ArticleAnnals of family medicine2019
Validation of the Computerized Adaptive Test for Mental Health in Primary Care.
Article in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Screening tools for ruling out mood and anxiety disorders in adults in primary care: a rapid systematic review.BMC primary care · 2025Pooled it
- Generalized Anxiety Disorder 7-item (GAD-7) and 2-item (GAD-2) scales for detecting anxiety disorders in adults.The Cochrane database of systematic reviews · 2025Pooled it
- Pragmatic Clinical Trial of Population Health, Portal-Based Depression Screening: the PORTAL-Depression Study.Journal of general internal medicine · 2023Trial
- Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training: A Cluster Randomized Clinical Trial.JAMA network open · 2020Trial
- Factors associated with long-term suicide risk severity among youth in community behavioral health care.Journal of affective disorders · 2026Article
- Negative social ties as emerging risk factors for accelerated aging, inflammation, and multimorbidity.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- Validating an adaptive digital assessment of youth mental health needs: a cross-sectional study.NPJ digital medicine · 2026Article
- Article
- Psychosocial stressors, accelerated biological aging, and multiple morbidities: Evidence from an age-diverse sample.PloS one · 2026Article
- Adaptive emotion-aware chatbot for mental health diagnosis using recurrent reinforcement learning and transformer models.Frontiers in artificial intelligence · 2026Article
- Reducing patient burden of PROMs in healthcare through advanced computerized adaptive testing stopping rules.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Development of a Recommendation Engine to University Student Mental Health Support Aligned With Stepped Care: Longitudinal Cohort Study.Journal of medical Internet research · 2025Article
- Mental Health Care Provider Experiences of Remote Measurement-Based Care Rollout in an Urban Safety-Net Psychiatry Department: Three-Site Mixed Methods Hypothesis-Generating Implementation Study.JMIR formative research · 2025Article
- Clinician Perspectives on Measurement-Based Care to Inform Pre-Implementation Training and Workflow Design on an Adolescent Psychiatric Inpatient Unit.Evidence-based practice in child and adolescent mental health · 2025Article
- Pre-implementation patient, provider, and administrator perspectives of remote measurement-based care in a safety net outpatient psychiatry department.Learning health systems · 2025Article
- Fast, smart, and adaptive: using machine learning to optimize mental health assessment and monitor change over time.Scientific reports · 2025Article
- Implementation of an EHR-integrated web-based depression assessment in primary care: PORTAL-Depression.JAMIA open · 2024Article
- Validation of the structured interview section of the penn computerized adaptive test for neurocognitive and clinical psychopathology assessment (CAT GOASSESS).Psychiatry research · 2024Article
- Social Networks, the COVID-19 Pandemic, and Emerging Adults' Mental Health: Resiliency Through Social Bonding and Cohesion.American journal of public health · 2024Article
- Walk-in mental health: Bridging barriers in a pandemic.PloS one · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe US Preventive Services Task Force recommends screening for depression in the general adult population. Although screening questionnaires for depression and anxiety exist in primary care settings, electronic health tools such as computerized adaptive tests based on item response theory can advance screening practices. This study evaluated the validity of the Computerized Adaptive Test for Mental Health (CAT-MH) for screening for major depressive disorder (MDD) and assessing MDD and anxiety severity among adult primary care patients.
methodsWe approached 402 English-speaking adults for participation from a primary care clinic, of whom 271 adults (71% female, 65% black) participated. Participants completed modules from the CAT-MH (Computerized Adaptive Diagnostic Test for MDD, CAT-Depression Inventory, CAT-Anxiety Inventory); brief paper questionnaires (9-item Patient Health Questionnaire [PHQ-9], 2-item Patient Health Questionnaire [PHQ-2], Generalized Anxiety Disorder 7-item Scale [GAD-7]); and a reference-standard interview, the Structured Clinical Interview for
resultsOn the basis of the interview, 31 participants met criteria for MDD and 29 met criteria for GAD. The diagnostic accuracy of the Computerized Adaptive Diagnostic Test for MDD (area under curve [AUC] = 0.85) was similar to that of the PHQ-9 (AUC = 0.84) and higher than that of the PHQ-2 (AUC = 0.76) for MDD screening. Using the interview as the reference standard, the accuracy of the CAT-Anxiety Inventory (AUC = 0.93) was similar to that of the GAD-7 (AUC = 0.97) for assessing anxiety severity. The patient-preferred screening method was assessment via tablet/computer with audio.
conclusionsComputerized adaptive testing could be a valid and efficient patient-centered screening strategy for depression and anxiety screening in primary care settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.