1.

Symptom Checklist-90-Revised (SCL-90-R)

Identicación……………………………………………………………………………………..…….Fecha……………………….

Below is a list of problems that people sometimes have.

Please read it carefully and select, in each case your answer, marking the letter that
better describe TO WHAT EXTENT YOU HAVE FELT ANNOYED BY THAT PROBLEM FOR
THE LAST 7 DAYS, INCLUDING TODAY. Don't forget that you must answer all the questions.
proposed.

TO WHAT EXTENT HAVE YOU FELT AFFECTED BY…?

Use the following criteria:

A: nada, B: un poco, C: moderadamente, D: bastante, E: mucho

A B C D E
Headaches O O O O O
2. Nervousness or internal agitation O O O O O
3. Unwanted thoughts, words, or ideas that won't leave your mind.
O O O O O
4. Feelings of faintness or dizziness O O O O O
5. Loss of sexual desire or pleasure O O O O O
6. The fact of judging other people critically or negatively O O O O O
The idea that another person can control your thoughts. O O O O O
The impression that most of your problems are the fault of others. O O O O O
9. Difficulty remembering things O O O O O
10. Concerns about untidiness, neglect, or disorganization O O O O O
11. To feel easily irritated or angry O O O O O
12. Pain in the heart or in the chest O O O O O
13. To feel fear of open spaces or the street O O O O O
14. Feeling low on energy or down O O O O O
15. Thoughts or ideas about ending their life O O O O O
16. Hearing voices that other people do not hear O O O O O
17. Tremors O O O O O
The idea that one cannot escape from most people O O O O O
19. Lack of affection O O O O O
Cry easily O O O O O
21. Shyness or discomfort with the opposite sex O O O O O
22. The feeling of being trapped or like being caged. O O O O O
To suddenly and without reason be afraid O O O O O
24. Outbursts of anger or fits of rage that cannot be controlled O O O O O
25. Fear of going out alone O O O O O
To blame oneself for what happens O O O O O
27. Pain in the lower back O O O O O
28. Feeling unable to achieve things O O O O O
 A: nada, B: un poco, C: moderadamente, D: bastante, E: mucho

A B C D E
29. Feel alone O O O O O
30. I felt sad O O O O O
31. Worrying too much about things O O O O O
32. No interest in things O O O O O
33. To feel fearful O O O O O
Being too sensitive or getting hurt easily O O O O O
The impression that others are aware of your thoughts O O O O O
The feeling that others do not understand or pay attention to you. O O O O O
37. The impression that people are unfriendly or that you are not liked by them
O O O O O
Having to do things very slowly to be sure that you do them well O O O O O
39. That his heart beats fast or goes very fast O O O O O
40. Nausea or discomfort in the stomach O O O O O
Feeling inferior to others O O O O O
Muscle pain O O O O O
43. Feeling that other people are looking at or talking about you O O O O O
Difficulty in falling asleep O O O O O
45. Having to check again and again what he/she does O O O O O
46. Finding it difficult to make decisions O O O O O
47. I felt fear of traveling by car, buses, subway, trains, etc. O O O O O
48. Difficulty breathing O O O O O
49. To suddenly feel hot or cold O O O O O
Having to avoid certain things, places or activities because they scare you O O O O O
51. May his mind go blank O O O O O
52. Numbness or tingling in any part of the body O O O O O
To feel a lump in the throat O O O O O
54. To feel hopeless about the future O O O O O
55. Having difficulty concentrating O O O O O
56. Feel weak in some part of the body O O O O O
57. To feel tense or agitated O O O O O
Heaviness in the arms or legs O O O O O
59. Thought about death or the act of dying O O O O O
60. Eating too much O O O O O
Feel uncomfortable when people look at you or talk about you O O O O O
62. Having thoughts that are not yours O O O O O
63. Feel the impulse to hit, harm, or hurt someone O O O O O
64. Waking up early in the morning O O O O O
65. Having to repeat the same actions such as touching, counting, washing, etc.
O O O O O
66. Restless sleep or easily waking up O O O O O
67. To have strong desires to break something O O O O O
68. Having ideas or beliefs that others do not share O O O O O
I felt very shy among other people. O O O O O
70. I felt very uncomfortable among a lot of people, e.g. in the cinema, in stores.
O O O O O
71. Sentr quetodo requires a great effort O O O O O
72. Terror or panic attacks O O O O O
Feel uncomfortable eating or drinking in public. O O O O O
74. Having frequent discussions O O O O O
75. Feel nervous when alone O O O O O
76. That others do not adequately recognize their achievements O O O O O
Feeling alone even when being with more people O O O O O
78. I feel so restless that I can't even sit still. O O O O O
79. Feeling of uselessness or worthlessness O O O O O
80. Thoughts that something bad is going to happen O O O O O
 A: nada, B: un poco, C: moderadamente, D: bastante, E: mucho

A B C D E
81. To have the desire to scream or to throw things O O O O O
82. Being afraid of fainting in public O O O O O
83. The impression that people would try to take advantage of you if you letO them.
O O O O
84. Having thoughts about sex that disturb him quite a lot O O O O O
85. La idea de que debería ser castgado por sus pecados O O O O O
86. Thoughts or disturbing images that frighten him O O O O O
87. The idea that something is wrong with your body O O O O O
88. Do not feel close or intimate with anyone O O O O O
89. Feelings of guilt O O O O O
90. The idea that something is wrong in your mind O O O O O
 2. INTERPERSONAL PROBLEM INVENTORY IIP64

People say they have problems when relating to others. For

please read the list of statements that follows and for each of them
consider whether it has been a problem regarding any important person in your
life. Next, indicate with a circle the degree of alteration that it has meant for
you.

The following describes things you may find difficult to do with

the others.

It's hard for me:

Nothing A little SomethingQuite Much
1 Trusting other people. Nothing A little Something Quite a lot Very 1
difficult difficult difficult difficult difficult
0 1 2 3 4
2 Saying 'no' to others Nothing A little Something Quite Very 2
people. difficult difficult difficult difficult difficult
0 1 2 3 4
3 Join groups of Nothing A little Something Quite a lot Very 3
people. difficult difficult difficult difficult difficult
0 1 2 3 4
4 Keep things secret Nothing A little Something Quite Very 4
intimate with other people. difficult difficult difficult difficult difficult
0 1 2 3 4
5 Let others know about it Nothing A little Something Quite a bit Very 5
what I want. difficult difficult difficult difficult difficult
0 1 2 3 4
6 Tell someone to stop Nothing A little Something Quite a lot Very 6
bother me. difficult difficult difficult difficult difficult
0 1 2 3 4
7 Introduce me to people Nothing A little Something Quite Very 7
unknown. difficult difficult difficult difficult difficult
0 1 2 3 4
8 Face to face with the Nothing A little Something Quite Very 8
besides the problems that difficult difficult difficult difficult difficult
surgeon. 0 1 2 3 4
9 Be firm with someone. Nothing A little Something Quite Very 9
difficult difficult difficult difficult difficult
0 1 2 3 4
10Let others know that Nothing A little Something Enough Very 10
I am angry. difficult difficult difficult difficult difficult
0 1 2 3 4
Establish a long term Nothing A little Something Quite Very 11
commitment to someone. difficult difficult difficult difficult difficult
0 1 2 3 4
 Nothing A little SomethingQuite Much
To be the boss of Nothing A little
another
person. Something Quite Very 12
difficult difficult difficult difficult difficult
0 1 2 3 4
13Be aggressive with the Nothing A little Something Quite Very 13
people when the situation difficult difficult difficult difficult difficult
it requires. 0 1 2 3 4
14 Relate and alternate with Nothing A little Something Quite Very 14
the people. difficult difficult difficult difficult difficult
0 1 2 3 4
15Show affection to the Nothing A little Something Enough Very 15
people. difficult difficult difficult difficult difficult
0 1 2 3 4
Get along well with the Nothing A little Something Quite a lot Very 16
people. difficult difficult difficult difficult difficult
0 1 2 3 4
17 Understand the points of Nothing A little Something Quite Very 17
view of others. difficult difficult difficult difficult difficult
0 1 2 3 4
18Express directly my Nothing A little Something Enough Very 18
feelings towards others. difficult difficult difficult difficult difficult
0 1 2 3 4
19To stand firm when it Nada A little Something Quite Very 19
I need. difficult difficult difficult difficult difficult
0 1 2 3 4
Nothing A little
To feel affection or fondness for another Something Quite Very 20
person. difficult difficult difficult difficult difficult
0 1 2 3 4
21Set limits to others. Nothing A little Something Quite a bit Very 21
difficult difficult difficult difficult difficult
0 1 2 3 4
Support someone in their Nothing A little Something Quite Very 22
goals in life. difficult difficult difficult difficult difficult
0 1 2 3 4
I feel close to the Nothing A little Something Quite a bit Very 23
others. difficult difficult difficult difícil difficult
0 1 2 3 4
24 To really worry about Nothing A little Something Quite Very 24
the problems of others. difficult difficult difficult difficult difficult
0 1 2 3 4
Discuss with someone. Nothing A little Something Quite Very 25
difficult difficult difficult difficult difficult
0 1 2 3 4
Spend time alone. Nothing A little Something Quite Very 26
difficult difficult difficult difficult difficult
0 1 2 3 4
Give a gift to someone.
Nothing A little Something Quite Very 27
difficult difficult difficult difficult difficult
0 1 2 3 4
Let me be carried away by Nothing anger A little Something Quite Very 28
to get angry with someone who difficult difficult difficult difficult difficult
I like or appreciate. 0 1 2 3 4
 Nothing A little SomethingQuite A lot
29Put the needs of Nothing A little Something Quite Very 29
another before mine. difficult difficult difficult difficult difficult
0 1 2 3 4
Keep me out of the Nothing A little Something Enough Very 30
other people's matters. difficult difficult difficult difficult difficult
0 1 2 3 4
Receive instructions from others Nothing A little Something Quite Very 31
who have authority over difficult difficult difficult difficult difficult
me. 0 1 2 3 4
Feeling good for the happiness Nada A little Something Quite Very 32
of another. difficult difficult difficult difficult difficult
0 1 2 3 4
33Ask others to Nothing A little Something Quite Very 33
relate and do things difficult difficult difficult difficult difficult
with me. 0 1 2 3 4
34Getting angry with others. Nothing A little Something Quite Very 34
difficult difficult difficult difficult difficult
0 1 2 3 4
35Open and count my Nothing A little Something Quite Very 35
feelings towards another person. difficult difficult difficult difficult difficult
0 1 2 3 4
36Forgiving another after Nothing A little Something Quite Very 36
have been angry. difficult difficult difficult difficult difficult
0 1 2 3 4
Take care of my well-being Nothing A little Something Quite Very 37
when someone is found difficult difficult difficult difficult difficult
needy. 0 1 2 3 4
38Be firm without worrying about Nothing A little Something Quite Very 38
hurt the feelings of the difficult difficult difficult difficult difficult
others. 0 1 2 3 4
39Trusting myself when Nothing A little Something Quite Very 39
I am with the others. difficult difficult difficult difficult difficult
0 1 2 3 4

I do the following things too much:

Nothing A little SomethingQuite Much

I fight too much with the 40
0 1 2 3 4
others.
I feel too much 41
responsible for solving the 0 1 2 3 4
problems of others.
42Las personas me persuaden 42
or they convince me with 0 1 2 3 4
too much ease.
I open up too much to the 43
0 1 2 3 4
people.
I am too much 44
0 1 2 3
independent. 4
I am too aggressive 45
1 2 3 4
towards others. 0
 Nothing A little SomethingQuite Much
I try to please 46
0 1 2 3 4
too much to others.
I act too silly or the 47
0 1 2 3 4
clown.
I want too much for it to be 48
1 2 3 4
look at me. 0
I trust too much in the 49
0 1 2 3 4
people.
I try to control too much. 50
0 1 3 4
to the people. 2
I put too many times the 51
needs of others 0 1 2 3 4
before mine.
I try too hard to do 52
0 1 2 3 4
change the people.
I am too gullible or 53
0 1 2 3 4
innocent.
I am too generous with 54
0 1 2 3 4
the others.
It scares me too much the 55
1 3 4
people. 0 2
I am too distrustful. 56
the suspicious one. 0 1 2 3 4
I manipulate too much the 57
others until achieving it 0 1 2 3 4
what I want.
I talk too much about things 58
0 1 2 3 4
personal with people.
I argue too much with the 59
0 1 2 3 4
persons.
I hold too much to 60
0 1 2 4
distance from people. 3
I leave too much to the 61
people take advantage of 0 1 2 3 4
me.
I am too ashamed 62
0 1 2 3 4
in front of people.
They affect me too much the 63
0 1 2 3 4
misfortunes of people.
I desire too much to take revenge. 64
0 1 2 3 4
from others.