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

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Introduction

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
  • 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

More general terms

References

  1. 1.0 1.1 1.2 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. 2.0 2.1 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: https://www.ncbi.nlm.nih.gov/pubmed/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: https://www.ncbi.nlm.nih.gov/pubmed/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 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/16717171 <Internet> 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