2. Faintness or dizziness *
3. Pain – heart or chest *
4. Feeling in Low energy or slowed down*
5. Pain in lower back *
6. Sore muscles *
7. Trouble getting your breath (when you’re not exercising)*
8. Hot or cold spells (suddenly feeling hot or cold for no reasons)*
9. Numbness or tingling in part of your body*
10.Lump in your throat
11.Weakness (feeling weak) in parts of your body*
12.Heavy feelings in your arms‚ legs (when they feel too heavy to more)*
13.Nausea or upset stomach (feeling like you might throw up‚ or having an upset stomach)*
14.Constipation (when it’s hard to have a B.M. or go poop)*
15.Loose (runny) BM’s or diarrhea*
16.Pain in your stomach or abdomen (stomach aches)*
17.Heart beating too fast (even when you’re not exercising)*
19.Losing your voice*
20.Deafness (when you cannot hear)
21.Double vision (when you see two of everything‚ even with glasses on)
22.Blurred vision (when things look blurry‚ even with glasses on)*
23.Blindness (when you can’t see at all)
24.Fainting or passing out
25.Memory loss or amnesia (losing tour memory‚ not being able to remember anything)
26.Seizures or convulsions (your body moving or shaking and you can’t control it)
28.Paralysis or muscle weakness (your muscles are too weak to move‚ like you can’t move your arms or legs at all)
29.Difficulty urinating (peeing)
30.Vomiting (or throwing up)*
31.Feeling bloated or gassy*
32.Food makes you sick*
33.Pain in your knees‚ elbows or other joints*
34.Pain in your arms or legs*
35.Pain when you urination or pee
36.Girl only: in the last two weeks‚ have you had your period? Yes‚ No
37.Girl only: if yes‚ were the symptoms you reported above related to your period?
* items at CSI-24
0= Mot at all‚ 1 = A little‚ 2= Some‚ 3= A lot‚ 4= A whole lot
Walker‚ L. S.‚ Garber‚ J.‚ and Greene‚ W. (1991). Somatization symptoms in pediatric abdominal pain patients: Relation to chronicity of abdominal pain and parent somatization. Journal of Abnormal Child Psychology‚ 19‚ 379–394.
Garber‚ J.‚ Walker‚ L.S.‚ & Zeman‚ J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the Children’s Somatization Inventory. Psychological Assessment‚ 4‚ 588-595.
Walker‚ L. S.‚ Garber‚ J.‚ & Greene‚ J. W. (1993). Psychosocial correlates of recurrent childhood pain:A comparison of pediatric patients with recurrentabdominal pain‚ organic illness‚ and psychiatricdisorders. Journal of Abnormal Psychology‚ 102‚248–258.
Walker‚ Garber and Greene. (1991). Children’s Somatization Inventory (SCI). In Fischer‚ Joel.‚ Corcoran‚ Kevin J. (2007). Measures for Clinical Practice and research: A sourcebook. (4th ed.). NY. Oxford University Pr. Vol. 1‚ Page (s): 481-483.
Walker‚ L. S.‚ Garber‚ J.‚ Smith‚ C. A.‚ Claar‚ R. L. (2005). Testing a Model of Pain Appraisal and Coping in Children With Chronic Abdominal Pain. Health Psychology‚ 24(4)‚ 364–374.
Walker‚ L. S.‚ Beck‚ J. E.‚Garber‚ J.‚ et al. (2009). Children’s Somatization Inventory: Psychometric Properties of the Revised Form (CSI-24). Journal of Pediatric Psychology‚ 34(4)‚ 430-440.