CSAQ·Anxiety

Cognitive-Somatic Anxiety Questionnaire

A 33-item scale that assesses the cognitive (17 items) and somatic (16 items) symptoms of anxiety through separate channels.

Clinical review

Berk Mete, MSc reviewed this page

Clinical Psychologist · BPS Graduate Member #763717

Last updated: July 14, 2026

In one minute

The Cyberchondria Scale assesses the cycle in which health-related online searches keep feeding anxiety. It looks at how often you search for symptoms online, the distress this creates and the reassurance-seeking that follows. It makes the digital-behaviour dimension of health anxiety visible.

How it works in 3 steps

  1. You respond: You mark your habits around searching for health information online.
  2. A profile emerges: Search frequency, distress and reassurance-seeking are separated out.
  3. It is interpreted: The result is considered in the context of health anxiety.

Who it informs

It is informative for people who, on noticing a symptom, spend hours researching it online and become even more anxious because of what they find.

When professional support helps

A scale never makes a diagnosis on its own. If your results worry you, or if symptoms are affecting your daily life, sleep, or relationships, planning an assessment session with a clinical psychologist is the healthiest next step. If symptoms are intense, seeking support without delay is recommended.

What does the CSAQ measure?

The scale brings to light the cycle in which searching for symptoms brings short-term relief but feeds anxiety in the long run. The duration and repetition of searching, together with the emotional aftermath that follows, are evaluated as a whole.

High results indicate that online searching is actively fuelling the anxiety cycle. Setting limits on this behaviour can help to slow the cycle down.

How is it scored?

Items are rated on a scale and summed. The total score falls into low, moderate or high cyberchondria ranges.

Items
33
Score range
0132
Administration
Self / observer report

What do the score bands mean?

The ranges below are a general frame. No band makes a diagnosis on its own; a result only becomes meaningful when a clinical psychologist interprets it alongside your life story.

ScoreGeneral interpretation
039Minimal anxiety symptoms
4079Moderate level
80132High anxiety symptoms

Limitation: It measures a behavioural pattern; a scale never makes a diagnosis on its own. In people who seek health information as part of their profession, a high score does not always mean there is a problem.

Psychometrics and source

Developed by McElroy and Shevlin (2014); it is the most widely used measure of the cyberchondria construct.

Original source: Bilişsel-somatik anksiyete ayrımı (Schwartz, Davidson & Goleman, 1978) temelli form.

How is this scale used at Mete Psikoloji?

At Mete Psikoloji, when working with health anxiety, this scale is used to address online-search habits and to track change over the course of the work. Your results are recorded in your client portal, whether sessions take place online or in person.

Related reading

Did your result give you pause?

A scale is only a starting point. By planning an assessment session with our clinical psychologists, you can consider your result alongside the context of your life.