To help familiarize those working in a healthcare setting with two different depression assessments that can be used to evaluate patients. Development and validation of a short form of the geriatric. Concurrent validity with a variety of other measures was demonstrated in both the normal sample and the psychogeriatric sample. Geriatric anxiety inventory gai page 1 uniquest eshop. Development and validation of the geriatric anxiety inventory. Ii, center for epidemiologic studies depression scale, geriatric depression scale, hospital anxiety and depression scale, and patient health questionnaire. However while anxiety is very prevalent in older people, dementia is also a common illness in this group and this can lead to mood disorders such as anxiety and depression being overlooked as the symptoms are similar.
Anxiety disorders are among the most common psychiatric disorders in older adults. Are you afraid that something bad is going to happen to you. The questions are translated into arabic and greek. Have you dropped many of your activities and interests. Later versions retain only the most discriminating questions.
A study of the validity and the reliability of the geriatric anxiety. Assessment of anxiety in older home care recipients. The measurements of somatic symptoms with the instrument are limited in order to minimize confusion between symptoms common to anxiety and general medical conditions. Geriatric depression scale gds 4 questions version 1. The gds long form is a brief, 30item questionnaire in which participants. Circle the answer that best describes how you felt over the past week. Uses ranked responses ranging from 03 to allow the bdi to assess variations in the severity of depression over time. The geriatric anxiety inventory in primary care archives of clinical.
Cronbachs alpha for the 20item geriatric anxiety inventory gai was 0. The protocol included the gai, the selfreporting questionnaire srq20, the depression scale d10, minimental state examination mmse. Measures used in the study included a demographic information sheet, the geriatric anxiety. Many instruments have been developed to measure the symptoms, distress. Yet, anxiety disorders surpass the other wellknown geriatric giants in their prevalence among older adults 1020%, being twice as common as the dementias 8% and four to eight times more. Say you want to use it in your clinical practice, then a commercial use license. We have included assessment tools that were designed to assess the unique aspects of caregiving among diverse groups. Due to the dearth of wellvalidated elderspecific anxiety screening instruments available in the german language, this study aimed to translate the geriatric anxiety scale gas, a reliable and valid 30item selfreport screening instrument for assessing anxiety based on dsmivtr. Total score greater than five indicates probably depression. Gai geriatric anxiety inventory gds geriatric depression scale. Agitation inventory cmai, aat flow sheet, and record of prn medication. Aged care assessment geriatric depression scale gds tip.
The scale is a 30item, selfreport instrument that uses a yesno format. To further investigate these and a variety of other issues, a valid and reliable measure of anxiety in older people is needed. Although there are few wellknown caregiving assessment tools. Patient completes phq9 quick depression assessment. American association for geriatric psychiatry anxiety.
Journal of anxiety disorders university of colorado. The geriatric depression scale gds is a screening test originally developed by j. The scoring scale is at the end of the questionnaire. Psychometric properties of the geriatric anxiety scale. Geriatric anxiety inventory pachana, int psychogeriatr, 2007 cutoff. Generalized anxiety disorder 7item gad7 scale over the last 2 weeks, how often have you been bothered by the following problems. Psychometric properties of the geriatric anxiety inventory gai and its shortform gaisf in a clinical and nonclinical sample of older adults.
Topics covered include feelings of fearfulness, worry, physical symptoms of anxiety, and concerns about the impacts of worry and anxiety. Aug 11, 2014 the geriatric anxiety inventory is a 20item geriatric specific measure of anxiety severity. The geriatric anxiety inventory gai is a recently developed scale aiming to evaluate symptoms of anxiety in later life. Depending on what you want to use it for will determine the type of license you will need. Interrater and testretest reliability were found to be excellent. Geriatric depression scale short form 1 tools may be copied without permission instructions. Item endorsement on factors characterized by excessive worry and difficulty making decisions were associated with a nearly twofold odds ratio or. Anxiety symptoms and anxiety disorders are highly prevalent among elderly people, although infrequently the subject of systematic research in this age group. One important limitation is the lack of a widely accepted instrument to measure dimensional anxiety in both normal old people and old people with mental health problems seen in various settings.
The aim of this study is to examine psychometric properties reliability, intercorrelations, distribution of scores, analyze the. Use brief measures of ptsd, geriatric depression inventory, and geriatric anxiety inventory mehta et al, 2003. In the validation study of the 20item gai, the cronbachs alpha coefficient was 0. Treatment of depression and anxiety in the geriatric patient. Initially, 17 residents who met the criteria for participation were selected as a purposive sample. If you are interested in translating the gas into other languages, i would welcome the opportunity to work with you. Specifically, issues of acculturation, assimilation, cultural values, beliefs and norms can be important for caregivers. Yesavage and colleagues in 1982 that is used to identify symptoms of depression in older adults. Item response theory analysis, differential item functioning, and creation of 10item short form gas10. Most of the older adult specific anxiety measures were found to be accessible for clinical use and have low practical burden. Anxiety most anxiety disorder start in earlier life, although gad 24. Anxiety occurs frequently among older adults, and can have deleterious impacts on the quality of daily life. Aged care assessment geriatric depression scale gds.
While studies suggest good internal consistency and convergent validity, divergent validity from measures of depression are weak. The coding sheet presents a list of the most commonly used. Geriatric anxiety inventory gai psychological scales. Principal components analysis revealed a fourfactor structure of the geriatric anxiety inventory. The geriatric anxiety inventory gai consists of 20 agreedisagree items designed to assess typical common anxiety symptoms. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the. Geriatric depression scale long form patients name. Ptsd in the elderly20 readonly leadingage new york. A psychometric examination of the geriatric anxiety inventory and geriatric anxiety scale christine e. A psychological test measuring social anxiety levels. A full bibliography of the gas is available upon request email me at. The geriatric anxiety inventory is a 20item geriatricspecific measure of anxiety severity.
Hama hamilton rating scale for anxiety dss dementia signs and symptoms scale. These coping strategies can help your clients deal with anxiety when it arises, as well as contributing to longterm anxiety relief. Geriatric anxiety inventory gai american psychological. Strategies include deep breathing, progressive muscle relaxation, imagery, and challenging irrational thoughts. Geriatric anxiety inventory point anxiety should be considered abnormal and maladaptive in older people. Thus, geriatric therapeutic recreation professionals need.
The geriatric mental health foundation was established by the american association for geriatric psychiatry to raise awareness of psychiatric and mental health problems and issues affecting older adults, eliminate the stigma of mental illness and treatment, promote healthy aging strategies, and increase access to quality mental health care for. The geriatric anxiety inventory in screening for anxiety after. Block, md, is an awardwinning, boardcertified psychiatrist who operates a private practice in pennsylvania. Domains of who number of response estimated setting and. Geriatric anxiety inventory gai, a brief screening instrument for assessing anxious symptoms in the elderly. It is effective in screening for, and measuring the severity of social anxiety disorder. Pdf geriatric anxiety inventory gai and its short form gaisf. Development and validation of a geriatric depression. Development of the geriatric anxiety inventory gai. Journal of anxiety disorders 28 2014 804811 contents lists available at sciencedirect journal of anxiety disorders measuring anxiety in late life. The gai uses an agreedisagree response choice format, with the number of agree responses added for a total score. International psychogeriatrics, 19, 103114 the gai is a 20item questionnaire that health practitioners administer to older patients.
Assessment tools american psychological association. Choose the best answer for how you felt over the past week. The social phobia inventory abbreviated as spin is a 17item questionnaire developed by the psychiatry and behavioral sciences department at duke university. A brief measure for assessing generalized anxiety disorder.
A psychometric examination of the geriatric anxiety inventory and geriatric anxiety scale author links open overlay panel christine e. Blazer, 2009 use lower cutoff scores to diagnose older adults on the various screening measures assess for suicidality. The gas, beck anxiety inventory bai, geriatric anxiety inventory gai, beck depression inventory, second edition bdiii, and geriatric depression scale gds were administered to 117 communitydwelling, predominantly white, older adults 62% female. The geriatric anxiety inventory lack of a widely accepted instrument to measure dimensional anxiety symptoms in older adults in community settings as well as in a variety of clinical settings was the impetus for the development of the geriatric anxiety inventory or gai pachana et al. Psychometric properties of the geriatric anxiety inventory. Clinical cutoffs have been developed that vary across studies due to the small clinical samples used.
This tip sheet provides guidance on administering the geriatric depression scale gds 15 point version, a depression assessment tool specifically designed for older people. Phq9 patient depression questionnaire for initial diagnosis. Convergent validity was determined by comparing the gai against. American journal of alzheimers disease and other dementias. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. Anxiety worksheet describes four strategies for reducing anxiety. The gai should be used by anyone with a professional, academic, research or personal interest in the health and wellbeing of older people. Geriatric anxiety inventory these 60 items were given to a small sample of healthy older adults, clinical psychologists and psychiatrists for comment on ease of understanding, ageappropriateness of language, and redundancy. American association for geriatric psychiatry anxiety and. Depression assessments such as the 4item geriatric depression scale are easy and quick to. From the hartford institute for geriatric nursing, new york university rory meyers. This 20item scale uses dichotomous answers highlighting non. Development and validation of a short form of the geriatric anxiety inventory the gaisf. A psychometric examination of the geriatric anxiety inventory and geriatric anxiety scale.
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