Brief Symptom Inventory(BSI)

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Brief Symptom Inventory(BSI)

By Leonard R. Derogatis, PhD

The following is a list of problems that people sometimes have. Please read each one carefully, and choose the response that best describeshow much that particular problem has distressed or bothered you during the last seven days, including today. Choose only one response per item, rating your feelings from ‘Not At All’ to ‘Extremely.’ Please do not skip any items.

How much were you distressed by:

1. Nervousness or shakiness insideNot At AllA Little BitModeratelyQuite A BitExtremely
2. Faintness or dizzinessNot At AllA Little BitModeratelyQuite A BitExtremely
3. The idea that someone else can control your thoughtsNot At AllA Little BitModeratelyQuite A BitExtremely
4. Feeling others are to blame for most of your troubles Not At AllA Little BitModeratelyQuite A BitExtremely
5. Trouble remembering thingsNot At AllA Little BitModeratelyQuite A BitExtremely
6. Feeling easily annoyed or irritatedNot At AllA Little BitModeratelyQuite A BitExtremely
7. Pains in heart or chestNot At AllA Little BitModeratelyQuite A BitExtremely
8. Feeling afraid in open spaces or on the streetsNot At AllA Little BitModeratelyQuite A BitExtremely
9. Thoughts of ending your lifeNot At AllA Little BitModeratelyQuite A BitExtremely
10. Feeling that most people cannot be trustedNot At AllA Little BitModeratelyQuite A BitExtremely
11. Poor appetiteNot At AllA Little BitModeratelyQuite A BitExtremely
12. Beingsuddenly scared for no reason Not At AllA Little BitModeratelyQuite A BitExtremely
13. Temper outbursts that you could not controlNot At AllA Little BitModeratelyQuite A BitExtremely
14. Feeling lonely even when you are with peopleNot At AllA Little BitModeratelyQuite A BitExtremely
15. Feeling blocked in getting things doneNot At AllA Little BitModeratelyQuite A BitExtremely
16. Feeling lonelyNot At AllA Little BitModeratelyQuite A BitExtremely
17. Feeling blueNot At AllA Little BitModeratelyQuite A BitExtremely
18. Feeling no interest in thingsNot At AllA Little BitModeratelyQuite A BitExtremely
19. Feeling fearfulNot At AllA Little BitModeratelyQuite A BitExtremely
20. Your feelings being easily hurt Not At AllA Little BitModeratelyQuite A BitExtremely
21. Feeling that people are unfriendly or dislike youNot At AllA Little BitModeratelyQuite A BitExtremely
22. Feeling inferior to othersNot At AllA Little BitModeratelyQuite A BitExtremely
23. Nausea or upset stomachNot At AllA Little BitModeratelyQuite A BitExtremely
24. Feeling that you are watched or talked about by othersNot At AllA Little BitModeratelyQuite A BitExtremely
25. Trouble falling asleepNot At AllA Little BitModeratelyQuite A BitExtremely
26. Having to check and double-check what you doNot At AllA Little BitModeratelyQuite A BitExtremely
27. Difficulty making decisionsNot At AllA Little BitModeratelyQuite A BitExtremely
28. Feeling afraid to travel on buses, subways, or trainsNot At AllA Little BitModeratelyQuite A BitExtremely
29. Trouble getting your breathNot At AllA Little BitModeratelyQuite A BitExtremely
30. Hot or cold spellsNot At AllA Little BitModeratelyQuite A BitExtremely
31. Avoiding certain things, places, or activities becauseNot At AllA Little BitModeratelyQuite A BitExtremely

they frighten you

1. Your mind going blankNot At AllA Little BitModeratelyQuite A BitExtremely
2. Numbness or tingling in parts of your bodyNot At AllA Little BitModeratelyQuite A BitExtremely
3. The idea that you should be punished for your sinsNot At AllA Little BitModeratelyQuite A BitExtremely
4. Feeling hopeless about the futureNot At AllA Little BitModeratelyQuite A BitExtremely
5. Trouble concentratingNot At AllA Little BitModeratelyQuite A BitExtremely
6. Feeling weak in parts of your bodyNot At AllA Little BitModeratelyQuite A BitExtremely
7. Feeling tense or keyed upNot At AllA Little BitModeratelyQuite A BitExtremely
8. Thoughts of death or dyingNot At AllA Little BitModeratelyQuite A BitExtremely
9. Having urges to beat, injure, or harm someoneNot At AllA Little BitModeratelyQuite A BitExtremely
10. Having urges to break or smash thingsNot At AllA Little BitModeratelyQuite A BitExtremely
11. Feeling very self-conscious with othersNot At AllA Little BitModeratelyQuite A BitExtremely
12. Feeling uneasy in crowds, such as shopping or at a movieNot At AllA Little BitModeratelyQuite A BitExtremely
13. Never feeling close to another personNot At AllA Little BitModeratelyQuite A BitExtremely
14. Spells of terror or panicNot At AllA Little BitModeratelyQuite A BitExtremely
15. Getting into frequent argumentsNot At AllA Little BitModeratelyQuite A BitExtremely
16. Feeling nervous when you are left aloneNot At AllA Little BitModeratelyQuite A BitExtremely
17. Others not giving you proper credit for your achievementsNot At AllA Little BitModeratelyQuite A BitExtremely
18. Feeling so restless you couldn’t sit stillNot At AllA Little BitModeratelyQuite A BitExtremely
19. Feelings of worthlessnessNot At AllA Little BitModeratelyQuite A BitExtremely
20. Feeling that people will take advantage of you if you let themNot At AllA Little BitModeratelyQuite A BitExtremely
21. Feelings of guiltNot At AllA Little BitModeratelyQuite A BitExtremely
22. The idea that something is wrong with your mindNot At AllA Little BitModeratelyQuite A BitExtremely

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