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Preoperative Assessment of Anxiety and Depression Using Computerized Adaptive Screening Tools: A Pilot Prospective

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A new computerized adaptive test-mental health (CAT-MH) tool is feasible for rapidly assessing anxiety and depression in surgical patients. This tool revealed a high prevalence of undiagnosed mental health conditions in the preoperative setting.

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Area of Science:

  • Medical assessment tools
  • Surgical patient care
  • Mental health screening

Background:

  • Serious mental health conditions like anxiety and depression are prevalent in surgical patients.
  • Traditional screening methods are time-consuming and cumbersome.
  • Computerized adaptive test-mental health (CAT-MH) offers a rapid, precise alternative.

Purpose of the Study:

  • To determine the feasibility of using CAT-MH for anxiety and depression in the preoperative setting.
  • To obtain preliminary evidence on the prevalence of anxiety and depression in preoperative surgical patients.

Main Methods:

  • Prospective cohort study of 100 adult patients undergoing elective surgery.
  • Patients completed the CAT-MH in the preoperative clinic.
  • Feasibility assessed by completion rate and time; prevalence of anxiety and depression were secondary outcomes.

Main Results:

  • All 100 patients completed the CAT-MH assessment within an average of 3.6 minutes.
  • 16% screened positive for anxiety, and 28% for depression, with most lacking prior diagnoses.
  • 19% screened positive for major depressive disorder, predominantly undiagnosed.

Conclusions:

  • CAT-MH is a feasible tool for preoperative mental health assessment.
  • A significant number of surgical patients present with undiagnosed anxiety and depression.
  • This highlights the need for improved preoperative mental health screening.