Tilburg University To what extent does the anxiety scale of the Four Dimensional Symptom Questionnaire ( 4 DSQ ) detect specific types of anxiety disorder in primary care ? (original) (raw)

Abstract

Background: Anxiety scales may help primary care physicians to detect specific anxiety disorders among the many emotionally distressed patients presenting in primary care. The anxiety scale of the Four-Dimensional Symptom Questionnaire (4DSQ) consists of an admixture of symptoms of specific anxiety disorders. The research questions were: (1) Is the anxiety scale unidimensional or multidimensional? (2) To what extent does the anxiety scale detect specific DSM-IV anxiety disorders? (3) Which cut-off points are suitable to rule out or to rule in (which) anxiety disorders? Methods: We analyzed 5 primary care datasets with standardized psychiatric diagnoses and 4DSQ scores. Unidimensionality was assessed through confirmatory factor analysis (CFA). We examined mean scores and anxiety score distributions per disorder. Receiver operating characteristic (ROC) analysis was used to determine optimal cut-off points. Results: Total n was 969. CFA supported unidimensionality. The anxiety scale pe...

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References (50)

  1. Keedwell P, Snaith RP: What do anxiety scales measure? Acta Psychiatr Scand 1996, 93:177-180.
  2. Kroenke K: The importance of detecting anxiety in primary care. J Prim Health Care 2012, 4:4.
  3. Janssen EHC, van de Ven PM, Terluin B, Verhaak PFM, van Marwijk HWJ, Smolders M, van der Meer K, Penninx BWJH, van Hout HPJ: Recognition of anxiety disorders by family physicians after rigorous medical record case extraction: results of the Netherlands study of depression and anxiety. Gen Hosp Psychiatry 2012, 34:460-467.
  4. Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67:361-370.
  5. Beck AT, Epstein N, Brown G, Steer RA: An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988, 56:893-897.
  6. Lovibond PF, Lovibond SH: The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 1995, 33:335-342.
  7. Clark LA, Watson D: Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. J Abnorm Psychol 1991, 100:316-336.
  8. Watson D, Weber K, Assenheimer JS, Clark LA, Strauss ME, McCormick RA: Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. J Abnorm Psychol 1995, 104:3-14.
  9. Spitzer RL, Kroenke K, Williams JBW, Löwe B: A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006, 166:1092-1097.
  10. Kroenke K, Spitzer RL, Williams JBW, Monahan PO, Löwe B: Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007, 146:317-325.
  11. Herrmann C: International experiences with the hospital anxiety and depression scale. A review of validation data and clinical results. J Psychosom Res 1997, 42:17-41.
  12. Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002, 52:69-77.
  13. Bunevicius A, Peceliuniene J, Mickuviene L, Valius L, Bunevicius R: Screening for depression and anxiety disorders in primary care patients. Depress Anxiety 2007, 24:455-460.
  14. Honarmand K, Feinstein A: Validation of the hospital anxiety and depression scale for use with multiple sclerosis patients. Mult Scler 2009, 15:1518-1524.
  15. Leentjens AFG, Dujardin K, Marsh L, Richard IH, Starkstein SE, Martinez- Martin P: Anxiety rating scales in Parkinson's disease: a validation study of the Hamilton anxiety rating scale, the Beck anxiety inventory, and the hospital anxiety and depression scale. Mov Disord 2011, 26:407-415.
  16. Fydrich T, Dowdall D, Chambless DL: Reliability and validity of the beck anxiety inventory. J Anxiety Disord 1992, 6:55-61.
  17. Leyfer OT, Ruberg JL, Woodruff-Borden J: Examination of the utility of the Beck Anxiety Inventory and its factors as a screener for anxiety disorders. J Anxiety Disord 2006, 20:444-458.
  18. Hoyer J, Becker ES, Neumer S, Soeder U, Margraf J: Screening for anxiety in an epidemiological sample: predictive accuracy of questionnaires. J Anxiety Disord 2002, 16:113-134.
  19. Kabacoff RI, Segal DL, Hersen M, van Hasselt VB: Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. J Anxiety Disord 1997, 11:33-47.
  20. Brown TA, Chorpita BF, Korotitsch W, Barlow DH: Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther 1997, 35:79-89.
  21. Williamson RJ, Neale BM, Sterne A, Prince M, Sham P: The value of four mental health self-report scales in predicting interview-based mood and anxiety disorder diagnoses in sibling pairs. Twin Res Hum Genet 2005, 8:101-107.
  22. Boschen MJ, Oei TPS: Discriminant validity of the MASQ in a clinical sample. Psychiatry Res 2007, 150:163-171.
  23. Buckby JA, Yung AR, Cosgrave EM, Killackey EJ: Clinical utility of the Mood and Anxiety Symptom Questionnaire (MASQ) in a sample of young help-seekers. BMC Psychiatry 2007, 7:50.
  24. Kertz S, Bigda-Peyton J, Bjorgvinsson T: Validity of the Generalized Anxiety Disorder-7 Scale in an acute psychiatric sample. Clin Psychol Psychother 2012, Epub ahead of print.
  25. Muntingh ADT, van der Feltz-Cornelis CM, Van Marwijk HWJ, Spinhoven P, Penninx BWJH, Van Balkom AJLM: Is the Beck Anxiety Inventory a good tool to assess the severity of anxiety? A primary care study in the Netherlands Study of Depression and Anxiety (NESDA). BMC Fam Pract 2011, 12:66.
  26. Donker T, van Straten A, Marks I, Cuijpers P: Quick and easy self-rating of Generalized Anxiety Disorder: validity of the Dutch web-based GAD-7, GAD-2 and GAD-SI. Psychiatry Res 2011, 188:58-64.
  27. Terluin B, van Marwijk HWJ, Adèr HJ, de Vet HCW, Penninx BWJH, Hermens MLM, van Boeijen CA, van Balkom AJLM, van der Klink JJL, Stalman WAB: The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry 2006, 6:34.
  28. Terluin B, Duijsens IJ: 4DKL-handleiding. Handleiding van de Vierdimensionale Klachtenlijst [4DSQ manual. Manual of the Four-Dimensional Symptom Questionnaire]. Datec: Leiderdorp; 2002.
  29. Terluin B, Brouwers EPM, van Marwijk HWJ, Verhaak PFM, van der Horst HE: Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ) and the Hospital Anxiety and Depression Scale (HADS). BMC Fam Pract 2009, 10:58.
  30. Brouwers EPM, Tiemens BG, Terluin B, Verhaak PFM: Effectiveness of an intervention to reduce sickness absence in patients with emotional distress or minor mental disorders: a randomized controlled effectiveness trial. Gen Hosp Psychiatry 2006, 28:223-229.
  31. Andrews G, Peters L: The psychometric properties of the Composite International Diagnostic Interview. Soc Psychiatry Psychiatr Epidemiol 1998, 33:80-88.
  32. Hermens MLM, van Hout HPJ, Terluin B, Adèr HJ, Penninx BWJH, van Marwijk HWJ, Bosmans JE, van Dyck R, de Haan M: Clinical effectiveness of usual care with or without antidepressant medication for primary care patients with minor or mild-major depression: a randomized equivalence trial. BMC Medicine 2007, 5:36.
  33. Seekles W, van Straten A, Beekman A, van Marwijk H, Cuijpers P: Effectiveness of guided self-help for depression and anxiety disorders in primary care: A pragmatic randomized controlled trial. Psychiatry Res 2011, 187:113-120.
  34. Oosterbaan DB, Verbraak MJPM, Terluin B, Hoogendoorn AW, Peyrot WJ, Muntingh A, van Balkom AJLM: Collaborative stepped care v. care as usual for common mental disorders: 8-month, cluster randomised controlled trial. Br J Psychiatry 2013, 203:132-139.
  35. Sheehan DV, Lecrubier Y, Sheehan KH, Amorin P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar G: The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998, 59(suppl 20):22-33.
  36. Langerak W, Langeland W, van Balkom AJLM, Draisma S, Terluin B, Draijer N: A validation study of the Four-Dimensional Symptom Questionnaire (4DSQ) in insurance medicine. Work 2012, 43:369-380.
  37. van der Schouw YT, Verbeek AL, Ruijs SH: Guidelines for the assessment of new diagnostic tests. Invest Radiol 1995, 30:334-340.
  38. Terluin B: De Vierdimensionale Klachtenlijst (4DKL). Een vragenlijst voor het meten van distress, depressie, angst en somatisatie [The Four- Dimensional Symptom Questionnaire (4DSQ). A questionnaire to measure distress, depression, anxiety, and somatization]. Huisarts Wet 1996, 39:538-547.
  39. Terluin B, van Rhenen W, Schaufeli WB, de Haan M: The Four-Dimensional Symptom Questionnaire (4DSQ): measuring distress and other mental health problems in a working population. Work Stress 2004, 18:187-207.
  40. EMGO: Four-Dimensional Symptom Questionnaire (4DSQ). http://www. emgo.nl/researchtools/4dsq.asp. 2000. Ref Type: Internet Communication.
  41. Wittchen H-U: Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): a critical review. J Psychiat Res 1994, 28:57-84.
  42. Lecrubier Y, Sheehan DV, Weiller E, Amorin P, Bonora I, Sheehan KH, Janavs J, Dunbar GC: The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry 1997, 12:224-231.
  43. Muthén L, Muthén B: Mplus User's Guide. 7th edition. Muthén & Muthén: Los Angeles; 2012.
  44. The R project for statistical computing. http://www.r-project.org/. 2013. Ref Type: Internet Communication.
  45. Robin X, Turck N, Hainard A, Tiberti N, Lisacek F, Sanchez JC, Müller M: pROC: an open-source package for R and S+ to analyze and compare ROC curves. BMC Bioinformatics 2011, 12:77.
  46. Deeks JJ, Altman DG: Diagnostic tests 4. Likelihood ratios. BMJ 2004, 329:168-169.
  47. Tape TG: Interpreting diagnostic tests. Omaha, NE: University of Nebraska Medical Center; 2004.
  48. van Avendonk MJP, Hassink-Franke LJA, Terluin B, van Marwijk HWJ, Wiersma T, Burgers JS: NHG-Standaard Angst (tweede herziening) [Summarisation of the NHG practice guideline 'Anxiety']. Ned Tijdschr Geneeskd 2012, 156:A4509.
  49. National Institute for Health and Clinical Excellence: Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults. Management in primary, secondary and community care. (NICE clinical guideline 113). London: National Institute for Health and Clinical Excellence; 2011. Ref Type: Internet Communication.
  50. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, fifth edition. DSM-5. Arlington, VA: American Psychiatric Publishing; 2013.