The Clinical Anger Scale (CAS)

The Clinical Anger Scale (CAS) is a tool used to measure the intensity of anger in individuals. It is a selfreport questionnaire that consists of 25 items, each of which is rated on a fivepoint scale. The scale was developed by Dr. Stephen F. Maisto and his colleagues in the late 1980s. The CAS is designed to measure the intensity of anger in a persons life, as well as their ability to cope with and manage their anger. It is a useful tool for clinicians to assess the level of anger in a patient, and to determine the best course of treatment. The CAS consists of 25 items that measure the intensity of anger in various situations. These items include questions such asWhen I am angry, I feel like I could explode andWhen I am angry, I feel like I might do something I regret. Each item is rated on a fivepoint scale, with 1 beingnot at all and 5 beingvery much. The CAS has been found to be a reliable and valid tool for assessing anger. It has been used in a variety of research studies and clinical settings. It is a useful tool for clinicians to assess the level of anger in a patient, and to determine the best course of treatment. The CAS is a useful tool for clinicians and researchers alike. It is a reliable and valid measure of anger, and can be used to assess the level of anger in a patient, and to determine the best course of treatment. It is also a useful tool for researchers to study the intensity of anger in different populations.
FEELINGS INVENTORY INSTRUCTIONS: The group of items below inquire about the types of feelings you have. Each of the 21 groups of items has four options.
 
For example‚ ITEM 99 ……. A. I feel fine.
           B. I don’t feel all that well.
           C. I feel somewhat miserable.
           D. I feel completely miserable.
 
For each cluster of items‚ read and identify the statement that best reflects how you feel. For example‚ you might choose A in the above example. If so‚ then you would darken in the letter (A) on the answer sheet next to the item number associated with that group of statements. In this example‚ that item number would have been “99.”
 
     Now go ahead and answer the questions on the answer sheet. Be sure to answer every question‚ even if you’re not sure‚ and use a #2 pencil. Make sure you se‎lect only one statement from each of the 21 clusters of statements.
PLEASE BE HONEST IN RESPONDING TO THE STATEMENTS.
1. ….. A. I do not feel angry.
B. I feel angry.
C. I am angry most of the time now.
D. I am so angry and hostile all the time that I can’t stand it.
2. ….. A. I am not particularly angry about my future.
B. When I think about my future‚ I feel angry.
C. I feel angry about what I have to look forward to.
D. I feel intensely angry about my future‚ since it cannot be improved.
3. ….. A. It makes me angry that I feel like such a failure.
B. It makes me angry that I have failed more than the average person.
C. As I look back on my life‚ I feel angry about my failures.
D. It makes me angry to feel like a complete failure as a person.
4. ….. A. I am not all that angry about things.
B. I am becoming more hostile about things than I used to be.
C. I am pretty angry about things these days.
D. I am angry and hostile about everything.
5. ….. A. I don’t feel particularly hostile at others.
B. I feel hostile a good deal of the time.
C. I feel quite hostile most of the time.
D. I feel hostile all of the time.
6. ….. A. I don’t feel that others are trying to annoy me.
B. At times I think people are trying to annoy me.
C. More people than usual are beginning to make me feel angry.
D. I feel that others are constantly and intentionally making me angry.
7. ….. A. I don’t feel angry when I think about myself.
B. I feel more angry about myself these days than I used to.
C. I feel angry about myself a good deal of the time.
D. When I think about myself‚ I feel intense anger.
8. ….. A. I don’t have angry feelings about others ha‎ving screwed up my life.
B. It’s beginning to make me angry that others are screwing up my life.
C. I feel angry that others prevent me from ha‎ving a good life.
D. I am constantly angry because others have made my life totally miserable.
9. ….. A. I don’t feel angry enough to hurt someone.
B. Sometimes I am so angry that I feel like hurting others‚ but I would not really do it.
C. My anger is so intense that I sometimes feel like hurting others.
D. I’m so angry that I would like to hurt someone.
10. …..A. I don’t shout at people any more than usual.
B. I shout at others more now than I used to.
C. I shout at people all the time now.
D. I shout at others so often that sometimes I just can’t stop.
11. …..A. Things are not more irritating to me now than usual.
B. I feel slightly more irritated now than usual.
C. I feel irritated a good deal of the time.
D. I’m irritated all the time now.
12. …..A. My anger does not interfere with my interest in other people.
B. My anger sometimes interferes with my interest in others.
C. I am becoming so angry that I don’t want to be around others.
D. I’m so angry that I can’t stand being around people.
13. …..A. I don’t have any persistent angry feelings that influence my ability to make decisions.
B. My feelings of anger occasionally undermine my ability to make decisions.
C. I am angry to the extent that it interferes with my making good decisions.
D. I’m so angry that I can’t make good decisions anymore.
14. …..A. I’m not so angry and hostile that others dislike me.
B. People sometimes dislike being around me since I become angry.
C. More often than not‚ people stay away from me because I’m so hostile and angry.
D. People don’t like me anymore because I’m constantly angry all the time.
15. …..A. My feelings of anger do not interfere with my work.
B. From time to time my feelings of anger interfere with my work.
C. I feel so angry that it interferes with my capacity to work.
D. My feelings of anger prevent me from doing any work at all.
16. …..A. My anger does not interfere with my sleep.
B. Sometimes I don’t sleep very well because I’m feeling angry.
C. My anger is so great that I stay awake 1—2 hours later than usual.
D. I am so intensely angry that I can’t get much sleep during the night.
17. …..A. My anger does not make me feel any more tired than usual.
B. My feelings of anger are beginning to tire me out.
C. My anger is intense enough that it makes me feel very tired.
D. My feelings of anger leave me too tired to do anything.
18. …..A. My appetite does not suffer because of my feelings of anger.
B. My feelings of anger are beginning to affect my appetite.
C. My feelings of anger leave me without much of an appetite.
D. My anger is so intense that it has taken away my appetite.
19. …..A. My feelings of anger don’t interfere with my health.
B. My feelings of anger are beginning to interfere with my health.
C. My anger prevents me from devoting much time and attention to my health.
D. I’m so angry at everything these days that I pay no attention to my health and well-being.
20. …..A. My ability to think clearly is unaffected by my feelings of anger.
B. Sometimes my feelings of anger prevent me from thinking in a clear-headed way.
C. My anger makes it hard for me to think of anything else.
D. I’m so intensely angry and hostile that it completely interferes with my thinking.
21. …..A. I don’t feel so angry that it interferes with my interest in sex.
           B. My feelings of anger leave me less interested in sex than I used to be.
           C. My current feelings of anger undermine my interest in sex.
           D. I’m so angry about my life that I’ve completely lost interest in sex.
This instrument can be found online at: http://www4.semo.edu/snell/scales/CAS.htm   &
 

Snell‚ W. E.‚ Jr.‚ Gum‚ S.‚ Shuck‚ R. L.‚ Mosley‚ J. A.‚ & Hite‚ T. L.. (1995). The Clinical Anger Scale: Preliminary reliability and validity.   Journal of Clinical Psychology‚ 51‚ 215-226.

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