The concept of psychological distress and its assessment: A clinimetric analysis of the SCL-90-R. Article Swipe
Danilo Carrozzino
,
Chiara Patierno
,
Claudia Pignolo
,
Kaj Sparle Christensen
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1037/str0000280
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1037/str0000280
Many studies have been conducted on psychological distress but the question of how to conceptualize and assess this phenomenon still remains a controversial issue. Clinimetrics, the science of clinical measurements, may pave the ground for a substantial revision of the clinical conceptualization and assessment of this construct. A Rasch analysis was performed to evaluate whether the Symptom Checklist-90-Revised (SCL-90-R) and its subscales were valid indices of underlying dimensions of psychological distress. Based on the clinimetric validation of the SCL-90-R, as well as on a critical review of the available literature, a concept analysis of psychological distress was performed. The SCL-90-R total score misfitted the Rasch model but it was found to have a Person Separation Reliability Index of 0.94. Model fit was achieved after the exclusion of six misfitting items. Paired t tests indicated that all the subscales of the SCL-90-R were unidimensional. Psychological distress was defined as a subjective, unifying, dimensional, and transdiagnostic construct consisting in a unique experience of discomfort, which may involve a sense of demoralization, the experience of feeling broken or mental pain, a sense of anguish, symptoms of somatization and attention deficit hyperactivity disorder (ADHD), feelings of anger, self-perceived lack of control, and self-criticism. Our findings also showed that the SCL-90-R could reliably differentiate healthy stress from psychological distress, and identify individuals at risk of psychiatric disorders. The total score of the 84-item version of the SCL-90-R may be used as an overall indicator of psychological distress. The subscales are recommended to assess the severity of specific symptomatic manifestations of psychological distress.
Related Topics
Concepts
Psychology
Distress
Rasch model
Clinical psychology
Feeling
Somatization
Psychological distress
Construct (python library)
Anger
Conceptualization
Construct validity
Anxiety
Psychometrics
Developmental psychology
Psychiatry
Social psychology
Programming language
Computer science
Artificial intelligence
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1037/str0000280
- OA Status
- green
- Cited By
- 38
- References
- 121
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4312193249
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4312193249Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1037/str0000280Digital Object Identifier
- Title
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The concept of psychological distress and its assessment: A clinimetric analysis of the SCL-90-R.Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-12-22Full publication date if available
- Authors
-
Danilo Carrozzino, Chiara Patierno, Claudia Pignolo, Kaj Sparle ChristensenList of authors in order
- Landing page
-
https://doi.org/10.1037/str0000280Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://hdl.handle.net/11585/918506Direct OA link when available
- Concepts
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Psychology, Distress, Rasch model, Clinical psychology, Feeling, Somatization, Psychological distress, Construct (python library), Anger, Conceptualization, Construct validity, Anxiety, Psychometrics, Developmental psychology, Psychiatry, Social psychology, Programming language, Computer science, Artificial intelligenceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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38Total citation count in OpenAlex
- Citations by year (recent)
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2025: 12, 2024: 19, 2023: 7Per-year citation counts (last 5 years)
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121Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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