INTERNATIONAL MENTAL HEALTH NETWORK, LTD.
P.O. Box 578
Poway, CA 92074-0578
Phone: (858) 486-9745
Fax: (858) 486-9760
E-mail: nac01@juno.com
A package of 10 test booklets and 50 answer sheets
available for $25 from IMHN: (858) 486-9745
Test Description
Return to the Index
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S A M P L E P R O F I L E
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________________________________________________________________________
SYMPTOMS CHECKLIST (SCL-90)
________________________________________________________________________
Scoring and Interpretation by:
INTERNATIONAL MENTAL HEALTH NETWORK, LTD.
2150 East Tahquitz Canyon, Suite 10
Palm Springs, CA 92262
________________________________________________________________________
CLIENT NAME/ID: STAN HANSON
SEX: MALE
AGE: 64
RACE: WHITE
HIGHEST GRADE: 12
DATE OF TEST: 11/21/1996
DATE OF SCORING: 11/21/1996
REFERRAL BY: DOMINICK AMORELLI, Ph.D.
This is a confidential report for use by professional staff only. The
terms used in the interpretation are technically defined and have
specific meaning for clinical patients. The program which generates
this profile considers many types of decision rules and the results
need to be interpreted in light of the limitations of the instrument.
Statements are based on analyses which should be considered as
hypotheses for further consideration in combination with the patient's
verbal communications and other clinical factors used in therapy.
_________________________________ ____________________ __________
REVIEWING PROFESSIONAL TITLE DATE
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HANSON
Symptoms Checklist (SCL-90)
Cluster Scores
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| CLUSTER | RS | CI | DI | ASSESSED |
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| Depression | 37 | 2.85 | 0.62 | 13 out of 13 |
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| Anxiety | 26 | 2.60 | 0.60 | 10 out of 10 |
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| Obsessive - Compulsive | 25 | 2.50 | 0.80 | 10 out of 10 |
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| Phobic Anxiety | 17 | 2.43 | 0.57 | 7 out of 7 |
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| Somatization | 28 | 2.33 | 0.58 | 12 out of 12 |
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| Paranoid Ideation | 8 | 1.33 | 0.17 | 6 out of 6 |
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| Psychoticism | 13 | 1.30 | 0.10 | 10 out of 10 |
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| Interpersonal Sensitivity | 11 | 1.22 | 0.22 | 9 out of 9 |
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| Anger - Hostility | 6 | 1.00 | 0.00 | 6 out of 6 |
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| All Clusters | 171 | 2.06 | 0.45 | 83 out of 83 |
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| All Items | 193 | 2.14 | 0.47 | 90 out of 90 |
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RS (Raw Score) = Sum of all item scores belonging to the cluster.
CI (Cluster Index) = Raw Score divided by number of items belonging to the
cluster which were assessed. The values of CI range from 1.00 to 5.00
where 1.00 means 'Not at all' and 5.00 means 'Extremely'.
DI (Distress Index) = Number of items belonging to the cluster with positive
indication divided by number of items belonging to the cluster which were
assessed.
Assessed = Number of items belonging to the cluster which were assessed
versus Total number of items belonging to the cluster.
The CI and DI of the last row (All Items) are, respectively, the General
Indication Index and the Positive Indication Distress Index.
PAGE 1
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HANSON
Cluster Composition and Severity:
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DEPRESSION (CI = 2.85, DI = 0.62)
Feeling blue (Extremely).
Feeling no interest in things (Extremely).
Feeling hopeless about the future (Extremely).
Worrying too much about things (Quite a bit).
Feeling everything is an effort (Quite a bit).
Loss of sexual interest or pleasure (Moderately).
Feeling low in energy or slowed down (Moderately).
Crying easily (Moderately).
Thoughts of ending your life (Not at all).
Feeling of being trapped or caught (Not at all).
Blaming yourself for things (Not at all).
Feeling lonely (Not at all).
Feelings of worthlessness (Not at all).
ANXIETY (CI = 2.60, DI = 0.60)
Suddenly scared for no reason (Quite a bit).
Feeling fearful (Quite a bit).
Feeling tense or keyed up (Quite a bit).
Feeling so restless you couldn't sit still (Quite a bit).
Nervousness or shakiness inside (Moderately).
Spells of terror or panic (Moderately).
Trembling (Not at all).
Heart pounding or racing (Not at all).
Feeling that familiar things are strange or unreal (Not at all).
Feeling pushed to get things done (Not at all).
OBSESSIVE - COMPULSIVE (CI = 2.50, DI = 0.80)
Trouble remembering things (Moderately).
Worried about sloppiness or carelessness (Moderately).
Feeling blocked in getting things done (Moderately).
Having to do things very slowly to insure correctness (Moderately).
Having to check and double-check what you do (Moderately).
Difficulty making decisions (Moderately).
Trouble concentrating (Moderately).
Your mind going blank (A little bit).
Unwanted thoughts, words, or ideas that won't leave your mind (Not at
all).
Having to repeat the same actions such as touching, counting, washing
(Not at all).
PHOBIC ANXIETY (CI = 2.43, DI = 0.57)
Having to avoid certain things, places, or activities because they
frighten you (Quite a bit).
Feeling uneasy in crowds, such as shopping or at a movie (Quite a bit).
Feeling afraid in open spaces or on the streets (Moderately).
Feeling afraid to go out of your house alone (Moderately).
Feeling afraid to travel on buses, subways, or trains (Not at all).
Feeling nervous when you are left alone (Not at all).
PAGE 2
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HANSON
Cluster Composition and Severity:
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Feeling afraid you will faint in public (Not at all).
SOMATIZATION (CI = 2.33, DI = 0.58)
Pains in lower back (Quite a bit).
Feeling weak in parts of your body (Quite a bit).
Heavy feelings in your arms or legs (Quite a bit).
Headaches (Moderately).
Soreness of your muscles (Moderately).
Hot or cold spells (Moderately).
Nausea or upset stomach (A little bit).
Faintness or dizziness (Not at all).
Pains in heart or chest (Not at all).
Trouble getting your breath (Not at all).
Numbness or tingling in parts of your body (Not at all).
A lump in your throat (Not at all).
PARANOID IDEATION (CI = 1.33, DI = 0.17)
Feeling that people will take advantage of you if you let them
(Moderately).
Feeling others are to blame for most of your troubles (Not at all).
Feeling that most people cannot be trusted (Not at all).
Feeling that you are watched or talked about by others (Not at all).
Having ideas or beliefs that others do not share (Not at all).
Others not giving you proper credit for your achievements (Not at all).
PSYCHOTICISM (CI = 1.30, DI = 0.10)
Never feeling close to another person (Quite a bit).
The idea that someone else can control your thoughts (Not at all).
Hearing voices that other people do not hear (Not at all).
Other people being aware of your private thoughts (Not at all).
Having thoughts that are not your own (Not at all).
Feeling lonely even when you are with people (Not at all).
Having thoughts about sex that bother you a lot (Not at all).
The idea that you should be punished for your sins (Not at all).
The idea that something serious is wrong with your body (Not at all).
The idea that something is wrong with your mind (Not at all).
INTERPERSONAL SENSITIVITY (CI = 1.22, DI = 0.22)
Feeling uneasy when people are watching or talking about you (A little
bit).
Feeling very self-conscious with others (A little bit).
Feeling critical of others (Not at all).
Feeling shy or uneasy with the opposite sex (Not at all).
Your feelings being easily hurt (Not at all).
Feeling others do not understand you or are unsympathetic (Not at all).
Feeling that people are unfriendly or dislike you (Not at all).
Feeling inferior to others (Not at all).
Feeling uncomfortable about eating or drinking in public (Not at all).
PAGE 3
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HANSON
Cluster Composition and Severity:
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ANGER - HOSTILITY (CI = 1.00, DI = 0.00)
Feeling easily annoyed or irritated (Not at all).
Temper outbursts that you could not control (Not at all).
Having urges to beat, injure, or harm someone (Not at all).
Having urges to break or smash things (Not at all).
Getting into frequent arguments (Not at all).
Shouting or throwing things (Not at all).
Critical Items:
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Feeling blue (Extremely).
Feeling no interest in things (Extremely).
Feeling hopeless about the future (Extremely).
Pains in lower back (Quite a bit).
Feeling weak in parts of your body (Quite a bit).
Heavy feelings in your arms or legs (Quite a bit).
Worrying too much about things (Quite a bit).
Feeling everything is an effort (Quite a bit).
Suddenly scared for no reason (Quite a bit).
Feeling fearful (Quite a bit).
Feeling tense or keyed up (Quite a bit).
Feeling so restless you couldn't sit still (Quite a bit).
Having to avoid certain things, places, or activities because they
frighten you (Quite a bit).
Feeling uneasy in crowds, such as shopping or at a movie (Quite a bit).
Never feeling close to another person (Quite a bit).
Trouble falling asleep (Quite a bit).
Thoughts of death or dying (Quite a bit).
Overeating (Quite a bit).
Awakening in the early morning (Quite a bit).
Sleep that is restless or disturbed (Quite a bit).
PAGE 4
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HANSON
RAW RESPONSES :
1 = Not at all 4 = Quite a bit
2 = A little bit 5 = Extremely
3 = Moderately 0 = Don't know
1234567890 1234567890 1234567890 1234567890 1234567890
1-50 3114231311 4413333332 3111111122 1331311154 5541314414 1-50
51-90 3411111111 3314411111 1131111111 1411444441 51-90
1234567890 1234567890 1234567890 1234567890 1234567890
PAGE 5