Evidence map›Paper›PMID 25892974›Full record

ArticleInternational journal of MS care

The 7-item generalized anxiety disorder scale as a tool for measuring generalized anxiety in multiple sclerosis.

Alexandra L Terrill, Narineh Hartoonian, Meghan Beier, Rana Salem, Kevin Alschuler

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in International journal of MS care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04711460 completednot on this map

Mindfulness, Group Therapy and Psychosis; Training Decreases Anxiety and Depression in Outpatients With a Psychotic Disorder in a Non-Randomized Within Group Comparison

TypeobservationalSponsorUniversity of MinnesotaRan2017 to 2019Enrolled116ConditionsPsychosisArmsYounger participants, Older participants, TAU, TAU + MIndfulness practice
NCT05279989 nacompletednot on this map

Healthy Weight and Stress Management Study

TypeinterventionalSponsorArizona State UniversityRan2021 to 2022Enrolled25ConditionsPhysical Disability, Obesity, Muscle Weakness, AnxietyArmsSeated Tai Chi Qigong, Health Information Videos
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Alexandra L TerrillDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA (ALT, NH, MB, RS, KA); and Veterans Affairs Puget Sound Health Care System, Multiple Sclerosis Center of Excellence West, Seattle, WA, USA (NH).
Narineh HartoonianDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA (ALT, NH, MB, RS, KA); and Veterans Affairs Puget Sound Health Care System, Multiple Sclerosis Center of Excellence West, Seattle, WA, USA (NH).
Meghan BeierDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA (ALT, NH, MB, RS, KA); and Veterans Affairs Puget Sound Health Care System, Multiple Sclerosis Center of Excellence West, Seattle, WA, USA (NH).
Rana SalemDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA (ALT, NH, MB, RS, KA); and Veterans Affairs Puget Sound Health Care System, Multiple Sclerosis Center of Excellence West, Seattle, WA, USA (NH).
Kevin AlschulerDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA (ALT, NH, MB, RS, KA); and Veterans Affairs Puget Sound Health Care System, Multiple Sclerosis Center of Excellence West, Seattle, WA, USA (NH).
University of Washington · US

Funding

UW Center on Outcomes Research in Rehabilitation(RMI)U01AR052171 · NIAMS · UNIVERSITY OF WASHINGTON · PI AMTMANN, DAGMAR · 2004 to 2008
$5.0M
NIAMS NIH HHS U01 AR052171
6 · The paper itself

Abstract

backgroundGeneralized anxiety disorder (GAD) is common in multiple sclerosis (MS) but understudied. Reliable and valid measures are needed to advance clinical care and expand research in this area. The objectives of this study were to examine the psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in individuals with MS and to analyze correlates of GAD.

methodsParticipants (N = 513) completed the anxiety module of the Patient Health Questionnaire (GAD-7). To evaluate psychometric properties of the GAD-7, the sample was randomly split to conduct exploratory and confirmatory factor analyses.

resultsBased on the exploratory factor analysis, a one-factor structure was specified for the confirmatory factor analysis, which showed excellent global fit to the data (χ(2) 12 = 15.17, P = .23, comparative fit index = 0.99, root mean square error of approximation = 0.03, standardized root mean square residual = 0.03). The Cronbach alpha (0.75) indicated acceptable internal consistency for the scale. Furthermore, the GAD-7 was highly correlated with the Hospital Anxiety and Depression Scale-Anxiety (r = 0.70). Age and duration of MS were both negatively associated with GAD. Higher GAD-7 scores were observed in women and individuals with secondary progressive MS. Individuals with higher GAD-7 scores also endorsed more depressive symptoms.

conclusionsThese findings support the reliability and internal validity of the GAD-7 for use in MS. Correlational analyses revealed important relationships with demographics, disease course, and depressive symptoms, which suggest the need for further anxiety research.

Identifiers

PMID25892974
PMCPMC4399767
OpenAlexW2008677470

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.