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SCL-90 Psychopathological Symptoms Scale

This document presents a questionnaire of 90 items designed to assess psychopathological symptoms. The questionnaire, called SCL-90, measures 9 main dimensions such as hypochondria, obsession-compulsion, depression, anxiety, hostility, shyness, phobias, paranoid ideation, and psychoticism. Each item is scored from 0 to 4 based on the severity of the symptom. The questionnaire provides information about the patient's symptomatology that can assist the evaluator in

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0% found this document useful (0 votes)
20 views11 pages

SCL-90 Psychopathological Symptoms Scale

This document presents a questionnaire of 90 items designed to assess psychopathological symptoms. The questionnaire, called SCL-90, measures 9 main dimensions such as hypochondria, obsession-compulsion, depression, anxiety, hostility, shyness, phobias, paranoid ideation, and psychoticism. Each item is scored from 0 to 4 based on the severity of the symptom. The questionnaire provides information about the patient's symptomatology that can assist the evaluator in

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© All Rights Reserved
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SLC - 90

Below you will find a list of problems and complaints that the
PEOPLE SOMETIMES MARK WITH A CROSS OVER IT
NUMBER THAT DESCRIBES THE PROBLEM THAT HAS BOTHERED YOU IN
THE LAST DAYS UP TO TODAY, ACCORDING TO THE VALUES
NEXT:
0 NOTHING
1 A little
2 MODERATELY
3 ENOUGH
4 IN EXTREMIS

No. HOW MUCH HAS BEEN BOTHERED BY: 0 1 2 3 4


Headache
Nervousness or internal trembling of the body
Repeated unpleasant thoughts that you cannot get rid of
3
head
4Dizziness or fainting sensation
Loss of sexual interest or pleasure
Criticizing or judging others
The idea that others can also control their thoughts
Feeling that others are to blame for most of their problems
Difficulty remembering things
To be careless or disorganized
Get irritated or upset easily
12 Pain in the heart or chest
Fear of open spaces or being on the street
Feeling down and lacking energy (depressed)
Thinking about taking one's life
16Hearing voices that other people do not hear
17 Body tremors
18Think that you should not trust most people
19Having little appetite
Cry easily
Feeling shy or short with people of the opposite sex
Feel like cornered, with no way out
Suddenly getting scared for no reason
Fits of anger that cannot be controlled
Feeling scared to go out alone on the street
Blame yourself for all the bad things that happen to you
27 Pain in the kidney region
Feeling hindered in getting things done well
Feel lonely
Feeling sad
Worrying too much about things
0 1 2 3 4
Feeling disinterest in things
Feel fear
34Feeling easily hurt
To know that your thoughts are known by others
Feeling that others do not understand you or are unfriendly to you
Feeling that people dislike you or are unfriendly
Do things slowly to ensure they are done well.
39 Palpitations or rapid heart rate
40 Nausea or discomfort in the stomach
Feeling inferior to others
42 Pain in the muscles
Feeling that they are watching you or talking about you
44 Discomfort or difficulty sleeping
Review and review again what it does
Difficulty in making decisions
47Feeling scared to travel by bus, coach, or train
Feeling short of breath or suffocation
Feeling hot flashes or chills
Avoid doing certain things, places, or activities because they give you...
50
fear
Feeling that your mind is confused.
Feeling some part of your body with tingling or numbness
Feeling of a lump in the throat
Feeling hopeless for the future
Have difficulty concentrating
Feeling weakness in any part of your body
Feeling tense or anxious
Heaviness in his arms and legs
Thinking about your death
Eating excessively
Feeling uncomfortable when people look at or talk to you
62Having ideas or thoughts that you do not feel are your own
Become impulsive enough to hit, injure, or harm someone.
Waking up very early in the morning
Feeling the need to repeat acts: touching, counting, washing hands,
65
etc.
Having restless or disturbed sleep
67Having impulses to break or crush things
Having ideas or beliefs that other people do not agree with
Feeling grumpy or being careful not to talk or do anything when with
69
other people
Feeling uncomfortable in very crowded places (stores, markets,
70
cinemas, etc.)
Feeling that you have to strive for everything you do
Having terror or panic attacks
Feeling uncomfortable when having to drink or eat in public
0 1 2 3 4
Have discussions frequently
Feeling nervous when you are alone
76When people do not recognize your achievements
Feeling lonely even when being with people
Feeling so restless that you cannot sit still
Feeling useless or worthless
Feeling that something bad is going to happen to you
81Shout or throw things
Feeling afraid of fainting in public
Feeling that people will take advantage of you if you allow it
Having ideas about sex that bother him a lot
The idea of being punished for one's sins
86 Ideas and images of a natural fear
The idea that something serious and bad is in its body
Not having a close relationship with another person
89To have feelings of guilt
To have an idea that something is wrong in your mind

PSYCHOLOGICAL REPORT

I. PERSONAL DATA

Name : _________________________________________
Age : _________________________________________
Level of Education: _________________________________________
Evaluation Date: _________________________________________
Reason for evaluation: _________________________________________
Evaluation date : _________________________________________
Evaluator : _________________________________________

II. APPLIED INSTRUMENTS

The psychological interview


Psychopathological Symptoms Scale: SCL – 90 (short scale)

III. RESULTS

SCORE PERCENTAGE
DIMENSION SCORE
MAXIMO (%)
Hypochondria
2. Obsession - compulsion
Depression
4. Anxiety
Hostility
6. Assertiveness and Shyness
7. Phobias
8. Paranoid Ideation
9. Psychoticism

100

75
50

25

0
I II III IV V VI VII VIII IXdimens

IV. INTERPRETATION OF THE RESULTS

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

V. RECOMENDACIONES
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
________________________
SCALE OF PSYCHOPATHOLOGICAL SYMPTOMS
SCL – 90

DESCRIPCION

The SCL-90 is a self-administered scale primarily aimed at


determine the symptomatic behavior of psychiatric outpatients.

The immediate precursor of the SCL was the scale called "HSCL" (Hopkins
Symptom Check List), which consisted of 58 items, which were representative of the
symptoms commonly observed among outpatient psychiatric patients.
These items covered five dimensions: Hypochondria, Obsessiveness, Compulsiveness,
Sensibilidad Interpersonal, Ansiedad y Depresión.

The origins of this last scale date back to the year 1954 when Parloff, Kelman and
Frank develops the so-called 'Discomfort Scale', which in turn arises from the union of 12
items taken from a scale made by Leir in 1952 and some constitutive symptoms
from the Cornell medical index.

The SCL - 90 includes 90 items that reflect the 9 first-order dimensions that
it is believed to cover the majority of the symptoms that these types may present
patients. Few questions escape from this wide base. To inquire about aspects
related to sleep and appetite.

The dimensions characterized by the authors of the SCL - 90 are as follows:

DIMENSION I : (HIPOCONDRÍA)

Ítems : 1, 4, 12, 27, 40, 42, 48, 49, 52, 53, 56, 58

The items included in this dimension explore discomfort in the area of the
perceptions of bodily dysfunction. Other equivalents are also included.
somatic anxiety.

Number of Items = 12 x 4 pt. = 48 Item rating: From 0 to 4

Maximum score = 48 equivalent to 100% (12 x 4)

Two Ways: a) General Form = 12 items


b) Forma Abreviada = 12 items
DIMENSION II: OBSESSIVENESS – COMPULSIVENESS

Ítems : 3, 9, 10, 28, 38, 45, 46, 55, 65, 84, 86

They reflect behaviors that are closely identified with the clinical syndrome of
same name. The focus of this dimension is fixed on thoughts, impulses and
actions experienced as irresistible and permanent that are not desired.

Number of Items a) General Form = 44 is equivalent to 100% (11 x 4)


b) Abbreviated Score = 40 equivalent to 100% (10 x 4)

DIMENSION III: ASSERTIVENESS AND SHYNESS

Ítems : 6, 21, 34, 36, 37, 41, 61, 69, 73, 88

It mainly focuses on feelings of inadequate interaction and inferiority.


particularly in comparison with the other members of society.

N° de ítems = 10

Maximum score = 40 is equivalent to 100% (10 x 4)

The abbreviated form is not included. It has been eliminated.

DIMENSION IV: DEPRESSION

Ítems: 5, 14, 15, 19, 20, 22, 26, 29, 30, 31, 32, 54, 59, 71, 79, 87, 89

It reflects a wide range of symptoms associated with the clinical depressive syndrome. They are
represented by symptoms related to mood, as well as lack of interest and
energy loss - vital. Includes some responses about suicidal ideas.

No. of items a) General Form = 17


b) Forma Abreviada = 16

Two Ways a) Maximum Score = 68 equivalent to 100% (17 x 4)


b) Abbreviated Score = 64 is equivalent to 100% (16 x 4)

DIMENSION V: ANXIETY

Ítems : 2, 17, 23, 33, 39, 44, 57, 60, 64, 66, 72, 78, 80

This dimension has symptoms and behaviors usually associated with highs.
manifestations of anxiety, includes general indicators such as nervousness,
restlessness and tension, as well as somatic signs, for example: tremors. Also,
They present in this dimension, items related to feelings and actions.
Number of items for both Forms a) General : 13
b) Abbreviated : 13

Two ways a) Maximum Score = 52 equivalent to 100% (13 x 4)


b) Abbreviated Score = 52 equivalent to 100% (13 x 4)

DIMENSION VI: HOSTILITY

Ítems : 11, 24, 63, 67, 74, 81

This dimension encompasses behaviors related to unchanneled aggressive impulses.


socially acceptable form.

Number of items for both forms a) General 6


b) Abbreviated : 6

Two Ways a) Maximum Score = 24 equivalent to 100% (6 x 4)


b) Puntaje Abreviado = 24 equivalent to 100% (6 x 4)

DIMENSION VII: PHOBIAS

Ítems : 13, 25, 47, 50, 70, 75, 82

The items that comprise this dimension primarily reflect symptoms that have
have been observed with high incidence in conditions called phobic anxiety or
agoraphobia.

They encompass fears of a phobic nature oriented towards travel, open spaces, or places.
audiences.

Number of items = 7

Maximum Score = 28 equivalent to 100% (7 x 4)

The abbreviated form is not included; it was removed.

DIMENSION VIII: PARANOID IDEATION (PARANOIA)

Ítems: 8, 18, 43, 68, 76, 83

It derives from the notion that paranoid behavior is better understood from a
symptomatic point of view. The paranoid phenomenon is more effectively conceived
as a way of thinking.

Number of items = 6

Maximum Score = 24 equivalent to 100% (6 x 4)

The shortened form is not included, it has been removed.


DIMENSION IX: PSYCHOTICISM

Ítems : 7, 16, 35, 51, 62, 77, 85, 90

The access route taken to build this dimension involves samples of a wide
spectrum of psychotic behaviors.

Four items reflect the primary symptoms described by Kraepelin for schizophrenia.
auditory hallucinations, external control of thought. Insertion of thoughts
externals and disaggregation of thought (16, 7, 35, 62)

Additionally, some less defined psychotic behaviors are represented, as such


as signs of a schizoid lifestyle.

Item number = 5

Maximum Score = 32 equals 100% (8 x 4)

Abbreviated form is not included. It has been removed.

PROTOCOL

The SCL-90 scale has 5 columns headed by a word or a phrase,


whose definitions are clarified below.

NOTHING : The patient does not report any discomfort related to the symptom.
questioned (0 POINTS)

A little : Some discomfort associated with the symptom but it is more or


less infrequent and of low intensity (1 POINT)

MODERATELY: The patient experiences discomfort regularly and


with moderate intensity (2 POINTS)

ENOUGH : Discomfort associated with the symptom regularly and of


high intensity (3 POINTS).

IN EXTREMIS : Extreme discomfort due to intensity and/or frequency (4


POINTS

The patient must choose the column that best expresses their issues.
RATING AND ANALYSIS

For the calculations, the scores obtained in the items of each dimension are summed: that is
the score of that dimension

Then those scores are converted into % to graph the psychopathological profile of
patient in a direct percentile system.

Hypochondria:

Ptj. Obtenido = 10
Max point = 48

48 - 100
10 - x
X = 1000 / 48 = 20 .83%

A 'Global Symptoms Index GSI' can also be obtained, which is achieved


dividing the total score obtained by 90.

Ex.: Pt. Total = 61


ISG = 61 / 90 = 0.67 or 67%

For a qualitative analysis. Castillo arbitrarily set the score 2 as the value
maximum. Figures above this level can be considered as pathological level.

DIAGNOSIS

For the total scale, use the 9 dimensions and draw the Psychopathological profile.

Since the percentage analysis is direct, we must proceed according to the following criteria:

PERCENTAGES OF:

75 to 100 Defined Symptoms on the Scale. In any case, it requires


treatment
50 to 75 Relevant symptoms that require attention and possible treatment.
25 to 50 Expected or normal symptomatic level
0 to 25 Markedly normal. But it can also indicate to us
alterations according to correlation with other tests.

For the Shortened SCL - 90, only 5 dimensions are used:

I : Hypochondria
II : Obsessive Compulsive
IV : Depression
V : Anxiety
VI : Hostility
The psychopathic profile is outlined and diagnosed according to the same criteria for the
total scale.

Example I.

Mr. Toribio 29 years old

Clinical Diagnosis.- Obsessive anxiety syndrome with marked symptoms


hypochondriac

SCL-90: RESULTS

Score Score %
Maximum
DIMENSION I Hypochondria 26 48 54
DIMENSION II Obsessive/Compulsive 18 40 41
DIMENSION IV Depression 25 64 39
DIMENSION V Anxiety 26 52 50
DIMENSION VI Hostility 0 24 0

100%

75%

50%

25%

0%
Hippo Obse Depression Ansi Host

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