The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
The Symptom Check-List-90-R (SCL-90-R): A German validation study
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 alpha 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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“The SCL-90-R has good internal reliability and high concurrent validity [39].”
From Fear of depression recurrence among individuals with remitted depression: a qualitative interview study (2024) · cites this paper as [39]
In the citing paper
“The transdiagnostic accuracy of ADA could be considered lower when compared with sensitivities of self-report screenings for mental disorders that range between 0.72 and 0.90 according to previous studies [59-62].”
From Diagnostic Performance of an App-Based Symptom Checker in Mental Disorders: Comparative Study in Psychotherapy Outpatients (2022) · cites this paper as [60]
Citations
Cites
SCL-90: an outpatient psychiatric rating scale--preliminary report.
Derogatis, L. R., Lipman, R. S., & Covi, L. (1973) · PubMed · Cited by 3,800
Inventory of interpersonal problems: Psychometric properties and clinical applications.
Horowitz, L. M., Rosenberg, S. E., Baer, B. A., Ureño, G., & Villaseñor, V. S. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.885 · Cited by 2,026
Sex Differences and the Epidemiology of Depression
Weissman, M. M. (1977) · Archives of General Psychiatry · doi:10.1001/archpsyc.1977.01770130100011 · Cited by 1,853
The Epidemiology of Social Stress
Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995) · American Sociological Review · doi:10.2307/2096348 · Cited by 1,362
A Theory and Procedure of Scale Analysis: With Applications in Political Research
Mokken, R. J. (1971) · doi:10.1515/9783110813203 · Cited by 1,120
A Theory and Procedure of Scale Analysis.
Henry, N. W., & Mokken, R. J. (1973) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2062452 · Cited by 626
Basic Principles of Structural Equation Modeling
Mueller, R. O. (1996) · Springer texts in statistics · doi:10.1007/978-1-4612-3974-1 · Cited by 587
Rahim, M. A., & Magner, N. R. (1995) · Journal of Applied Psychology · doi:10.1037/0021-9010.80.1.122 · Cited by 519
Schmitz, N., Kruse, J., Heckrath, C., Alberti, L., & Tress, W. (1999) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050156 · Cited by 276
Self-citationUSE OF RELATIVE OPERATING CHARACTERISTIC ANALYSIS IN EPIDEMIOLOGY
Erdreich, L. S., & Lee, E. T. (1981) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113236 · Cited by 275
A Finnish validation study of the SCL‐90
Holi, M. M., Sammallahti, P. R., & Aalberg, V. A. (1998) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1998.tb09961.x · Cited by 258
Victims of traffic accidents: Incidence and prevention of post-traumatic stress disorder
Brom, D., Kleber, R. J., & Hofman, M. C. (1993) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199303)49:2 · Cited by 184
Jacobson, A. M., de Groot, M., & SAMSON, J. A. (1997) · Quality of Life Research · doi:10.1023/a:1026487509852 · Cited by 169
Correlation between physical performance and fatigue in cancer patients
Dimeo, F., Stieglitz, R., Novelli‐Fischer, U., Fetscher, S., Mertelsmann, R. H., & Keul, J. (1997) · Annals of Oncology · doi:10.1023/a:1008234310474 · Cited by 158
Turnbull, G. K., & Vallis, M. (1995) · PubMed · Cited by 121
Assessing Clinically Significant Change: Application to the SCL-90–R
Schmitz, N., Hartkamp, N., & Franke, G. (2000) · Psychological Reports · doi:10.2466/pr0.2000.86.1.263 · Cited by 110
Self-citationValidity of the GHQ and SCL anxiety and depression scales: A comparative study
Koeter, M. W. J. (1992) · Journal of Affective Disorders · doi:10.1016/0165-0327(92)90112-j · Cited by 106
Factor structure of the SCL-90 in a psychiatric population.
Hoffmann, N. G., & Overall, P. B. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.46.6.1187 · Cited by 103
Wiebe, S., Rose, K., Derry, P. A., & McLachlan, R. S. (1997) · Epilepsia · doi:10.1111/j.1528-1157.1997.tb01732.x · Cited by 75
Psychometric evaluation of the symptom checklist (SCL-90) in psychiatric inpatients
Hafkenscheid, A. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90088-k · Cited by 69
Validity and reliability of Symptom Checklist '90 (SCL90) in an Argentine population sample
Bonicatto, S., Dew, M. A., Soria, J. J., & Seghezzo, M. E. (1997) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00805438 · Cited by 68
Interpersonal Problems as Predictors of Symptom Related Treatment Outcome in Longterm Psychotherapy
Davies-Osterkamp, S., Strauss, B. M., & Schmitz, N. (1996) · Psychotherapy Research · doi:10.1080/10503309612331331688 · Cited by 68
Self-citationDiscriminant Validity of the SCL-90 Dimensions of Anxiety and Depression
Morgan, C. D., Wiederman, M. W., & Magnus, R. D. (1998) · Assessment · doi:10.1177/107319119800500210 · Cited by 67
Rief, W., & Fichter, M. M. (2010) · Psychopathology · doi:10.1159/000284763 · Cited by 60
Factor structure of the Symptom Checklist-90 with acute psychiatric inpatients.
Holcomb, W. R., Adams, N. A., & Ponder, H. M. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.51.4.535 · Cited by 59
Ringdal, K., Ringdal, G. I., Kaasa, S., Bjordal, K., Wislöff, F., Sundstrøm, S. H., & Hjermstad, M. J. (1999) · Quality of Life Research · doi:10.1023/a:1026419414249 · Cited by 46
Factor invariance of SCL-90—R: The case of combat stress reaction.
Schwarzwald, J., Weisenberg, M., & Solomon, Z. (1991) · Psychological Assessment · doi:10.1037/1040-3590.3.3.385 · Cited by 44
Factor structure of the Symptom Checklist-90 with acute psychiatric inpatients.
Holcomb, W. R., Adams, N. A., & Ponder, H. M. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.4.535 · Cited by 42
Treatment Response of Borderline Inpatients
Hull, J. W., Clarkin, J. F., & Kakuma, T. (1993) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199308000-00005 · Cited by 33
Franke, G. H. (1997) · European Journal of Psychological Assessment · doi:10.1027/1015-5759.13.2.67 · Cited by 26
Self-citationKruse, J., Heckrath, C., Schmitz, N., Alberti, L., & Tress, W. (1999) · PubMed · Cited by 14
Self-citationSantarsiero, L. J., Baker, R. C., & McGee, T. (1995) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199505)51:3 · Cited by 8
Flagged first, then by citations
Research works printed but not linked: 11
- Derogatis LR. The Symptom Checklist-90-revised. Minneapolis, MN: NCS Assessments, 1992.
- Franke GH. SCL-90-R: Die Symptom-Check-Liste von Derogatis-Deutsche Version. Göttingen: Beltz Test Gesellschaft, 1995.
- Rief W, Greitemeyer M, Fichter MM. Die Symptom Check List SCL-90-R: Ñberprüfung an 900 psychosomatischen Patienten. Diagnostica 1991; 37: 58-65.
- Franke GH. Eine weitere Ñberprüfung der Symptom-Check-Liste (SCL-90-R) als Forschungsinstrument. Diagnostica 1992; 38: 160-167.
- Schepank H. DerBeeinträchtigungsschwerescore (BSS). Ein Instrument zur Bestimmung der Schwere einer psych-ogenen Erkrankung. Goéttingen: Beltz Test Gesellschaft, 1995.
- Spitzer RL, Williams JBW, Gibbon M, First MB. Structured Clinical Interview for DSM-III-R (SCID). Washington, DC: American Psychiatric Press, Inc., 1990.
- Tress W, Kruse J, Heckrath C, Schmitz N, Alberti L. Psychogene Erkrankungen in hausärztlichen Praxen. Zschpsychosom Med 1997; 43: 211-232.
- 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.
- Molenaar IW, Debets P, Sijtsma K, Hemker BT. MSP, a Program for Mokken Scale Analysis for Polytomous Items. Groningen, The Netherlands: IEC ProGamma, 1994.
- Goldberg D. Detecting psychiatric illness by questionnaire. Oxford: Oxford University Press, 1972.
- SAS Institute Inc. SAS/STAT User's Guide, Version 6. Cary, NC: SAS Institute Inc., 1994.
Cited by
Sorted by citations
Gasser, P., Holstein, D., Michel, Y., Doblin, R., Yazar-Klosinski, B., Passie, T., & Brenneisen, R. (2014) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000113 · Cited by 750
“Both Positive Symptom Distress Index (PSDI) and Positive Symptom Total (PST) scores from the SCL-90-R mirrored these improvements, indicating that overall psychopathology improved in this subject sample 2 months after treatment.”
MethodInfluentialJohnson, S. U., Ulvenes, P. G., Øktedalen, T., & Hoffart, A. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01713 · Cited by 673
“SCL90 has been found to be having good psychometric properties (Schmitz et al., 2000).”
BackgroundElsenbruch, S., Hahn, S., Kowalsky, D., Öffner, A. H., Schedlowski, M., Mann, K., & Janssen, O. E. (2003) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-030562 · Cited by 437
“Based on the criteria derived from the 1990 National Institutes of Health conference (3), diagnosis of PCOS was established when either oligomenorrhea (cycles lasting longer than 35 d) or amenorrhea (absence of menstrual cycles in the past 6 months) and either clinical signs of hyperandrogenism [hirsutism with a Ferri…”
MethodInfluentialEberl, C., Wiers, R. W. H. J., Pawelczack, S., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2012) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2012.11.002 · Cited by 455
“Internal consistency for the nine subscales ranges from Cronbach’s ̨ of .78 to .90, while Cronbach’s ˛ for the Global Severity Index is .97 (Schmitz et al., 2000).”
Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome
Hahn, S., Janssen, O. E., Tan, S., Pleger, K., Mann, K., Schedlowski, M., Kimmig, R., Benson, S., Balamitsa, E., & Elsenbruch, S. (2005) · European Journal of Endocrinology · doi:10.1530/eje.1.02024 · Cited by 387
“The SCL-90-R and SF-36 were scored and analyzed according to the published guidelines (22, 26, 27 ).”
MethodInfluential
Metadata
- Authors
- Schmitz, N., Hartkamp, N., Kiuse, J., Franke, G. H., Reister, G., & Tress, W.
- Affiliations
- Heinrich Heine University Düsseldorf (DE)
- Venue
- Quality of Life Research
- Published
- 2000-03
- Volume
- 9
- Issue
- 2
- Pages
- 185-193
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2121333311
- Cited by
- 430
- References
- 32
- Citations by year
- 2026: 14 · 2025: 19 · 2024: 29 · 2023: 21 · 2022: 23 · 2021: 20 · 2020: 21 · 2019: 24 · 2018: 10 · 2017: 19 · 2016: 27 · 2015: 20 · 2014: 31 · 2013: 15 · 2012: 22
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Forschung und Technologie
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- SCL-90-R, psychometric properties, internal consistency, Mokken scale analysis, concurrent validity, factor structure, mental disorder screening, psychosomatic outpatients, primary care patients, Inventory of Interpersonal Problems, General Health Questionnaire
- MeSH terms
- Adult, Mental Disorders, Factor Analysis, Statistical, Female, Germany, Humans, Male, Mass Screening, Predictive Value of Tests, Psychiatric Status Rating Scales, Psychometrics, Quality of Life, Self Disclosure, Sensitivity and Specificity, Reproducibility of Results, Area Under Curve
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