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The Clinically Useful Anxiety Outcome Scale

The Clinically Useful Anxiety Outcome Scale

(CUXOS; Zimmerman, Chelminski, Young, & Dalrymple, 2010). 

The CUXOS is a 20-item self-report measure assessing anxiety symptoms in adults. The CUXOS can be used as a screening tool, and to monitor symptom change over time (Zimmerman et al., 2010)[1]. The CUXOS has not been used with adolescents, nor does a separate adolescent version exist.  Sample items include, “I felt ‘keyed up’ or ‘on edge’” and “I worried a lot that bad things might happen, I felt jittery.”  Each item is rated on a 5-point Likert scale from zero (“not at all true”) to four (“almost always true”; Zimmerman et al., 2010). Total scores range from 0 to 80.  The CUXOS was designed to be completed in 1.5 minutes and scored in less than 15 seconds. The CUXOS total scale and subscales demonstrate excellent internal consistency at baseline and follow-up (all αs > .90) and adequate test-retest reliability over a period of 4.1 days (rs > .86; Zimmerman et al., 2010). In addition, the CUXOS demonstrates concurrent validity with the Beck Anxiety Inventory (BAI; Beck, Epstein, Brown, & Steer, 1988; Zimmerman et al., 2010). The measure is available online (

[1] Note, all measures that are appropriate for treatment monitoring and evaluation have data demonstrating sensitivity to change through treatment.


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