SCL-90 - Charlotte Counseling | Access

1 Copyright 2000 2009 by Dr. John M. Gottman and Dr. Julie Schwartz Gottman. Distributed under license by The Gottman Institute, ID# _____Date _____SCL-90 Below is a list of problems and complaints that people sometimes have. Please read each one care-fully. After you have done so, select one of the numbered descriptors that best describes HOW MUCH THAT PROBLEM HAS BOTHERED OR DISTRESSED YOU DURING THE PAST WEEK, INCLUDING TODAY. Circle the number in the space to the right of the prob-lem and do not skip any items. Use the following key to guide how you respond: Circle 0 if your answer is NOT AT ALL Circle 1 if A LITTLE BIT Circle 2 if MODERATELY Circle 3 if QUITE A BIT Circle 4 if EXTREMELYP lease read the following example before beginning:Example: In the previous week, how much were you bothered by: Backaches 0 1 2 3 4In this case, the respondent experienced backaches a little bit (1). Please proceed with the questionnaire.

2 HOW MUCH WERE YOU BOTHERED BY:NOT AT ALL A LITTLE BITMODERATELYQUITE A or shakiness thoughts, words, or ideas that won t leave your or of sexual interest or critical of idea that someone else can control your others are to blame for most of your remembering about sloppiness or easily annoyed or in heart or afraid in open spaces or on the low in energy or slowed of ending your voices that other people do not that most people cannot be appetite01234 Copyright 2000 2009 by Dr. John M. Gottman and Dr. Julie Schwartz Gottman. Distributed under license by The Gottman Institute, (continued) HOW MUCH WERE YOU BOTHERED BY:NOT AT ALL A LITTLE BITMODERATELYQUITE A shy or uneasy with the opposite of being trapped or scared for no outbursts that you could not afraid to go out of your house yourself for in lower blocked in getting things too much about no interest in feelings being easily people being aware of your private others do not understand you or are that people are unfriendly or dislike to do things very slowly to insure pounding or or upset inferior to of your that you are watched or talked about by falling to check and double-check what you making afraid to travel on buses, subways, getting your or cold to avoid certain things, places, or activities because they frighten mind going or tingling in parts of your lump in your hopeless about the concentrating01234 Copyright 2000 2009 by Dr.

3 John M. Gottman and Dr. Julie Schwartz Gottman. Distributed under license by The Gottman Institute, (continued) HOW MUCH WERE YOU BOTHERED BY:NOT AT ALL A LITTLE BITMODERATELYQUITE A weak in parts of your tense or keyed feelings in your arms or of death or uneasy when people are watching or talking about thoughts that are not your urges to beat, injure, or harm in the early to repeat the same actions such as touching, counting, that is restless or urges to break or smash ideas or beliefs that others do not very self-conscious with uneasy in crowds, such as shopping or at a everything is an of terror or uncomfortable about eating or drinking in into frequent nervous when you are left not giving you proper credit for your lonely even when you are with so restless you couldn t sit of that familiar things are strange or or throwing afraid you will faint in that people will take advantage of you if you let thoughts about sex that bother you a idea that you should be punished for your pushed to get things idea that something serious is wrong with your feeling close to another of idea that something is wrong with your mind01234 Reference: Derogatis, , Lipman, , & Covi, L.

4 (1973). SCL-90 : An outpatient psychiatric rating scale Preliminary Report. Psychopharmacol. Bull. 9, 13 28.