Twenty-Two Item Screening Score of Psychiatric Symptoms

Twenty-Two Item Screening Score of Psychiatric Symptoms
Langner‚ 1962
1.    I feel weak all over much of the time. (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
2.    I have had periods of days‚ weeks or months when I couldn’t take care of things because I couldn’t “get going.” (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
3.    In general‚ would you say that most of the time you are in high (very good) spirits‚ good spirits‚ low spirits‚ or very low spirits?  (1) High‚ (2) Good‚ (3) Low‚ (4) Very Low‚ (5) DK‚ (6) NA
4.    Every so often I suddenly feel hot all over. (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
5.    Have you ever been bothered by your heart beating hard? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
6.    Would you say your appetite is poor‚ fair‚ good or too good? (1) Poor‚ (2) Fair‚ (3) Good‚ (4) Too Good‚ (5) DK‚ (6) NA
7.    I have periods of such great restlessness that I cannot sit long in a chair (cannot sit still very long). (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
8.    Are you the worrying type (a worrier)? (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
9.    Have you ever been bothered by shortness of breath when you were not exercising or working hard? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
10.Are you ever bothered by nervousness (irritable‚ fidgety‚ tense)? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
11.Have you ever had any fainting spells (lost consciousness)? Would you say: never‚ a few times‚ or more than a few times? (1) Never‚ (2) A few times‚ (3) More than a few times‚ (4) DK‚ (5) NA
12.Do you ever have any trouble in getting to sleep or staying asleep? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
13.I am bothered by acid (sour) stomach several times a week. (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
14.My memory seems to be all right (good). (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
15.Have you ever been bothered by “cold sweats”? Would you say: often‚ sometimes‚ or never? *(1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
16.Do your hands ever tremble enough to bother you? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
17.There seems to be a fullness (clogging) in my head or nose much of the time. (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
18.I have personal worries that get me down physically (make me physically ill). (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
19.Do you feel somewhat apart even among friends (apart‚ isolated‚ alone)? (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
20.Nothing ever turns out for me the way I want it to (turns out‚ happens‚ comes about‚ i.e.‚ my wishes aren’t fulfilled). (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
21.Are you ever troubled with headaches or pains in the head? Would you say: often‚ sometimes‚ or never? (1) Often‚ (2) Sometimes‚ (3) Never‚ (4) DK‚ (5) NA
22.You sometimes can’t help wondering if anything is worthwhile anymore. (1) Yes‚ (2) No‚ (3) DK‚ (4) NA
“DK” Don’t Know. “NA” No Answer

Langner‚ T.S. (1962). A twenty-two item screening score of psychiatric symptoms indicating impairment. J Health Hum Behav‚ 3:269–276.

Shader‚ R.I.‚ Ebert‚ M.H.‚ Harmatz‚ J.S. (1971). Langner’s Psychiatric Impairment Scale: A Short Screening Device. American Journal of Psychiatry‚ 128: 596-601

Meile‚ R.L. (1972). The 22-item index of psychophysiological disorder: psychological or organic symptoms? Social Science & Medicine‚ 6:125–135.

Seiler‚ L.H. (1973). The 22-item scale used in field studies of mental illness: a question of method‚ a question of substance‚ and a question of theory. J Health Soc Behav‚ 14:252–264.

Srole‚ L.‚ Langner‚ T.S.‚ Michael. S.T‚ et al. (1978). Mental health in the metropolis: the Midtown Manhattan Study. New York: New York University Press.

Cochrane‚ R. (1980). A comparative evaluation of the Symptom Rating Test and the Langner 22-item index for use in epidemiological surveys. Psychol Med‚ 10:115–124.

Johnson‚ D.R.‚ Meile‚ R.L. (1981). Does dimensionality bias in Langner’s 22-item index affect the validity of social status comparisons? An empirical investigation. J Health Soc Behav‚ 22:415–433.

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS

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