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NYU Study Pre-Screening Survey

Thank you for your interest in our anxiety research study at NYU Langone Health.

The purpose of this research study is to understand to how Mindfulness-Based Stress Reduction (MBSR) compared to a Stress Education (SE) class works through changes in the brain for patients with generalized anxiety disorder (GAD). Specifically we want to understand brain changes (“neural mechanisms”) that contribute to reduction in GAD symptoms with MBSR treatment compared to Stress Education (SE), and to examine the degree to which treatment response may be explained by sex differences in these neural mechanisms. GAD is a mental health disorder with specific core features, such as worry and anxiety about the future that lasts for at least 6 months.

If you are interested in learning more, please complete the survey below to help us determine if you may be eligible.

Note: By proceeding with the survey, you are giving consent to complete the pre-screening questionnaire. If you are eligible, all of your information will be kept confidential and only accessed by the study team. If you are not eligible, your information will not be retained by the study team.

Age

* must provide value

If you are female, are you pregnant, or breast-feeding, or planning to become pregnant?

* must provide value

Yes, I am pregnant, breast-feeding, or planning to become pregnant

Maybe

I am not female

reset

If you are female, are you currently using a form of hormonal birth control?

* must provide value

Yes

I am not female

reset

Do you have a serious medical condition that may cause you to be in the hospital soon?

* must provide value

Yes

reset

Do you have any history of head trauma or concussions in which you lost consciousness, had a seizure or had symptoms that have continued to persist?

* must provide value

Yes

Prefer not to answer

reset

Have you ever received a diagnosis of (check all that apply):

* must provide value

Liver Failure

Renal Failure

Generalized Anxiety Disorder

Panic Disorder

Social Anxiety Disorder

Agoraphobia

Schizophrenia

Schizoaffective Disorder

Obsessive Compulsive Disorder

Bipolar Disorder

An eating disorder

Alcohol Use Disorder (select only if present in the past 6 months)

A substance use disorder (select only if present in the past 6 months)

None of the above

Prefer not to answer

Do you worry a lot?

* must provide value

Yes

Prefer not to answer

reset

Do you practice meditation daily?

* must provide value

Yes

reset

Have you been trained in Mindfulness-Based Stress Reduction or an equivalent meditation training in the two years?

* must provide value

Yes

reset

Is there anything that would prevent you from undergoing a MRI (check all that apply):

Metal implants

Surgical clips

Probability of metal fragments

Braces

Other reasons MRI contraindicated

Please Specify:

Expand

Please list any psychiatric medications you are currently taking. Please leave blank if not applicable.

Expand

What is your dominant hand (hand you write with)?

* must provide value

Left

Right

Ambidextrous (Both)

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Are you willing to be randomized to a group intervention (consisting of 4-6 people) that will be held in-person at One Park Avenue in Manhattan?

* must provide value

Yes

Possibly

reset

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.