Generalized Anxiety Disorder Scale (GAD-7) – Chinese Version

Description

Generalized Anxiety Disorder (GAD) is a chronic mental illness characterized by excessive and pervasive worrying about events in life, classified as one type of anxiety disorder. Patients often live in a relatively continuous state of tension, worry, and unease. Recent research on the burden of mental disorders and the use of health services in China indicates that anxiety disorders have the highest prevalence among various mental disorders, with a lifetime prevalence of 7.6% and a 12-month prevalence of 5.0%; GAD specifically has a lifetime prevalence of 0.3% and a 12-month prevalence of 0.2%. More than 2.4 million new patients are added each year domestically.

Emotional regulation refers to the process by which individuals control what emotions they experience and how they express those emotions based on situational demands, which differs from coping strategies that also include addressing non-emotional goals. A meta-analysis reviewing 114 related studies categorized emotional regulation strategies into six types: cognitive reappraisal, problem-solving, acceptance, suppression, avoidance, and rumination. Empirical research consistently suggests that specific strategies can have adaptive or maladaptive effects on emotions, cognition, and social functioning.

Authors and Contact Email

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Purpose

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Test Year

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Administration Method and Scoring

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Reliability and Validity

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Factors and Subscales

Adaptive strategies include cognitive reappraisal, problem-solving, and acceptance; maladaptive strategies are associated with psychological disorders and include suppression, avoidance, and rumination. The results of Aldao et al.’s meta-analysis indicate a significant positive correlation between habitual use of avoidance (r=0.37), rumination (r=0.42), and suppression (r=0.29) with anxiety disorders (PKeywords
Generalized Anxiety Disorder, Emotional Regulation, Adaptive Strategies, Maladaptive Strategies, Psychological Disorders

Items in Chinese

1. 感觉紧张、焦虑或急切
2. 不能够停止或控制担忧
3. 对各样事情担忧过多
4. 很难放松下来
5. 由于不安而无法静坐
6. 变得容易烦恼或急躁
7. 感到似乎将有可怕事情发生而害怕

Items in English

1. Feeling tense, anxious, or restless
2. Unable to stop or control worrying
3. Worrying too much about various things
4. Finding it hard to relax
5. Being in a state of restlessness
6. Becoming easily annoyed or irritable
7. Feeling as if something terrible might happen

References

何筱衍,李春波,钱洁,崔海松,吴文源.广泛性焦虑量表在综合性医院的信度和效度研究[J].上海精神医学,2010,22(04):200-203.
孙振晓,孙宇新,于相芬.广泛性焦虑量表在颈椎病患者焦虑情绪评估的信度和效度研究[J].临床精神医学杂志,2017(04):38-40.
王瑜,陈然,张岚.广泛性焦虑量表-7在中国综合医院住院患者中的信效度研究[J].临床精神医学杂志,2018(3).
王婷,朱卓影,徐一峰.广泛性焦虑障碍的情绪调节特征[J].临床精神医学杂志,2021,31(03):241-243.
魏黎刚,张誓伟.心理社会支持系统对广泛性焦虑障碍患者焦虑症状、睡眠质量的影响[J].中国健康心理学杂志,2021,29(06):806-809.