Geriatric Anxiety Scale: Development and Preliminary Validation of a Long-Term Care Anxiety Assessment Measure

Clin Gerontol. 2020 May-Jun;43(3):295-307. doi: 10.1080/07317115.2020.1725793. Epub 2020 Feb 8.

Abstract

Objectives: Anxiety is a significant problem for many individuals in various long-term care (LTC) settings and is often undetected and under-treated. This study examined the psychometric properties of a new quantitative anxiety screening measure specifically designed for use in long-term care settings, the Geriatric Anxiety Scale - Long Term Care Version (GAS-LTC).Method: Data were collected from LTC residents (N = 66; M age = 84.4 years, range = 59 to 100 years; 74.2% women) who completed the GAS-LTC, the Geriatric Anxiety Inventory (GAI), the Geriatric Depression Scale-15 (GDS-15), and the Prospective and Retrospective Memory Questionnaire (PRMQ).Results: The GAS-LTC demonstrated good internal consistency (α = .80), and good convergent validity with the GAI (r = .70, p < .01), the GDS-15 (r = .67, p < .01), and the PRMQ (r = .54, p < .01). Internal consistency on the GAS-LTC did not significantly vary between groups with high (α = .75) and low (α = .77) self-reported subjective memory impairment.Conclusions: The results from this study preliminarily indicate that the GAS-LTC is reliable and valid for use with older adults in LTC settings.Clinical Implications: Use of the GAS-LTC in LTC settings may help improve detection and treatment for individuals experiencing elevated anxiety in LTC.

Keywords: Long term care; anxiety; anxiety screening; assessment; older adults.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety / diagnosis*
  • Anxiety / ethnology
  • Anxiety / psychology
  • Diagnostic Screening Programs
  • Evaluation Studies as Topic
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Long-Term Care / psychology*
  • Male
  • Memory Disorders / psychology
  • Middle Aged
  • Prospective Studies
  • Psychometrics / methods*
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results
  • Retrospective Studies
  • Self Report / statistics & numerical data
  • Surveys and Questionnaires