostic accuracy, and mixed discriminant validity. CONCLUSIONS: Results provide mixed preliminary support for use of the GADSS with older adults.
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The GADSS has adequate psychometric properties among older adults.
“has adequate psychometric properties among older adults (Andreescu et al., 2008; Weiss et al., 2009).”
From Cognitive-behavioral therapy for late-life anxiety: Similarities and differences between Veteran and community participants (2015) · cites this paper as Weiss et al., 2009
The Discussion reports adequate internal consistency and convergent validity, strong inter-rater reliability, and a unidimensional factor structure. But it concludes that psychometric properties were mixed among older adults in primary care, citing poor diagnostic accuracy and weak divergent validity; the unqualified claim overstates the findings. (LLM, conf=0.88)
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“[36,39,51] Clinician-rated worry/GAD severity was evaluated with the Generalized Anxiety Disorder Severity Scale (GADSS),[52] a six-item scale that assesses DSM-IV criteria and has adequate psychometric properties among older adults.[53,54]”
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“…GAD severity was rated with the Generalized Anxiety Disorder Severity Scale (GADSS; Shear, Belnap, Mazumdar, Houck, & Rollman, 2006), a six-item measure that assesses DSM-IV criteria and has adequate psychometric properties among older adults (Andreescu et al., 2008; Weiss et al., 2009).”
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“The GADSS is a six-item, clinician-rated scale used for assessing GAD symptom severity, with adequate internal consistency, interrater agreement, convergent validity, and mixed discriminant validity (Weiss et al., 2009).”
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“The Generalized Anxiety Disorder Severity Scale (GADSS; Shear et al., 2006) is a six-item clinicianrated instrument with adequate psychometric properties among older adults (Weiss et al., 2009).”
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Clinical Assessment of Late-Life Anxiety
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- Authors
- Weiss, B. J., Calleo, J., Rhoades, H. M., Novy, D. M., Kunik, M. E., Lenze, E. J., & Stanley, M. A.
- Affiliations
- University of Nebraska–Lincoln (US)
- Michael E. DeBakey VA Medical Center (US)
- The University of Texas Health Science Center at Houston (US)
- The University of Texas MD Anderson Cancer Center (US)
- Washington University in St. Louis (US)
- Corresponding author
- Stanley, Melinda A.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2009-01
- Volume
- 26
- Issue
- 1
- Pages
- E10-E15
- ISSN
- 1091-4269 (ISSN-L)
- 1520-6394
- PMC
- PMC2709998
- OpenAlex
- W2164559880
- Cited by
- 18
- References
- 42
- Citations by year
- 2023: 1 · 2021: 1 · 2017: 1 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2434 d)
- Locations
- Depression and Anxiety (publishedVersion, public-domain)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH 53932, R01MH053932)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- generalized anxiety disorder, older adults, primary care, psychometric properties, diagnostic accuracy, convergent validity, discriminant validity, inter-rater reliability, internal consistency, anxiety assessment
- MeSH terms
- Age Factors, Aged, Anxiety Disorders, Female, Humans, Interviews as Topic, Male, Mass Screening, Middle Aged, Personality Assessment, Personality Inventory, Primary Health Care, Psychometrics, Reference Values, Referral and Consultation, Reproducibility of Results, Comorbidity, Cognitive Behavioral Therapy, Mood Disorders
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