Ahmad Sabih, Hussain Sadiq, Shah Farrukh Saleem, Akhtar Farrukh
Department of Mental Health, Combined Military Hospital Gilgit.
Department of Behavioral Sciences, Karakorum International University, Gilgit.
J Pak Med Assoc. 2017 Oct;67(10):1536-1540.
To translate and validate Generalized Anxiety Disorder -7scale in Urdu, for use in Pakistan in the primary healthcare setups.
The validation study was conducted at the Combined Military Hospital, Gilgit, Pakistan, from February to May 2016.We followed a systematic six-step process to validate the Generalized Anxiety Disorder-7 scale in the target population. The instrument was translated independently and then fused together. Back-translation was followed by recommendations by an expert committee, and face validity improvement by a language expert. A pilot study was done to get user's feedback on the construct. Volunteers were administered the questionnaire for validation procedure, along with a well-being scale, at three different cities representing volunteers from four different administrative regions of Pakistan.
There were 285 volunteers in the study. Principal component exploratory factor analysis supported unidimensional structure of the scale with an eigenvalue of 5.18 and it explained 64.8% of the total variance. Total score on the scale was negatively correlated with positive effect (r = -0.44, p<0.001) and life satisfaction (r = -0.49, p<0.001) subscales of a the well-being scale, while it was positively correlated with the negative affect (r = 0.63, p<0.001) subscale of the same, indicating a good level of convergent and discriminate validity. Cronbach's alpha for the scale was 0.92 and split-half reliability was 0.82, revealing a good level of reliability.
The Generalized Anxiety Disorder -7 scale was found to be a validated, brief, self-administered Urdu tool to screen, rate, and monitor outcome of anxiety disorders in primary healthcare setups.
将广泛性焦虑障碍-7量表翻译成乌尔都语并进行验证，以便在巴基斯坦的初级卫生保健机构中使用。
2016年2月至5月在巴基斯坦吉尔吉特的联合军事医院进行了验证研究。我们遵循系统的六步流程在目标人群中验证广泛性焦虑障碍-7量表。该工具先独立翻译然后合并。之后进行回译，由专家委员会提出建议，并由语言专家提高表面效度。开展了一项预试验以获取使用者对该结构的反馈。在代表巴基斯坦四个不同行政区志愿者的三个不同城市，让志愿者填写问卷以进行验证程序，同时填写一份幸福感量表。
研究中有285名志愿者。主成分探索性因子分析支持该量表的单维结构，特征值为5.18，解释了总方差的64.8%。该量表的总分与幸福感量表的积极影响（r = -0.44，p<0.001）和生活满意度（r = -0.49，p<0.001）子量表呈负相关，而与同一量表的消极影响（r = 0.63，p<0.001）子量表呈正相关，表明具有良好水平的聚合效度和区分效度。该量表的Cronbach's α系数为0.92，分半信度为0.82，显示出良好水平的信度。
广泛性焦虑障碍-7量表是一种经过验证的、简短的、可自行填写的乌尔都语工具，可用于在初级卫生保健机构中筛查、评估和监测焦虑症的结果。
