Cultural-based biases of the GAD-7

Journal of Anxiety Disorders
Holly A ParkersonGordon J G Asmundson

Abstract

The GAD-7 is a popular measure of generalized anxiety disorder (GAD) symptoms that has been used across many cultural groups. Existing evidence demonstrates that the prevalence of GAD varies across self-identified ethnic/cultural groups, a phenomenon that some researchers attribute to cross-cultural measurement error rather than to actual differences in rates of GAD. Nonetheless, the effect of culture on factor structure and response patterns to the GAD-7 have not been examined and could result over- or under-estimated GAD-7 scores across different cultural groups. The current investigation assessed the factor structure of the GAD-7 in White/Caucasian, Hispanic, and Black/African American undergraduates and tested for cultural-based biases. A modified one-factor model exhibited good fit across subsamples. Results revealed that Black/African American participants with high GAD symptoms scored lower on the GAD-7 than other participants with similar GAD symptoms. Results highlight the need for culturally sensitive GAD screening tools.

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Citations

Aug 27, 2019·The Journal of International Medical Research·Feng ZhengSiqing Ding
Oct 9, 2019·Journal of Clinical Gastroenterology·Ya JiangLin Lin
Apr 3, 2019·Frontiers in Psychiatry·Jung-Kwang AhnKee-Hong Choi
Jan 6, 2021·Journal of the American Geriatrics Society·Altaf SaadiMargarita Alegria
Dec 18, 2020·Frontiers in Psychiatry·Christina Maria Van Der Feltz-CornelisEdwin de Beurs
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Nov 30, 2021·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Angelika ErhardtJürgen Deckert

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