Adaptation of the Russian version of the Generalized Anxiety Disorder-7

327

Abstract

Aim. The Generalized Anxiety Disorder–7 is the «gold standard» for assessing anxiety in clinical and population studies. The aim of this study was to adapt the Russian version of the GAD–7. Method. In this cross–sectional study, 1,130 respondents participated. They were recruited through accidental sampling. The participants completed the Russian versions of the GAD–7 and the Patient Health Questionnaire–9 (PHQ–9) measuring the severity of depressive symptomatology. Results. The factor structure of the Russian version of the GAD–7 corresponds to both a unidimensional model that measures the general anxiety score and a two–dimensional model that highlights the cognitive–emotional and somatic components of anxiety. The adapted scale has high internal reliability (α = 0,93) and convergent validity, confirmed through statistically significant positive correlations between the GAD–7 and the PHQ–9 scores. Conclusion. The Russian version of the GAD–7 is valid and reliable and can be recommended for assessing anxiety in the general population. Avenues for further psychometric examining lie in expanding validation procedures and involving clinical samples to prove the specificity and sensitivity of the GAD–7, and to determine its diagnostic capabilities in clinical research and practice.

General Information

Keywords: GAD–7, anxiety, anxiety disorders, depressive disorders, psychometric properties

Journal rubric: Testing and Validating Instruments

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2023310402

Received: 11.03.2023

Accepted:

For citation: Zolotareva A.A. Adaptation of the Russian version of the Generalized Anxiety Disorder-7. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2023. Vol. 31, no. 4, pp. 31–46. DOI: 10.17759/cpp.2023310402. (In Russ., аbstr. in Engl.)

References

  1. Zolotareva A.A., Smirnikova O.V., J.S. Vitko. Somatizaciya, psihologicheskij distress i kachestvo zhizni u sel'skih i gorodskih zhitelej Rossii [Somatization, psychological distress, and quality of life in rural and urban Russians]. Psihologicheskij zhurnal [Psychological Journal], 2022. Vol. 54, no. 6, pp. 94¾104. DOI: 10.31857/S020595920023648–8 (in Russ., abstr. in Engl.).
  2. Akaike H. A new look at the statistical model identification. In: Parzen E., Tanabe K., Kitagawa G. (eds). Selected Papers of Hirotugu Akaike. Springer Series in Statistics. NY.: Springer, 1974. Pp. 716¾723. DOI: 10.1007/978–1–4612–1694–0_16
  3. Beard C., Björgvinsson T. Beyond generalized anxiety disorder: Psychometric properties of the GAD–7 in a heterogeneous psychiatric sample. Journal of Anxiety Disorders, 2014. Vol. 28, no. 6, pp. 547¾552. DOI:10.1016/j.janxdis.2014.06.002
  4. Borgogna N.C., Brenner R.E., McDermott R.C. Sexuality and gender invariance of the PHQ–9 and GAD–7: Implications for 16 identity groups. Journal of Affective Disorders, 2021. Vol. 278, pp. 122¾130. DOI: 10.1016/j.jad.2020.09.069
  5. Byrd–Bredbenner C., Eck K., Quick V. Psychometric properties of the Generalized Anxiety Disorder–7 and Generalized Anxiety Disorder–Mini in United States university students. Frontiers in Psychology, 2020. Vol. 11, e550533. DOI: 10.3389/fpsyg.2020.550533
  6. COVID–19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID–19 pandemic. Lancet, 2021. Vol. 398, no. 10312, pp. 1700¾1712. DOI: 10.1016/S0140–6736(21)02143–7
  7. Dhira T.A., Rahman M,A,, Sarker A.R, Mehareen J. Validity and reliability of the Generalized Anxiety Disorder–7 (GAD–7) among university students of Bangladesh. PLoS ONE, 2021. Vol. 16, no. 12, e0261590. DOI: 10.1371/journal.pone.0261590
  8. Doi S., Ito M., Takebayashi Y., Muramatsu K., Horikoshi M. Factorial validity and invariance of the 7–item Generalized Anxiety Disorder Scale (GAD–7) among populations with and without self–reported psychiatric diagnostic status. Frontiers in Psychology, 2018. Vol. 9, e1741. DOI: 10.3389/fpsyg.2018.01741
  9. García–Campayo J., Zamorano E., Ruiz M.A., Pardo A., Pérez–Páramo M., López–Gómez V., Freire O., Rejas J. Cultural adaptation into Spanish of the generalized anxiety disorder–7 (GAD–7) scale as a screening tool. Health and Quality of Life Outcomes, 2010. Vol. 8, p. 8. DOI: 10.1186/1477–7525–8–8
  10. Grosse S.D., Lollar D.J., Campbell V.A., Chamie M. Disability and disability–adjusted life years: Not the same. Public Health Reports, 2009. Vol. 124, no. 2, pp. 197¾202. DOI: 10.1177/003335490912400206
  11. Hinz A., Klein A.M., Brähler E., Glaesmer H., Luck T., Riedel–Heller S.G., Wirkner K., Hilbert A. Psychometric evaluation of the Generalized Anxiety Disorder Screener GAD–7, based on a large German general population sample. Journal of Affective Disorders, 2017. Vol. 210, pp. 338¾344. DOI: 10.1016/j.jad.2016.12.012
  12. Hu L.T., Bentler P.M. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternative. Structural Equation Modeling: A Multidisciplinary Journal, 1999. Vol. 6, pp. 1¾55. DOI: 10.1080/10705519909540118
  13. Huang X., Wu D., Wu A.S., Wei C.W., Gao J.D. The association of insomnia with depression and anxiety symptoms in patients undergoing noncardiac surgery. Neuropsychiatric Disease and Treatment, 2021. Vol. 17, pp. 915¾924. DOI: 10.2147/NDT.S296986
  14. 14.    Johnson S.U., Ulvenes P.G., Øktedalen T., Hoffart A. Psychometric properties of the General Anxiety Disorder 7–item (GAD–7) scale in a heterogeneous psychiatric sample. Frontiers in Psychology, 2019. Vol. 10, e1713. DOI: 10.3389/fpsyg.2019.01713
  15. Kroenke K., Spitzer R., Williams J.B.W. The PHQ–9. Validity of a brief depression severity measure. Journal of General Internal Medicine, 2001. Vol. 16, no. 9, pp. 606¾613. DOI: 10.1046/j.1525–1497.2001.016009606.x
  16. Kroenke K., Wu J., Yu Z., Bair M.J., Kean J., Stump T., Monahan P.O. The Patient Health Questionnaire Anxiety and Depression Scale (PHQ–ADS): Initial validation in three clinical trials. Psychosomatic Medicine, 2016. Vol. 78, no. 6, pp. 716¾727. DOI: 10.1097/PSY.0000000000000322
  17. Löwe B., Decker O., Müller S., Brähler E., Schellberg D., Herzog W., Herzberg P.Y. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD–7) in the general population. Medical Care, 2008. Vol. 46, no. 3, pp. 266¾274. DOI: 10.1097/MLR.0b013e318160d093
  18. Manea L., Gilbody S., McMillan D. Optimal cut–off score for diagnosing depression with the Patient Health Questionnaire (PHQ–9): A meta–analysis. Canadian Medical Association Journal, 2012. Vol. 184, no. 3, pp. 191¾196. DOI: 10.1503/cmaj.110829
  19. Martin P. The epidemiology of anxiety disorders: A review. Dialogues in Clinical Neuroscience, 2003. Vol. 5, no. 3, pp. 281¾298. DOI: 10.31887/DCNS.2003.5.3/pmartin
  20. Micoulaud–Franchi J.A., Lagarde S., Barkate G., Dufournet B., Besancon C., Trébuchon–Da Fonseca A., Gavaret M., Bartolomei F., Bonini F., McGonigal A. Rapid detection of generalized anxiety disorder and major depression in epilepsy: Validation of the GAD–7 as a complementary tool to the NDDI–E in a French sample. Epilepsy & Behavior, 2016. Vol. 57, pp. 211¾216. DOI: 10.1016/j.yebeh.2016.02.015
  21. Monteiro S., Bártolo A., Torres A., Pereira A. (Re)examining the factorial structure of the generalized anxiety disorder–7 in a college students sample. European Psychiatry, 2017. Vol. 41, pp. 106¾169. DOI: 10.1016/j.eurpsy.2017.01.1879
  22. Moreno E., Muñoz–Navarro R., Adrián Medrano L.A., González–Blanch C., Ruiz–Rodríguez P., Limonero J.T., Moretti L.S., Cano–Vindel A., Moriana J.A. Factorial invariance of a computerized version of the GAD–7 across various demographic groups and over time in primary care patients. Journal of Affective Disorders, 2019. Vol. 252, pp. 114¾121. DOI: 10.1016/j.jad.2019.04.032
  23. Newman W. Value added? A pragmatic analysis of the routine use of PHQ–9 and GAD–7 scales in primary care. General Hospital Psychiatry, 2022. Vol. 79, pp. 15¾18. DOI: 10.1016/j.genhosppsych.2022.09.005
  24. Nunes J.C., Carroll M.K., Mahaffey K.W., Califf R.M., Doraiswamy P.M., Short S., Shah S.H., Swope S., Williams D., Hernandez A.F., Hong D.S. General Anxiety Disorder–7 Questionnaire as a marker of low socioeconomic status and inequity. Journal of Affective Disorders, 2022. Vol. 315, pp. 287¾297. DOI: 10.1016/j.jad.2022.08.085
  25. Omani–Samani R., Ghaheri A., Navid B., Sepidarkish M., Maroufizadeh S. Prevalence of generalized anxiety disorder and its related factors among infertile patients in Iran: A cross–sectional study. Health and Quality Life Outcomes, 2018. Vol. 16, p. 129. DOI: 10.1186/s12955–018–0956–1
  26. Plummer F., Manea L., Trepel D., McMillan D. Screening for anxiety disorders with the GAD–7 and GAD–2: A systematic review and diagnostic metaanalysis. General Hospital Psychiatry, 2016. Vol. 39, pp. 24¾31. DOI: 10.1016/j.genhosppsych.2015.11.005
  27. Pranckeviciene A., Saudargiene A., Gecaite–Stonciene J., Liaugaudaite V., Griskova–Bulanova I., Simkute D., Naginiene R., Dainauskas L.L., Ceidaite G., Burkauskas J. Validation of the patient health questionnaire–9 and the generalized anxiety disorder–7 in Lithuanian student sample. PLoS ONE, 2022. Vol. 17, no. 1, e0263027. DOI: 10.1371/journal.pone.0263027
  28. Romano I., Ferro M.A., Patte K.A., Leatherdale S.T. Measurement invariance of the GAD–7 and CESD–R–10 among adolescents in Canada. Journal of Pediatric Psychology, 2022. Vol. 47, no. 5, pp. 585¾594. DOI: 10.1093/jpepsy/jsab119
  29. Rutter L.A., Brown T.A. Psychometric properties of the generalized anxiety disorder scale–7 (GAD–7) in outpatients with anxiety and mood disorders. Journal of Psychopathology and Behavioral Assessment, 2017. Vol. 39, pp. 140¾146. DOI: 10.1007/s10862–016–9571–9
  30. Schumacker R.E., Lomax R.G. A beginner’s guide to structural equation modeling (2nd edition). New York: Psychology Press, 1996. 304 P.
  31. Schwarz G. Estimating the dimension of a model. Annals of Statistics, 1978. Vol. 6, pp. 461¾464. DOI:10.1214/aos/1176344136
  32. Shih Y.C., Chou C.C., Lu Y.J., Yu H.Y. Reliability and validity of the traditional Chinese version of the GAD–7 in Taiwanese patients with epilepsy. Journal of the Formosan Medical Association, 2022. Vol. 121, no. 11, pp. 2324¾2330. DOI: 10.1016/j.jfma.2022.04.018
  33. Sousa T.V., Viveiros V., Chai M.V., Vicente F.L., Jesus G., Carnot M.J., Gordo A.C., Ferreira P.L. Reliability and validity of the Portuguese version of the Generalized Anxiety Disorder (GAD–7) scale. Health and Quality Life Outcomes, 2015. Vol. 13, p. 50. DOI: 10.1186/s12955–015–0244–2
  34. Spitzer R.L., Kroenke K., Williams J.B.W., Löwe B. A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 2006. Vol. 166, no. 10, pp. 1092¾1097. DOI: 10.1001/archinte.166.10.1092
  35. Tavakol M., Dennick R. Making sense of Cronbach’s alpha. International Journal of Medical Education, 2011. Vol. 2, pp. 53¾55. DOI: 10.5116/ijme.4dfb.8dfd
  36. Veisy F., Farahani H., Togha M., Gharaee B., Janani L., Aghebati A. Rapid screening for generalized anxiety disorder in patients with migraine. Current Journal of Neurology, 2021. Vol. 20, no. 2, pp. 102¾110. DOI: 10.18502/cjn.v20i2.6746
  37. Vogazianos P., Motrico E., Domínguez–Salas S., Christoforou A., Hadjigeorgiou E. Validation of the generalized anxiety disorder screener (GAD–7) in Cypriot pregnant and postpartum women. BMC Pregnancy and Childbirth, 2022. Vol. 22, p. 841. DOI: 10.1186/s12884–022–05127–7
  38. Vrublevska J., Renemane L., Kivite–Urtane A., Rancans E. Validation of the generalized anxiety disorder scales (GAD–7 and GAD–2) in primary care settings in Latvia. Frontiers in Psychiatry, 2022. Vol. 13, e972628. DOI: 10.3389/fpsyt.2022.972628
  39. Zhang C., Wang T., Zeng P., Zhao M., Zhang G., Zhai S., Meng L., Wang Y., Liu D. Reliability, validity, and measurement invariance of the General Anxiety Disorder Scale among Chinese medical university students. Frontiers in Psychiatry, 2021. Vol. 12, e648755. DOI: 10.3389/fpsyt.2021.648755
  40. Zhong Q.–Y., Gelaye B., Zaslavsky A.M., Fann J.R., Rondon M.B., Sánchez S.E., Williams M.A. Diagnostic validity of the Generalized Anxiety Disorder–7 (GAD–7) among pregnant women. PLoS ONE, 2015. Vol. 10, no. 4, e0125096. DOI: 10.1371/journal.pone.0125096
  41. Zinchuk M., Kustov G., Pashnin E., Gersamia A., Rider F., Yakovlev A., Voinova N., Popova S., Avedisova A., Guekht A. Validation of the Generalized Anxiety Disorder–7 (GAD–7) in Russian people with epilepsy. Epilepsy & Behavior, 2021. Vol. 123, e108269. DOI: 10.1016/j.yebeh.2021.108269

Information About the Authors

Alyona A. Zolotareva, PhD in Psychology, Associate Professor at the Department of Psychology, Senior Research Fellow at the International Laboratory of Positive Psychology of Personality and Motivation, National Research University Higher School of Economics, Moscow, Russia, ORCID: https://orcid.org/0000-0002-5724-2882, e-mail: alena.a.zolotareva@gmail.com

Metrics

Views

Total: 1495
Previous month: 139
Current month: 136

Downloads

Total: 327
Previous month: 27
Current month: 23