Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples

Moore, Michael; Anderson, Nicholas L.; Barnes, Jill; Haigh, Emily A. P.; Fresco, David M.

doi:10.1016/j.janxdis.2013.10.009

Cited by 63 publications

(45 citation statements)

References 23 publications

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“…The GADQ-IV has good test–retest reliability, convergent and discriminant validity, and good agreement with diagnostic interviews (Newman et al, 2002; Moore et al, 2014). We used the GADQ-IV as a measure of GAD symptom severity and scored it without the skip structure as reported in Vasey et al (2016) and as recommended by Rodebaugh et al (2008).…”

Section: Methodsmentioning

confidence: 98%

Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought

Toh

Vasey

2017

Front. Hum. Neurosci.

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One puzzle in high worry and generalized anxiety disorder (GAD) is the heterogeneity in the level of autonomic arousal symptoms seen among affected individuals. While current models agree that worry persists, in part, because it fosters avoidance of unpleasant internal experiences, they disagree as to whether worry does so by suppressing activation of autonomic arousal or by fostering persistent autonomic hyperarousal. Our Cognitive Control Model predicts that which pattern of autonomic arousal occurs depends on whether or not a worrier has sufficient cognitive control capacity to worry primarily in a verbal versus imagery-based manner. Because this model has been supported by only one study to date, the present study sought to replicate and extend that study’s findings. Results from an online survey in an unselected sample of over 900 college students provide further support for our model’s central tenet and initial support for its prediction that higher effortful control is associated with a higher percentage of verbal thought during worry. Finally, we report tentative evidence that autonomic arousal symptoms in worry and GAD vary as a function of individual differences in cognitive control capacity because higher capacity is linked to a greater predominance of verbal thought during worry.

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Section: Methodsmentioning

confidence: 98%

Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought

Toh

Vasey

2017

Front. Hum. Neurosci.

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“…High diagnostic sensitivity and specificity, test-retest reliability, as well as convergent and discriminant validity have been reported (Newman et al, 2002;Robinson, Klenck, & Norton, 2010; α in this sample = .81). To achieve an optimal balance between sensitivity and specificity, the authors suggest a cutoff score of 5.7 based on Receiver Operating Characteristic analyses, while Moore, Anderson, Barnes, Haigh, and Fresco (2014) recently showed a total score of 7.67 to be the more appropriate cutoff in order not to overestimate GAD in primary care.…”

Section: Questionnaire Measuresmentioning

confidence: 99%

Do Metacognitions and Intolerance of Uncertainty Predict Worry in Everyday Life? An Ecological Momentary Assessment Study

Thielsch¹,

Andor²,

Ehring³

2015

Behavior Therapy

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“…The total score on the GAD-Q-IV ranges from 0 to 13. Newman et al (2002) found that a cut score of 5.7 provided a good balance of sensitivity and specificity, and numerous studies have used this cut score to create analogue GAD groups (Moore, Anderson, Barnes, & Haigh, 2014). Group membership based on the 5.7 cut score has shown good stability over a 2-week period and has shown good convergent and discriminant validity (Newman et al, 2002).…”

Section: Measures and Proceduresmentioning

confidence: 99%

“…Group membership based on the 5.7 cut score has shown good stability over a 2-week period and has shown good convergent and discriminant validity (Newman et al, 2002). However, recent research (Moore et al, 2014) has indicated that a more stringent cut score of 7.67 is optimal in that it is better at reducing false positives and identifying "true cases" of probable GAD. Thus, the higher cut score of 7.67 was used in the present study.…”

Section: Measures and Proceduresmentioning

confidence: 99%

Maladaptive Core Beliefs and their Relation to Generalized Anxiety Disorder

Koerner

Tallon

Kusec

2015

Cognitive Behaviour Therapy

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Research has demonstrated that individuals with generalized anxiety disorder (GAD) hold unhelpful beliefs about worry, uncertainty, and the problem-solving process. Extant writings (e.g., treatment manuals) also suggest that other types of maladaptive beliefs may characterize those with GAD. However, these other beliefs have received limited empirical attention and are not an explicit component of cognitive theories of GAD. The present study examined the extent to which dysfunctional attitudes, early maladaptive schemas, and broad self-focused and other-focused beliefs explain significant variance in GAD symptoms, over and above negative and positive beliefs about worry, negative beliefs about uncertainty, and negative beliefs about problems. N = 138 participants classified into Probable GAD and Non-GAD groups completed self-report measures. After controlling for trait anxiety and depressive symptoms, only beliefs about worry, negative beliefs about uncertainty, and schemas reflecting unrelenting standards (e.g., "I must meet all my responsibilities all the time"), the need to self-sacrifice (e.g., "I'm the one who takes care of others"), and less positive views of other people and their intentions (e.g., lower endorsement of views such as "other people are fair"), were unique correlates of Probable GAD versus Non-GAD or GAD severity. Theoretical and clinical implications are discussed.

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Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples

Cited by 63 publications

References 23 publications

Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought

Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought

Do Metacognitions and Intolerance of Uncertainty Predict Worry in Everyday Life? An Ecological Momentary Assessment Study

Maladaptive Core Beliefs and their Relation to Generalized Anxiety Disorder

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