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Test-retest reliability and sensitivity to change of the dimensional anxiety scales for DSM-5

机译：重测DSM-5的可靠性和对尺寸焦虑标度变化的敏感性

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Objective This article reports on the test-retest reliability and sensitivity to change of a set of brief dimensional self-rating questionnaires for social anxiety disorder (SAD-D), specific phobia (SP-D), agoraphobia (AG-D), panic disorder (PD-D), and generalized anxiety disorder (GAD-D), as well as a general cross-cutting anxiety scale (Cross-D), which were developed to supplement categorical diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Methods The German versions of the dimensional anxiety scales were administered to 218 students followed up approximately 2 weeks later (Study 1) and 55 outpatients (23 with anxiety diagnoses) followed-up 1 year later (Study 2). Probable diagnostic status in students was determined by the DIA-X/M-CIDI stem screening-questionnaire (SSQ). In the clinical sample, Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnoses were assessed at Time 1 using the DIA-X/M-CIDI. At Time 2, the patient-version of the Clinical Global Impression-Improvement scale (CGI-I) was applied to assess change. Results Good psychometric properties, including high test-retest reliability, were found for the dimensional scales except for SP-D. In outpatients, improvement at Time 2 was associated with significant decrease in PD-D, GAD-D, and Cross-D scores. Discussion Major advantages of the scales include that they are brief, concise, and based on a consistent template to measure the cognitive, physiological, and behavioral symptoms of fear and anxiety. Further replication in larger samples is needed. Given its modest psychometric properties, SP-D needs refinement. Conclusion Increasing evidence from diverse samples suggests clinical utility of the dimensional anxiety scales.
机译：目的本文报告了一套简短的自评问卷对社交焦虑症（SAD-D），特定恐惧症（SP-D），广场恐惧症（AG-D），恐慌的重测信度和变更敏感性疾病（PD-D），广泛性焦虑症（GAD-D）以及一般性跨领域焦虑量表（Cross-D），这些疾病是为了补充《精神疾病诊断和统计手册》中的分类诊断而开发的，第5版（DSM-5）。方法对大约218名学生进行了德语版本的维度焦虑量表的随访，随访时间约2周（研究1），对55名门诊患者（23名患有焦虑症的患者）进行了随访，一年后进行了随访（研究2）。通过DIA-X / M-CIDI茎筛查问卷（SSQ）确定学生可能的诊断状态。在临床样本中，使用DIA-X / M-CIDI在时间1评估了《精神疾病诊断和统计手册》第4版（DSM-IV）的诊断。在时间2，应用临床总体印象改善量表（CGI-1）的患者版本来评估变化。结果除SP-D之外，尺寸量表均具有良好的心理测量特性，包括较高的重测信度。在门诊患者中，时间2的改善与PD-D，GAD-D和Cross-D得分的显着降低有关。讨论量表的主要优点包括简短，简洁，并基于一致的模板来测量恐惧和焦虑的认知，生理和行为症状。需要在更大的样品中进一步复制。鉴于其适度的心理测量特性，SP-D需要改进。结论越来越多来自不同样本的证据表明，空间焦虑量表的临床应用。

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