Coronavirus anxiety scale (CAS)

coronavirus, coronavirus infection, COVID-19, covid

Ask the patient to choose an answer that best describes how they have felt and conducted themselves over the past 2 weeks:

I felt dizzy, lightheaded, or faint when I read or listened to news about the coronavirus:
Not at all
Rare, less than a day or two
Several days
More than 7 days
Nearly every day over the last 2 weeks

I had trouble falling or staying asleep because I was thinking about the coronavirus:
Not at all
Rare, less than a day or two
Several days
More than 7 days
Nearly every day over the last 2 weeks

I felt paralyzed or frozen when I thought about or was exposed to information about the coronavirus:
Not at all
Rare, less than a day or two
Several days
More than 7 days
Nearly every day over the last 2 weeks

I lost interest in eating when I thought about or was exposed to information about the coronavirus:
Not at all
Rare, less than a day or two
Several days
More than 7 days
Nearly every day over the last 2 weeks

I felt nauseous or had stomach problems when I thought about or was exposed to information about the coronavirus:
Not at all
Rare, less than a day or two
Several days
More than 7 days
Nearly every day over the last 2 weeks



Total patient’s points Values Result
0 0 0

Variable Points
I felt dizzy, lightheaded, or faint when I read or listened to news about the coronavirusNot at all0
 Rare, less than a day or two1
 Several days2
 More than 7 days3
 Nearly every day over the last 2 weeks4
I had trouble falling or staying asleep because I was thinking about the coronavirusNot at all0
 Rare, less than a day or two1
 Several days2
 More than 7 days 3
 Nearly every day over the last 2 weeks4
I felt paralyzed or frozen when I thought about or was exposed to information about the coronavirusNot at all 0
 Rare, less than a day or two1
 Several days2
 More than 7 days3
 Nearly every day over the last 2 weeks4
I lost interest in eating when I thought about or was exposed to information about the coronavirusNot at all0
 Rare, less than a day or two1
 Several days2
 More than 7 days3
 Nearly every day over the last 2 weeks4
I felt nauseous or had stomach problems when I thought about or was exposed to information about the coronavirusNot at all0
 Rare, less than a day or two1
 Several days2
 More than 7 days3
 Nearly every day over the last 2 weeks4

Result

Total pointsValuesResult
 < 9NEGATIVE
There is no COVID-19 pandemic alarm.
 ≥ 9POSITIVE.
Patient with dysfunctional anxiety (Youden score 75) associated with worsening condition amid the COVID-19 pandemic

Patients with score ≥9 are classified as having dysfunctional anxiety (Youden’s index of 75) associated with the COVID-19 crisis (90% sensitivity and 85% specificity). 

Elevated CAS scores were found to be associated with coronavirus diagnosis, impairment, alcohol/drug coping, negative religious coping, extreme hopelessness, suicidal ideation.

Literature:
Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. doi: 10.1080/07481187.2020.1748481. Epub 2020 Apr 16. PMID: 32299304.

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