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The Symptom Check-List-90-R (SCL-90-R): A German validation study

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Abstract

The Symptom Check-List-90-R (SCL-90-R) is a widely used psychological status symptom inventory. The properties of the German SCL-90-R version were studied in two clinical samples: psychosomatic outpatients and primary care patients. The data were compared with a German community sample. The internal consistency, measured by Cronbach's α coefficients, was found to be high, for the global scale and all original subscales. Mokken scale analysis indicated hierarchical structure for most of the subscales. Concurrent validity, evaluated by studying the relationship between the SCL-90-R subscales and the Inventory of Interpersonal Problems (IIP-C) and the General Health Questionnaire (GHQ-12) was also high. On the basis of receiver operating characteristic (ROC) analyses, it was found that the SCL-90-R was able to differentiate between subjects known to have a given psychological disorder and those who do not. Results of exploratory and confirmatory factor analysis failed to support the original nine factor model and two subsequent factor models. The strong interdependence of the original subscales and the strong first unrotated factor of the exploratory factor analyses raised concern regarding the multi-dimensionality of the SCL-90-R subscales. We concluded that the SCL-90-R is a useful tool for measuring psychological status, measuring change in outcome studies, or screening for mental disorders.

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References

  1. Wiebe S, Rose K, Derry P, et al. Outcome assessment in epilepsy: comparative responsiveness of quality of life and psychosocial instruments. Epilepsia 1997; 38: 430-438.

    Google Scholar 

  2. Dimeo F, Stieglitz RD, Novelli-Fischer U, et al. Correlation between physical performance and fatigue in cancer patients. Ann Oncol 1997; 8: 1251-1255.

    Google Scholar 

  3. Jacobson AM, deGroot M, Samson JA. The effects of psychiatric disorders and symptoms on quality of life in patients with Type I and Type II diabetes mellitus. Qual Life Res 1997; 6: 11-20.

    Google Scholar 

  4. Turnbull GK, Vallis TM. Quality of life in inflammatory bowel disease: the interaction of disease activity with psychosocial function. Am J Gastroenterol 1995; 90: 1450-1454.

    Google Scholar 

  5. Derogatis LR. The Symptom Checklist-90-revised. Minneapolis, MN: NCS Assessments, 1992.

    Google Scholar 

  6. Franke GH. SCL-90-R: Die Symptom-Check-Liste von Derogatis-Deutsche Version. Göttingen: Beltz Test Gesellschaft, 1995.

    Google Scholar 

  7. Hoffman NG, Overall PB. Factor structure of the SCL-90 in a psychiatric population. J Consult Clin Psychol 1978; 46: 1187-1191.

    Google Scholar 

  8. Holcomb WR, Adams NA, Ponder HM. Factor structure of the Symptom Checklist-90 with acute psychiatric inpatients. J Consult Clin Psychol 1983; 51: 535-538.

    Google Scholar 

  9. Derogatis LR, Lippmann RS, Covi L. SCL-90: an outpatient psychiatric rating scale-preliminary report. Psycho-pharmacol Bull 1973; 9: 13-28.

    Google Scholar 

  10. Hafkenscheid A. Psychometric evaluation of the Symptom Checklist (SCL-90) in psychiatric inpatients. Person individ Diff 1993; 14: 751-756.

    Google Scholar 

  11. Bonynge ER. Unidimensionality of SCL-90-R scales in adult and adolescent crisis sample. J Clin Psychol 1993; 49: 212-215.

    Google Scholar 

  12. Holi MM, Sammallahti PR, Aalberg VA. A Finish validation study of the SCL-90. Acta Psychiatr Scand 1998; 97: 42-46.

    Google Scholar 

  13. Rief W, Fichter M. The Symptom-Check-List SCL-90-and its ability to discriminate between dysthymia, anxiety disorders, and anorexia nervosa. Psychopathology 1992; 25: 128-138.

    Google Scholar 

  14. Bonicatto S, Dew MA, Soria JJ, Seghezzo ME. Validity and reliability of Symptom Checklist '90 (SCL90) in an Argentine population sample. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 332-338.

    Google Scholar 

  15. Koeter MWJ. Validity of the GHQ and SCL anxiety and depression scales: a comparative study. J Affect Disord 1992; 24: 271-280.

    Google Scholar 

  16. Morgan CD, Wiederman MW, Magnus RD.Discriminant validity of the SCL-90 dimensions of anxiety and depression. Assessment 1998; 5: 197-201.

    Google Scholar 

  17. Davies-Osterkamp S, Strauss BM, Schmitz N. Interpersonal problems as predictors of symptom related treatment outcome in long-term psychotherapy. Psychotherapy Research 1996; 6: 164-176.

    Google Scholar 

  18. Schmitz N, Hartkamp N, Franke GH. Assessing clinically significant change: application to the SCL-90-R. Psychological Reports 2000; 86: 263-274.

    Google Scholar 

  19. Schmitz N, Kruse J, Heckrath C, Alberti L, Tress W. Diagnosing Mental Disorders in Primary Care: The General Health Questionnaire (GHQ) and the Symptom Check List (SCL-90-R) as screening instruments. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 360-366.

    Google Scholar 

  20. Rief W, Greitemeyer M, Fichter MM. Die Symptom Check List SCL-90-R: Ñberprüfung an 900 psychosomatischen Patienten. Diagnostica 1991; 37: 58-65.

    Google Scholar 

  21. Franke GH. Eine weitere Ñberprüfung der Symptom-Check-Liste (SCL-90-R) als Forschungsinstrument. Diagnostica 1992; 38: 160-167.

    Google Scholar 

  22. Franke GH. The whole is more than the sum of its parts: the effect of grouping and randomizing items on the reliability and validity of questionnaires. Eur J Psychol Assess 1997; 13: 67-74.

    Google Scholar 

  23. Schepank H. DerBeeinträchtigungsschwerescore (BSS). Ein Instrument zur Bestimmung der Schwere einer psych-ogenen Erkrankung. Goéttingen: Beltz Test Gesellschaft, 1995.

    Google Scholar 

  24. Spitzer RL, Williams JBW, Gibbon M, First MB. Structured Clinical Interview for DSM-III-R (SCID). Washington, DC: American Psychiatric Press, Inc., 1990.

    Google Scholar 

  25. Tress W, Kruse J, Heckrath C, Schmitz N, Alberti L. Psychogene Erkrankungen in hausärztlichen Praxen. Zschpsychosom Med 1997; 43: 211-232.

    Google Scholar 

  26. Kruse J, Heckrath C, Schmitz N, Alberti L, Tress W. Zur hausärztlichen Diagnose und Versorgung psychogener Kranker-Ergebnisse einer Feldstudie. Psychother Psychosom med Psychol 1999; 49: 14-22.

    Google Scholar 

  27. Mokken RJ. A Theory and Procedure of Scale Analysis. The Hague, The Netherlands: Mouton, 1971.

    Google Scholar 

  28. Molenaar IW, Debets P, Sijtsma K, Hemker BT. MSP, a Program for Mokken Scale Analysis for Polytomous Items. Groningen, The Netherlands: IEC ProGamma, 1994.

    Google Scholar 

  29. Ringdal K, Ringdal GI, Kaasa S, et al. Assessing the con-sistency of psychometric properties of the HRQoL scales within the EORTC QLQ-C30 across populations by means of the Mokken Scaling Model. Qual Life Res 1999; 8: 25-43.

    Google Scholar 

  30. Rahim MA, Magner NR. Confirmatory factor analysis of the styles of handling interpersonal conflict:first-order factor model and its invariance across groups. J Appl Psychol 1995; 80: 122-132.

    Google Scholar 

  31. Mueller RO. Basic principles of structural equation modeling. New York: Springer Verlag, 1996.

    Google Scholar 

  32. Horowitz LM, Rosenberg SE, Bauer BA, Ureno G, Villasenor VS. Inventory of Interpersonal Problems: Psychometric properties and clinical applications. J Consult Clin Psychol 1988; 56: 885-892.

    Google Scholar 

  33. Goldberg D. Detecting psychiatric illness by questionnaire. Oxford: Oxford University Press, 1972.

    Google Scholar 

  34. Erdreich LS, Lee ET. Use of Relative Operating Characteristic analysis in epidemiology. Am J Epidemiol 1981; 114: 649-662.

    Google Scholar 

  35. SAS Institute Inc. SAS/STAT User's Guide, Version 6. Cary, NC: SAS Institute Inc., 1994.

    Google Scholar 

  36. Metz CE, Wang PL, Kronman HB. ROCFIT. Department of Radiology and the Franklin McLean Memorial Research Institute, University of Chicago, 1993.

  37. Weissman MM, Klerman GL. Sex differences in the epidemiology of depression. Arch Gen Psychiatry 1977; 34: 98-111.

    Google Scholar 

  38. Turner RJ, Wheaton B, Lloyd DA. The epidemiology of social stress. Am Soc Rev 1995; 60: 104-125.

    Google Scholar 

  39. Schwarzwald J, Weisenberg M, Solomon Z.Factor invariance of SCL-90-R: the case of combat stress reaction. Psychological Assessment 1991; 3: 385-390.

    Google Scholar 

  40. Carpenter KM, Hittner JB. Dimensional characteristics of the SCL-90-R: evaluation of gender differences in dually diagnosed inpatients. J Clin Psychol 1995; 51: 383-390.

    Google Scholar 

  41. Hull JW, Clarkin JF, Kakuma T. Treatment response of borderline inpatients: a growth curve analysis. J Nerv and Mental Disease 1993; 181: 503-509.

    Google Scholar 

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Authors and Affiliations

  1. Clinic for Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University, Duesseldorf, Germany

    N. Schmitz, N. Hartkamp, J. Kiuse, G.H. Franke, G. Reister & W. Tress

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  1. N. Schmitz
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  2. N. Hartkamp
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  3. J. Kiuse
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  4. G.H. Franke
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  5. G. Reister
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  6. W. Tress
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Schmitz, N., Hartkamp, N., Kiuse, J. et al. The Symptom Check-List-90-R (SCL-90-R): A German validation study. Qual Life Res 9, 185–193 (2000). https://doi.org/10.1023/A:1008931926181

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