Screening for generalized anxiety disorder in Spanish primary care centers with the GAD-7

The aim of the study was to determine the criterion validity of a computerized version of the General Anxiety Disorder-7 (GAD-7) questionnaire to detect general anxiety disorder in Spanish primary care centers. A total of 178 patients completed the GAD-7 and were administered the Composite International Diagnostic Interview (CIDI) for DSM-IV Axis I Disorders, which was used as a reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. A cut-off of 10 yielded a sensitivity of .87, a specificity of .78, a positive predictive value of .93, a negative predictive value of .64, a positive likelihood ratio of 3.96 a negative likelihood ratio of .17 and Younden's Index of .65. The GAD-7 performed very well with a cut-off value of 10, the most frequently used cut-off point. Thus, a computerized version of the GAD-7 is an excellent screening tool for detecting general anxiety disorder in Spanish primary care settings.Ministerio de Economía y Competitivida

A New Index Assessing the Viability of PAR Application Projects Used to Validate PAR Models

Photosynthetically active radiation (PAR) is a useful variable to estimate the growth of biomass or microalgae. However, it is not always feasible to access PAR measurements; in this work, two sets of nine hourly PAR models were developed. These models were estimated for mainland Spain from satellite data, using multilinear regressions and artificial neural networks. The variables utilized were combinations of global horizontal irradiance, clearness index, solar zenith angle cosine, relative humidity, and air temperature. The study territory was divided into regions with similar features regarding PAR through clustering of the PAR clearness index (kPAR). This methodology allowed PAR modeling for the two main climatic regions in mainland Spain (Oceanic and Mediterranean). MODIS 3 h data were employed to train the models, and PAR data registered in seven stations across Spain were used for validation. Usual validation indices assess the extent to which the models reproduce the observed data. However, none of those indices considers the exceedance probabilities, which allow the assessment of the viability of projects based on the data to be modeled. In this work, a new validation index based on these probabilities is presented. Hence, its use, along with the other indices, provides a double and thus more complete validation