ArticleThe American journal of psychiatry2014
Development of the CAT-ANX: a computerized adaptive test for anxiety.
Article in The American journal of psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.
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Who cites it
58 citing papers in PubMed.
- Effects of Remotely Delivered and Web-Based Interventions on Depression Severity During the COVID-19 Pandemic: 3-Arm Randomized Controlled Trial.JMIR mental health · 2026Trial
- Building community capacity in mental health care with the Strong Minds-Strong Communities programme: a randomised controlled trial in the USA.Lancet (London, England) · 2025Trial
- Effects of live-online, group mindfulness training on opioid use and anxiety during buprenorphine treatment: A comparative effectiveness RCT.Contemporary clinical trials · 2024Trial
- Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training: A Cluster Randomized Clinical Trial.JAMA network open · 2020Trial
- Measurement-Based Mental Health Care for Adolescents in Africa: Protocol for a Computerized Adaptive Test.JMIR research protocols · 2026Article
- Computerized Adaptive Tests for Rapid and Accurate Assessment of Autism.JAMA network open · 2026Article
- Prospective Assessment of Depression and Anxiety Trajectories Among Emergency Department Patients with Somatic Complaints.The western journal of emergency medicine · 2026Article
- Prevalence of chlamydial, gonococcal and syphilis positivity by anatomical site and sex via self-collected biospecimens using at-home testing kits among a large and diverse cohort of men and women enrolled in the MACS/WIHS Combined Cohort Study (MWCCS) in the USA.Sexually transmitted infections · 2026Article
- A Computerized Adaptive Test for the Knowledge of Effective Parenting Test-Internalizing Module: Instrument Validation Study.JMIR formative research · 2026Article
- Anxiety and depression in emerging adults: The STAND program as a model of scalable screening and intervention.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- A hidden crisis: Associations between overdose bereavement, substance use, and mental health.Journal of loss & trauma · 2025Article
- Mental health service use among individuals with traumatic brain injury: Exploring the role of social support, employment, and insurance.Journal of psychosomatic research · 2025Article
- The Impact of Cannabidiol Treatment on Anxiety Disorders: A Systematic Review of Randomized Controlled Clinical Trials.Life (Basel, Switzerland) · 2024Review
- Management of Depression and Anxiety in Perioperative Medicine.Anesthesiology · 2024Review
- Developing an accurate and efficient tool for the internalizing spectrum: A simulation study of the adaptive algorithm to the Inventory of Depression and Anxiety Symptoms II (IDAS-II).International journal of methods in psychiatric research · 2024Article
- Validation of the structured interview section of the penn computerized adaptive test for neurocognitive and clinical psychopathology assessment (CAT GOASSESS).Psychiatry research · 2024Article
- Walk-in mental health: Bridging barriers in a pandemic.PloS one · 2024Article
- Article
- A Novel and Integrated Digitally Supported System of Care for Depression and Anxiety: Findings From an Open Trial.JMIR mental health · 2023Article
- Characterizing Symptoms and Identifying Biomarkers of Long COVID in People With and Without HIV: Protocol for a Remotely Conducted Prospective Observational Cohort Study.JMIR research protocols · 2023Article
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7 authors.
Funding
Abstract
objectiveThe authors developed a computerized adaptive test for anxiety that decreases patient and clinician burden and increases measurement precision.
methodA total of 1,614 individuals with and without generalized anxiety disorder from a psychiatric clinic and community mental health center were recruited. The focus of the present study was the development of the Computerized Adaptive Testing-Anxiety Inventory (CAT-ANX). The Structured Clinical Interview for DSM-IV was used to obtain diagnostic classifications of generalized anxiety disorder and major depressive disorder.
resultsAn average of 12 items per subject was required to achieve a 0.3 standard error in the anxiety severity estimate and maintain a correlation of 0.94 with the total 431-item test score. CAT-ANX scores were strongly related to the probability of a generalized anxiety disorder diagnosis. Using both the Computerized Adaptive Testing-Depression Inventory and the CAT-ANX, comorbid major depressive disorder and generalized anxiety disorder can be accurately predicted.
conclusionsTraditional measurement fixes the number of items but allows measurement uncertainty to vary. Computerized adaptive testing fixes measurement uncertainty and allows the number and content of items to vary, leading to a dramatic decrease in the number of items required for a fixed level of measurement uncertainty. Potential applications for inexpensive, efficient, and accurate screening of anxiety in primary care settings, clinical trials, psychiatric epidemiology, molecular genetics, children, and other cultures are discussed.
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