Evidências de Validade para Generalized Anxiety Disorder 7-Item (GAD-7)
DOI:
https://doi.org/10.20435/pssa.v15i1.1743Palavras-chave:
psicopatologia, testes psicológicos, avaliação psicológicaResumo
Introdução: O Brasil é o país mais ansioso do mundo, com cerca de 9,3% da população com sintomatologia ansiosa. Estes dados indicam a necessidade de testes psicológicos. Objetivo: O objetivo deste estudo foi verificar as qualidades psicométricas do GAD-7. Método: Participaram 545 adultos, com idade de 18 a 76 anos (M = 37; DP = 12,9). Foi utilizado CFA com intuito de verificar a estrutura interna. O escore da GAD-7 foi correlacionado com medidas externas. Por fim, foram comparadas as médias do grupo sem histórico de transtorno psiquiátrico (1) com as pessoas com histórico de transtorno psiquiátrico (2). Resultados: A solução unifatorial apresentou adequação nesta amostra. A GAD-7 apresentou correlação significativa, positiva e de forte magnitude com depressão e medida geral de saúde mental e negativa com bem-estar. O grupo de pessoas com histórico de tratamento psiquiátrico apresentou maior média. Conclusão: Os resultados deste estudo indicam adequação psicométrica da GAD-7.
Referências
American Psychiatric Association. (2014). DSM-5: Manual diagnóstico e estatístico de transtornos mentais. Artmed Editora.
Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93.
Barrera, T. L., & Norton, P. J. (2009). Quality of life impairment in generalized anxiety disorder, social phobia, and panic disorder. Journal of Anxiety Disorders, 23(8), 1086–1090. https://doi.org/10.1016/j.janxdis.2009.07.011
Bártolo, A., Monteiro, S., & Pereira, A. (2017). Factor structure and construct validity of the Generalized Anxiety Disorder 7-item (GAD-7) among Portuguese college students. Cadernos de Saúde Pública, 33, e00212716. doi: https://doi.org/10.1590/0102-311X00212716
Beard, C., & Björgvinsson, T. (2014). Beyond generalized anxiety disorder: psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. Journal of Anxiety Disorders, 28(6), 547–552. https://doi.org/10.1016/j.janxdis.2014.06.002
Buhk, A. H., Schadegg, M. J., Dixon, L. J., & Tull, M. T. (2020). Investigating the role of negative and positive emotional avoidance in the relation between generalized anxiety disorder and depression symptom severity. Journal of Contextual Behavioral Science, 16, 103–108. https://doi.org/10.1016/j.jcbs.2020.03.006
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Academic press. https://doi.org/10.1111/1467-8721.ep1076878
Donker, T., van Straten, A., Marks, I., & Cuijpers, P. (2011). Quick and easy self-rating of Generalized Anxiety Disorder: Validity of the Dutch web-based GAD-7, GAD-2 and GAD-SI. Psychiatry Research, 188(1), 58–64. https://doi.org/10.1016/j.psychres.2011.01.016
Fernandes, R. D. C. L., & Rozenthal, M. (2008). Avaliação da sintomatologia depressiva de mulheres no climatério com a escala de rastreamento populacional para depressão CES-D. Revista de Psiquiatria do Rio Grande do Sul, 30(3), 192–200. https://doi.org/10.1590/S0101-81082008000400008
García-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Pérez-Páramo, M., López-Gómez, V., Freire, O., & Rejas, J. (2010). Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health and Quality of Life Outcomes, 8(1), 1–11. https://doi.org/10.1186/1477-7525-8-8
Goldberg, D., & Williams, P. (1988). A user’s guide to the General Health Questionnaire. nferNelson. Windsor, UK.
Gouveia, V. V., Barbosa, G. A., Andrade, E. D. O., & Carneiro, M. B. (2010). Factorial validity and reliability of the General Health Questionnaire (GHQ-12) in the Brazilian physician population. Cadernos de Saúde Pública, 26, 1439–1445.
Hair, J. F. Jr., Anderson R. E., Tatham, R. L., & Black, W. C. (2005). Análise multivariada de dados.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118
Johnson, S. U., Ulvenes, P. G., Øktedalen, T. & Hoffart, A. (2019). Psychometric Properties of the General Anxiety Disorder 7-Item (GAD-7) Scale in a Heterogeneous Psychiatric Sample. Frontiers in Psychology, (10), 1713. https://doi.org/10.3389/fpsyg.2019.01713
Kertz, S., Bigda‐Peyton, J., & Bjorgvinsson, T. (2013). Validity of the Generalized Anxiety Disorder‐7 Scale in an acute psychiatric sample. Clinical Psychology & Psychotherapy, 20(5), 456–464.
Kim, S. W., Berk, L., Kulkarni, J., Dodd, S., de Castella, A., Fitzgerald, P. B., Amminger, G. P., & Berk, M. (2014). Impact of comorbid anxiety disorders and obsessive–compulsive disorder on 24-month clinical outcomes of bipolar I disorder. Journal of Affective Disorders, 166, 243–248. https://doi.org/10.1016/j.jad.2014.05.017
Li, X., & Wang, X. (2020). Relationships between stroke, depression, generalized anxiety disorder and physical disability: Some evidence from the Canadian Community Health Survey-Mental Health. Psychiatry Research, 290, 113074.. https://doi.org/10.1016/j.psychres.2020.113074
Löwe, B, Decker, O, Müller, S, Brähler, E, Schellberg, D, Herzog, W, & Herzberg, P Y. (2008) Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46(3), 266–274.
Moreno, A. L., De Sousa, D. A., Souza, A. M. F. L. P. D., Manfro, G. G., Salum, G. A., Koller, S. H., Osório, L. O., & Crippa, J. A. D. S. (2016). Factor structure, reliability, and item parameters of the Brazilian-Portuguese version of the GAD-7 questionnaire. Temas em Psicologia, 24(1), 367–376. http://dx.doi.org/10.9788/TP2016.1-25
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
Schoevers, R. A., Deeg, D. J. H., Van Tilburg, W., & Beekman, A. T. F. (2005). Depression and generalized anxiety disorder: Co-occurrence and longitudinal patterns in elderly patients. The American Journal of Geriatric Psychiatry, 13(1), 31–39. https://doi.org/10.1097/00019442-200501000-00006
Silva, M. T., Roa, M. C., Martins, S. S., Silva, A. T. C., & Galvão, T. F. (2018). Generalized anxiety disorder and associated factors in adults in the Amazon, Brazil: A population-based study. Journal of Affective Disorders, 236, 180186. https://doi.org/10.1016/j. jad.2018.04.079
Simon, N. M. (2009). Generalized anxiety disorder and psychiatric comorbidities such as depression, bipolar disorder, and substance abuse. The Journal of Clinical Psychiatry, 70(2), 10–14. https://doi.org/10.4088/JCP.s.7002.02
Smith, J. P., & Book, S. W. (2010). Comorbidity of generalized anxiety disorder and alcohol use disorders among individuals seeking outpatient substance abuse treatment. Addictive Behaviors, 35(1), 42–45. https://doi.org/10.1016/j.addbeh.2009.07.002
Somers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2006). Prevalence and incidence studies of anxiety disorders: A systematic review of the literature. The Canadian Journal of Psychiatry, 51(2), 100–113.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176. https://doi.org/10.1159/000376585
World Health Organization. (2017). Depression and other common mental disorders: Global health estimates (Nº WHO/MSD/MER/2017.2). World Health Organization.
World Health Organization. WHOQOL user manual. WHO, 1998. https://www.who.int/mental_health/evidence/who_qol_user_manual_98.pdf
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