The 2-item Generalized Anxiety Disorder scale had high sensitivity and specificity for detecting GAD in primary care

Kroenke K, Spitzer RL, Williams JB, et al. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007;146:317–25. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q In primary care patients, is a brief anxiety measure (Generalized Anxiety Disorder [GAD] scale) accurate for detecting GAD, panic disorder, social anxiety disorder, or post-traumatic stress disorder? Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ GP/FP/Mental health ★★★★★★☆ Psychiatry ★★★★★☆☆ ### ![Graphic][5] Design: blinded comparison of GAD scale with psychiatric diagnoses based on DSM-IV criteria. ### ![Graphic][6] Setting: 15 primary care centres (13 family practice and 2 internal medicine) in 12 states in the US. ### ![Graphic][7] Patients: 965 patients who were 18–87 years of age (mean age 47 y, 69% women), completed a self-report questionnaire, and were randomly selected from 1654 patients who agreed to a follow-up telephone interview. ### ![Graphic][8] Description of test: GAD-7, a 7-item anxiety scale. Scores ranged from 0 to 21; scores of 5, 10, and 15 indicated mild, moderate, and severe anxiety symptoms, respectively. The … [1]: {openurl}?query=rft.jtitle%253DAnnals%2Bof%2BInternal%2BMedicine%26rft.stitle%253DANN%2BINTERN%2BMED%26rft.issn%253D0003-4819%26rft.aulast%253DKroenke%26rft.auinit1%253DK.%26rft.volume%253D146%26rft.issue%253D5%26rft.spage%253D317%26rft.epage%253D325%26rft.atitle%253DAnxiety%2BDisorders%2Bin%2BPrimary%2BCare%253A%2BPrevalence%252C%2BImpairment%252C%2BComorbidity%252C%2Band%2BDetection%26rft_id%253Dinfo%253Adoi%252F10.7326%252F0003-4819-146-5-200703060-00004%26rft_id%253Dinfo%253Apmid%252F17339617%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.7326/0003-4819-146-5-200703060-00004&link_type=DOI [3]: /lookup/external-ref?access_num=17339617&link_type=MED&atom=%2Febmed%2F12%2F5%2F149.atom [4]: /lookup/external-ref?access_num=000244829600001&link_type=ISI [5]: /embed/inline-graphic-1.gif [6]: /embed/inline-graphic-2.gif [7]: /embed/inline-graphic-3.gif [8]: /embed/inline-graphic-4.gif