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Nine Dimensions of Psychological Symptoms

This document presents the SCL-90-R Symptom Inventory, which evaluates nine dimensions of psychological symptoms as well as global indices of severity, total number of symptoms, and response style. The nine dimensions include somatizations, obsessions and compulsions, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. The inventory provides a dimensional assessment of psychopathology and its interpretation.

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0% found this document useful (0 votes)
17 views4 pages

Nine Dimensions of Psychological Symptoms

This document presents the SCL-90-R Symptom Inventory, which evaluates nine dimensions of psychological symptoms as well as global indices of severity, total number of symptoms, and response style. The nine dimensions include somatizations, obsessions and compulsions, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. The inventory provides a dimensional assessment of psychopathology and its interpretation.

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THE NINE DIMENSIONS OF SYMPTOMS.

These dimensions were defined based on clinical, rational criteria and


empirical.

SOMATIZATIONS (items 1, 4, 12, 27, 40, 42, 48, 49, 52, 53, 56, 58).
Evaluate the presence of discomforts that the person perceives related to
different bodily dysfunctions (cardiovascular, gastrointestinal,
respiratory.

OBSESSIONS AND COMPULSIONS (items 3, 9, 10, 28, 38, 45, 46, 51, 55, 65).
Includes symptoms that are identified with the clinical syndrome of the same name:
Thoughts, actions, and impulses that are experienced as impossible to
to avoid the unwanted.

INTERPERSONAL SENSITIVITY (items 6, 21, 34, 36, 37, 41, 61, 69, 73).
It focuses on detecting the presence of feelings of inferiority and
inadequacy, especially when the person compares themselves to their peers

DEPRESSION (items 5, 14, 15, 20, 22, 26, 29, 30, 31, 32, 54, 71, 79).
The items that make up this subscale represent a sample
representative of the main clinical manifestations of a disorder
depressive type: dysphoric mood, lack of motivation, little energy
vital, feelings of hopelessness, suicidal ideations.

ANXIETY (items 2, 17, 23, 33, 39, 57, 72, 78, 80, 86).
Evaluate the presence of general signs of anxiety such as nervousness,
tension, panic attacks, fears.

HOSTILITY (items 11, 24, 63, 67, 74, 81).


This dimension refers to thoughts, feelings, and actions.
characteristics of the presence of negative feelings of anger.

PHOBIC ANXIETY (items 13, 25, 47, 50, 70, 75, 82).
This discomfort refers to a persistent response of fear (towards people)
specific, places, objects, situations) that is in itself irrational and
disproportionate in relation to the stimulus that provokes it.

PARANOID IDEATION (items 8, 18, 43, 68, 76, 83).


Evaluate paranoid behaviors fundamentally as disorders.
of thought: projective thinking, suspicion, fear of loss of
autonomy.

PSICOTICISMO(ítemes 7, 16, 35, 62, 77, 84, 85, 87, 88, 90).
This dimension has been built with the intention of representing the construct.
as a continuous dimension of human experience. It includes symptoms
referred to states of loneliness, schizoid lifestyle, hallucinations and
control of thought.

ADDITIONAL ITEMS.

The SCL-90-R includes seven items that are not included in the nine.
dimensions already mentioned but that have clinical relevance:
19: Little appetite
44: Sleep problems
Thoughts about death or dying
Overeating
Waking up very early.
Unsettled dream.
Feelings of guilt.

GLOBAL INDICES.

1) Global Severity Index: it is a very good indicator of the current level of the
severity of discomfort. Combines the number of recognized symptoms as
presents with the intensity of the perceived discomfort.
It is calculated by adding the scores obtained in the nine
dimensions of symptoms and in the additional items.

Total of positive symptoms (STP): it is estimated by counting the total number of items
that have a positive response (greater than zero). In population subjects
general, gross scores equal to or less than 3 in males and equal to
below 4 in women are considered as indicators of an attempt
aware of presenting themselves better than they really are. (positive image).
Raw scores above 50 in men and 60 in women indicate this
opposite: tendency to exaggerate their pathologies.

3) Positive Distress Index (PSDI): aims to evaluate the response style


indicating whether the person tends to exaggerate or minimize the discomforts they experience
they suffer.
It is calculated by dividing the total sum of the answers given to the items.
for the value obtained in Total Positive Symptoms (SP).
Extreme scores in this index also suggest patterns of
responses that must be analyzed in terms of attitudes of feigning.

Evaluation and interpretation of the inventory.

1) The raw scores are calculated for each of the nine


dimensions and the three indices.

2) Add the values assigned to each item and divide that total by the number of
answered items.

3) Those raw scores are converted into T scores (Mean = 50 and


D.T. = 10).
It is considered indicative of a person AT RISK any T score equal to
or above 65.

Indicates the presence of severe pathology for any score equal to or higher than T 80.

There are separate scales according to sex (male, female).

SCL-90-R.

1) SOMATIZATIONS:
1... 4... 12... 27... 40... 42... 48... 49... 52... 53... 56... 58...
Total (divide): T.....

2) OBSESSIONS AND COMPULSIONS:


3... 9... 10... 28... 38... 45... 46... 51... 55... 65...
Total (divide): T.....

3) INTERPERSONAL SENSITIVITY:
6... 21... 34... 36... 37... 41... 61... 69... 73...
Total (divide): T.....

4) DEPRESSION:
5... 14... 15... 20... 22... 26... 29... 30... 31... 32...54... 71... 79...
Total (divide): T.....

5) ANXIETY :
2... 17... 23... 33... 39... 57... 72... 78... 80... 86...
Total (divide): T.....

HOSTILITY:
11... 24... 63... 67... 74... 81...
Total (divide): T.....

7) PHOBIC ANXIETY:
13... 25... 47... 50... 75... 82...
Total (divide): T......

8) PARANOID IDEATION:
8... 18... 43... 68... 76... 83...
Total (divided): T.....
9) PSYCHOTICISM:
7... 16... 35... 62... 77... 84... 85... 87... 88... 90...
Total (divide): T.....

GLOBAL SEVERITY INDEX: Total: T.....

TOTAL DE SINTOMAS POSITIVOS ( SP)Total: T.....

POSITIVE SYMPTOMATIC DISTRESS (PSDI) Total: T.....

ADDITIONAL ITEMS

19........ 44...... 59...... 60....... 64....... 66...... 89.......

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