Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh

This study investigated the reliability and factorial validity of General Anxiety Disorder-7 (GAD-7) in the context of university students in Bangladesh. The research aimed to assess whether the original one-dimensional model or a model containing both somatic and cognitive-emotional factors is appr...

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Veröffentlicht in:PloS one 2021-12, Vol.16 (12), p.e0261590-e0261590
Hauptverfasser: Dhira, Tahia Anan, Rahman, Mahir A, Sarker, Abdur Razzaque, Mehareen, Jeenat
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creator Dhira, Tahia Anan
Rahman, Mahir A
Sarker, Abdur Razzaque
Mehareen, Jeenat
description This study investigated the reliability and factorial validity of General Anxiety Disorder-7 (GAD-7) in the context of university students in Bangladesh. The research aimed to assess whether the original one-dimensional model or a model containing both somatic and cognitive-emotional factors is appropriate. A repeated cross-sectional survey design based on convenience sampling was used to collect data from 677 university students. The factor structure of the GAD-7 was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and its convergent validity was determined by investigating its correlations with Patient Health Questionnaire-9 (PHQ-9) and Patient Health Questionnaire Anxiety-Depression Scale (PHQ-ADS). Results showed excellent reliability of GAD-7 as measured by Cronbach's α. CFA suggested that a modified one-factor model is appropriate for the sample. This model provided high values of comparative fit index (CFI), goodness of fit index (GFI), and Tucker Lewis Index (TLI), low value of standardized root mean square residual (SRMR) and a non-significant root mean square error of approximation (RMSEA). Correlation between GAD-7 and PHQ-9 was 0.751 and 0.934 between GAD-7 and PHQ-ADS. Overall, the study provided support for modified unidimensional structure for GAD-7 and showed high internal consistency along with good convergent validity.
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diagnosis</topic><topic>Anxiety Disorders - psychology</topic><topic>Bangladesh</topic><topic>Biology and Life Sciences</topic><topic>Cognitive ability</topic><topic>College students</topic><topic>Colleges &amp; universities</topic><topic>Confirmatory factor analysis</topic><topic>Convergence</topic><topic>Correlation</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - psychology</topic><topic>Domestic violence</topic><topic>Exploratory factor analysis</topic><topic>Extracurricular activities</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Generalized anxiety disorder</topic><topic>Glutamate decarboxylase</topic><topic>Goodness of fit</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Indexes</topic><topic>Internet access</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health surveys</topic><topic>Modelling</topic><topic>Morality</topic><topic>Obsessive-Compulsive Disorder - 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The research aimed to assess whether the original one-dimensional model or a model containing both somatic and cognitive-emotional factors is appropriate. A repeated cross-sectional survey design based on convenience sampling was used to collect data from 677 university students. The factor structure of the GAD-7 was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and its convergent validity was determined by investigating its correlations with Patient Health Questionnaire-9 (PHQ-9) and Patient Health Questionnaire Anxiety-Depression Scale (PHQ-ADS). Results showed excellent reliability of GAD-7 as measured by Cronbach's α. CFA suggested that a modified one-factor model is appropriate for the sample. This model provided high values of comparative fit index (CFI), goodness of fit index (GFI), and Tucker Lewis Index (TLI), low value of standardized root mean square residual (SRMR) and a non-significant root mean square error of approximation (RMSEA). Correlation between GAD-7 and PHQ-9 was 0.751 and 0.934 between GAD-7 and PHQ-ADS. Overall, the study provided support for modified unidimensional structure for GAD-7 and showed high internal consistency along with good convergent validity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34914811</pmid><doi>10.1371/journal.pone.0261590</doi><orcidid>https://orcid.org/0000-0001-7403-9862</orcidid><orcidid>https://orcid.org/0000-0001-6991-8213</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Sociological Abstracts; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adolescent
Adult
Anxiety
Anxiety disorders
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Bangladesh
Biology and Life Sciences
Cognitive ability
College students
Colleges & universities
Confirmatory factor analysis
Convergence
Correlation
COVID-19
Cross-Sectional Studies
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Domestic violence
Exploratory factor analysis
Extracurricular activities
Factor analysis
Female
Generalized anxiety disorder
Glutamate decarboxylase
Goodness of fit
Health aspects
Humans
Indexes
Internet access
Male
Medicine and Health Sciences
Mental disorders
Mental health
Mental health surveys
Modelling
Morality
Obsessive-Compulsive Disorder - diagnosis
Obsessive-Compulsive Disorder - psychology
One dimensional models
Patient Health Questionnaire
Patients
People and Places
Physical Sciences
Population
Post traumatic stress disorder
Primary care
Private schools
Psychological aspects
Psychometrics - methods
Quantitative psychology
Questionnaires
Reliability
Reproducibility of Results
Research and Analysis Methods
Risk factors
Sample size
Social anxiety
Social Sciences
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Students
Students - psychology
Supervision
Surveys
Universities
University students
Validation studies
Validity
Young Adult
title Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh
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