The GAD-7 is a self-report instrument for assess generalized anxiety disorder [25]. The GAD-7 has seven items with scores range from 0 to 27 and each item was scored from 0 (not at all) to 3 (nearly every day). In this study, the presence of anxiety was determined by using a cut-off point of 8 and above on the GAD-7 [22]. The validated Malay version of GAD-7 which was found to have good specificity (94%, 95% CI 88–97) and sensitivity (96%, 95% CI 61–87) was used in this study [22].
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