Generalized anxiety disorder & social phobia screening tools GAD-7 and MiniSPIN
Posted by dkwinter

See also:

Important Ddx:

  • Obsessive-compulsive disorder
  • Panic disorder
  • Major depressive episode
  • Mania
  • Hypomania
  • Psychosis
  • Paranoia
  • Substance use disorder

Generalized Anxiety Disorder (GAD-7)

"Over the past two weeks, how often have you been bothered by the following problems?"

Not
at all (+0)		 Several
days (+1)		 More than
one half of
the days (+2)		 Nearly
every day (+3)
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Total GAD-2 score=
Worrying too much about different things
Having trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid, as if something awful might happen
Total GAD-7 score=

Social Phobia

MiniSPIN.  SPIN = Social Phobia Inventory.

Rate each of the following items from 0 to 4: Not at all A little bit Somewhat Very much Extremely

Fear of embarrassment causes me to avoid doing things or speaking to people.

0

1

2

3

4

I avoid activities in which I am the center of attention.

0

1

2

3

4

Being embarrassed or looking stupid are among my worst fears.

0

1

2

3

4

Using a cutoff of 6 points or more, the Mini-SPIN was 89 percent sensitive and 90 percent specific in this setting, with positive and negative predictive values of 53 and 98 percent, respectively.

Ref: http://www.aafp.org/afp/2008/0815/p501.html