COMPARISON ::: Psychological Wellbeing Scales
scale characteristics and quality framework scores
Psychological wellbeing is one dimension of addiction - the other dimensions being substance use itself and social wellbeing. It may be included as part of a Quality of Life scale - see below. The ten item Clinical Outcomes in Routine Evaluation (CORE10) scale comes out as the best to use for routine practice. The score can be used as a measure of general distress or as a screening tool for mental illness. The DASS21 was intended to distinguish different aspects of mental health but actually works best as a general measure of psychological distress. The SOS10 is also a general measure of psychological distress but has aspects of quality of life.
CORE10 :: Clinical Outcomes in Routine Evaluation designed for routine clinical practice and research
The CORE Information Management System is provided by a not-for-profit organisation which has been developing CORE products for over 10yrs. The CORE system was designed to support practitioners using psychological therapies. The scales have been extensively evaluated and are widely used by both public and private sector organisations as well as in research. Products can be downloaded in many languages from the CORE website. CORE10 is a ten item scale measuring a single construct, psychological distress, and is also a screening questionnaire for the identification of mental illness Q1: anxiety Q2: close relationships Q3: general functioning Q4: social relationships Q5:anxiety Q6: risk Q7: physical Q8: depression Q9: depression Q10: trauma. Timeframe :: The last 7 days. Scoring :: Each item is scored 0 'not at all' to 4 'most or all of the time' - range 0-40. One missing item can be pro-rated as the mean of the other scores. Questions 2 and 3 are reverse scored. Completion time :: <3minutes. Cut-off score :: A score of 10 or below is within the non-clinical range Within the clinical range scores 11-15=mild; 16-20=moderate; 21-25=moderate/severe; 25 or over is severe. Clinically significant change :: The reliable change score is ≥6 and functional population score is ≥10.
DASS21 ::: Depression, Anxiety, Stress Scales designed for outcomes for general distress or neuroses
The DASS21 is a short version of the original DASS and is designed to discriminate between depression, anxiety, and physical arousal. There are seven items for each sub-scale measuring depression, anxiety, and stress. Depression items: Q3, 5, 10, 13, 16, 17, 21 Anxiety items: Q2, 4, 7, 9, 15, 19, 20 Stress items: Q1, 6, 8, 11, 12, 14, 18 The scale has been extensively evaluated in mental health populations and normative data are available. Timeframe :: The last 7 days. Scoring :: Each item is scored 0 'Did not apply to me at all' 1 'Applied to me to some degree or some of the time' 2 'Applied to me a considerable degree or a good part of the time' 3 'Applied to me very much or most of the time'. Total the score for each subscale and multiply by x2 in order to make scores compatible with the full DASS. Completion time :: <3minutes. Cut-off score :: DASS is not intended as a diagnostic tool, rather a measure of severity. The developers also suggest categories (for full DASS): Depression Normal 0-9 Mild 10-13 Moderate 14-20 Severe 21-27 Extremely Severe 28+; Anxiety Normal 0-7 Mild 8-9 Moderate 10-14 Severe 15-19 Extremely Severe 20+; Stress Normal 0-14 Mild 15-18 Moderate 19-25 Severe 26-33 Extremely Severe 33
SOS10 ::: Schwartz Outcome Scale designed for general outcome measure especially for mental health problems
The SOS10 was designed as a general treatment outcome measure across a range of treatment settings and modalities. A high score indicates better functioning. The scale was designed to assess improvement in mental health rather than having a narrow, condition specific, or broad, quality of life, scope. There are 10 items: Q1: physical health Q2: relationships Q3: future Q4: interest Q5: fun Q6: psychological health Q7: deal with failure Q8: general satisfaction Q9: deal with conflicts Q10: peace of mind. Timeframe :: The last 7 days. Scoring :: All questions are responded to on a seven point scale 0 'never' and 6 'all of the time or nearly all of the time' - range 0-60. Completion time :: <3minutes. Cut-off score :: No cut-offs have been designated - a number of studies suggest scores for a non clinical population will be ≤30 and for a clinical population ≥45.