{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:39:25Z","timestamp":1792589965057,"version":"4.5.0"},"reference-count":63,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100021914","name":"Grand Challenges in Global Health","doi-asserted-by":"publisher","award":["R-GMH-POC-2107-47498"],"award-info":[{"award-number":["R-GMH-POC-2107-47498"]}],"id":[{"id":"10.13039\/100021914","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Anxiety is one of the major global mental health concerns, particularly amidst accumulating adversities. It is the leading cause of distress in adolescents worldwide and has a profound deleterious impact on their mental and physical health and wellbeing. This paper seeks to identify and validate the psychometric properties of the Arabic version of the GAD-7 in Lebanon, aiming to improve the much-needed overall mental health screening in Middle Eastern countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study includes a cross-sectional design including 638 adolescents in Lebanese public schools. Participants aged 15\u221218 years were assessed using GAD-7 (anxiety), PCL-5 (post-traumatic stress disorder), and PTGi (post-traumatic growth) in their Arabic versions at two-time points, spaced three months apart.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our analyses revealed that the 7 items of the GAD-7 converged into a single factor. Composite reliability of scores was adequate in the total sample (\u03c9\u2009=\u2009.88\/ \u03b1\u2009=\u2009.87). The convergent validity for this model was satisfactory. Results showed invariance across gender at the configural, metric, and scalar levels, with males showing a higher level of wellbeing compared to females. The pre-posttest assessment for the GAD-7 scale was conducted on 359 participants; the intraclass correlation coefficient was adequate 0.83 [95% CI.79;.86]. Our analyses also show that anxiety symptoms were significantly correlated with higher PTSD (\n                      <jats:italic>\n                        <jats:italic>r<\/jats:italic>\n                      <\/jats:italic>\n                      \u2009=\u20090.68;\n                      <jats:italic>\n                        <jats:italic>p<\/jats:italic>\n                      <\/jats:italic>\n                      \u2009&lt;\u2009.001) and lower PTG (\n                      <jats:italic>\n                        <jats:italic>r<\/jats:italic>\n                      <\/jats:italic>\n                      \u2009=\u2009\u2212.12;\n                      <jats:italic>\n                        <jats:italic>p<\/jats:italic>\n                      <\/jats:italic>\n                      \u2009=\u2009.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Arabic GAD-7 among Lebanese adolescents displayed highly satisfactory psychometric properties, underscoring its validity. This scale could be valuable for educators and clinicians as a screening tool to rapidly detect anxiety among this vulnerable age group as GAD-7 is easy-to-use, easy to understand, culturally sensitive for Arab population and age appropriate for 15\u201318-year-old students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0329627","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T17:32:44Z","timestamp":1754415164000},"page":"e0329627","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":22,"title":["Psychometric validation of the Arabic version of the GAD-7 among Lebanese adolescents"],"prefix":"10.1371","volume":"20","author":[{"given":"Myriam El","family":"Khoury-Malhame","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Souheil","family":"Hallit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria-Jose","family":"Sanchez-Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sleiman El","family":"Hajj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1374-2751","authenticated-orcid":true,"given":"Rita","family":"Doumit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"pone.0329627.ref001","author":"World Health Organization","year":"2017"},{"key":"pone.0329627.ref002","unstructured":"World Health Organization. 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