Table of Contents
Instructions:
This form has 10 statements about how you have been OVER THE LAST WEEK. Please read each statement and think how often you felt that way last week.
| Not at all | Only occasionally | Sometimes | Often | Most or all of the time | ||
| I have felt tense, anxious or nervous | 0 | 1 | 2 | 3 | 4 | |
| I have felt I have someone to turn to for support when needed | 4 | 3 | 2 | 1 | 0 | |
| I have felt able to cope when things go wrong | 4 | 3 | 2 | 1 | 0 | |
| Talking to people has felt too much for me | 0 | 1 | 2 | 3 | 4 | |
| I have felt panic or terror | 0 | 1 | 2 | 3 | 4 | |
| I made plans to end my life | 0 | 1 | 2 | 3 | 4 | |
| I have had difficulty getting to sleep or staying asleep | 0 | 1 | 2 | 3 | 4 | |
| I have felt despairing or hopeless | 0 | 1 | 2 | 3 | 4 | |
| I have felt unhappy | 0 | 1 | 2 | 3 | 4 | |
| Unwanted images or memories have been distressing me | 0 | 1 | 2 | 3 | 4 | |
Description
The CORE-10 is a short 10 item easy-to-use assessment measure for common presentations of psychological distress, designed to be used for screening as well as over the course of treatment to track progress. The measure is a shortened version of the 34 item CORE-OM, both of which ask respondents to self-report symptoms over the past week.
Validity and Reliability
Barkham et al. (2013) validated the CORE-10 in primary care patients as well as the general population, finding it had an internal reliability (alpha) of .9. Based on their analysis it was determined that scores of 11 or above were indicative of clinically significant psychological distress, and scores above 13 likely indicated depression, with a sensitivity and specificity of .92 and .72 respectively. The CORE-10 manual (2007) reports normative data for validation samples, including the General Population (n=535, M=4.7 SD=4.8) and Primary Care Counseling (n=1835, M=19.7, SD=7.7). The clinical sample comprised people whom were voluntarily receiving counseling in the UK, the majority of clients presented with anxiety (71%) and/or depression (65%). Half of the sample reported experiencing interpersonal problems (50.9%).
Interpretation
Scores are presented as a total score (sum of all items) as well as a mean score (total score divided by 10). Higher scores indicate higher levels of general psychological distress, where a total score of 11 or above is within the clinically significant range. Two percentile ranks are also presented, allowing comparison of scores with a Clinical Sample and the General Population. Higher percentiles represent higher levels of distress compared to the comparison group. A percentile of 50 for the Clinical Sample is typical of those receiving psychological treatment (approx. total score of 20), with the same score being above the 99th percentile compared to the General Population. Scores can be put into the following categories: Less than 10 – non-clinical range 11 to 14 – mild psychological distress 15 to 19 – moderate psychological distress 20 to 24 – moderate-to-severe psychological distress 25 or above – severe psychological distress
Developer
Barkham, M., Bewick, B., Mullin, T., Gilbody, S., Connell, J., Cahill, J., … & Evans, C. (2013). The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, 13(1), 3-13.
Number Of Questions
10
References
Barkham, M., Bewick, B., Mullin, T., Gilbody, S., Connell, J., Cahill, J., … & Evans, C. (2013). The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, 13(1), 3-13. CORE-10 Manual (2007). http://www.mhtu.co.uk/outcome-monitoring/outcome-core-10-manual.pdf