[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-oasis":3,"all-assessments-nav":274,"related-assessments-query":954},{"id":4,"title":5,"body":6,"category":222,"categoryTitle":223,"clinicalCitations":224,"copyright":222,"description":231,"disclaimer":222,"downloadLink":222,"extension":232,"faqs":233,"featured":246,"i18nReady":246,"icon":222,"interpreter":247,"lastReviewed":264,"meta":265,"navigation":266,"path":267,"permissionsNote":222,"published":266,"recommendedFrequency":222,"relatedCodes":222,"relatedConditions":222,"reviewedBy":222,"seo":268,"slug":269,"stem":270,"summary":271,"takeaways":222,"timeline":222,"type":272,"usedToDiagnose":222,"__hash__":273},"assessments\u002Fassessments\u002Foasis.md","OASIS Scoring · Overall Anxiety Severity and Impairment Scale",{"type":7,"value":8,"toc":207},"minimark",[9,13,18,26,29,33,36,69,72,77,81,92,96,132,138,142,145,149,152,156,176,195,199],[10,11,12],"p",{},"The OASIS is a free, 5-item self-report measure of anxiety severity and impairment that works across any anxiety disorder, making it well suited to ongoing symptom monitoring.",[14,15,17],"h3",{"id":16},"about-the-oasis","About the OASIS",[10,19,20,21,25],{},"The Overall Anxiety Severity and Impairment Scale was developed by Sonya Norman and colleagues as a brief, continuous measure of how severe and impairing a person's anxiety is. Rather than asking about one specific disorder, the OASIS is ",[22,23,24],"strong",{},"transdiagnostic",": it can be used with any single anxiety disorder, with several at once, or with subthreshold anxiety symptoms, which is why it is popular for tracking change in mixed clinical populations.",[10,27,28],{},"It is a self-report measure for adults and adolescents, takes about a minute to complete, and is free to use, so it fits naturally into routine measurement-based care alongside disorder-specific screens.",[14,30,32],{"id":31},"what-the-oasis-measures","What the OASIS Measures",[10,34,35],{},"The OASIS samples five facets of anxiety over the past week:",[37,38,39,46,52,58,64],"ul",{},[40,41,42,45],"li",{},[22,43,44],{},"Frequency"," of anxious feelings,",[40,47,48,51],{},[22,49,50],{},"Intensity"," of anxiety,",[40,53,54,57],{},[22,55,56],{},"Avoidance"," of feared situations or activities,",[40,59,60,63],{},[22,61,62],{},"Interference"," with work, school, or home responsibilities, and",[40,65,66,68],{},[22,67,62],{}," with social life and relationships.",[10,70,71],{},"Together these capture both the severity of anxiety and the functional impairment it causes, on a single underlying dimension.",[73,74,76],"h2",{"id":75},"oasis-scoring-interpretation","OASIS Scoring & Interpretation",[14,78,80],{"id":79},"how-to-score-the-oasis","How to Score the OASIS",[10,82,83,84,87,88,91],{},"Each of the 5 items is rated on a ",[22,85,86],{},"0 to 4 scale"," reflecting the past week, where 0 indicates little or no anxiety\u002Fimpairment and 4 indicates extreme or constant anxiety\u002Fimpairment. The five item scores are ",[22,89,90],{},"summed for a total ranging 0–20",". Higher scores indicate greater anxiety severity and impairment. Use the interpreter above to place a total against the validated cut-score.",[14,93,95],{"id":94},"oasis-cut-point","OASIS Cut-Point",[97,98,99,112],"table",{},[100,101,102],"thead",{},[103,104,105,109],"tr",{},[106,107,108],"th",{},"Range",[106,110,111],{},"Interpretation",[113,114,115,124],"tbody",{},[103,116,117,121],{},[118,119,120],"td",{},"0–7",[118,122,123],{},"Below screening threshold",[103,125,126,129],{},[118,127,128],{},"≥8",[118,130,131],{},"Positive screen — supports referral for full evaluation",[10,133,134,135,137],{},"A total of ",[22,136,128],{}," is the validated screening cut-score: in a large primary-care sample it correctly classified about 87% of patients for the presence of an anxiety disorder (Campbell-Sills et al., 2009). Because the scale is continuous, the total is also useful as a severity index to track change over time, not only as a pass\u002Ffail screen. A positive screen is a screening result that warrants full clinical evaluation, not a conclusion on its own.",[14,139,141],{"id":140},"administration","Administration",[10,143,144],{},"The OASIS takes about 1 minute and is self-administered. Non-clinical staff can hand out and collect the form, but a licensed clinician interprets the score in the context of history and functional impact. Because it is brief and sensitive to change, it is well suited to administration at every visit to monitor treatment response.",[14,146,148],{"id":147},"psychometric-properties","Psychometric Properties",[10,150,151],{},"The OASIS has a confirmed unidimensional (single-factor) structure with high internal consistency and excellent test-retest reliability, and it shows strong convergent validity with other anxiety measures and weak correlations with unrelated constructs, supporting discriminant validity, in both non-clinical and clinical samples (Norman et al., 2006; Campbell-Sills et al., 2009). It is also responsive to symptom change, which supports its use for monitoring.",[14,153,155],{"id":154},"limitations","Limitations",[37,157,158,164,170],{},[40,159,160,163],{},[22,161,162],{},"Screening, not a clinical conclusion."," A positive OASIS indicates symptoms consistent with clinically significant anxiety and warrants full evaluation.",[40,165,166,169],{},[22,167,168],{},"Not disorder-specific."," Its transdiagnostic design is a strength for monitoring but means it does not identify which anxiety condition is present.",[40,171,172,175],{},[22,173,174],{},"Self-report."," Scores reflect the past week and self-perception, so they are best read alongside clinical history and over repeated administrations.",[10,177,178,179,184,185,189,190,194],{},"For generalized anxiety specifically, pair with the ",[180,181,183],"a",{"href":182},"\u002Fassessments\u002Fgad-7\u002F","GAD-7","; for broader distress, the ",[180,186,188],{"href":187},"\u002Fassessments\u002Fdass-21\u002F","DASS-21","; for youth anxiety, the ",[180,191,193],{"href":192},"\u002Fassessments\u002Fscared\u002F","SCARED",".",[73,196,198],{"id":197},"billing-the-oasis-cpt-96127","Billing the OASIS (CPT 96127)",[10,200,201,202,206],{},"OASIS administration qualifies for reimbursement under ",[180,203,205],{"href":204},"\u002Fcpt-codes\u002F96127-brief-emotional-behavioural-assessment\u002F","CPT code 96127"," (brief emotional\u002Fbehavioural assessment) when it is scored and documented with clinical interpretation. The AMA allows up to 4 units per encounter; Medicare limits this to 3. Its brevity makes it practical to administer and bill at repeat monitoring visits.",{"title":208,"searchDepth":209,"depth":209,"links":210},"",3,[211,212,213,221],{"id":16,"depth":209,"text":17},{"id":31,"depth":209,"text":32},{"id":75,"depth":214,"text":76,"children":215},2,[216,217,218,219,220],{"id":79,"depth":209,"text":80},{"id":94,"depth":209,"text":95},{"id":140,"depth":209,"text":141},{"id":147,"depth":209,"text":148},{"id":154,"depth":209,"text":155},{"id":197,"depth":214,"text":198},null,"Anxiety",[225,228],{"text":226,"link":227},"Norman SB, Cissell SH, Means-Christensen AJ, Stein MB. Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS). Depress Anxiety. 2006;23(4):245-249.","https:\u002F\u002Fdoi.org\u002F10.1002\u002Fda.20182",{"text":229,"link":230},"Campbell-Sills L, Norman SB, Craske MG, et al. Validation of a brief measure of anxiety-related severity and impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). J Affect Disord. 2009;112(1-3):92-101.","https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.jad.2008.03.014","OASIS scoring guide — Overall Anxiety Severity and Impairment Scale. 5 items rated 0–4, total 0–20, positive screen ≥8. Transdiagnostic and free.","md",[234,237,240,243],{"question":235,"answer":236},"What is the Overall Anxiety Severity and Impairment Scale (OASIS)?","The OASIS is a free, 5-item self-report measure of anxiety severity and related impairment, developed by Sonya Norman and colleagues. Unlike disorder-specific screens, it is transdiagnostic — it can be used across any anxiety disorder, with multiple anxiety disorders at once, or with subthreshold anxiety — which makes it useful for tracking overall anxiety in measurement-based care.",{"question":238,"answer":239},"How is the OASIS scored?","Each of the 5 items is rated 0 to 4 over the past week, covering frequency of anxiety, intensity of anxiety, avoidance, and interference with work or school and with social life. The five items are summed for a total ranging 0–20. Higher scores indicate greater anxiety severity and impairment.",{"question":241,"answer":242},"What is the cut-off score for the OASIS?","A total score of 8 or higher is the validated screening cut-score; in a large primary-care sample it correctly classified about 87% of patients for the presence of an anxiety disorder (Campbell-Sills et al., 2009). A positive screen warrants a full clinical evaluation, not a screening result treated as a conclusion.",{"question":244,"answer":245},"Is the OASIS free to use?","Yes. The OASIS is free for clinical, educational, and research use without licensing fees. Its brevity, transdiagnostic design, and sensitivity to change make it a common choice for repeated monitoring of anxiety over a course of treatment.",false,{"heading":248,"scaleLabel":249,"min":250,"max":251,"start":252,"note":253,"source":254,"bands":255},"OASIS Score Interpreter (5-item, 0–20)","OASIS total",0,20,8,"A total of ≥8 is the validated screening cut-score, which correctly classified about 87% of a clinical sample for presence of an anxiety disorder (Campbell-Sills et al., 2009). A positive screen warrants a full clinical evaluation — it is a screening result, not a clinical conclusion.","Overall Anxiety Severity and Impairment Scale (Norman et al., 2006; Campbell-Sills et al., 2009). 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