ArticleJournal of anxiety disorders2015
Classification models for subthreshold generalized anxiety disorder in a college population: Implications for prevention.
Article in Journal of anxiety disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of Silexan in subthreshold anxiety: meta-analysis of randomised, placebo-controlled trials.European archives of psychiatry and clinical neuroscience · 2019Pooled it
- A randomized controlled feasibility trial of internet-delivered guided self-help for generalized anxiety disorder (GAD) among university students in India.Psychotherapy (Chicago, Ill.) · 2021Trial
- A randomized controlled trial of a smartphone-based application for the treatment of anxiety.Psychotherapy research : journal of the Society for Psychotherapy Research · 2021Trial
- Anxiety and Depression Among University Students in Cali, Colombia: A Cross-Sectional Analysis of the Prevalence and Contributing Factors.International journal of environmental research and public health · 2025Article
- Subthreshold anxiety in Chinese college students: prevalence, gender differences, and correlates.BMC psychology · 2025Article
- Within-Person Relationships Among Self-Compassion, Emotion Regulation Difficulties, and Anxiety Symptoms: Testing an Emotion Regulation Model of Self-Compassion.Journal of youth and adolescence · 2025Article
- Divine Forgiveness and Well-being Among Emerging Adults in the USA.Journal of religion and health · 2024Article
- Post-Traumatic Stress Disorder and Mental Health in Chinese College Athletes during and after the COVID-19 Pandemic: The Multiple Mediating Effects of Basic Psychological Needs and Generalized Anxiety Disorder.Behavioral sciences (Basel, Switzerland) · 2023Article
- Distinct Effects of Anxiety and Depression on Updating Emotional Information in Working Memory.International journal of environmental research and public health · 2022Article
- The prevalence of subthreshold psychiatric symptoms and associations with alcohol and substance use disorders: from a nationally representative survey of 36,309 adults.BMC psychiatry · 2022Article
- Examining the initial usability, acceptability and feasibility of a digital mental health intervention for college students in India.International journal of psychology : Journal international de psychologie · 2020Article
- The relationship between on-campus service utilization and common mental health concerns in undergraduate college students.Psychological services · 2020Article
- The increase in interest in GAD: Commentary on Asmundson & Asmundson.Journal of anxiety disorders · 2018Article
- The economic case for digital interventions for eating disorders among United States college students.The International journal of eating disorders · 2017Article
- Erratic electricity supply (Dumsor) and anxiety disorders among university students in Ghana: a cross sectional study.International journal of mental health systems · 2016Article
- The Feasibility, Acceptability, and Efficacy of Delivering Internet-Based Self-Help and Guided Self-Help Interventions for Generalized Anxiety Disorder to Indian University Students: Design of a Randomized Controlled Trial.JMIR research protocols · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Generalized anxiety disorder (GAD) is one of the most common psychiatric disorders on college campuses and often goes unidentified and untreated. We propose a combined prevention and treatment model composed of evidence-based self-help (SH) and guided self-help (GSH) interventions to address this issue. To inform the development of this stepped-care model of intervention delivery, we evaluated results from a population-based anxiety screening of college students. A primary model was developed to illustrate how increasing levels of symptomatology could be linked to prevention/treatment interventions. We used screening data to propose four models of classification for populations at risk for GAD. We then explored the cost considerations of implementing this prevention/treatment stepped-care model. Among 2489 college students (mean age 19.1 years; 67% female), 8.0% (198/2489) met DSM-5 clinical criteria for GAD, in line with expected clinical rates for this population. At-risk Model 1 (subthreshold, but considerable symptoms of anxiety) identified 13.7% of students as potentially at risk for developing GAD. Model 2 (subthreshold, but high GAD symptom severity) identified 13.7%. Model 3 (subthreshold, but symptoms were distressing) identified 12.3%. Model 4 (subthreshold, but considerable worry) identified 17.4%. There was little overlap among these models, with a combined at-risk population of 39.4%. The efficiency of these models in identifying those truly at risk and the cost and efficacy of preventive interventions will determine if prevention is viable. Using Model 1 data and conservative cost estimates, we found that a preventive intervention effect size of even 0.2 could make a prevention/treatment model more cost-effective than existing models of "wait-and-treat."
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