{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:46:47Z","timestamp":1782283607342,"version":"3.54.5"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To translate the Generalized Anxiety Disorder-7 (GAD-7) scale into Tibetan and evaluate its psychometric properties for assessing anxiety symptoms of the Tibetan communities living in high altitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      Following a standardized translation and cross-cultural adaptation procedure, the Tibetan GAD-7 was administered to 583 adults recruited via convenience sampling in Tibetan areas. Its reliability was assessed using Cronbach\u2019s alpha and item-total correlations. Construct validity was examined using Exploratory Factor Analysis (EFA,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f290) and Confirmatory Factor Analysis (CFA,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f293) by randomly splitting the sample into two halves. Group differences in GAD-7 scores across sociodemographic variables were analyzed using t-tests and Analysis of Variance (ANOVA).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Tibetan GAD-7 demonstrated acceptable internal consistency (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.70). EFA suggested a two-factor structure, which was further supported by CFA, showing a significantly better model fit (CFI\u202f=\u202f0.90, TLI\u202f=\u202f0.82, RMSEA\u202f=\u202f0.09) than a one-factor model (CFI\u202f=\u202f0.71, TLI\u202f=\u202f0.57, RMSEA\u202f=\u202f0.14). Significant group differences were also found, with females, urban residents, and individuals with lower household income reporting higher anxiety scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Tibetan version of the GAD-7 shows acceptable reliability and validity as a screening tool for generalized anxiety symptoms in high-altitude Tibetan populations. Its use can facilitate early identification of anxiety in this underserved, culturally distinct community with limited mental health resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1807621","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:50:34Z","timestamp":1782280234000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing anxiety in high-altitude Tibetan communities: validation of a Tibetan version GAD-7"],"prefix":"10.3389","volume":"17","author":[{"given":"Xuewei","family":"Fu","sequence":"first","affiliation":[{"name":"Mental Health Center, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Center for Mental Disorders, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiafeng","family":"Li","sequence":"additional","affiliation":[{"name":"Mental Health Center, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Center for Mental Disorders, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gongrongxiu","family":"Cui","sequence":"additional","affiliation":[{"name":"Glasgow College, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhondup","family":"Dolma","sequence":"additional","affiliation":[{"name":"Southwest Minzu University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawa","family":"Pendo","sequence":"additional","affiliation":[{"name":"Southwest Minzu University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael Shi","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Chinese University of Hong Kong","place":["Hong Kong, Hong Kong SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiajun","family":"Xu","sequence":"additional","affiliation":[{"name":"Mental Health Center, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Center for Mental Disorders, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunzhu","family":"Chen","sequence":"additional","affiliation":[{"name":"Southwest Minzu University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijun","family":"Jiang","sequence":"additional","affiliation":[{"name":"Mental Health Center, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Center for Mental Disorders, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1089\/ham.2024.0127","article-title":"Chronic Mountain sickness: a comprehensive review of current management and proposals for novel therapies","volume":"26","author":"Adams","year":"2025","journal-title":"High Alt. 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