The DOI matches its Crossref record; 28 of the 29 references it cites were found in a registry or an index.
Cultural-based biases of the GAD-7
Abstract
The GAD-7 is a popular measure of generalized anxiety disorder (GAD) symptoms that has been used across many cultural groups. Existing evidence demonstrates that the prevalence of GAD varies across self-identified ethnic/cultural groups, a phenomenon that some researchers attribute to cross-cultural measurement error rather than to actual differences in rates of GAD. Nonetheless, the effect of culture on factor structure and response patterns to the GAD-7 have not been examined and could result over- or under-estimated GAD-7 scores across different cultural groups. The current investigation assessed the factor structure of the GAD-7 in White/Caucasian, Hispanic, and Black/African American undergraduates and tested for cultural-based biases. A modified one-factor model exhibited good fit across subsamples. Results revealed that Black/African American participants with high GAD symptoms scored lower on the GAD-7 than other participants with similar GAD symptoms. Results highlight the need for culturally sensitive GAD screening tools.
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“The GAD-7 has shown good internal consistency (α=.89-.90) and validity in POC samples [66].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [66]
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Metadata
- Authors
- Parkerson, H. A., Thibodeau, M. A., Brandt, C. P., Zvolensky, M. J., & Asmundson, G. J. G.
- Affiliations
- University of Regina (CA)
- University of Houston (US)
- Corresponding author
- Asmundson, Gordon J.G.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 31
- Pages
- 38-42
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2035861228
- Cited by
- 115
- References
- 29
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 13 · 2023: 12 · 2022: 17 · 2021: 20 · 2020: 10 · 2019: 12 · 2018: 3 · 2017: 3 · 2015: 1
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (FRN: 131152)
- CIHR Doctoral Award (FRN: 113434)
- National Institutes of Mental Health (1 F31 MH099922-01A1)
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- GAD-7, generalized anxiety disorder, cultural bias, factor structure, anxiety screening, African American students, Hispanic students
- MeSH terms
- Analysis of Variance, Anxiety Disorders, Black or African American, Cross-Cultural Comparison, Culture, Female, Hispanic or Latino, Humans, Male, Psychiatric Status Rating Scales, Early Diagnosis, Young Adult
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