The DSM-IV-based Generalized Anxiety Disorder Severity Scale: preliminary validation using data from a trial of agomelatine versus placebo

J Nerv Ment Dis. 2009 Jun;197(6):391-4. doi: 10.1097/NMD.0b013e3181a77152.

Abstract

Currently available symptom severity measures for Generalized Anxiety Disorder (GAD) are not optimal. This study investigates the reliability and validity of a new measure for GAD. The Generalized Anxiety Disorder Severity Scale (DGSS), comprising 8 DSM-IV GAD symptoms assessed in terms of frequency and intensity, was used in a trial of agomelatine versus placebo for the treatment of GAD. Internal reliability, concurrent validity, responsiveness to change, most robust items, and factor structure were computed. The DGSS demonstrated good internal reliability, correlated significantly with the Hamilton Anxiety Scale and Clinical Global Impression severity scale, and demonstrated a clear change in response to agomelatine. The most robust DGSS items were derived, and an exploratory factor analysis yielded a 2-factor structure of the DGSS. The DGSS is potentially a useful scale for the assessment of GAD in clinical trials of this disorder.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Acetamides / therapeutic use*
  • Antidepressive Agents / therapeutic use*
  • Anxiety Disorders* / diagnosis
  • Anxiety Disorders* / drug therapy
  • Anxiety Disorders* / psychology
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Humans
  • Hypnotics and Sedatives / therapeutic use*
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires*

Substances

  • Acetamides
  • Antidepressive Agents
  • Hypnotics and Sedatives
  • agomelatine