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Published on: July 19, 2017
Screening for generalized anxiety disorder using the Penn State Worry Questionnaire: a receiver operating
Evelyn Behar1, Oscar Alcaine, Andrea R Zuellig
1Department of Psychology, Pennsylvania State University, Bruce V Moore Building, University Park, PA 16802, USA.
Summary
The Penn State Worry Questionnaire (PSWQ) effectively screens for generalized anxiety disorder (GAD). It accurately identifies individuals with GAD and those without it, even with co-occurring conditions.
Area of Science:
- Psychiatry and Psychology
- Clinical Psychology
- Anxiety Disorders
Background:
- Generalized anxiety disorder (GAD) is a prevalent condition often comorbid with other emotional disorders.
- Accurate screening tools are crucial for timely diagnosis and intervention in GAD.
- The Penn State Worry Questionnaire (PSWQ) is a widely used measure of worry, but its screening utility for GAD requires further examination.
Purpose of the Study:
- To evaluate the diagnostic accuracy of the Penn State Worry Questionnaire (PSWQ) for screening generalized anxiety disorder (GAD).
- To assess the PSWQ's effectiveness in differentiating GAD cases from non-cases, considering comorbid conditions like PTSD, social phobia, and depression.
Main Methods:
- Receiver operating characteristic (ROC) analyses were employed to determine the accuracy of the PSWQ.
- The study included both clinically diagnosed GAD samples and analogue GAD samples.
- The PSWQ's performance was assessed in identifying individuals with GAD and distinguishing them from non-cases with and without other psychiatric conditions.
Main Results:
- The PSWQ demonstrated significant accuracy in screening for generalized anxiety disorder (GAD) across different samples.
- The questionnaire effectively identified individuals with GAD and also showed utility in selecting non-cases free from comorbid conditions.
- Specific cut-off scores on the PSWQ were associated with varying levels of sensitivity and specificity for GAD detection.
Conclusions:
- The Penn State Worry Questionnaire (PSWQ) is a valuable and accurate tool for screening generalized anxiety disorder (GAD).
- Its utility extends to differentiating GAD from other emotional disorders, aiding in differential diagnosis.
- The PSWQ can be reliably used in clinical and analogue settings to identify individuals who may warrant further assessment for GAD.

