RT Journal A1 Lenze EJ T1 EScitalopram treatment of generalized anxiety disorder in older adults—reply JF JAMA JO JAMA YR 2009 FD May 20 VO 301 IS 19 SP 1987 OP 1988 DO 10.1001/jama.2009.652 UL http://dx.doi.org/10.1001/jama.2009.652 AB In Reply: The comments by Ms Schwan and Dr Hallberg highlight measurement and analytic issues in anxiety treatment research. In the study, escitalopram was superior to placebo in cumulative response for GAD in older adults. This primary outcome analysis used the Clinical Global Impression-Improvement scale. Our use of this scale was based on its global assessment of clinical response using all available clinical data, including rating scale data, the patient's report, and the rater's observations. It has clear cut points for a binary outcome such as response, and it had adequate interrater reliability in this study.