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Titre : | Anxiety in Response to Sustaining Spinal Cord Injuries and Disorders: When Should Clinicians Be Concerned? (2023) |
Auteurs : | Jane Duff ; Lucy C. Grant ; Jennifer Coker ; Kimberley R. Monden |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 9, 2023) |
Article en page(s) : | p. 1409-1417 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.03.020 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anxiété ; Médecine comportementale ; Psychologie ; Psychométrie ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : | Objective To recommend a cut-off score for the brief 2-item Generalized Anxiety Disorder (GAD-2) measure for persons with spinal cord injuries/disorders (PwSCI/D) and to estimate anxiety occurrence within this population using the full 7-item Generalized Anxiety Disorder (GAD-7). Design Multicenter retrospective analyses. Setting One inpatient rehabilitation center and 2 community sites for PwSCI/D. Participants PwSCI/D 18 years or older (N=909) were included for analysis using retrospectively collected GAD-2 and GAD-7 data. Interventions Not applicable. Main Outcome Measure(s) Occurrence of anxiety symptoms were compared using cut-off scores of ?8 and ?10 on the GAD-7. A cut-off score recommendation for the GAD-2 was determined using ROC curve, and sensitivity and specificity analyses. Results Occurrence of anxiety symptoms was 21% using a GAD-7 cut-off of ?8 and 15% using a cut-off of ?10. Analyses indicated optimal sensitivity for a GAD-2 score of ?2 when a GAD-7 cut-off of ?8 was used. Conclusions Anxiety occurrence is elevated among PwSCI/D compared with the general population. For PwSCI/D, it is recommended that a cut-off score of ?2 is used for the GAD-2 to maximize sensitivity and that a threshold of ?8 is used for the GAD-7 to ensure the maximum number of individuals presenting with symptoms of anxiety are recognized for diagnostic interview. Study limitations are discussed. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323002198 |